,Maternity and Pediatric Nursing 4th Edition
Ricci Kyle Carman Test Bank
Chapter 1
1. When integrating the principles of family-centered care into the
birthing process, the nurse would base care upon which belief? A. Birth is
viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth
affects the entire family, and relationships will change; birth is viewed as a normal,
healthy event in the life of the family; and families are capable of making decisions
about their own care if given adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. The group would design
educational programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular di s e a s e , th e number one
cause of death in women regardless of racial or ethnic group. Smoking is related
to heart disease and the development of cancer. However, heart disease and cancer
o r y . C an c
can occur in any woman regardless of her smoking hist a b irb .c om / te ster is the
second leading cause of death, with women having a one in three lifetime risk of
,developing cancer. Diabetes is another important health condition that can affect
women. However, it is not the major health problem that heart disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired
nurses. As part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst
ed consent. The nurse determines that the teaching was effective when the
group identifies which situation as a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from the
spouse of a unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent
for health care. Serving as a witness to the signature process, asking
whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbal
consent over the phone for emergency procedures are all key to informed consent
and are not violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrierb
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset priority
responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
, B. Providing na ndetailed ndescription nof nthe nrisks nand nbenefits nof nthe nprocedure
C. Explaining n the n exact n steps n that n will n occur n during n the n parboirbc.ceodmu/terset n D.
nOffering nsuggestions nfor nalternative noptions nfor ntreatment
Answer: nA
Rationale: nThe nnurse's nresponsibilities nrelated nto ninformed nconsent ninclude:
nEnsuring nthe nconsent nform nis ncompleted nwith nsignatures nfrom nthe nclient; nserving
nas na nwitness nto nthe nsignature nprocess; nand ndetermining nwhether nthe ncalbiier nbn.cto
nmu/tne nsdt nerstands nwhat nshe nis nsigning nby nasking nher npertinent nquestions. nThe
nphysician, nadvanced npractice nnurse, nor nmidwife nis nresponsible nfor ninforming nthe
nclient nabout nthe nprocedure nand nobtaining nconsent nby nproviding na ndetailed
ndescription nof nthe nprocedure nor ntreatment, nits npotential nrisks nand nbenefits, nand
nalternative nmethods n a v a i l a b l e
a bi rb .c o m / te s t
.
Question nformat: nMultiple nChoice
Chapter n1: nPerspectives non nMaternal nand nChild nHealth
nCare nCognitive nLevel: nApply
Client nNeeds: nSafe, nEffective nCare nEnvironment: nManagement nof nCare
Integrated nProcess: nNursing nProcess
nReference: np. n45
5. A n9-month-old nwith nglaucoma nrequires nsurgery. nThe
ninabfiarbn.cto'ms/tepsat nrents nare ndivorced. nTo nobtain ninformed nconsent,
nwhich naction nwould nbe nmost nappropriate?
A. Contacting nthe nfather nfor ninformed nconsent
B. Obtaining ninformed nconsent nfrom nthe nmother
C. Seeking na ncourt nruling non nthe ncourse nof ncare
D. Determining nsole nor njoint ncustody nby nthe nparents
Answer: nD
Rationale: nThe nmost nappropriate naction nwould nbe nto ndetermine nlegal ncustody nby
ncourt ndecree. nIf nthe nparents nhave njoint ncustody, nthen neither nparent nmay ngive
nconsent, nbut nit nis nalways nbest nto nhave nconsent ngiven nby nb o th p a r e nts.
a nb i nr b . nc no m / nt ne s t n
nThe nparent nwith nonly nphysical ncustody nmay ngive nconsent nfor nemergency ncare.
nThe nlast nresort nis
getting na ncourt nruling; nusually nthis nis nnot nnecessary nunless nthe nparents ndisagree
nabout nthe ncare nof nthe nchild.
Ricci Kyle Carman Test Bank
Chapter 1
1. When integrating the principles of family-centered care into the
birthing process, the nurse would base care upon which belief? A. Birth is
viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth
affects the entire family, and relationships will change; birth is viewed as a normal,
healthy event in the life of the family; and families are capable of making decisions
about their own care if given adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. The group would design
educational programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular di s e a s e , th e number one
cause of death in women regardless of racial or ethnic group. Smoking is related
to heart disease and the development of cancer. However, heart disease and cancer
o r y . C an c
can occur in any woman regardless of her smoking hist a b irb .c om / te ster is the
second leading cause of death, with women having a one in three lifetime risk of
,developing cancer. Diabetes is another important health condition that can affect
women. However, it is not the major health problem that heart disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired
nurses. As part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst
ed consent. The nurse determines that the teaching was effective when the
group identifies which situation as a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ tees t permit
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from the
spouse of a unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent
for health care. Serving as a witness to the signature process, asking
whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbal
consent over the phone for emergency procedures are all key to informed consent
and are not violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrierb
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset priority
responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
, B. Providing na ndetailed ndescription nof nthe nrisks nand nbenefits nof nthe nprocedure
C. Explaining n the n exact n steps n that n will n occur n during n the n parboirbc.ceodmu/terset n D.
nOffering nsuggestions nfor nalternative noptions nfor ntreatment
Answer: nA
Rationale: nThe nnurse's nresponsibilities nrelated nto ninformed nconsent ninclude:
nEnsuring nthe nconsent nform nis ncompleted nwith nsignatures nfrom nthe nclient; nserving
nas na nwitness nto nthe nsignature nprocess; nand ndetermining nwhether nthe ncalbiier nbn.cto
nmu/tne nsdt nerstands nwhat nshe nis nsigning nby nasking nher npertinent nquestions. nThe
nphysician, nadvanced npractice nnurse, nor nmidwife nis nresponsible nfor ninforming nthe
nclient nabout nthe nprocedure nand nobtaining nconsent nby nproviding na ndetailed
ndescription nof nthe nprocedure nor ntreatment, nits npotential nrisks nand nbenefits, nand
nalternative nmethods n a v a i l a b l e
a bi rb .c o m / te s t
.
Question nformat: nMultiple nChoice
Chapter n1: nPerspectives non nMaternal nand nChild nHealth
nCare nCognitive nLevel: nApply
Client nNeeds: nSafe, nEffective nCare nEnvironment: nManagement nof nCare
Integrated nProcess: nNursing nProcess
nReference: np. n45
5. A n9-month-old nwith nglaucoma nrequires nsurgery. nThe
ninabfiarbn.cto'ms/tepsat nrents nare ndivorced. nTo nobtain ninformed nconsent,
nwhich naction nwould nbe nmost nappropriate?
A. Contacting nthe nfather nfor ninformed nconsent
B. Obtaining ninformed nconsent nfrom nthe nmother
C. Seeking na ncourt nruling non nthe ncourse nof ncare
D. Determining nsole nor njoint ncustody nby nthe nparents
Answer: nD
Rationale: nThe nmost nappropriate naction nwould nbe nto ndetermine nlegal ncustody nby
ncourt ndecree. nIf nthe nparents nhave njoint ncustody, nthen neither nparent nmay ngive
nconsent, nbut nit nis nalways nbest nto nhave nconsent ngiven nby nb o th p a r e nts.
a nb i nr b . nc no m / nt ne s t n
nThe nparent nwith nonly nphysical ncustody nmay ngive nconsent nfor nemergency ncare.
nThe nlast nresort nis
getting na ncourt nruling; nusually nthis nis nnot nnecessary nunless nthe nparents ndisagree
nabout nthe ncare nof nthe nchild.
