Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
h h h h h h h h h 9i h h h
Test Bank- h
Essentials of Maternity Newborn and Women’s h h h h h
Health Nursing 5th Edition h h h h
Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................... 4
h 9i h h h h h h h
Chapter 2- Family-Centered Community-Based Care ..................................................................................................... 9
h h 9i h
Chapter 3- Anatomy and Physiology of the Reproductive System ................................................................................ 14
h h h 9i h h h 9i
Chapter 4- Common Reproductive Issues ..................................................................................................................... 19
h h h 9i
Chapter 5- Sexually Transmitted Infections .................................................................................................................. 24
h h h h
Chapter 6- Disorders of the Breasts ............................................................................................................................... 29
h h 9i h h
Chapter 7- Benign Disorders of the Female Reproductive Tract ..................................................................................... 34
h h 9i h h 9i h h
Chapter 8- Cancers of the Female Reproductive Tract.................................................................................................... 39
h h h h h 9i h
Chapter 9- Violence and Abuse ..................................................................................................................................... 44
h h h h
Chapter 10- Fetal Development and Genetics ................................................................................................................ 49
h h h h 9i
Chapter 11- Maternal Adaptation During Pregnancy .................................................................................................... 54
h h h 9i h
Chapter 12- Nursing Management During Pregnancy ................................................................................................... 60
h h 9i h h
Chapter 13- Labor and Birth Process ............................................................................................................................ 66
h h h 9i 9i
Chapter 14- Nursing Management During Labor and Birth ........................................................................................... 72
h h 9i h h h h
Chapter 15- Postpartum Adaptations............................................................................................................................. 78
h h h
Chapter 16- Nursing Management During the Postpartum Period................................................................................. 84
h h h h h h 9i
Chapter 17- Newborn Transitioning ............................................................................................................................. 90
h h 9i
Chapter 18- Nursing Management of the Newborn ....................................................................................................... 96
h h 9i h h h
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy .......................................................................... 102
h h 9i h h h h 9i
Chapter 20- Nursing Management of the Pregnancy at Risk........................................................................................ 108
h h 9i h h h h h
Chapter 21- Nursing Management of Labor and Birth at Risk ...................................................................................... 114
h h h h h h 9i h h
Chapter 22- Nursing Management of the Postpartum Woman at Risk ......................................................................... 120
h h 9i h h h 9i 9i h
Chapter 23- Nursing Care of the Newborn With Special Needs .................................................................................... 126
h h h 9i h h h h h
Chapter 24- Nursing Management of the Newborn at Risk ........................................................................................... 132
h h h h h h h h
Chapter 25- Growth and Development of the Newborn and Infant................................................................................ 138
h h h h h h 9i h h
Chapter 26- Growth and Development of the Toddler.................................................................................................. 144
h h h 9i h h 9i
Chapter 27- Growth and Development of the Preschooler ............................................................................................ 150
h h h h h h h
Chapter 28- Growth and Development of the School-Age Child ................................................................................. 157
h h h h h h h h
Chapter 29- Growth and Development of the Adolescent............................................................................................. 164
h h h h h h h
,Chapter 30- Atraumatic Care of Children and Families ................................................................................................ 171
h h h h h 9i h
Chapter 31- Health Supervision .................................................................................................................................. 176
h h 9i
Chapter 32- Health Assessment of Children ................................................................................................................ 183
h h 9i h h
Chapter 33- Caring for Children in Diverse Settings .................................................................................................... 190
h h h h h h h
Chapter 34- Caring for the Special Needs Child ........................................................................................................... 197
h h h h h h h
Chapter 35- Key Pediatric Nursing Interventions ........................................................................................................ 203
h h h h 9i
Chapter 36- Pain Management in Children ................................................................................................................. 210
h h h h 9i
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ................................................ 217
h h h 9i h h h h 9i h h h
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ................ 224
h h h h h h 9i h h h h h h h 9i
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears .......... 231
h h h 9i h h h 9i h h h h h h h h h h h
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ............................ 238
h h h 9i h h h 9i 9i h h h h h h
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder ................................ 244
h h h 9i h h h h h 9i h 9i h h
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder ................ 250
h h h h h h h h h 9i h h h h h
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder ............... 257
h h 9i 9i h h h 9i 9i 9i h h h h h
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder
h h h 9i h h h h h 9i h h h h h h
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder ............................................................................................................. 270
h h h
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / IntegumentaryDisorder ......................... 277
h h h 9i h h h h h 9i h h h h
Chapter 46- h
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder .......... 283
h h h h h h h h h h h h h h h
Extra Questions: Neoplastic Disorder ..................................................................................................................... 290
h h h
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ................................ 296
h h h 9i h h h h h 9i h h h h
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder................................... 303
h h 9i h h h h h h h h 9i h h
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ........................................................................ 310
h h h 9i h h h 9i 9i h h
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ............................. 317
h h h 9i h h h h h h h h h h
Chapter 51- Nursing Care During a Pediatric Emergency ........................................................................................... 324
h h h 9i h 9i 9i
,Chapter1- h
PerspectivesonMaternal,Newborn,andWomen’s Health Care h h h h h h h
1. The United States ranks 50th in the world for maternal mortality and 41st among industrialize d n
h h h h h h h h h h h h h h h h
ations for infant mortality rate. When developing programs to assist in decreasing these rates, which
h h h h h h h h h h h h h h
factor would most likely need to be addressed as having the greatest impact?
h h h h h h h h h h h h h
A) Resolving all language and cultural differences h h h h h
B) Assuring early and adequate prenatal care h h h h h
C) Providing more extensive women’s shelters h h h h
D) Encouraging all women to eat a balanced diet h h h h h h h
2. When integrating the principles of family-
h 9i h h h
centered care, the nurse would include which of the following?
h h h h h h h h h
A) Childbirth is viewed as a procedural event h h h h h h
B) Families are unable to make informed choices h h h h h h
C) Childbirth results in changes in relationships h h h h h
D) Families require little information to make appropriate decisions
h h h h h h h
3. When preparing a teaching plan for a group of first-
h 9i h h h h h h h
time pregnant women, the nurse expects to review how maternity care has changed over the year
h h h h h h h h h h h h h h h
s. Which of the following would the nurse include when discussing events of the 20th century?
h h h h h h h h h h h h h h h
A) Epidemics of puerperal fever h h h
B) Performance of the first cesarean birth h h h h h
C) Development of the x-ray to assess pelvic size h h h h h h h
D) Creation of free-standing birth centers h h h h
4. After teaching a group of students about pregnancy-
h h h h h h h
related mortality, the instructor determines that additional teaching is needed when the students i de
h h h h h h h h h h h h h h
ntify which condition as a leading cause?
h h h h h h
A) Hemorrhage
B) Embolism
C) Obstructed labor h
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address the
h h h h h h h h h h h h h h h h h
special health needs of women. Which of the following conditions would the group address as the
h h h h h h h h h h h h h h h h h
major problem? h
A) Smoking
B) Heart disease h
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which fa
h h h h h h h h h h h h h h h
ctor to be most important?
h h h h
A) Language
, B) Health care workers’ attitudes h h h
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent. Which of the fol
h 9i h h h h h h h h h h h h h h
lowing, if identified by the student, would indicate an understanding of a violation of infor med c
h h h h h h h h h h h h h h h h
onsent?
A) Performing a procedure on a 15-year-old without consent h h h h h h h
B) Serving as a witness to the signature process h h h h h h h
C) Asking whether the client understands what she is signing
h h h h h h h h
D) Getting verbal consent over the phone for emergency procedures
9i h h h h h h h
8. The nurse is trying to get consent to care for an 11-year-
h h h h h h h h h h h
old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is sta ying
h h h h h h h h h h h h h h h 9i h h 9i
with a neighbor. Which action would be the priority?
h h h h h h h h
A) Getting telephone consent with two people listening to the verbal consent
9i h h h h h 9i h h h
B) Providing emergency care without parental consent h h h 9i h
C) Contacting the child’s aunt or uncle to obtain their consent h h h h h h h h h
D) Advocating for termination of parental rights for this situation h h h h h h h h
9. After teaching nursing students about the basic concepts of family-
h h h h h h h h h
centered care, the instructor determines that the teaching was successful when the students state whi
h h h h h h h h h h h h h h
ch of the following?
h h h
A) ―Childbirth affects the entire family, and relationships will change.‖ h h h h h h h h
B) ―Families are not capable of making health care decisions for themselves.‖h h h h h h h h h h
C) ―Mothers are the family members affected by childbirth.‖ h h h h h h h
D) ―Childbirth is a medical procedure.‖ h h h h
10. A nursing instructor is preparing a class discussion on the trends in health care and health ca
h 9i h h h h h h h h h h h h h h
re delivery over the past several centuries. When discussing the changes during the past ce ntury
h h h h h h h h h h h h h h h
, which of the following would the instructor be least likely to include?
h h h h h h h h h h h h
A) Disease prevention h
B) Health promotion h
C) Wellness
D) Analysis of morbidity and mortality h h h h
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care wit
h h h h h h h h h h h h h h h h h h
h the understanding that based on this client’s cultural background, the client most likely vi ews il
h h h h h h h h h h h h h h h h
lness as which of the following?
h h h h h
A) Caused by supernatural forces. h h h
B) A punishment for sins.
h h h
C) Due to spirits or demons. h h h h
D) From an imbalance of yin and yang h h h h h h
12. A nurse is developing a plan of care for a woman to ensure continuity of care during pregn anc
h h h h h h h h h h h h h h h h h h
y, labor, and childbirth. Which of the following would be most important for the nurse to inc orpora
h h h h h h h h h h h h h h h h h
te into that plan?
h h h
A) Adhering to strict, specific routines h h h h
h h h h h h h h h 9i h h h
Test Bank- h
Essentials of Maternity Newborn and Women’s h h h h h
Health Nursing 5th Edition h h h h
Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................... 4
h 9i h h h h h h h
Chapter 2- Family-Centered Community-Based Care ..................................................................................................... 9
h h 9i h
Chapter 3- Anatomy and Physiology of the Reproductive System ................................................................................ 14
h h h 9i h h h 9i
Chapter 4- Common Reproductive Issues ..................................................................................................................... 19
h h h 9i
Chapter 5- Sexually Transmitted Infections .................................................................................................................. 24
h h h h
Chapter 6- Disorders of the Breasts ............................................................................................................................... 29
h h 9i h h
Chapter 7- Benign Disorders of the Female Reproductive Tract ..................................................................................... 34
h h 9i h h 9i h h
Chapter 8- Cancers of the Female Reproductive Tract.................................................................................................... 39
h h h h h 9i h
Chapter 9- Violence and Abuse ..................................................................................................................................... 44
h h h h
Chapter 10- Fetal Development and Genetics ................................................................................................................ 49
h h h h 9i
Chapter 11- Maternal Adaptation During Pregnancy .................................................................................................... 54
h h h 9i h
Chapter 12- Nursing Management During Pregnancy ................................................................................................... 60
h h 9i h h
Chapter 13- Labor and Birth Process ............................................................................................................................ 66
h h h 9i 9i
Chapter 14- Nursing Management During Labor and Birth ........................................................................................... 72
h h 9i h h h h
Chapter 15- Postpartum Adaptations............................................................................................................................. 78
h h h
Chapter 16- Nursing Management During the Postpartum Period................................................................................. 84
h h h h h h 9i
Chapter 17- Newborn Transitioning ............................................................................................................................. 90
h h 9i
Chapter 18- Nursing Management of the Newborn ....................................................................................................... 96
h h 9i h h h
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy .......................................................................... 102
h h 9i h h h h 9i
Chapter 20- Nursing Management of the Pregnancy at Risk........................................................................................ 108
h h 9i h h h h h
Chapter 21- Nursing Management of Labor and Birth at Risk ...................................................................................... 114
h h h h h h 9i h h
Chapter 22- Nursing Management of the Postpartum Woman at Risk ......................................................................... 120
h h 9i h h h 9i 9i h
Chapter 23- Nursing Care of the Newborn With Special Needs .................................................................................... 126
h h h 9i h h h h h
Chapter 24- Nursing Management of the Newborn at Risk ........................................................................................... 132
h h h h h h h h
Chapter 25- Growth and Development of the Newborn and Infant................................................................................ 138
h h h h h h 9i h h
Chapter 26- Growth and Development of the Toddler.................................................................................................. 144
h h h 9i h h 9i
Chapter 27- Growth and Development of the Preschooler ............................................................................................ 150
h h h h h h h
Chapter 28- Growth and Development of the School-Age Child ................................................................................. 157
h h h h h h h h
Chapter 29- Growth and Development of the Adolescent............................................................................................. 164
h h h h h h h
,Chapter 30- Atraumatic Care of Children and Families ................................................................................................ 171
h h h h h 9i h
Chapter 31- Health Supervision .................................................................................................................................. 176
h h 9i
Chapter 32- Health Assessment of Children ................................................................................................................ 183
h h 9i h h
Chapter 33- Caring for Children in Diverse Settings .................................................................................................... 190
h h h h h h h
Chapter 34- Caring for the Special Needs Child ........................................................................................................... 197
h h h h h h h
Chapter 35- Key Pediatric Nursing Interventions ........................................................................................................ 203
h h h h 9i
Chapter 36- Pain Management in Children ................................................................................................................. 210
h h h h 9i
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ................................................ 217
h h h 9i h h h h 9i h h h
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ................ 224
h h h h h h 9i h h h h h h h 9i
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears .......... 231
h h h 9i h h h 9i h h h h h h h h h h h
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ............................ 238
h h h 9i h h h 9i 9i h h h h h h
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder ................................ 244
h h h 9i h h h h h 9i h 9i h h
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder ................ 250
h h h h h h h h h 9i h h h h h
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder ............... 257
h h 9i 9i h h h 9i 9i 9i h h h h h
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder
h h h 9i h h h h h 9i h h h h h h
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder ............................................................................................................. 270
h h h
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / IntegumentaryDisorder ......................... 277
h h h 9i h h h h h 9i h h h h
Chapter 46- h
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder .......... 283
h h h h h h h h h h h h h h h
Extra Questions: Neoplastic Disorder ..................................................................................................................... 290
h h h
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ................................ 296
h h h 9i h h h h h 9i h h h h
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder................................... 303
h h 9i h h h h h h h h 9i h h
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ........................................................................ 310
h h h 9i h h h 9i 9i h h
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ............................. 317
h h h 9i h h h h h h h h h h
Chapter 51- Nursing Care During a Pediatric Emergency ........................................................................................... 324
h h h 9i h 9i 9i
,Chapter1- h
PerspectivesonMaternal,Newborn,andWomen’s Health Care h h h h h h h
1. The United States ranks 50th in the world for maternal mortality and 41st among industrialize d n
h h h h h h h h h h h h h h h h
ations for infant mortality rate. When developing programs to assist in decreasing these rates, which
h h h h h h h h h h h h h h
factor would most likely need to be addressed as having the greatest impact?
h h h h h h h h h h h h h
A) Resolving all language and cultural differences h h h h h
B) Assuring early and adequate prenatal care h h h h h
C) Providing more extensive women’s shelters h h h h
D) Encouraging all women to eat a balanced diet h h h h h h h
2. When integrating the principles of family-
h 9i h h h
centered care, the nurse would include which of the following?
h h h h h h h h h
A) Childbirth is viewed as a procedural event h h h h h h
B) Families are unable to make informed choices h h h h h h
C) Childbirth results in changes in relationships h h h h h
D) Families require little information to make appropriate decisions
h h h h h h h
3. When preparing a teaching plan for a group of first-
h 9i h h h h h h h
time pregnant women, the nurse expects to review how maternity care has changed over the year
h h h h h h h h h h h h h h h
s. Which of the following would the nurse include when discussing events of the 20th century?
h h h h h h h h h h h h h h h
A) Epidemics of puerperal fever h h h
B) Performance of the first cesarean birth h h h h h
C) Development of the x-ray to assess pelvic size h h h h h h h
D) Creation of free-standing birth centers h h h h
4. After teaching a group of students about pregnancy-
h h h h h h h
related mortality, the instructor determines that additional teaching is needed when the students i de
h h h h h h h h h h h h h h
ntify which condition as a leading cause?
h h h h h h
A) Hemorrhage
B) Embolism
C) Obstructed labor h
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address the
h h h h h h h h h h h h h h h h h
special health needs of women. Which of the following conditions would the group address as the
h h h h h h h h h h h h h h h h h
major problem? h
A) Smoking
B) Heart disease h
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which fa
h h h h h h h h h h h h h h h
ctor to be most important?
h h h h
A) Language
, B) Health care workers’ attitudes h h h
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent. Which of the fol
h 9i h h h h h h h h h h h h h h
lowing, if identified by the student, would indicate an understanding of a violation of infor med c
h h h h h h h h h h h h h h h h
onsent?
A) Performing a procedure on a 15-year-old without consent h h h h h h h
B) Serving as a witness to the signature process h h h h h h h
C) Asking whether the client understands what she is signing
h h h h h h h h
D) Getting verbal consent over the phone for emergency procedures
9i h h h h h h h
8. The nurse is trying to get consent to care for an 11-year-
h h h h h h h h h h h
old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is sta ying
h h h h h h h h h h h h h h h 9i h h 9i
with a neighbor. Which action would be the priority?
h h h h h h h h
A) Getting telephone consent with two people listening to the verbal consent
9i h h h h h 9i h h h
B) Providing emergency care without parental consent h h h 9i h
C) Contacting the child’s aunt or uncle to obtain their consent h h h h h h h h h
D) Advocating for termination of parental rights for this situation h h h h h h h h
9. After teaching nursing students about the basic concepts of family-
h h h h h h h h h
centered care, the instructor determines that the teaching was successful when the students state whi
h h h h h h h h h h h h h h
ch of the following?
h h h
A) ―Childbirth affects the entire family, and relationships will change.‖ h h h h h h h h
B) ―Families are not capable of making health care decisions for themselves.‖h h h h h h h h h h
C) ―Mothers are the family members affected by childbirth.‖ h h h h h h h
D) ―Childbirth is a medical procedure.‖ h h h h
10. A nursing instructor is preparing a class discussion on the trends in health care and health ca
h 9i h h h h h h h h h h h h h h
re delivery over the past several centuries. When discussing the changes during the past ce ntury
h h h h h h h h h h h h h h h
, which of the following would the instructor be least likely to include?
h h h h h h h h h h h h
A) Disease prevention h
B) Health promotion h
C) Wellness
D) Analysis of morbidity and mortality h h h h
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care wit
h h h h h h h h h h h h h h h h h h
h the understanding that based on this client’s cultural background, the client most likely vi ews il
h h h h h h h h h h h h h h h h
lness as which of the following?
h h h h h
A) Caused by supernatural forces. h h h
B) A punishment for sins.
h h h
C) Due to spirits or demons. h h h h
D) From an imbalance of yin and yang h h h h h h
12. A nurse is developing a plan of care for a woman to ensure continuity of care during pregn anc
h h h h h h h h h h h h h h h h h h
y, labor, and childbirth. Which of the following would be most important for the nurse to inc orpora
h h h h h h h h h h h h h h h h h
te into that plan?
h h h
A) Adhering to strict, specific routines h h h h
