,Chapter 1 Test Bank: Core Concepts of Maternal and Pediatric
Healthcare Across the Continuum
1. Which principle best reflects the philosophy of family-centered maternal-
child nursing care?
A. The nurse is the primary decision-maker in the care process.
B. Families are considered passive participants in health decisions.
C. Health care is directed at including and supporting the entire family unit.
D. The focus of care is limited to the physiological needs of the mother or
child.
✅ Correct Answer: C
Rationale: Family-centered care views the family as the unit of care and
emphasizes that health events affect all members. Nurses facilitate inclusion,
education, and support so families actively participate in decision-making.
Options A and B conflict with the collaborative principle of family-centered
care. Option D ignores psychosocial, cultural, and holistic aspects.
NAT: Client Needs: Psychosocial Integrity
KEY: Family-centered care, collaboration
BLM: Analyze
2. What is the primary role of the nurse when providing culturally competent
maternal-child care?
A. Teach families to abandon traditional practices that conflict with Western
medicine.
B. Adapt care to integrate patients’ cultural beliefs and values into safe care
plans.
C. Avoid discussing culture during patient education to prevent conflict.
D. Prioritize hospital policies over patient cultural preferences.
✅ Correct Answer: B
Rationale: Culturally competent care involves recognizing, respecting, and
integrating cultural practices into care as long as they are safe. Nurses adapt
care to the patient’s background rather than impose their own beliefs (A, C, D
,undermine patient-centeredness).
NAT: Client Needs: Psychosocial Integrity
KEY: Culture, cultural competence
BLM: Apply
3. Which approach best demonstrates holistic maternal-child nursing care?
A. Concentrating only on the child’s physical illness.
B. Addressing the emotional, social, spiritual, and physical needs of the
family.
C. Relying on technology as the primary form of care.
D. Emphasizing rapid discharge to reduce hospital costs.
✅ Correct Answer: B
Rationale: Holistic care views health as multidimensional. Effective
maternal-child nursing considers physical, emotional, spiritual, and family
dynamics. Options A, C, and D reflect reductionist or economic approaches
that neglect holistic principles.
NAT: Client Needs: Psychosocial Integrity
KEY: Holistic nursing, whole-person care
BLM: Analyze
4. In health promotion across the maternal-child continuum, what is the
nurse’s most essential function?
A. Correcting unhealthy family dynamics directly.
B. Providing anticipatory guidance and education to prevent illness.
C. Waiting until illness develops before intervening.
D. Focusing only on acute conditions requiring hospitalization.
✅ Correct Answer: B
Rationale: Health promotion emphasizes prevention, anticipatory guidance,
and education so families can maintain wellness. Nurses do not directly
“correct” family dynamics (A) and should not wait for illness (C) or focus
only on acute care (D).
NAT: Client Needs: Health Promotion and Maintenance
,KEY: Health promotion, prevention
BLM: Apply
5. Why is interprofessional collaboration critical in maternal-child nursing?
A. It eliminates the need for families to participate in decision-making.
B. It ensures that only physicians control the care process.
C. It integrates expertise from multiple disciplines to improve outcomes.
D. It minimizes communication between healthcare providers.
✅ Correct Answer: C
Rationale: Collaboration involves multiple disciplines (nurses, physicians,
social workers, dietitians, etc.) working together with the family for optimal
care. Options A, B, and D contradict the collaborative, inclusive approach.
NAT: Client Needs: Safe and Effective Care Environment
KEY: Collaboration, teamwork
BLM: Analyze
6. A nurse teaching a group of nursing students about safety in pediatric care
emphasizes which principle as most fundamental?
A. Children can be relied upon to report safety hazards.
B. Family involvement is secondary to institutional safety protocols.
C. Safety strategies must be developmentally appropriate for the child.
D. The primary responsibility for safety lies solely with the parents.
✅ Correct Answer: C
Rationale: Safety must be adapted to the developmental level of the child
(e.g., choking hazards in toddlers). Children cannot be relied upon for safety
reporting (A), family is not secondary (B), and responsibility is shared (not
solely parents, D).
NAT: Client Needs: Safe and Effective Care Environment
KEY: Safety, child development
BLM: Apply
,7. Which question best assesses a nurse’s integration of culturally competent
care during an admission assessment?
A. “Do you agree to follow hospital procedures during your stay?”
B. “Can you describe any cultural practices that are important to your care?”
C. “Are you aware that Western medicine is the safest approach?”
D. “Would you like me to disregard cultural practices for efficiency?”
✅ Correct Answer: B
Rationale: Asking open-ended questions invites patients to share cultural
practices, promoting respect and inclusion. Options A, C, and D reflect
ethnocentric or dismissive approaches.
NAT: Client Needs: Psychosocial Integrity
KEY: Culture, assessment
BLM: Apply
8. Which intervention by the nurse best demonstrates advocacy in maternal-
child healthcare?
A. Ignoring a family’s request for spiritual support.
B. Supporting parents in understanding treatment options and making
informed choices.
C. Limiting family visitation to minimize disruption to routines.
D. Making decisions on behalf of the family without their input.
✅ Correct Answer: B
Rationale: Advocacy means ensuring families have knowledge and
resources to make informed decisions. Ignoring requests (A), restricting
visitation (C), or paternalistic decisions (D) undermine advocacy.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Advocacy, informed decision-making
BLM: Apply
9. Which nursing strategy most supports health promotion in adolescent care?
A. Providing anticipatory education about sexual health and risk reduction.
B. Avoiding sensitive topics to prevent embarrassment.
, C. Relying solely on parents to provide guidance.
D. Focusing only on treatment of acute illness.
✅ Correct Answer: A
Rationale: Adolescents benefit from anticipatory education in areas such as
sexual health, substance abuse, and injury prevention. Avoiding topics (B),
relying only on parents (C), or limiting focus to acute illness (D) misses the
promotion goal.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Adolescent care, prevention
BLM: Apply
10. Which statement best illustrates the concept of family systems theory in
maternal-child nursing?
A. A change in one family member affects the entire family dynamic.
B. Each family member functions independently of the others.
C. The nurse should focus only on the identified patient.
D. Families are not influenced by external systems such as community or
culture.
✅ Correct Answer: A
Rationale: Family systems theory emphasizes interdependence within the
family. Illness or change in one member influences all others. Options B, C,
and D are inconsistent with systems thinking.
NAT: Client Needs: Psychosocial Integrity
KEY: Family systems, holistic view
BLM: Analyze
11. What is the nurse’s role in promoting safety during newborn care
education?
A. Teaching parents about safe sleep practices and injury prevention.
B. Assuming parents already know safety guidelines.
C. Emphasizing that safety is the physician’s responsibility.
D. Avoiding discussion of safety to prevent parental anxiety.
Healthcare Across the Continuum
1. Which principle best reflects the philosophy of family-centered maternal-
child nursing care?
A. The nurse is the primary decision-maker in the care process.
B. Families are considered passive participants in health decisions.
C. Health care is directed at including and supporting the entire family unit.
D. The focus of care is limited to the physiological needs of the mother or
child.
✅ Correct Answer: C
Rationale: Family-centered care views the family as the unit of care and
emphasizes that health events affect all members. Nurses facilitate inclusion,
education, and support so families actively participate in decision-making.
Options A and B conflict with the collaborative principle of family-centered
care. Option D ignores psychosocial, cultural, and holistic aspects.
NAT: Client Needs: Psychosocial Integrity
KEY: Family-centered care, collaboration
BLM: Analyze
2. What is the primary role of the nurse when providing culturally competent
maternal-child care?
A. Teach families to abandon traditional practices that conflict with Western
medicine.
B. Adapt care to integrate patients’ cultural beliefs and values into safe care
plans.
C. Avoid discussing culture during patient education to prevent conflict.
D. Prioritize hospital policies over patient cultural preferences.
✅ Correct Answer: B
Rationale: Culturally competent care involves recognizing, respecting, and
integrating cultural practices into care as long as they are safe. Nurses adapt
care to the patient’s background rather than impose their own beliefs (A, C, D
,undermine patient-centeredness).
NAT: Client Needs: Psychosocial Integrity
KEY: Culture, cultural competence
BLM: Apply
3. Which approach best demonstrates holistic maternal-child nursing care?
A. Concentrating only on the child’s physical illness.
B. Addressing the emotional, social, spiritual, and physical needs of the
family.
C. Relying on technology as the primary form of care.
D. Emphasizing rapid discharge to reduce hospital costs.
✅ Correct Answer: B
Rationale: Holistic care views health as multidimensional. Effective
maternal-child nursing considers physical, emotional, spiritual, and family
dynamics. Options A, C, and D reflect reductionist or economic approaches
that neglect holistic principles.
NAT: Client Needs: Psychosocial Integrity
KEY: Holistic nursing, whole-person care
BLM: Analyze
4. In health promotion across the maternal-child continuum, what is the
nurse’s most essential function?
A. Correcting unhealthy family dynamics directly.
B. Providing anticipatory guidance and education to prevent illness.
C. Waiting until illness develops before intervening.
D. Focusing only on acute conditions requiring hospitalization.
✅ Correct Answer: B
Rationale: Health promotion emphasizes prevention, anticipatory guidance,
and education so families can maintain wellness. Nurses do not directly
“correct” family dynamics (A) and should not wait for illness (C) or focus
only on acute care (D).
NAT: Client Needs: Health Promotion and Maintenance
,KEY: Health promotion, prevention
BLM: Apply
5. Why is interprofessional collaboration critical in maternal-child nursing?
A. It eliminates the need for families to participate in decision-making.
B. It ensures that only physicians control the care process.
C. It integrates expertise from multiple disciplines to improve outcomes.
D. It minimizes communication between healthcare providers.
✅ Correct Answer: C
Rationale: Collaboration involves multiple disciplines (nurses, physicians,
social workers, dietitians, etc.) working together with the family for optimal
care. Options A, B, and D contradict the collaborative, inclusive approach.
NAT: Client Needs: Safe and Effective Care Environment
KEY: Collaboration, teamwork
BLM: Analyze
6. A nurse teaching a group of nursing students about safety in pediatric care
emphasizes which principle as most fundamental?
A. Children can be relied upon to report safety hazards.
B. Family involvement is secondary to institutional safety protocols.
C. Safety strategies must be developmentally appropriate for the child.
D. The primary responsibility for safety lies solely with the parents.
✅ Correct Answer: C
Rationale: Safety must be adapted to the developmental level of the child
(e.g., choking hazards in toddlers). Children cannot be relied upon for safety
reporting (A), family is not secondary (B), and responsibility is shared (not
solely parents, D).
NAT: Client Needs: Safe and Effective Care Environment
KEY: Safety, child development
BLM: Apply
,7. Which question best assesses a nurse’s integration of culturally competent
care during an admission assessment?
A. “Do you agree to follow hospital procedures during your stay?”
B. “Can you describe any cultural practices that are important to your care?”
C. “Are you aware that Western medicine is the safest approach?”
D. “Would you like me to disregard cultural practices for efficiency?”
✅ Correct Answer: B
Rationale: Asking open-ended questions invites patients to share cultural
practices, promoting respect and inclusion. Options A, C, and D reflect
ethnocentric or dismissive approaches.
NAT: Client Needs: Psychosocial Integrity
KEY: Culture, assessment
BLM: Apply
8. Which intervention by the nurse best demonstrates advocacy in maternal-
child healthcare?
A. Ignoring a family’s request for spiritual support.
B. Supporting parents in understanding treatment options and making
informed choices.
C. Limiting family visitation to minimize disruption to routines.
D. Making decisions on behalf of the family without their input.
✅ Correct Answer: B
Rationale: Advocacy means ensuring families have knowledge and
resources to make informed decisions. Ignoring requests (A), restricting
visitation (C), or paternalistic decisions (D) undermine advocacy.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Advocacy, informed decision-making
BLM: Apply
9. Which nursing strategy most supports health promotion in adolescent care?
A. Providing anticipatory education about sexual health and risk reduction.
B. Avoiding sensitive topics to prevent embarrassment.
, C. Relying solely on parents to provide guidance.
D. Focusing only on treatment of acute illness.
✅ Correct Answer: A
Rationale: Adolescents benefit from anticipatory education in areas such as
sexual health, substance abuse, and injury prevention. Avoiding topics (B),
relying only on parents (C), or limiting focus to acute illness (D) misses the
promotion goal.
NAT: Client Needs: Health Promotion and Maintenance
KEY: Adolescent care, prevention
BLM: Apply
10. Which statement best illustrates the concept of family systems theory in
maternal-child nursing?
A. A change in one family member affects the entire family dynamic.
B. Each family member functions independently of the others.
C. The nurse should focus only on the identified patient.
D. Families are not influenced by external systems such as community or
culture.
✅ Correct Answer: A
Rationale: Family systems theory emphasizes interdependence within the
family. Illness or change in one member influences all others. Options B, C,
and D are inconsistent with systems thinking.
NAT: Client Needs: Psychosocial Integrity
KEY: Family systems, holistic view
BLM: Analyze
11. What is the nurse’s role in promoting safety during newborn care
education?
A. Teaching parents about safe sleep practices and injury prevention.
B. Assuming parents already know safety guidelines.
C. Emphasizing that safety is the physician’s responsibility.
D. Avoiding discussion of safety to prevent parental anxiety.
