Maternal Child Nursing Care 5th Edition Test Bank [UPDATED 2025!!]

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,Maternal & Child Nursing Care, 5e (London et al.)
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Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
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1) A nurse is examining different nursing roles. Which statement best illustrates an advanced
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vpractice nursing role? v v


1. A registered nurse who is the manager of a large obstetric unit
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2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
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4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring
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vfor high-risk infants
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Answer: 4 v


Explanation: A clinical nurse specialist with whom other nurses consult for expertise in caring
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vfor high-risk infants would illustrate an advanced practice nursing role. This nurse has
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vspecialized knowledge and competence in a specific clinical area, and is master's-prepared.
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Page Ref: 3 v v


Cognitive Level: Remembering v v


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
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vmember of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
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vroles and perspectives of the nursing profession with other care professionals on the healthcare
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vteam (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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vTeamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
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vmembers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
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vLearning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and
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vpediatric nurses. v


MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2) What is the major focus of the nurse practitioner (NP)?
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1. Leadership
2. Tertiary prevention v


3. Physical and psychosocial clinical assessment
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4. Independent careof the high-risk,pregnant client v v v v v


vAnswer: 3 v


Explanation: Physical and psychosocial clinical assessment is the major focus of the NP.
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vPage Ref: 3 v v


Cognitive Level: Remembering v v


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
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vmember of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
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vroles and perspectives of the nursing profession with other care professionals on the healthcare
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vteam (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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vTeamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
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vmembers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
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vLearning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and
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vpediatric nurses. v


MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
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1. Give primary care for healthy newborns.
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2. Be educated in two disciplines of nursing.
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3. Give primary care for high-risk clients who are in hospital settings.
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4. Obtain a physician consultation for all technical procedures at delivery.
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5. Be prepared to manage independently the care of women at low risk for complications during
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vpregnancy and birth. v v


Answer: 1, 2, 5 v v v


Explanation: The CNM is prepared to manage independently the care of women at low risk for
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vcomplications during pregnancy and birth and the care of healthy newborns.
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The CNM is educated in the disciplines of nursing and midwifery.
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The CNM is prepared to manage independently the care of women at low risk for complications
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vduring pregnancy and birth and the care of healthy newborns.
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Page Ref: 3
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Cognitive Level: Understanding v v


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
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vmember of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
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vroles and perspectives of the nursing profession with other care professionals on the healthcare
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vteam (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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vTeamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
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vmembers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
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vLearning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and
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vpediatric nurses. v


MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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, 4) During the hospital admission process, a child's parent asks for information about family-
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vcentered care. What should the nurse explain to this parent?
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1. Mother is the principal caregiver in each family.
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2. Father is the leader in each home; thus, all communications should include him.
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3. Family serves as the constant influence and continuing support in the child's life.
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4. Child's physician is the key person in ensuring the health of a child is maintained.
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vAnswer: 3 v


Explanation: The foundation for the development of trusting relationships and partnerships with
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vfamilies is the recognition that the family is the principal caregiver, knows the unique nature of
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veach individual child best, plays the vital role of meeting the child's needs, and is responsible for
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vensuring each child's health. v v v


Page Ref: 3
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Cognitive Level: Applying v v


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and
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vrespect for the diversity of human experience | AACN Essential Competencies: IX.5. Deliver
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vcompassionate, patient-centered, evidence-based care that respects patient and family
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vpreferences | NLN Competencies: Relationship Centered Care; Knowledge; The role of family,
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vculture, and community in a person's development | Nursing/Integrated Concepts: Nursing
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vProcess: Planning v


Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the
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vneeds of childbearing and childrearing families.
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MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
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5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the
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vnurse do to encourage the family to consider enrolling the child in this program?
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1. Assessment of the details of the family's income and expendituresv v v v v v v v v


2. Case management to limit costly, unnecessary duplication of services
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3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
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4. Education of the family about the need for keeping regular well-child visit appointments
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vAnswer: 3 v


Explanation: In the role of an advocate, a nurse will advance the interests of another by
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vsuggesting the family investigate its CHIP eligibility.
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Page Ref: 6
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Cognitive Level: Applying v v


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of
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vpatient centered care: information, communication, and education | AACN Essential
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vCompetencies: V.12. Advocate for consumers and the nursing profession | NLN Competencies:
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vRelationship Centered Care; Practice; Communicate information effectively; listen openly and
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vcooperatively | Nursing/Integrated Concepts: Nursing Process: Implementation
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Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
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vaccess to health care. v v v


MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the
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vchildbearing family. v




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