,DOWNLOAD THE Test Bank for Essentials of Maternity Newborn and
WomenÔÇÖs Health Nursing 5th Edition Ricci
1. A group of nurses are discussing the reasons for the United States' low rankings for infant and
maternal mortality and what impact they could make on these mortality rates in their practice.
Which action could nurses implement to reduce these rates?
A. ensuring that all pregnant clients receive their immunizations
B. assuring early and adequate prenatal care
C. providing more extensive women's shelters
D. encouraging all women to eat a balanced diet
Answer: B
Rationale: The lack of prenatal care during pregnancy is a major contributing factor to a poor
outcome. Prenatal care is well known to prevent complications of pregnancy and to support the
birth of healthy infants. Infant mortality commonly includes problems occurring at birth or
shortly thereafter. Thus, assuring early and adequate prenatal care would have the greatest
impact on decreasing these rates. Receiving immunizations will help prevent some infant
diseases, but it does not have a major impact on overall maternal and infant mortality. Providing
more extensive women's shelters would be helpful for those women who have experience
intimate partner violence. Encouraging women to eat balanced diets helps, but it does not prevent
genetic factors that could be detected by ensuring early and adequate prenatal care.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Reference: p. 10-12
2. 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 following principles: 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, Newborn, and Women's Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 6-7
mynursytest.store
,DOWNLOAD THE Test Bank for Essentials of Maternity Newborn and
WomenÔÇÖs Health Nursing 5th Edition Ricci
3. When preparing a teaching plan for a group of women during their first pregnancy, the nurse
reviews how maternity care has changed over the years. Which information would the nurse
include when discussing events occurring in the 20th century?
A. Epidemics of puerperal fever
B. Performance of the first cesarean birth
C. X-ray developed to assess pelvic size
D. Development of free-standing birthing centers (LDRPs)
Answer: D
Rationale: In the 20th century (1900s), free-standing birth centers (LDRPs) were developed.
Puerperal fever epidemics, the first cesarean birth, and X-ray to assess pelvic size were events
occurring during the 19th century (1800s).
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 4
4. 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 disease, the 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 can occur in any woman regardless of
her smoking history. Cancer 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, Newborn, and Women's Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 12-13
5. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the
program, the nurse is reviewing the issue of informed consent. The nurse determines that the
mynursytest.store
, DOWNLOADa1THEa1Testa1Banka1fora1Essentialsa1ofa1Maternitya1Newborna1a
ndaW
1 omenÔÇÖsa1Healtha1Nursinga15tha1Editiona1Ricci
teachinga1wasa1effectivea1whena1thea1groupa1identifiesa1whicha1situationa1asa1aa1violationa1ofa1infor
meda1consent?
A. Performinga1aa1procedurea1ona1aa115-year-olda1withouta1parentala1consent
B. Servinga1asa1aa1witnessa1toa1thea1signaturea1processa1ona1ana1operativea1permit
C. Askinga1whethera1thea1clienta1understandsa1whata1shea1isa1signinga1followinga1receivinga1educat
ion
D. Gettinga1verbala1consenta1overa1thea1phonea1fora1ana1emergencya1procedurea1froma1thea1
spousea1ofa1aa1unconsciousa1woman
Answer:a1A
Rationale:a1Ina1mosta1states,a1onlya1clientsa1overa1thea1agea1ofa118a1cana1legallya1providea1consen
ta1fora1healtha1care.a1Servinga1asa1aa1witnessa1toa1thea1signaturea1process,a1askinga1whethera1thea1
clienta1understandsa1whata1shea1isa1signing,a1anda1gettinga1verbala1consenta1overa1thea1phonea1fora
1emergencya1proceduresa1area1alla1keya1toa1informeda1consenta1anda1area1nota1violations.
Questiona1format:a1Multiplea1Choice
Chaptera11:a1Perspectivesa1ona1Maternal,a1Newborn,a1anda1Women'sa1Heal
tha1Carea1Cognitivea1Level:a1Analyze
Clienta1Needs:a1Safe,a1Effectivea1Carea1Environment:a1Managementa1ofa1C
area1Integrateda1Process:a1Nursinga1Process
Reference:a1p.a130-31
6. Aa1pregnanta1womana1isa1toa1undergoa1ana1invasivea1procedurea1toa1evaluatea1thea1statusa1ofa
1hera1fetus.a1Toa1ensurea1informeda1consent,a1whicha1actiona1woulda1bea1thea1prioritya1responsi
bilitya1ofa1thea1nursea1providinga1carea1toa1thisa1woman?
A. Askinga1relevanta1questionsa1toa1determinea1thea1client'sa1understanding
B. Providinga1aa1detaileda1descriptiona1ofa1thea1risksa1anda1benefitsa1ofa1thea1procedure
C. Explaininga1thea1exacta1stepsa1thata1willa1occura1duringa1thea1procedure
D. Offeringa1suggestionsa1fora1alternativea1optionsa1fora1trea
tmenta1Answer:a1A
Rationale:a1Thea1nurse'sa1responsibilitiesa1relateda1toa1informeda1consenta1include:a1Ensuringa1thea1
consenta1forma1isa1completeda1witha1signaturesa1froma1thea1client;a1servinga1asa1aa1witnessa1toa1thea
1signaturea1process;a1anda1determininga1whethera1thea1clienta1understandsa1whata1shea1isa1signinga
1bya1askinga1hera1pertinenta1questions.a1Thea1physician,a1advanceda1practicea1nurse,a1ora1midwifea
1isa1responsiblea1fora1informinga1thea1clienta1abouta1thea1procedurea1anda1obtaininga1consenta1bya1
providinga1aa1detaileda1descriptiona1ofa1thea1procedurea1ora1treatment,a1itsa1potentiala1risksa1anda1b
enefits,a1anda1 alternativea1methodsa1available.
Questiona1format:a1Multiplea1Choice
Chaptera11:a1Perspectivesa1ona1Maternal,a1Newborn,a1anda1Women'sa1Heal
tha1Carea1Cognitivea1Level:a1Apply
Clienta1Needs:a1Safe,a1Effectivea1Carea1Environment:a1Managementa1ofa1C
area1Integrateda1Process:a1Nursinga1Process
Reference:a1p.a130-31
7. Thea1familya1isa1thea1basica1unita1ofa1society.a1Whicha1statementa1correctlya1illustratesa1thea1i
mportancea1ofa1thisa1concepta1relateda1toa1howa1societya1functions?
mynursytest.store
WomenÔÇÖs Health Nursing 5th Edition Ricci
1. A group of nurses are discussing the reasons for the United States' low rankings for infant and
maternal mortality and what impact they could make on these mortality rates in their practice.
Which action could nurses implement to reduce these rates?
A. ensuring that all pregnant clients receive their immunizations
B. assuring early and adequate prenatal care
C. providing more extensive women's shelters
D. encouraging all women to eat a balanced diet
Answer: B
Rationale: The lack of prenatal care during pregnancy is a major contributing factor to a poor
outcome. Prenatal care is well known to prevent complications of pregnancy and to support the
birth of healthy infants. Infant mortality commonly includes problems occurring at birth or
shortly thereafter. Thus, assuring early and adequate prenatal care would have the greatest
impact on decreasing these rates. Receiving immunizations will help prevent some infant
diseases, but it does not have a major impact on overall maternal and infant mortality. Providing
more extensive women's shelters would be helpful for those women who have experience
intimate partner violence. Encouraging women to eat balanced diets helps, but it does not prevent
genetic factors that could be detected by ensuring early and adequate prenatal care.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Reference: p. 10-12
2. 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 following principles: 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, Newborn, and Women's Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 6-7
mynursytest.store
,DOWNLOAD THE Test Bank for Essentials of Maternity Newborn and
WomenÔÇÖs Health Nursing 5th Edition Ricci
3. When preparing a teaching plan for a group of women during their first pregnancy, the nurse
reviews how maternity care has changed over the years. Which information would the nurse
include when discussing events occurring in the 20th century?
A. Epidemics of puerperal fever
B. Performance of the first cesarean birth
C. X-ray developed to assess pelvic size
D. Development of free-standing birthing centers (LDRPs)
Answer: D
Rationale: In the 20th century (1900s), free-standing birth centers (LDRPs) were developed.
Puerperal fever epidemics, the first cesarean birth, and X-ray to assess pelvic size were events
occurring during the 19th century (1800s).
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 4
4. 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 disease, the 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 can occur in any woman regardless of
her smoking history. Cancer 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, Newborn, and Women's Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 12-13
5. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the
program, the nurse is reviewing the issue of informed consent. The nurse determines that the
mynursytest.store
, DOWNLOADa1THEa1Testa1Banka1fora1Essentialsa1ofa1Maternitya1Newborna1a
ndaW
1 omenÔÇÖsa1Healtha1Nursinga15tha1Editiona1Ricci
teachinga1wasa1effectivea1whena1thea1groupa1identifiesa1whicha1situationa1asa1aa1violationa1ofa1infor
meda1consent?
A. Performinga1aa1procedurea1ona1aa115-year-olda1withouta1parentala1consent
B. Servinga1asa1aa1witnessa1toa1thea1signaturea1processa1ona1ana1operativea1permit
C. Askinga1whethera1thea1clienta1understandsa1whata1shea1isa1signinga1followinga1receivinga1educat
ion
D. Gettinga1verbala1consenta1overa1thea1phonea1fora1ana1emergencya1procedurea1froma1thea1
spousea1ofa1aa1unconsciousa1woman
Answer:a1A
Rationale:a1Ina1mosta1states,a1onlya1clientsa1overa1thea1agea1ofa118a1cana1legallya1providea1consen
ta1fora1healtha1care.a1Servinga1asa1aa1witnessa1toa1thea1signaturea1process,a1askinga1whethera1thea1
clienta1understandsa1whata1shea1isa1signing,a1anda1gettinga1verbala1consenta1overa1thea1phonea1fora
1emergencya1proceduresa1area1alla1keya1toa1informeda1consenta1anda1area1nota1violations.
Questiona1format:a1Multiplea1Choice
Chaptera11:a1Perspectivesa1ona1Maternal,a1Newborn,a1anda1Women'sa1Heal
tha1Carea1Cognitivea1Level:a1Analyze
Clienta1Needs:a1Safe,a1Effectivea1Carea1Environment:a1Managementa1ofa1C
area1Integrateda1Process:a1Nursinga1Process
Reference:a1p.a130-31
6. Aa1pregnanta1womana1isa1toa1undergoa1ana1invasivea1procedurea1toa1evaluatea1thea1statusa1ofa
1hera1fetus.a1Toa1ensurea1informeda1consent,a1whicha1actiona1woulda1bea1thea1prioritya1responsi
bilitya1ofa1thea1nursea1providinga1carea1toa1thisa1woman?
A. Askinga1relevanta1questionsa1toa1determinea1thea1client'sa1understanding
B. Providinga1aa1detaileda1descriptiona1ofa1thea1risksa1anda1benefitsa1ofa1thea1procedure
C. Explaininga1thea1exacta1stepsa1thata1willa1occura1duringa1thea1procedure
D. Offeringa1suggestionsa1fora1alternativea1optionsa1fora1trea
tmenta1Answer:a1A
Rationale:a1Thea1nurse'sa1responsibilitiesa1relateda1toa1informeda1consenta1include:a1Ensuringa1thea1
consenta1forma1isa1completeda1witha1signaturesa1froma1thea1client;a1servinga1asa1aa1witnessa1toa1thea
1signaturea1process;a1anda1determininga1whethera1thea1clienta1understandsa1whata1shea1isa1signinga
1bya1askinga1hera1pertinenta1questions.a1Thea1physician,a1advanceda1practicea1nurse,a1ora1midwifea
1isa1responsiblea1fora1informinga1thea1clienta1abouta1thea1procedurea1anda1obtaininga1consenta1bya1
providinga1aa1detaileda1descriptiona1ofa1thea1procedurea1ora1treatment,a1itsa1potentiala1risksa1anda1b
enefits,a1anda1 alternativea1methodsa1available.
Questiona1format:a1Multiplea1Choice
Chaptera11:a1Perspectivesa1ona1Maternal,a1Newborn,a1anda1Women'sa1Heal
tha1Carea1Cognitivea1Level:a1Apply
Clienta1Needs:a1Safe,a1Effectivea1Carea1Environment:a1Managementa1ofa1C
area1Integrateda1Process:a1Nursinga1Process
Reference:a1p.a130-31
7. Thea1familya1isa1thea1basica1unita1ofa1society.a1Whicha1statementa1correctlya1illustratesa1thea1i
mportancea1ofa1thisa1concepta1relateda1toa1howa1societya1functions?
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