Maternity and Pediatric Nursing, 5th Edition.
by Ricci, Kyle, Carman. All 51 Chapters Covered
TEST BANK
,Table of Contents
Chapter 1: Perspec ves on Maternal and Child Health Care .................................................... 4
Chapter 2 – Caring for Women and Children ............................................................................ 17
Chapter 3: Anatomy and Physiology of the Reproduc ve System ............................................... 32
Chapter 4: Common Gynecologic Issues ................................................................................. 43
Chapter 5: Sexually Transmi+ed Infec ons.............................................................................. 57
Chapter 6 – Disorders of the Breasts......................................................................................... 70
Chapter 7- Benign Disorders of the Female Reproduc ve Tract ................................................. 82
Chapter 8 – Cancers of the Female Reproduc ve Tract ................................................................ 95
Chapter 9 – Violence and Abuse ............................................................................................. 108
Chapter 10 – Fetal Development and Gene cs ............................................................................ 122
Chapter 11: Maternal Adapta on During Pregnancy ............................................................. 135
Chapter 12 – Nursing Management During Pregnancy........................................................... 148
Chapter 13 – Labor and Birth Process .................................................................................... 161
Chapter 14: Nursing Management During Labor and Birth .................................................... 174
Chapter 15 - Postpartum Adapta ons .................................................................................... 188
Chapter 16 – Nursing Management During the Postpartum Period ........................................ 201
Chapter 17 – Newborn Transi oning....................................................................................... 213
Chapter 18 – Nursing Management of the Newborn ............................................................... 227
Chapter 19 – Nursing Management of Pregnancy at Risk: Pregnancy-Related Complica ons
................................................................................................................................................ 242
Chapter 20 – Nursing Management of the Pregnancy at Risk ................................................ 256
Chapter 21: Nursing Management of Labor and Birth at Risk ................................................ 271
Chapter 22- Nursing Management of the Postpartum Woman at Risk................................... 283
Chapter 23 - Nursing Care of the Newborn With Special Needs............................................ 296
Chapter 24: Nursing Management of the Newborn at Risk .................................................... 311
Chapter 25: Growth and Development of the Newborn and Infant ......................................... 327
Chapter 26: Growth and Development of the Toddler .................................................................. 342
Chapter 27: Growth and Development of the Preschooler ..................................................... 358
Chapter 28 – Growth and Development of the School-Age Child ........................................... 375
Chapter 29 – Growth and Development of the Adolescent ..................................................... 392
Chapter 30: Atrauma c Care of Children and Families.......................................................... 408
Chapter 31 – Health Supervision............................................................................................. 417
,Chapter 32: Health Assessment of Children........................................................................... 436
Chapter 33: Caring for Children in Diverse Se:ngs ..............................................................451
Chapter 34 – Caring for the Special Needs Child.................................................................... 467
Chapter 35: Key Pediatric Nursing Interven ons ................................................................... 480
Chapter 36: Nursing Care of the Child with an Altera on in Comfort—Pain Assessment and
Management ........................................................................................................................... 495
Chapter 37—Nursing Care of the Child With an Infec on ............................................................ 512
Chapter 38 - Nursing Care of the Child With an Altera on in Intracranial Regula on /
Neurologic Disorder............................................................................................................... 528
Chapter 39 - Nursing Care of the Child with an Altera on in Sensory Percep on / Disorder of
the Eyes or Ears ............................................................................................................................... 543
Chapter 40- Nursing Care of the Child With an Altera on in Gas Exchange / Respiratory
Disorder 559
Chapter 41: Nursing Care of the Child With an Altera on in Perfusion / Cardiovascular
Disorder. . 572
Chapter 42: Nursing Care of the Child With an Altera on in Bowel Elimina on / Gastrointes
nal Disorder ........................................................................................................................... 586
Chapter 43 - Nursing Care of the Child With an Altera on in Urinary Elimina on /
Genitourinary Disorder .......................................................................................................... 602
Chapter 44: Nursing Care of the Child With an Altera on in Mobility/Neuromuscular or
Musculoskeletal Disorder ........................................................................................................ 616
Musculoskeletal Disorders ...................................................................................................... 628
Chapter 45 – Nursing Care of the Child With an Altera on in Tissue Integrity/Integumentary
Disorder .................................................................................................................................. 643
Chapter 46: Nursing Care of the Child With an Altera on in Cellular Regula on /
Hematologic or Neoplas c Disorder...................................................................................... 656
Neoplas c Disorders .............................................................................................................. 671
Chapter 47 – Nursing Care of the Child With an Altera on in Immunity or Immunologic
Disorder 683 Chapter 48- Nursing Care of the Child with an Altera on in
Metabolism/Endocrine Disorder ............................................................................................. 696
Chapter 49: Nursing Care of the Child With an Altera on in Gene cs ..................................... 711
Chapter 50 – Nursing Care of the Child With an Altera on in Behavior, Cogni on, or
Development
....................................................................................................................................................
726
Chapter 51- Nursing Care During a Pediatric Emergency ...................................................... 740
,Chapter 1: Perspec ves on Maternal and Child Health
Care
---
### 1. The nurse is working with a group of community health
members to develop a plan to address the special health needs of
women. Which of the following condi ons would the group address as
the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
Correct Answer: B) Heart disease
Ra onale:
Heart disease is the leading cause of death among women in the United
States, surpassing cancers, diabetes, and other health concerns.
Therefore, addressing heart disease should be a primary focus in
women’s health ini a ves, including educa on, screening, and risk reduc
on strategies
---
### 2. When integra ng the principles of family-centered care, the nurse
would include which of the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in rela onships
D) Families require li+le informa on to make appropriate decisions
Correct Answer: C) Childbirth results in changes in rela onships
,Ra onale:
Family-centered care emphasizes the significance of family dynamics,
recognizing that childbirth inherently alters rela onships within the family
system. It supports the ac ve involvement of the family in health care
decisions and acknowledges the emo onal, social, and psychological
changes prompted by childbirth. This holis c view contrasts with a
procedural or paternalis c approach, promo ng partnership and informed
decision-making.
---
### 3. When preparing a teaching plan for a group of first- me pregnant
women, the nurse expects to review how maternity care has changed over
the years. Which of the following would the nurse include when discussing
events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Crea on of free-standing birth centers
Correct Answer: D) Crea on of free-standing birth centers
Ra onale:
The establishment of free-standing birth centers during the 20th century
represents a significant shiF in maternal care, reflec ng a move toward
providing women with more choices and less ins tu onal, more
personalized birth experiences. This trend marks an evolu on from
hospital-centered, interven on- heavy births to models suppor ng
autonomy and a comfortable, family-friendly se:ng.
---
,### 4. A,er teaching a group of students about pregnancy-related
mortality, the instructor determines that addi onal teaching is needed
when the students iden fy which condi on as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infec on
Correct Answer: C) Obstructed labor
Ra onale:
In high-resource countries like the United States, leading causes of maternal
mortality include hemorrhage, embolism, and infec on. Obstructed labor,
while significant globally, especially in low-resource se:ngs, is less
prevalent as a direct cause of maternal death in industrialized na ons due
to advanced obstetric care and access to surgical interven ons such as
cesarean delivery.
---
### 5. The United States ranks 50th in the world for maternal mortality and
41st among industrialized na ons for infant mortality rate. When
developing programs to assist in decreasing these rates, which factor
would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
Correct Answer: B) Assuring early and adequate prenatal care
Ra onale:
,Early and adequate prenatal care is a pivotal determinant in improving
maternal and infant outcomes. It ensures the mely iden fica on and
management of health risks, provides educa on on healthy behaviors, and
enables necessary medical interven ons. While other factors such as
cultural competence, nutri on, and shelter are important, systema c
access to quality prenatal care has the greatest direct impact on reducing
maternal and infant mortality by addressing complica ons before they
become life-threatening.
.
---
### 6. When assessing a family for possible barriers to health care, the
nurse would consider which factor to be most important?
A) Language
B) Health care workers’ a:tudes
C) Transporta on
D) Finances
Correct Answer: D) Finances
Ra onale:
While all these factors can influence health care access, financial constraints
are oFen the most significant and overarching barrier. Limited financial
resources can prohibit families from affording health insurance, transporta
on, medica ons, and quality care, thereby affec ng overall maternal and
child health outcomes.
---
### 7. A,er teaching a group of nursing students about the issue of
informed consent. Which of the following, if iden fied by the student, would
indicate an understanding of a viola on of informed consent?
,A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Ge:ng verbal consent over the phone for emergency procedures
Correct Answer: A) Performing a procedure on a 15-year-old without
consent
Ra onale:
Minors generally cannot legally provide informed consent unless
emancipated or under specific circumstances. Performing a procedure
without appropriate parental or guardian consent (except in true
emergencies) cons tutes a viola on of the principle of informed consent
and could result in ethical and legal ramifica ons.
---
### 8. The nurse is trying to get consent to care for an 11-year-old boy with
diabe c ketoacidosis. His parents are out of town on vaca on, and the
child is staying with a neighbor. Which ac on would be the priority?
A) Ge:ng telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contac ng the child’s aunt or uncle to obtain their consent
D) Advoca ng for termina on of parental rights for this situa on
Correct Answer: B) Providing emergency care without parental consent
Ra onale:
In an emergency situa on where delaying treatment would jeopardize a
child's health, standard prac ce and law permit immediate care without
formal parental consent. Protec ng the child's life and well-being takes
precedence over
,procedural formali es when parents or legal guardians are not immediately
available.
---
### 9. A,er teaching nursing students about the basic concepts of family-
centered care, the instructor determines that the teaching was successful
when the students state which of the following?
A) “Childbirth affects the en re family, and rela onships will change.”
B) “Families are not capable of making health care decisions for themselves.”
C) “Mothers are the family members affected by childbirth.”
D) “Childbirth is a medical procedure.”
Correct Answer: A) “Childbirth affects the en re family, and rela onships will
change.”
Ra onale:
Family-centered care views childbirth as a transforma ve event for all family
members, not just the mother. It acknowledges the shiFing roles, rela
onships, and responsibili es that occur and supports the family's
involvement in the care process.
---
### 10. A nursing instructor is preparing a class discussion on the trends in
health care and health care delivery over the past several centuries. When
discussing the changes during the past century, which of the following would
the instructor be least likely to include?
A) Disease preven on
B) Health promo on
C) Wellness
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TO DOWNLOAD THE FULL PDF
CLICK ON THE L.I.N.K
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by Ricci, Kyle, Carman. All 51 Chapters Covered
TEST BANK
,Table of Contents
Chapter 1: Perspec ves on Maternal and Child Health Care .................................................... 4
Chapter 2 – Caring for Women and Children ............................................................................ 17
Chapter 3: Anatomy and Physiology of the Reproduc ve System ............................................... 32
Chapter 4: Common Gynecologic Issues ................................................................................. 43
Chapter 5: Sexually Transmi+ed Infec ons.............................................................................. 57
Chapter 6 – Disorders of the Breasts......................................................................................... 70
Chapter 7- Benign Disorders of the Female Reproduc ve Tract ................................................. 82
Chapter 8 – Cancers of the Female Reproduc ve Tract ................................................................ 95
Chapter 9 – Violence and Abuse ............................................................................................. 108
Chapter 10 – Fetal Development and Gene cs ............................................................................ 122
Chapter 11: Maternal Adapta on During Pregnancy ............................................................. 135
Chapter 12 – Nursing Management During Pregnancy........................................................... 148
Chapter 13 – Labor and Birth Process .................................................................................... 161
Chapter 14: Nursing Management During Labor and Birth .................................................... 174
Chapter 15 - Postpartum Adapta ons .................................................................................... 188
Chapter 16 – Nursing Management During the Postpartum Period ........................................ 201
Chapter 17 – Newborn Transi oning....................................................................................... 213
Chapter 18 – Nursing Management of the Newborn ............................................................... 227
Chapter 19 – Nursing Management of Pregnancy at Risk: Pregnancy-Related Complica ons
................................................................................................................................................ 242
Chapter 20 – Nursing Management of the Pregnancy at Risk ................................................ 256
Chapter 21: Nursing Management of Labor and Birth at Risk ................................................ 271
Chapter 22- Nursing Management of the Postpartum Woman at Risk................................... 283
Chapter 23 - Nursing Care of the Newborn With Special Needs............................................ 296
Chapter 24: Nursing Management of the Newborn at Risk .................................................... 311
Chapter 25: Growth and Development of the Newborn and Infant ......................................... 327
Chapter 26: Growth and Development of the Toddler .................................................................. 342
Chapter 27: Growth and Development of the Preschooler ..................................................... 358
Chapter 28 – Growth and Development of the School-Age Child ........................................... 375
Chapter 29 – Growth and Development of the Adolescent ..................................................... 392
Chapter 30: Atrauma c Care of Children and Families.......................................................... 408
Chapter 31 – Health Supervision............................................................................................. 417
,Chapter 32: Health Assessment of Children........................................................................... 436
Chapter 33: Caring for Children in Diverse Se:ngs ..............................................................451
Chapter 34 – Caring for the Special Needs Child.................................................................... 467
Chapter 35: Key Pediatric Nursing Interven ons ................................................................... 480
Chapter 36: Nursing Care of the Child with an Altera on in Comfort—Pain Assessment and
Management ........................................................................................................................... 495
Chapter 37—Nursing Care of the Child With an Infec on ............................................................ 512
Chapter 38 - Nursing Care of the Child With an Altera on in Intracranial Regula on /
Neurologic Disorder............................................................................................................... 528
Chapter 39 - Nursing Care of the Child with an Altera on in Sensory Percep on / Disorder of
the Eyes or Ears ............................................................................................................................... 543
Chapter 40- Nursing Care of the Child With an Altera on in Gas Exchange / Respiratory
Disorder 559
Chapter 41: Nursing Care of the Child With an Altera on in Perfusion / Cardiovascular
Disorder. . 572
Chapter 42: Nursing Care of the Child With an Altera on in Bowel Elimina on / Gastrointes
nal Disorder ........................................................................................................................... 586
Chapter 43 - Nursing Care of the Child With an Altera on in Urinary Elimina on /
Genitourinary Disorder .......................................................................................................... 602
Chapter 44: Nursing Care of the Child With an Altera on in Mobility/Neuromuscular or
Musculoskeletal Disorder ........................................................................................................ 616
Musculoskeletal Disorders ...................................................................................................... 628
Chapter 45 – Nursing Care of the Child With an Altera on in Tissue Integrity/Integumentary
Disorder .................................................................................................................................. 643
Chapter 46: Nursing Care of the Child With an Altera on in Cellular Regula on /
Hematologic or Neoplas c Disorder...................................................................................... 656
Neoplas c Disorders .............................................................................................................. 671
Chapter 47 – Nursing Care of the Child With an Altera on in Immunity or Immunologic
Disorder 683 Chapter 48- Nursing Care of the Child with an Altera on in
Metabolism/Endocrine Disorder ............................................................................................. 696
Chapter 49: Nursing Care of the Child With an Altera on in Gene cs ..................................... 711
Chapter 50 – Nursing Care of the Child With an Altera on in Behavior, Cogni on, or
Development
....................................................................................................................................................
726
Chapter 51- Nursing Care During a Pediatric Emergency ...................................................... 740
,Chapter 1: Perspec ves on Maternal and Child Health
Care
---
### 1. The nurse is working with a group of community health
members to develop a plan to address the special health needs of
women. Which of the following condi ons would the group address as
the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
Correct Answer: B) Heart disease
Ra onale:
Heart disease is the leading cause of death among women in the United
States, surpassing cancers, diabetes, and other health concerns.
Therefore, addressing heart disease should be a primary focus in
women’s health ini a ves, including educa on, screening, and risk reduc
on strategies
---
### 2. When integra ng the principles of family-centered care, the nurse
would include which of the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in rela onships
D) Families require li+le informa on to make appropriate decisions
Correct Answer: C) Childbirth results in changes in rela onships
,Ra onale:
Family-centered care emphasizes the significance of family dynamics,
recognizing that childbirth inherently alters rela onships within the family
system. It supports the ac ve involvement of the family in health care
decisions and acknowledges the emo onal, social, and psychological
changes prompted by childbirth. This holis c view contrasts with a
procedural or paternalis c approach, promo ng partnership and informed
decision-making.
---
### 3. When preparing a teaching plan for a group of first- me pregnant
women, the nurse expects to review how maternity care has changed over
the years. Which of the following would the nurse include when discussing
events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Crea on of free-standing birth centers
Correct Answer: D) Crea on of free-standing birth centers
Ra onale:
The establishment of free-standing birth centers during the 20th century
represents a significant shiF in maternal care, reflec ng a move toward
providing women with more choices and less ins tu onal, more
personalized birth experiences. This trend marks an evolu on from
hospital-centered, interven on- heavy births to models suppor ng
autonomy and a comfortable, family-friendly se:ng.
---
,### 4. A,er teaching a group of students about pregnancy-related
mortality, the instructor determines that addi onal teaching is needed
when the students iden fy which condi on as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infec on
Correct Answer: C) Obstructed labor
Ra onale:
In high-resource countries like the United States, leading causes of maternal
mortality include hemorrhage, embolism, and infec on. Obstructed labor,
while significant globally, especially in low-resource se:ngs, is less
prevalent as a direct cause of maternal death in industrialized na ons due
to advanced obstetric care and access to surgical interven ons such as
cesarean delivery.
---
### 5. The United States ranks 50th in the world for maternal mortality and
41st among industrialized na ons for infant mortality rate. When
developing programs to assist in decreasing these rates, which factor
would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
Correct Answer: B) Assuring early and adequate prenatal care
Ra onale:
,Early and adequate prenatal care is a pivotal determinant in improving
maternal and infant outcomes. It ensures the mely iden fica on and
management of health risks, provides educa on on healthy behaviors, and
enables necessary medical interven ons. While other factors such as
cultural competence, nutri on, and shelter are important, systema c
access to quality prenatal care has the greatest direct impact on reducing
maternal and infant mortality by addressing complica ons before they
become life-threatening.
.
---
### 6. When assessing a family for possible barriers to health care, the
nurse would consider which factor to be most important?
A) Language
B) Health care workers’ a:tudes
C) Transporta on
D) Finances
Correct Answer: D) Finances
Ra onale:
While all these factors can influence health care access, financial constraints
are oFen the most significant and overarching barrier. Limited financial
resources can prohibit families from affording health insurance, transporta
on, medica ons, and quality care, thereby affec ng overall maternal and
child health outcomes.
---
### 7. A,er teaching a group of nursing students about the issue of
informed consent. Which of the following, if iden fied by the student, would
indicate an understanding of a viola on of informed consent?
,A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Ge:ng verbal consent over the phone for emergency procedures
Correct Answer: A) Performing a procedure on a 15-year-old without
consent
Ra onale:
Minors generally cannot legally provide informed consent unless
emancipated or under specific circumstances. Performing a procedure
without appropriate parental or guardian consent (except in true
emergencies) cons tutes a viola on of the principle of informed consent
and could result in ethical and legal ramifica ons.
---
### 8. The nurse is trying to get consent to care for an 11-year-old boy with
diabe c ketoacidosis. His parents are out of town on vaca on, and the
child is staying with a neighbor. Which ac on would be the priority?
A) Ge:ng telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contac ng the child’s aunt or uncle to obtain their consent
D) Advoca ng for termina on of parental rights for this situa on
Correct Answer: B) Providing emergency care without parental consent
Ra onale:
In an emergency situa on where delaying treatment would jeopardize a
child's health, standard prac ce and law permit immediate care without
formal parental consent. Protec ng the child's life and well-being takes
precedence over
,procedural formali es when parents or legal guardians are not immediately
available.
---
### 9. A,er teaching nursing students about the basic concepts of family-
centered care, the instructor determines that the teaching was successful
when the students state which of the following?
A) “Childbirth affects the en re family, and rela onships will change.”
B) “Families are not capable of making health care decisions for themselves.”
C) “Mothers are the family members affected by childbirth.”
D) “Childbirth is a medical procedure.”
Correct Answer: A) “Childbirth affects the en re family, and rela onships will
change.”
Ra onale:
Family-centered care views childbirth as a transforma ve event for all family
members, not just the mother. It acknowledges the shiFing roles, rela
onships, and responsibili es that occur and supports the family's
involvement in the care process.
---
### 10. A nursing instructor is preparing a class discussion on the trends in
health care and health care delivery over the past several centuries. When
discussing the changes during the past century, which of the following would
the instructor be least likely to include?
A) Disease preven on
B) Health promo on
C) Wellness
, THOSE WERE PREVIEW PAGES
TO DOWNLOAD THE FULL PDF
CLICK ON THE L.I.N.K
ON THE NEXT PAGE
