TEST BANK
Safe Maternity and Pediatric Nursing Care
Luanne Linnard-Palmer, Gloria Haile Coats
2nd Edition
, Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
Table of Contents
Unit One: Introduction to Maternity and Pediatric Nursing
1. Introduction to Maternity and Pediatric Nursing
2. Culture
3. Women’s Health Promotion Across the Life Span
Unit Two: Pregnancy and the Family
4. Human Reproduction and Fetal Development
5. Physical and Psychological Changes of Pregnancy
6. Nursing Care During Pregnancy
7. Promoting a Healthy Pregnancy
8. Nursing Care of the Woman with Complications During Pregnancy
Unit Three: Birth and the Family
9. Nursing Care During Labor and Childbirth
10. Nursing Care of the Woman with Complications During Labor and Birth
11. Birth-Related Procedures
Unit Four: Postpartum Period and the Family
12. Postpartum Nursing Care
13. Postpartum Complications
Unit Five: The Newborn
14. Physiological and Behavioral Adaptations of the Newborn
15. Nursing Care of the Newborn
16. Newborn Nutrition
17. Nursing Care of the Newborn at Risk
Unit Six: Growth and Development
18. Health Promotion of the Infant: Birth to One Year
19. Health Promotion of the Toddler
20. Health Promotion of the Preschooler
21. Health Promotion of the School-Aged Child
22. Health Promotion of the Adolescent
Unit Seven: Pediatric Concerns and Considerations
23. Nursing Care of the Hospitalized Child
24. Acutely Ill Children and Their Needs
25. Adapting to Chronic Illness and Supporting the Family Unit
26. The Abused Child
Unit Eight: Deviations in Pediatric Health
27. Child with a Neurological Condition
28. Child with a Sensory Impairment
29. Child with a Mental Health Condition
30. Child with a Respiratory Condition
31. Child with a Cardiac Condition
32. Child with a Metabolic Condition
33. Child with a Musculoskeletal Condition
34. Child with a Gastrointestinal Condition
35. Child with a Genitourinary Condition
36. Child with a Skin Condition
37. Child with a Communicable Disease
38. Child with an Oncological or Hematological Condition
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
Chapter 1: Introduction to Maternity and Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A patient is admitted to the labor and delivery unit, and a plan of care based on that
patient’s needs is developed by which member of the health-care team?
1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
2. How does a nurse practitioner’s role differ from that of a certified nurse midwife with
regard to maternity care?
1) The nurse practitioner does not usually deliver babies but cares for women before
and after delivery.
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
does have prescribing privileges.
3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner
practices independently and does not have hospital privileges.
4) The certified nurse midwife and the nurse practitioner have very similar roles
with little difference between the two.
3. The provider explains the need for an amniocentesis, but the patient declines the
procedure. The nurse supports the patient’s right to make this decision, demonstrating an
understanding of which ethical principle?
1) Autonomy
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
2) Beneficence
3) Nonmaleficence
4) Justice
4. The nurse joins a community outreach program to promote vaccination of children,
demonstrating which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
5. The nurse working in an acute care facility makes it a point to never look at the
declaration page showing the patient’s insurance or lack of insurance because of a belief that all
patients should be treated equally. This demonstrates which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
6. A patient asks the student nurse whether a medication is safe to take during
pregnancy. The student thinks it is an approved medication during pregnancy. Which is the
student’s best response?
1) “I’m pretty sure it is a safe medication.”
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
2) “I’m not qualified to answer that question.”
3) “I will ask your obstetric provider.”
4) “I really don’t know.”
7. Which term describes assisting a family to feel supported, listened to, and competent?
1) Enable
2) Empathy
3) Egocentric
4) Empowerment
8. Which action should the nurse implement in order to apply the principles of family-
centered care in the hospital environment?
1) Implementing strict visitation policy for siblings
2) Allowing a child to “cry it out” when parents leave the bedside
3) Encouraging parents to continue bedtime routines, such as reading a story
4) Discouraging cultural foods because they cannot be provided by the dietary
department
9. Which anatomical difference between adults and children places a pediatric patient at
risk for insensible losses?
1) Large body surface area
2) Obligatory nose breathing
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
3) Disproportionate head size
4) Poorly developed intercostal chest muscles
10. Which pediatric anatomical factor increases the risk for respiratory failure when care
is provided to a child?
1) Smaller airway
2) Obligatory nose breathing
3) Large posterior head bone occiput
4) Poorly developed intercostal chest muscles
11. Which pediatric anatomical factor increases the risk for airway occlusion when care is
provided to a child?
1) A large posterior head bone occiput
2) An increase in total body surface area
3) A decrease in circulatory blood volume
4) Intercostal chest muscles that are poorly developed
12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of
assent?
1) Feedback from the child is part of the agreement or assent.
2) All children 7 or older can participate in assent.
3) Assent only applies to emancipated children.
4) The health-care team does not need to include the parent or guardian in assent.
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
13. The nurse has many tasks to complete and is trying to ensure that they are all done in
a timely manner. What is the first step the nurse should take when delegating?
1) Review the legal standards of the task.
2) Decide if the legal standards and specific activity of the task allow the task to be
delegated.
3) Clarify what the specific activity or task is by defining all aspects of the issue.
4) Model the established practice that is accepted as the correct way to provide care.
14. What is the nurse’s responsibility in regard to informed consent?
1) Answer the patient’s questions about the procedure.
2) Explain what the provider will be doing during the procedure.
3) Ensure that the consent is signed by the provider and the patient prior to the
procedure.
4) Telling the patient all of the risks associated with the procedure.
15. A 17-year-old in her first trimester visits the clinic for a prenatal appointment. She is
upset because her parents want her to have an abortion but she does not. What should the nurse
ask to find out the emancipation status of the patient?
1) “Are you married?”
2) “Do you have a lawyer?”
3) “Do you have a job?”
4) “Have you graduated high school?”
16. Which of the following is not included in children’s rights?
, Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
1) Right to participation
2) Right to decision-making
3) Right to protection
4) Right to provisions
17. The nurse is uncomfortable with caring for a patient who is planning to undergo an
abortion. What action should the nurse take?
1) Continue to care for the patient.
2) Talk to the patient about her decision.
3) Notify the nurse manager.
4) Delegate care to unlicensed assistive personnel.
18. The parents of a child with brain cancer are debating whether or not to proceed with a
high-risk surgery for their child.What is the best therapeutic response by the nurse?
1) “Why don’t you ask your child what the child wants?”
2) “The surgery has a 75% mortality rate.”
3) “What do you know about the surgery?”
4) “How can I help you with this decision?”
19. What assessment is challenging for nurses to conduct in young children?
1) Glasgow Coma Scale
2) Pain
Safe Maternity and Pediatric Nursing Care
Luanne Linnard-Palmer, Gloria Haile Coats
2nd Edition
, Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
Table of Contents
Unit One: Introduction to Maternity and Pediatric Nursing
1. Introduction to Maternity and Pediatric Nursing
2. Culture
3. Women’s Health Promotion Across the Life Span
Unit Two: Pregnancy and the Family
4. Human Reproduction and Fetal Development
5. Physical and Psychological Changes of Pregnancy
6. Nursing Care During Pregnancy
7. Promoting a Healthy Pregnancy
8. Nursing Care of the Woman with Complications During Pregnancy
Unit Three: Birth and the Family
9. Nursing Care During Labor and Childbirth
10. Nursing Care of the Woman with Complications During Labor and Birth
11. Birth-Related Procedures
Unit Four: Postpartum Period and the Family
12. Postpartum Nursing Care
13. Postpartum Complications
Unit Five: The Newborn
14. Physiological and Behavioral Adaptations of the Newborn
15. Nursing Care of the Newborn
16. Newborn Nutrition
17. Nursing Care of the Newborn at Risk
Unit Six: Growth and Development
18. Health Promotion of the Infant: Birth to One Year
19. Health Promotion of the Toddler
20. Health Promotion of the Preschooler
21. Health Promotion of the School-Aged Child
22. Health Promotion of the Adolescent
Unit Seven: Pediatric Concerns and Considerations
23. Nursing Care of the Hospitalized Child
24. Acutely Ill Children and Their Needs
25. Adapting to Chronic Illness and Supporting the Family Unit
26. The Abused Child
Unit Eight: Deviations in Pediatric Health
27. Child with a Neurological Condition
28. Child with a Sensory Impairment
29. Child with a Mental Health Condition
30. Child with a Respiratory Condition
31. Child with a Cardiac Condition
32. Child with a Metabolic Condition
33. Child with a Musculoskeletal Condition
34. Child with a Gastrointestinal Condition
35. Child with a Genitourinary Condition
36. Child with a Skin Condition
37. Child with a Communicable Disease
38. Child with an Oncological or Hematological Condition
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
Chapter 1: Introduction to Maternity and Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A patient is admitted to the labor and delivery unit, and a plan of care based on that
patient’s needs is developed by which member of the health-care team?
1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
2. How does a nurse practitioner’s role differ from that of a certified nurse midwife with
regard to maternity care?
1) The nurse practitioner does not usually deliver babies but cares for women before
and after delivery.
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
does have prescribing privileges.
3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner
practices independently and does not have hospital privileges.
4) The certified nurse midwife and the nurse practitioner have very similar roles
with little difference between the two.
3. The provider explains the need for an amniocentesis, but the patient declines the
procedure. The nurse supports the patient’s right to make this decision, demonstrating an
understanding of which ethical principle?
1) Autonomy
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
2) Beneficence
3) Nonmaleficence
4) Justice
4. The nurse joins a community outreach program to promote vaccination of children,
demonstrating which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
5. The nurse working in an acute care facility makes it a point to never look at the
declaration page showing the patient’s insurance or lack of insurance because of a belief that all
patients should be treated equally. This demonstrates which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
6. A patient asks the student nurse whether a medication is safe to take during
pregnancy. The student thinks it is an approved medication during pregnancy. Which is the
student’s best response?
1) “I’m pretty sure it is a safe medication.”
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
2) “I’m not qualified to answer that question.”
3) “I will ask your obstetric provider.”
4) “I really don’t know.”
7. Which term describes assisting a family to feel supported, listened to, and competent?
1) Enable
2) Empathy
3) Egocentric
4) Empowerment
8. Which action should the nurse implement in order to apply the principles of family-
centered care in the hospital environment?
1) Implementing strict visitation policy for siblings
2) Allowing a child to “cry it out” when parents leave the bedside
3) Encouraging parents to continue bedtime routines, such as reading a story
4) Discouraging cultural foods because they cannot be provided by the dietary
department
9. Which anatomical difference between adults and children places a pediatric patient at
risk for insensible losses?
1) Large body surface area
2) Obligatory nose breathing
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
3) Disproportionate head size
4) Poorly developed intercostal chest muscles
10. Which pediatric anatomical factor increases the risk for respiratory failure when care
is provided to a child?
1) Smaller airway
2) Obligatory nose breathing
3) Large posterior head bone occiput
4) Poorly developed intercostal chest muscles
11. Which pediatric anatomical factor increases the risk for airway occlusion when care is
provided to a child?
1) A large posterior head bone occiput
2) An increase in total body surface area
3) A decrease in circulatory blood volume
4) Intercostal chest muscles that are poorly developed
12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of
assent?
1) Feedback from the child is part of the agreement or assent.
2) All children 7 or older can participate in assent.
3) Assent only applies to emancipated children.
4) The health-care team does not need to include the parent or guardian in assent.
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
13. The nurse has many tasks to complete and is trying to ensure that they are all done in
a timely manner. What is the first step the nurse should take when delegating?
1) Review the legal standards of the task.
2) Decide if the legal standards and specific activity of the task allow the task to be
delegated.
3) Clarify what the specific activity or task is by defining all aspects of the issue.
4) Model the established practice that is accepted as the correct way to provide care.
14. What is the nurse’s responsibility in regard to informed consent?
1) Answer the patient’s questions about the procedure.
2) Explain what the provider will be doing during the procedure.
3) Ensure that the consent is signed by the provider and the patient prior to the
procedure.
4) Telling the patient all of the risks associated with the procedure.
15. A 17-year-old in her first trimester visits the clinic for a prenatal appointment. She is
upset because her parents want her to have an abortion but she does not. What should the nurse
ask to find out the emancipation status of the patient?
1) “Are you married?”
2) “Do you have a lawyer?”
3) “Do you have a job?”
4) “Have you graduated high school?”
16. Which of the following is not included in children’s rights?
, Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer TEST BANK
1) Right to participation
2) Right to decision-making
3) Right to protection
4) Right to provisions
17. The nurse is uncomfortable with caring for a patient who is planning to undergo an
abortion. What action should the nurse take?
1) Continue to care for the patient.
2) Talk to the patient about her decision.
3) Notify the nurse manager.
4) Delegate care to unlicensed assistive personnel.
18. The parents of a child with brain cancer are debating whether or not to proceed with a
high-risk surgery for their child.What is the best therapeutic response by the nurse?
1) “Why don’t you ask your child what the child wants?”
2) “The surgery has a 75% mortality rate.”
3) “What do you know about the surgery?”
4) “How can I help you with this decision?”
19. What assessment is challenging for nurses to conduct in young children?
1) Glasgow Coma Scale
2) Pain
