Test Bank
Essentials of maternity newborn and women's health nursing
5th Edition
FIFTH EDITION
ESSENTIALS of
Maternity, Newborn,
and Women's Health
Nursing
SUSAN SCOTT RICCI
, Essentials of Maternity Newborn and Women’s Health Nursing 5th
Edition Susan Ricci Test bank
Chapter 2- Family-Centered Community-Based Care
1. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following
activities would deviate from the characteristics of family-centered care?
A) Softening unpleasant information or prognoses
B) Evaluating and changing the nursing plan of care
C) Collaborating with the child and family as equals
D) Showing respect for the family’s beliefs and wishes
2. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which of the following activities would be considered the tertiary level of prevention?
A) Arranging for a physical therapy session
B) Teaching parents to administer albuterol
C) Reminding parent to give a full course of antibiotics
D) Giving a DTaP vaccination at the proper interval
3. A nursing student is reviewing information about documenting client care and education in the
medical record and the purposes that it serves. The student demonstrates a need for additional study
when the nurse identifies which of the following as a reason? A) Serves as a communication tool for the
interdisciplinary team.
B) Demonstrates education the family has received if legal matters arise.
C) Permits others access to allow refusal of medical insurance coverage.
D) Verifies meeting client education standards set by the Joint Commission.
4. A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the
client on the advantages and disadvantages, which statement would indicate that the client understood the
information?
A) “I like having the privacy, but it might be too expensive for me to set up in my home.”
B) “I want to have more control, but I am concerned if an emergency would arise.”
C) “It is safer because I will have a midwife.”
D) “The midwife is trained to resolve any emergency, and she can bring any pain meds.”
5. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals
that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, “I’m
pretty tired. And with this pain, I haven’t been drinking and eating like I should. The medication helps a
, Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
bit but not much. My mom has been helping with the baby.” Her incision is clean, dry, and intact. Which
nursing diagnosis would the nurse identify as the priority for this client?
A) Impaired skin integrity related to cesarean birth incision
B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
6. When caring for childbearing families from cultures different from one’s own, which of the following
must be accomplished first?
A) Adapt to the practices of the family’s culture
B) Determine similarities between both cultures
C) Assess personal feelings about that culture
D) Learn as much as possible about that culture
7. After teaching a group of students about the changes in health care delivery and funding, which of
the following, if identified by the group as a current trend seen in the maternal and child health care
settings, would indicate that the teaching was successful?
A) Increase in community settings for care
B) Decrease in family poverty level
C) Increase in hospitalization of children
D) Decrease in managed care
8. The nurse would recommend the use of which supplement as a primary prevention strategy to prevent
neural tube defects with pregnant women?
A) Calcium
B) Folic acid
C) Vitamin C
D) Iron
9. Which action would the nurse include in a primary prevention program in the community to help
reduce the incidence of HIV infection?
A) Provide treatment for clients who test positive for HIV
B) Monitor viral load counts periodically
C) Educate clients in how to practice safe sex
D) Offer testing for clients who practice unsafe sex
10. When assuming the role of discharge planner for a woman requiring ventilator support at home, the
nurse would do which of the following?
A) Confer with the client’s mother
B) Teach new self-care skills to the client
C) Determine if there is a need for back-up power
D) Discuss coverage with the insurance company
, 11. When comparing commTuensittyB-abnak -seEdssnenutriaslisnogf w
Miatther niutyrsNinew e ecna’rseHseeatlthinNgutrosinagg5rtoh uEpdiotifon Susan Ricci
g bionrnthaendacWuotm
nursing students, the nurse describes the challenges associated with community-based nursing. Which of
the following would the nurse include?
A) Increased time available for education
B) Improved access to resources
C) Decision making in isolation
D) Greater environmental structure
12. After teaching a group of students about the different levels of prevention, the instructor determines a
need for additional teaching when the students identify which of the following as a secondary prevention
level activity in community-based health care?
A) Teaching women to take folic acid supplements to prevent neural tube defects
B) Working with women who are victims of domestic violence
C) Working with clients at an HIV clinic to provide nutritional and CAM therapies
D) Teaching hypertensive clients to monitor blood pressure
13. A nursing instructor is describing trends in maternal and newborn health care. The instructor
addresses the length of stay for vaginal births during the past decade, citing that which of the following
denotes the average stay?
A) 24–48 hours or less
B) 72–96 hours or less
C) 48–72 hours or less
D) 96–120 hours or less
14. Which of the following statements is accurate regarding women’s health care in today’s system?
A) Women spend 95 cents of every dollar spent on health care. B) Women make almost 90% of all health
care decisions.
C) Women are still the minority in the United States. D) Men use more health services than women.
15. A nurse is educating a client about a care plan. Which of the following statements would be
appropriate to assess the client’s learning ability?
A) “Did you graduate from high school; how many years of schooling did you have?”
B) “Do you have someone in your family who would understand this information?” C) “Many people
have trouble remembering information; is this a problem for you?” D) “Would you prefer that the
doctor give you more detailed medical information?”
16. A nurse is developing cultural competence. Which of the following indicates that the nurse is in the
process of developing cultural knowledge? Select all that apply.
A) Examining personal sociocultural heritage
B) Reviewing personal biases and prejudices
C) Seeking resources to further understanding of other cultures
D) Becoming familiar with other culturally diverse lifestyles
E) Performing a competent cultural assessment
F) Advocating for social justice to eliminate disparities.
Essentials of maternity newborn and women's health nursing
5th Edition
FIFTH EDITION
ESSENTIALS of
Maternity, Newborn,
and Women's Health
Nursing
SUSAN SCOTT RICCI
, Essentials of Maternity Newborn and Women’s Health Nursing 5th
Edition Susan Ricci Test bank
Chapter 2- Family-Centered Community-Based Care
1. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following
activities would deviate from the characteristics of family-centered care?
A) Softening unpleasant information or prognoses
B) Evaluating and changing the nursing plan of care
C) Collaborating with the child and family as equals
D) Showing respect for the family’s beliefs and wishes
2. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which of the following activities would be considered the tertiary level of prevention?
A) Arranging for a physical therapy session
B) Teaching parents to administer albuterol
C) Reminding parent to give a full course of antibiotics
D) Giving a DTaP vaccination at the proper interval
3. A nursing student is reviewing information about documenting client care and education in the
medical record and the purposes that it serves. The student demonstrates a need for additional study
when the nurse identifies which of the following as a reason? A) Serves as a communication tool for the
interdisciplinary team.
B) Demonstrates education the family has received if legal matters arise.
C) Permits others access to allow refusal of medical insurance coverage.
D) Verifies meeting client education standards set by the Joint Commission.
4. A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the
client on the advantages and disadvantages, which statement would indicate that the client understood the
information?
A) “I like having the privacy, but it might be too expensive for me to set up in my home.”
B) “I want to have more control, but I am concerned if an emergency would arise.”
C) “It is safer because I will have a midwife.”
D) “The midwife is trained to resolve any emergency, and she can bring any pain meds.”
5. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals
that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, “I’m
pretty tired. And with this pain, I haven’t been drinking and eating like I should. The medication helps a
, Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
bit but not much. My mom has been helping with the baby.” Her incision is clean, dry, and intact. Which
nursing diagnosis would the nurse identify as the priority for this client?
A) Impaired skin integrity related to cesarean birth incision
B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
6. When caring for childbearing families from cultures different from one’s own, which of the following
must be accomplished first?
A) Adapt to the practices of the family’s culture
B) Determine similarities between both cultures
C) Assess personal feelings about that culture
D) Learn as much as possible about that culture
7. After teaching a group of students about the changes in health care delivery and funding, which of
the following, if identified by the group as a current trend seen in the maternal and child health care
settings, would indicate that the teaching was successful?
A) Increase in community settings for care
B) Decrease in family poverty level
C) Increase in hospitalization of children
D) Decrease in managed care
8. The nurse would recommend the use of which supplement as a primary prevention strategy to prevent
neural tube defects with pregnant women?
A) Calcium
B) Folic acid
C) Vitamin C
D) Iron
9. Which action would the nurse include in a primary prevention program in the community to help
reduce the incidence of HIV infection?
A) Provide treatment for clients who test positive for HIV
B) Monitor viral load counts periodically
C) Educate clients in how to practice safe sex
D) Offer testing for clients who practice unsafe sex
10. When assuming the role of discharge planner for a woman requiring ventilator support at home, the
nurse would do which of the following?
A) Confer with the client’s mother
B) Teach new self-care skills to the client
C) Determine if there is a need for back-up power
D) Discuss coverage with the insurance company
, 11. When comparing commTuensittyB-abnak -seEdssnenutriaslisnogf w
Miatther niutyrsNinew e ecna’rseHseeatlthinNgutrosinagg5rtoh uEpdiotifon Susan Ricci
g bionrnthaendacWuotm
nursing students, the nurse describes the challenges associated with community-based nursing. Which of
the following would the nurse include?
A) Increased time available for education
B) Improved access to resources
C) Decision making in isolation
D) Greater environmental structure
12. After teaching a group of students about the different levels of prevention, the instructor determines a
need for additional teaching when the students identify which of the following as a secondary prevention
level activity in community-based health care?
A) Teaching women to take folic acid supplements to prevent neural tube defects
B) Working with women who are victims of domestic violence
C) Working with clients at an HIV clinic to provide nutritional and CAM therapies
D) Teaching hypertensive clients to monitor blood pressure
13. A nursing instructor is describing trends in maternal and newborn health care. The instructor
addresses the length of stay for vaginal births during the past decade, citing that which of the following
denotes the average stay?
A) 24–48 hours or less
B) 72–96 hours or less
C) 48–72 hours or less
D) 96–120 hours or less
14. Which of the following statements is accurate regarding women’s health care in today’s system?
A) Women spend 95 cents of every dollar spent on health care. B) Women make almost 90% of all health
care decisions.
C) Women are still the minority in the United States. D) Men use more health services than women.
15. A nurse is educating a client about a care plan. Which of the following statements would be
appropriate to assess the client’s learning ability?
A) “Did you graduate from high school; how many years of schooling did you have?”
B) “Do you have someone in your family who would understand this information?” C) “Many people
have trouble remembering information; is this a problem for you?” D) “Would you prefer that the
doctor give you more detailed medical information?”
16. A nurse is developing cultural competence. Which of the following indicates that the nurse is in the
process of developing cultural knowledge? Select all that apply.
A) Examining personal sociocultural heritage
B) Reviewing personal biases and prejudices
C) Seeking resources to further understanding of other cultures
D) Becoming familiar with other culturally diverse lifestyles
E) Performing a competent cultural assessment
F) Advocating for social justice to eliminate disparities.
