Test Bank Complete_
Maternal & Child Nursing Care 6th Edition, (2022)
By Marcia London, Patricia Ladewig, Michele Davidson, Jane Ball, Ruth Bindler, Kay Cowen
All Chapter 1-57| 8 Units| Updated Edtition With Detailed Answers| Grade A+
From: [Bestmaxsolutions.Stuvia
,PART 1: INTRODUCTION TO FAMILY-CENTERED CARE ----------------------------------------------------- 4
Chapter 1: Contemporary Maternal, Newborn, And Child Health Nursing ------------------------------------------------ 4
Chapter 2: Culture And The Family ------------------------------------------------------------------------------------------------- 27
Chapter 3: Genetic And Genomic Influences In Maternal, Newborn, And Child Health ------------------------------ 51
PART 2: WOMEN'S HEALTH -------------------------------------------------------------------------------------- 75
Chapter 4: Health Promotion For Women ---------------------------------------------------------------------------------------- 75
Chapter 5: Common Gynecologic Problems -------------------------------------------------------------------------------------- 97
PART 3: PREGNANCY AND THE FAMILY -------------------------------------------------------------------- 127
Chapter 6: Reproductive Physiology, Conception, and Fetal Development -------------------------------------------- 127
Chapter 7: Physical And Psychologic Changes Of Pregnancy --------------------------------------------------------------- 150
Chapter 8: Antepartum Nursing Assessment ----------------------------------------------------------------------------------- 174
Chapter 9: The Expectant Family: Needs And Care ---------------------------------------------------------------------------- 199
Chapter 10: Maternal Nutrition ---------------------------------------------------------------------------------------------------- 227
Chapter 11: Pregnancy In Selected Populations ------------------------------------------------------------------------------- 251
Chapter 12: Assessment Of Fetal Well-Being ----------------------------------------------------------------------------------- 284
Chapter 13: Pregnancy At Risk: Pregestational Problems ------------------------------------------------------------------- 306
Chapter 14: Pregnancy At Risk: Gestational Onset ---------------------------------------------------------------------------- 333
PART 4: BIRTH AND THE FAMILY ----------------------------------------------------------------------------- 358
Chapter 15: Processes And Stages Of Labor And Birth ----------------------------------------------------------------------- 358
Chapter 16: Intrapartum Nursing Assessment --------------------------------------------------------------------------------- 382
Chapter 17: The Family In Childbirth: Needs And Care ----------------------------------------------------------------------- 404
Chapter 18: Pharmacologic Pain Management--------------------------------------------------------------------------------- 428
Chapter 19: Childbirth At Risk: Pre-labor And Intrapartum Complications --------------------------------------------- 452
Chapter 20: Childbirth At Risk: Labor-Related Complications -------------------------------------------------------------- 474
Chapter 21: Birth-Related Procedures -------------------------------------------------------------------------------------------- 505
PART 5: THE NEWBORN ---------------------------------------------------------------------------------------- 529
Chapter 22: The Physiologic Responses Of The Newborn To Birth -------------------------------------------------------- 529
Chapter 23: Nursing Assessment Of The Newborn ---------------------------------------------------------------------------- 552
Chapter 24: The Normal Newborn: Needs And Care -------------------------------------------------------------------------- 575
Chapter 25: Newborn Feeding ------------------------------------------------------------------------------------------------------ 603
Chapter 26: The Newborn At Risk: Conditions Present At Birth ----------------------------------------------------------- 620
Chapter 27: The Newborn At Risk: Birth-Related Stressors ----------------------------------------------------------------- 643
PART 6: THE POSTPARTUM FAMILY ------------------------------------------------------------------------- 667
, Chapter 28: Postpartum Adaptation And Nursing Assessment ------------------------------------------------------------ 667
Chapter 29: The Postpartum Family: Early Care Needs And Home Care ------------------------------------------------- 693
Chapter 30: The Postpartum Family At Risk ------------------------------------------------------------------------------------ 720
PART 7: CARE AND NEEDS OF CHILDREN ------------------------------------------------------------------- 747
Chapter 31: Growth And Development ------------------------------------------------------------------------------------------ 747
Chapter 32: Infant, Child, And Adolescent Nutrition ------------------------------------------------------------------------- 773
Chapter 33: Pediatric Assessment ------------------------------------------------------------------------------------------------- 796
Chapter 34: Health Promotion And Maintenance: General Concepts, The Newborn, And The Infant ----------- 820
Chapter 35: Health Promotion And Maintenance: The Toddler And The Preschooler ------------------------------- 845
Chapter 36: Health Promotion And Maintenance: The School-Age Child And The Adolescent -------------------- 870
Chapter 37: Family Assessment And Concepts Of Nursing Care In The Community ---------------------------------- 903
Chapter 38: Nursing Considerations For The Child And Family With A Chronic Condition -------------------------- 926
Chapter 39: Nursing Considerations For The Hospitalized Child ----------------------------------------------------------- 956
Chapter 40: Pain Assessment And Management In Children --------------------------------------------------------------- 990
Chapter 41: The Child With A Life-Threatening Condition And End-Of-Life Care ------------------------------------ 1016
Chapter 42: Social And Environmental Influences On The Child --------------------------------------------------------- 1046
Chapter 43: Immunizations And Communicable Diseases ---------------------------------------------------------------- 1077
PART 8: CARING FOR CHILDREN WITH ALTERATIONS IN HEALTH STATUS ----------------------- 1112
Chapter 44: The Child With Alterations In Fluid, Electrolyte, And Acid–Base Balance ----------------------------- 1112
Chapter 45: The Child With Alterations In Eye, Ear, Nose, And Throat Function ------------------------------------ 1136
Chapter 46: The Child With Alterations In Respiratory Function -------------------------------------------------------- 1161
Chapter 47: The Child With Alterations In Cardiovascular Function ---------------------------------------------------- 1183
Chapter 48: The Child With Alterations In Immune Function ------------------------------------------------------------ 1213
Chapter 49: The Child With Alterations In Hematologic Function ------------------------------------------------------- 1238
Chapter 50: The Child With Cancer --------------------------------------------------------------------------------------------- 1268
Chapter 51: The Child With Alterations In Gastrointestinal Function -------------------------------------------------- 1297
Chapter 52: The Child With Alterations In Genitourinary Function ----------------------------------------------------- 1321
Chapter 53: The Child With Alterations In Endocrine Function ---------------------------------------------------------- 1342
Chapter 54: The Child With Alterations In Neurologic Function --------------------------------------------------------- 1367
Chapter 55: The Child With Alterations In Mental Health And Cognitive Function --------------------------------- 1390
Chapter 56: The Child With Alterations In Musculoskeletal Function -------------------------------------------------- 1411
Chapter 57: The Child With Alterations In Skin Integrity ------------------------------------------------------------------ 1434
,PART 1: INTRODUCTION TO FAMILY-CENTERED CARE
Chapter 1: Contemporary Maternal, Newborn, And Child Health Nursing
Marcia London: Maternal & Child Nursing Care 6th Edition, (2022) Test Bank
MULTIPLE CHOICE
1) A Nurse Is Examining Different Nursing Roles. Which Statement Best Illustrates An
Advanced Practice Nursing Role?
1. A Registered Nurse Who Is The Manager Of A Large Obstetric Unit
2. A Clinical Nurse Specialist Working As A Staff Nurse On A Mother–Baby Unit
3. A Registered Nurse Who Is The Circulating Nurse At Surgical Deliveries (Cesarean
Sections)
4. A Clinical Nurse Specialist With Whom Other Nurses Consult For This Nurse’s
Expertise In Caring For High-Risk Infants
ANS: 4
Explanation:
1. A Registered Nurse Who Is The Manager Of A Large Obstetric Unit Or One Who Is A
Circulating
Nurse At Surgical Deliveries (Cesarean Sections) Is Defined As A Professional Nurse,
And Has Graduated From An Accredited Program In Nursing And Completed The
Licensure Examination.
2. A Clinical Nurse Specialist Working As A Staff Nurse On A Mother–Baby Unit Might
Have The Qualifications For An Advanced Practice Nursing Staff But Is Not Working In
That Capacity.
3. A Registered Nurse Who Is The Manager Of A Large Obstetric Unit Or One Who Is A
Circulating Nurse At Surgical Deliveries (Cesarean Sections) Is Defined As A
Professional Nurse, And Has Graduated From An Accredited Program In Nursing And
Completed The Licensure Examination.
4. A Clinical Nurse Specialist With Whom Other Nurses Consult For Expertise In Caring
For High- Risk Infants Would Illustrate An Advanced Practice Nursing Role. This Nurse
,Has Specialized Knowledge And Competence In A Specific Clinical Area, And Is
Master’s-Prepared.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: II.B.4. Function Competently Within Own Scope Of
Practice As A Member Of The Health Care Team │AACN Essential Competencies: VI.1.
Compare/Contrast The Roles And Perspectives Of The Nursing Profession With Other
Care Professionals On The Healthcare Team (I.E. Scope Of Discipline, Education And
Licensure Requirements) │NLN Competencies: Teamwork; Knowledge; Scope Of
Practice, Roles, And Responsibilities Of Health Care Team Members, Including Overlaps
│Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify The Nursing Roles Available To Maternal-Newborn And
Pediatric Nurses.
MNL Learning Outcome: 1.1.2. Explore The Role Of The Nurse In Maternity Care
Delivery.
2) What Is The Major Focus Of The Nurse Practitioner (NP)?
1. Leadership
2. Tertiary Prevention
3. Physical And Psychosocial Clinical Assessment
4. Independent Care Of The High-Risk, Pregnant Client
ANS: 3
Explanation:
1. Leadership Might Be A Quality Of The NP, But It Is Not The Major Focus.
2. The NP Cannot Do Tertiary Prevention As A Major Focus.
3. Physical And Psychosocial Clinical Assessment Is The Major Focus Of The NP.
4. NPS Cannot Provide Independent Care Of The High-Risk Pregnant Client, But Must
Work Under A Physician’s Supervision.
Page Ref: 3
,Cognitive Level: Remembering
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: II.B.4. Function Competently Within Own Scope Of
Practice As A Member Of The Health Care Team │AACN Essential Competencies: VI.1.
Compare/Contrast The Roles And Perspectives Of The Nursing Profession With Other
Care Professionals On The Healthcare Team (I.E. Scope Of Discipline, Education And
Licensure Requirements) │NLN Competencies: Teamwork; Knowledge; Scope Of
Practice, Roles, And Responsibilities Of Health Care Team Members, Including Overlaps
│Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify The Nursing Roles Available To Maternal-Newborn And
Pediatric Nurses.
MNL Learning Outcome: 1.1.2. Explore The Role Of The Nurse In Maternity Care
Delivery.
3) What Is The Role Of The Certified Nurse–Midwife (CNM)? Select All That Apply.
1. Give Primary Care For Healthy Newborns.
2. Be Educated In Two Disciplines Of Nursing.
3. Give Primary Care For High-Risk Clients Who Are In Hospital Settings.
4. Obtain A Physician Consultation For All Technical Procedures At Delivery.
5. Be Prepared To Manage Independently The Care Of Women At Low Risk For
Complications During Pregnancy And Birth.
ANS: 1, 2, 5
Explanation:
1. The CNM Is Prepared To Manage Independently The Care Of Women At Low Risk
For Complications During Pregnancy And Birth And The Care Of Healthy Newborns.
2. The CNM Is Educated In The Disciplines Of Nursing And Midwifery.
3. CNMS Cannot Give Primary Care For High-Risk Clients Who Are In Hospital
Settings. The Physician Provides The Primary Care.
,4. The CNM Does Not Need To Obtain A Physician Consultation For All Technical
Procedures At Delivery. Situations In Which The Client Is At Risk, Such As For A 4th-
Degree Laceration Or Forceps Delivery, Would Need Physician Consultation.
5. The CNM Is Prepared To Manage Independently The Care Of Women At Low Risk
For Complications During Pregnancy And Birth And The Care Of Healthy Newborns.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: II.B.4. Function Competently Within Own Scope Of
Practice As A Member Of The Health Care Team │AACN Essential Competencies: VI.1.
Compare/Contrast The Roles And Perspectives Of The Nursing Profession With Other
Care Professionals On The Healthcare Team (I.E. Scope Of Discipline, Education And
Licensure Requirements) │NLN Competencies: Teamwork; Knowledge; Scope Of
Practice, Roles, And Responsibilities Of Health Care Team Members, Including Overlaps
│Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify The Nursing Roles Available To Maternal-Newborn And
Pediatric Nurses.
MNL Learning Outcome: 1.1.2. Explore The Role Of The Nurse In Maternity Care
Delivery.
4) During The Hospital Admission Process, A Child’s Parent Asks For Information
About Family- Centered Care. What Should The Nurse Explain To This Parent?
1. Mother Is The Principal Caregiver In Each Family.
2. Father Is The Leader In Each Home; Thus, All Communications Should Include Him.
3. Family Serves As The Constant Influence And Continuing Support In The Child’s
Life.
4. Child’s Physician Is The Key Person In Ensuring The Health Of A Child Is
Maintained.
ANS: 3
Explanation:
,1. Culturally Competent Care Recognizes That Both Matriarchal And Patriarchal
Households Exist.
2. Culturally Competent Care Recognizes That Both Matriarchal And Patriarchal
Households Exist.
3. The Foundation For The Development Of Trusting Relationships And Partnerships
With Families Is The Recognition That The Family Is The Principal Caregiver, Knows
The Unique Nature Of Each Individual Child Best, Plays The Vital Role Of Meeting The
Child’s Needs, And Is Responsible For Ensuring Each Child’s Health.
4. The Physician Is Not Present During The Day-To-Day Routines In A Child’s Life.
Page Ref: 3
Cognitive Level: Applying
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: I.B.3. Provide Patient-Centered Care With Sensitivity
And Respect For The Diversity Of Human Experience │AACN Essential Competencies:
IX.5. Deliver Compassionate, Patient-Centered, Evidence-Based Care That Respects
Patient And Family Preferences
│NLN Competencies: Relationship Centered Care; Knowledge; The Role Of Family,
Culture, And Community In A Person's Development │Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome: 1.2 Summarize The Use Of Community-Based Nursing Care In
Meeting The Needs Of Childbearing And Childrearing Families.
MNL Learning Outcome: 1.1.1. Relate The Effect Of Culture And Family To The
Childbearing Experience.
5) A Child Is Not Enrolled In The Children’s Health Insurance Program (CHIP). What
Should The Nurse Do To Encourage The Family To Consider Enrolling The Child In
This Program?
1. Assessment Of The Details Of The Family’s Income And Expenditures
2. Case Management To Limit Costly, Unnecessary Duplication Of Services
,3. Advocacy For The Child By Encouraging The Family To Investigate Its CHIP
Eligibility
4. Education Of The Family About The Need For Keeping Regular Well-Child Visit
Appointments
ANS: 3
Explanation:
1. Financial Assessment Is More Commonly The Function Of A Social Worker.
2. The Case Management Activity Mentioned Will Not Provide A Source Of Funding.
3. In The Role Of An Advocate, A Nurse Will Advance The Interests Of Another By
Suggesting The Family Investigate Its CHIP Eligibility.
4. The Educational Effort Described Will Not Provide A Source Of Funding.
Page Ref: 6
Cognitive Level: Applying
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: I.A.1. Integrate Understanding Of Multiple Dimensions
Of Patient Centered Care: Information, Communication, And Education │ AACN
Essential Competencies: V.12. Advocate For Consumers And The Nursing Profession │
NLN Competencies: Relationship Centered Care; Practice; Communicate Information
Effectively; Listen Openly And Cooperatively │ Nursing/Integrated Concepts: Nursing
Process: Implementation
Learning Outcome: 1.3 Summarize The Current Status Of Factors Related To Health
Insurance And Access To Health Care.
MNL Learning Outcome: 1.1.4. Examine The Legal And Ethical Influences On The
Delivery Of Nursing Care To The Childbearing Family.
6) The Nurse Is Evaluating Telephone Calls Made By The Mothers Of Newborns In A
Community Clinic. Which Calls Should The Nurse Make A Priority? Select All That
Apply.
1. Mother Who Is 16 Years Old
2. Mother Who Is Breastfeeding
, 3. Mother Who Is A Single Parent
4. Mother Who Gave Birth To Twins 2 Weeks Ago
5. Mother Whose Baby Was Born At 30 Weeks’ Gestation
ANS: 1, 3, 4, 5
Explanation:
1. Infant Mortality Rates Are Higher For Infants Of Teen Mothers.
2. There Are No Data To Support The Mortality Rate Of Infants Who Are Being
Breastfed.
3. Infant Mortality Rates Are Higher Among Unmarried Mothers.
4. Infant Mortality Rates Are Higher Among Infants Born In Multiple Births.
5. Infant Mortality Rates Are Higher Among Infants Born Prematurely.
Page Ref: 8
Cognitive Level: Analyzing
Client Need/Sub: Health Promotion And Maintenance
Standards: QSEN Competencies: I.A.1. Integrate Understanding Of Multiple Dimensions
Of Patient Centered Care: Information, Communication, And Education │ AACN
Essential Competencies: IX.1. Conduct Comprehensive And Focused Physical,
Behavioral, Psychological, Spiritual, Socioeconomic, And Environmental Assessments Of
Health And Illness Parameters In Patients, Using Developmentally And Culturally
Appropriate Approaches │ NLN Competencies: Context And Environment; Practice;
Conduct Population-Based Transcultural Health Assessments And Interventions
│Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1.4 Relate The Availability Of Statistical Data To The Formulation
Of Further Research Questions.
MNL Learning Outcome: 1.1.3. Relate Various Factors To Their Effect On Pregnancy
Outcomes.
7) What Is The Maternity Nurse’s Best Defense Against An Accusation Of Malpractice
Or Negligence?
1. Follows The Physician’s Written Orders
Maternal & Child Nursing Care 6th Edition, (2022)
By Marcia London, Patricia Ladewig, Michele Davidson, Jane Ball, Ruth Bindler, Kay Cowen
All Chapter 1-57| 8 Units| Updated Edtition With Detailed Answers| Grade A+
From: [Bestmaxsolutions.Stuvia
,PART 1: INTRODUCTION TO FAMILY-CENTERED CARE ----------------------------------------------------- 4
Chapter 1: Contemporary Maternal, Newborn, And Child Health Nursing ------------------------------------------------ 4
Chapter 2: Culture And The Family ------------------------------------------------------------------------------------------------- 27
Chapter 3: Genetic And Genomic Influences In Maternal, Newborn, And Child Health ------------------------------ 51
PART 2: WOMEN'S HEALTH -------------------------------------------------------------------------------------- 75
Chapter 4: Health Promotion For Women ---------------------------------------------------------------------------------------- 75
Chapter 5: Common Gynecologic Problems -------------------------------------------------------------------------------------- 97
PART 3: PREGNANCY AND THE FAMILY -------------------------------------------------------------------- 127
Chapter 6: Reproductive Physiology, Conception, and Fetal Development -------------------------------------------- 127
Chapter 7: Physical And Psychologic Changes Of Pregnancy --------------------------------------------------------------- 150
Chapter 8: Antepartum Nursing Assessment ----------------------------------------------------------------------------------- 174
Chapter 9: The Expectant Family: Needs And Care ---------------------------------------------------------------------------- 199
Chapter 10: Maternal Nutrition ---------------------------------------------------------------------------------------------------- 227
Chapter 11: Pregnancy In Selected Populations ------------------------------------------------------------------------------- 251
Chapter 12: Assessment Of Fetal Well-Being ----------------------------------------------------------------------------------- 284
Chapter 13: Pregnancy At Risk: Pregestational Problems ------------------------------------------------------------------- 306
Chapter 14: Pregnancy At Risk: Gestational Onset ---------------------------------------------------------------------------- 333
PART 4: BIRTH AND THE FAMILY ----------------------------------------------------------------------------- 358
Chapter 15: Processes And Stages Of Labor And Birth ----------------------------------------------------------------------- 358
Chapter 16: Intrapartum Nursing Assessment --------------------------------------------------------------------------------- 382
Chapter 17: The Family In Childbirth: Needs And Care ----------------------------------------------------------------------- 404
Chapter 18: Pharmacologic Pain Management--------------------------------------------------------------------------------- 428
Chapter 19: Childbirth At Risk: Pre-labor And Intrapartum Complications --------------------------------------------- 452
Chapter 20: Childbirth At Risk: Labor-Related Complications -------------------------------------------------------------- 474
Chapter 21: Birth-Related Procedures -------------------------------------------------------------------------------------------- 505
PART 5: THE NEWBORN ---------------------------------------------------------------------------------------- 529
Chapter 22: The Physiologic Responses Of The Newborn To Birth -------------------------------------------------------- 529
Chapter 23: Nursing Assessment Of The Newborn ---------------------------------------------------------------------------- 552
Chapter 24: The Normal Newborn: Needs And Care -------------------------------------------------------------------------- 575
Chapter 25: Newborn Feeding ------------------------------------------------------------------------------------------------------ 603
Chapter 26: The Newborn At Risk: Conditions Present At Birth ----------------------------------------------------------- 620
Chapter 27: The Newborn At Risk: Birth-Related Stressors ----------------------------------------------------------------- 643
PART 6: THE POSTPARTUM FAMILY ------------------------------------------------------------------------- 667
, Chapter 28: Postpartum Adaptation And Nursing Assessment ------------------------------------------------------------ 667
Chapter 29: The Postpartum Family: Early Care Needs And Home Care ------------------------------------------------- 693
Chapter 30: The Postpartum Family At Risk ------------------------------------------------------------------------------------ 720
PART 7: CARE AND NEEDS OF CHILDREN ------------------------------------------------------------------- 747
Chapter 31: Growth And Development ------------------------------------------------------------------------------------------ 747
Chapter 32: Infant, Child, And Adolescent Nutrition ------------------------------------------------------------------------- 773
Chapter 33: Pediatric Assessment ------------------------------------------------------------------------------------------------- 796
Chapter 34: Health Promotion And Maintenance: General Concepts, The Newborn, And The Infant ----------- 820
Chapter 35: Health Promotion And Maintenance: The Toddler And The Preschooler ------------------------------- 845
Chapter 36: Health Promotion And Maintenance: The School-Age Child And The Adolescent -------------------- 870
Chapter 37: Family Assessment And Concepts Of Nursing Care In The Community ---------------------------------- 903
Chapter 38: Nursing Considerations For The Child And Family With A Chronic Condition -------------------------- 926
Chapter 39: Nursing Considerations For The Hospitalized Child ----------------------------------------------------------- 956
Chapter 40: Pain Assessment And Management In Children --------------------------------------------------------------- 990
Chapter 41: The Child With A Life-Threatening Condition And End-Of-Life Care ------------------------------------ 1016
Chapter 42: Social And Environmental Influences On The Child --------------------------------------------------------- 1046
Chapter 43: Immunizations And Communicable Diseases ---------------------------------------------------------------- 1077
PART 8: CARING FOR CHILDREN WITH ALTERATIONS IN HEALTH STATUS ----------------------- 1112
Chapter 44: The Child With Alterations In Fluid, Electrolyte, And Acid–Base Balance ----------------------------- 1112
Chapter 45: The Child With Alterations In Eye, Ear, Nose, And Throat Function ------------------------------------ 1136
Chapter 46: The Child With Alterations In Respiratory Function -------------------------------------------------------- 1161
Chapter 47: The Child With Alterations In Cardiovascular Function ---------------------------------------------------- 1183
Chapter 48: The Child With Alterations In Immune Function ------------------------------------------------------------ 1213
Chapter 49: The Child With Alterations In Hematologic Function ------------------------------------------------------- 1238
Chapter 50: The Child With Cancer --------------------------------------------------------------------------------------------- 1268
Chapter 51: The Child With Alterations In Gastrointestinal Function -------------------------------------------------- 1297
Chapter 52: The Child With Alterations In Genitourinary Function ----------------------------------------------------- 1321
Chapter 53: The Child With Alterations In Endocrine Function ---------------------------------------------------------- 1342
Chapter 54: The Child With Alterations In Neurologic Function --------------------------------------------------------- 1367
Chapter 55: The Child With Alterations In Mental Health And Cognitive Function --------------------------------- 1390
Chapter 56: The Child With Alterations In Musculoskeletal Function -------------------------------------------------- 1411
Chapter 57: The Child With Alterations In Skin Integrity ------------------------------------------------------------------ 1434
,PART 1: INTRODUCTION TO FAMILY-CENTERED CARE
Chapter 1: Contemporary Maternal, Newborn, And Child Health Nursing
Marcia London: Maternal & Child Nursing Care 6th Edition, (2022) Test Bank
MULTIPLE CHOICE
1) A Nurse Is Examining Different Nursing Roles. Which Statement Best Illustrates An
Advanced Practice Nursing Role?
1. A Registered Nurse Who Is The Manager Of A Large Obstetric Unit
2. A Clinical Nurse Specialist Working As A Staff Nurse On A Mother–Baby Unit
3. A Registered Nurse Who Is The Circulating Nurse At Surgical Deliveries (Cesarean
Sections)
4. A Clinical Nurse Specialist With Whom Other Nurses Consult For This Nurse’s
Expertise In Caring For High-Risk Infants
ANS: 4
Explanation:
1. A Registered Nurse Who Is The Manager Of A Large Obstetric Unit Or One Who Is A
Circulating
Nurse At Surgical Deliveries (Cesarean Sections) Is Defined As A Professional Nurse,
And Has Graduated From An Accredited Program In Nursing And Completed The
Licensure Examination.
2. A Clinical Nurse Specialist Working As A Staff Nurse On A Mother–Baby Unit Might
Have The Qualifications For An Advanced Practice Nursing Staff But Is Not Working In
That Capacity.
3. A Registered Nurse Who Is The Manager Of A Large Obstetric Unit Or One Who Is A
Circulating Nurse At Surgical Deliveries (Cesarean Sections) Is Defined As A
Professional Nurse, And Has Graduated From An Accredited Program In Nursing And
Completed The Licensure Examination.
4. A Clinical Nurse Specialist With Whom Other Nurses Consult For Expertise In Caring
For High- Risk Infants Would Illustrate An Advanced Practice Nursing Role. This Nurse
,Has Specialized Knowledge And Competence In A Specific Clinical Area, And Is
Master’s-Prepared.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: II.B.4. Function Competently Within Own Scope Of
Practice As A Member Of The Health Care Team │AACN Essential Competencies: VI.1.
Compare/Contrast The Roles And Perspectives Of The Nursing Profession With Other
Care Professionals On The Healthcare Team (I.E. Scope Of Discipline, Education And
Licensure Requirements) │NLN Competencies: Teamwork; Knowledge; Scope Of
Practice, Roles, And Responsibilities Of Health Care Team Members, Including Overlaps
│Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify The Nursing Roles Available To Maternal-Newborn And
Pediatric Nurses.
MNL Learning Outcome: 1.1.2. Explore The Role Of The Nurse In Maternity Care
Delivery.
2) What Is The Major Focus Of The Nurse Practitioner (NP)?
1. Leadership
2. Tertiary Prevention
3. Physical And Psychosocial Clinical Assessment
4. Independent Care Of The High-Risk, Pregnant Client
ANS: 3
Explanation:
1. Leadership Might Be A Quality Of The NP, But It Is Not The Major Focus.
2. The NP Cannot Do Tertiary Prevention As A Major Focus.
3. Physical And Psychosocial Clinical Assessment Is The Major Focus Of The NP.
4. NPS Cannot Provide Independent Care Of The High-Risk Pregnant Client, But Must
Work Under A Physician’s Supervision.
Page Ref: 3
,Cognitive Level: Remembering
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: II.B.4. Function Competently Within Own Scope Of
Practice As A Member Of The Health Care Team │AACN Essential Competencies: VI.1.
Compare/Contrast The Roles And Perspectives Of The Nursing Profession With Other
Care Professionals On The Healthcare Team (I.E. Scope Of Discipline, Education And
Licensure Requirements) │NLN Competencies: Teamwork; Knowledge; Scope Of
Practice, Roles, And Responsibilities Of Health Care Team Members, Including Overlaps
│Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify The Nursing Roles Available To Maternal-Newborn And
Pediatric Nurses.
MNL Learning Outcome: 1.1.2. Explore The Role Of The Nurse In Maternity Care
Delivery.
3) What Is The Role Of The Certified Nurse–Midwife (CNM)? Select All That Apply.
1. Give Primary Care For Healthy Newborns.
2. Be Educated In Two Disciplines Of Nursing.
3. Give Primary Care For High-Risk Clients Who Are In Hospital Settings.
4. Obtain A Physician Consultation For All Technical Procedures At Delivery.
5. Be Prepared To Manage Independently The Care Of Women At Low Risk For
Complications During Pregnancy And Birth.
ANS: 1, 2, 5
Explanation:
1. The CNM Is Prepared To Manage Independently The Care Of Women At Low Risk
For Complications During Pregnancy And Birth And The Care Of Healthy Newborns.
2. The CNM Is Educated In The Disciplines Of Nursing And Midwifery.
3. CNMS Cannot Give Primary Care For High-Risk Clients Who Are In Hospital
Settings. The Physician Provides The Primary Care.
,4. The CNM Does Not Need To Obtain A Physician Consultation For All Technical
Procedures At Delivery. Situations In Which The Client Is At Risk, Such As For A 4th-
Degree Laceration Or Forceps Delivery, Would Need Physician Consultation.
5. The CNM Is Prepared To Manage Independently The Care Of Women At Low Risk
For Complications During Pregnancy And Birth And The Care Of Healthy Newborns.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: II.B.4. Function Competently Within Own Scope Of
Practice As A Member Of The Health Care Team │AACN Essential Competencies: VI.1.
Compare/Contrast The Roles And Perspectives Of The Nursing Profession With Other
Care Professionals On The Healthcare Team (I.E. Scope Of Discipline, Education And
Licensure Requirements) │NLN Competencies: Teamwork; Knowledge; Scope Of
Practice, Roles, And Responsibilities Of Health Care Team Members, Including Overlaps
│Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify The Nursing Roles Available To Maternal-Newborn And
Pediatric Nurses.
MNL Learning Outcome: 1.1.2. Explore The Role Of The Nurse In Maternity Care
Delivery.
4) During The Hospital Admission Process, A Child’s Parent Asks For Information
About Family- Centered Care. What Should The Nurse Explain To This Parent?
1. Mother Is The Principal Caregiver In Each Family.
2. Father Is The Leader In Each Home; Thus, All Communications Should Include Him.
3. Family Serves As The Constant Influence And Continuing Support In The Child’s
Life.
4. Child’s Physician Is The Key Person In Ensuring The Health Of A Child Is
Maintained.
ANS: 3
Explanation:
,1. Culturally Competent Care Recognizes That Both Matriarchal And Patriarchal
Households Exist.
2. Culturally Competent Care Recognizes That Both Matriarchal And Patriarchal
Households Exist.
3. The Foundation For The Development Of Trusting Relationships And Partnerships
With Families Is The Recognition That The Family Is The Principal Caregiver, Knows
The Unique Nature Of Each Individual Child Best, Plays The Vital Role Of Meeting The
Child’s Needs, And Is Responsible For Ensuring Each Child’s Health.
4. The Physician Is Not Present During The Day-To-Day Routines In A Child’s Life.
Page Ref: 3
Cognitive Level: Applying
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: I.B.3. Provide Patient-Centered Care With Sensitivity
And Respect For The Diversity Of Human Experience │AACN Essential Competencies:
IX.5. Deliver Compassionate, Patient-Centered, Evidence-Based Care That Respects
Patient And Family Preferences
│NLN Competencies: Relationship Centered Care; Knowledge; The Role Of Family,
Culture, And Community In A Person's Development │Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome: 1.2 Summarize The Use Of Community-Based Nursing Care In
Meeting The Needs Of Childbearing And Childrearing Families.
MNL Learning Outcome: 1.1.1. Relate The Effect Of Culture And Family To The
Childbearing Experience.
5) A Child Is Not Enrolled In The Children’s Health Insurance Program (CHIP). What
Should The Nurse Do To Encourage The Family To Consider Enrolling The Child In
This Program?
1. Assessment Of The Details Of The Family’s Income And Expenditures
2. Case Management To Limit Costly, Unnecessary Duplication Of Services
,3. Advocacy For The Child By Encouraging The Family To Investigate Its CHIP
Eligibility
4. Education Of The Family About The Need For Keeping Regular Well-Child Visit
Appointments
ANS: 3
Explanation:
1. Financial Assessment Is More Commonly The Function Of A Social Worker.
2. The Case Management Activity Mentioned Will Not Provide A Source Of Funding.
3. In The Role Of An Advocate, A Nurse Will Advance The Interests Of Another By
Suggesting The Family Investigate Its CHIP Eligibility.
4. The Educational Effort Described Will Not Provide A Source Of Funding.
Page Ref: 6
Cognitive Level: Applying
Client Need/Sub: Safe And Effective Care Environment/Management Of Care
Standards: QSEN Competencies: I.A.1. Integrate Understanding Of Multiple Dimensions
Of Patient Centered Care: Information, Communication, And Education │ AACN
Essential Competencies: V.12. Advocate For Consumers And The Nursing Profession │
NLN Competencies: Relationship Centered Care; Practice; Communicate Information
Effectively; Listen Openly And Cooperatively │ Nursing/Integrated Concepts: Nursing
Process: Implementation
Learning Outcome: 1.3 Summarize The Current Status Of Factors Related To Health
Insurance And Access To Health Care.
MNL Learning Outcome: 1.1.4. Examine The Legal And Ethical Influences On The
Delivery Of Nursing Care To The Childbearing Family.
6) The Nurse Is Evaluating Telephone Calls Made By The Mothers Of Newborns In A
Community Clinic. Which Calls Should The Nurse Make A Priority? Select All That
Apply.
1. Mother Who Is 16 Years Old
2. Mother Who Is Breastfeeding
, 3. Mother Who Is A Single Parent
4. Mother Who Gave Birth To Twins 2 Weeks Ago
5. Mother Whose Baby Was Born At 30 Weeks’ Gestation
ANS: 1, 3, 4, 5
Explanation:
1. Infant Mortality Rates Are Higher For Infants Of Teen Mothers.
2. There Are No Data To Support The Mortality Rate Of Infants Who Are Being
Breastfed.
3. Infant Mortality Rates Are Higher Among Unmarried Mothers.
4. Infant Mortality Rates Are Higher Among Infants Born In Multiple Births.
5. Infant Mortality Rates Are Higher Among Infants Born Prematurely.
Page Ref: 8
Cognitive Level: Analyzing
Client Need/Sub: Health Promotion And Maintenance
Standards: QSEN Competencies: I.A.1. Integrate Understanding Of Multiple Dimensions
Of Patient Centered Care: Information, Communication, And Education │ AACN
Essential Competencies: IX.1. Conduct Comprehensive And Focused Physical,
Behavioral, Psychological, Spiritual, Socioeconomic, And Environmental Assessments Of
Health And Illness Parameters In Patients, Using Developmentally And Culturally
Appropriate Approaches │ NLN Competencies: Context And Environment; Practice;
Conduct Population-Based Transcultural Health Assessments And Interventions
│Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1.4 Relate The Availability Of Statistical Data To The Formulation
Of Further Research Questions.
MNL Learning Outcome: 1.1.3. Relate Various Factors To Their Effect On Pregnancy
Outcomes.
7) What Is The Maternity Nurse’s Best Defense Against An Accusation Of Malpractice
Or Negligence?
1. Follows The Physician’s Written Orders
