TEST BANK
Women's Health Care in Advanced Practice
Nursing, 2nd Edition
By Ivy M. Alexander, Versie Johnson-Mallard, Frances E.
Likis, and Catherine Ingram Fogel.
,Chapter 1: Trends and Issues in Women's Health Care
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations 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
ANS: B
Rationale: Early and adequate prenatal care is the single most important factor in reducing
maternal and infant mortality rates. It allows for early detection and management of
complications, health education, and appropriate interventions.
2. When integrating 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 relationships
d. Families require little information to make appropriate decisions
ANS: C
Rationale: Family-centered care recognizes that childbirth affects the entire family and that
relationships will change. It views childbirth as a normal life event, not a procedural event, and
respects families' ability to make informed choices with adequate information.
3. When preparing a teaching plan for a group of first-time 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. Creation of free-standing birth centers
ANS: D
pg. 1
,Rationale: Free-standing birth centers were created in the 20th century as an alternative to
hospital births. Puerperal fever epidemics occurred in the 18th and 19th centuries. The first
cesarean birth was performed in the 19th century. X-ray development occurred in the late 19th
century.
4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
a. Hemorrhage
b. Embolism
c. Obstructed labor
d. Infection
ANS: B
Rationale: While embolism is a cause of pregnancy-related mortality, it is not among the leading
causes. The leading causes include hemorrhage, hypertensive disorders, infection, and obstructed
labor.
5. 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 conditions would the group address
as the major problem?
a. Smoking
b. Cardiovascular disease
c. Obesity
d. Diabetes
ANS: B
Rationale: Cardiovascular disease is the leading cause of death among women in the United
States, making it the major health problem that must be addressed.
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' attitudes
c. Transportation
d. Finances
pg. 2
, ANS: D
Rationale: Finances are the most significant barrier to health care access, as lack of insurance or
inability to pay directly impacts the ability to obtain necessary health services.
7. After teaching a group of nursing students about the issue of informed consent, which of the
following, if identified by the student, would indicate an understanding of a violation 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. Getting verbal consent over the phone for emergency procedures
ANS: A
Rationale: Performing a procedure on a minor without parental or legal guardian consent is a
violation of informed consent, unless it is an emergency situation where the minor's life is in
danger.
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
His parents are out of town on vacation, and the child is staying with a neighbor. Which action
would be the priority?
a. Getting telephone consent with two people listening to the verbal consent
b. Providing emergency care without parental consent
c. Contacting the child's aunt or uncle to obtain their consent
d. Advocating for termination of parental rights for this situation
ANS: A
Rationale: In an emergency situation when parents are unavailable, telephone consent with two
witnesses is acceptable. Emergency care can be provided without consent only if the situation is
immediately life-threatening and no consent can be obtained.
9. After 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 entire family, and relationships will change.
b. Families are not capable of making health care decisions for themselves.
pg. 3
Women's Health Care in Advanced Practice
Nursing, 2nd Edition
By Ivy M. Alexander, Versie Johnson-Mallard, Frances E.
Likis, and Catherine Ingram Fogel.
,Chapter 1: Trends and Issues in Women's Health Care
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations 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
ANS: B
Rationale: Early and adequate prenatal care is the single most important factor in reducing
maternal and infant mortality rates. It allows for early detection and management of
complications, health education, and appropriate interventions.
2. When integrating 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 relationships
d. Families require little information to make appropriate decisions
ANS: C
Rationale: Family-centered care recognizes that childbirth affects the entire family and that
relationships will change. It views childbirth as a normal life event, not a procedural event, and
respects families' ability to make informed choices with adequate information.
3. When preparing a teaching plan for a group of first-time 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. Creation of free-standing birth centers
ANS: D
pg. 1
,Rationale: Free-standing birth centers were created in the 20th century as an alternative to
hospital births. Puerperal fever epidemics occurred in the 18th and 19th centuries. The first
cesarean birth was performed in the 19th century. X-ray development occurred in the late 19th
century.
4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
a. Hemorrhage
b. Embolism
c. Obstructed labor
d. Infection
ANS: B
Rationale: While embolism is a cause of pregnancy-related mortality, it is not among the leading
causes. The leading causes include hemorrhage, hypertensive disorders, infection, and obstructed
labor.
5. 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 conditions would the group address
as the major problem?
a. Smoking
b. Cardiovascular disease
c. Obesity
d. Diabetes
ANS: B
Rationale: Cardiovascular disease is the leading cause of death among women in the United
States, making it the major health problem that must be addressed.
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' attitudes
c. Transportation
d. Finances
pg. 2
, ANS: D
Rationale: Finances are the most significant barrier to health care access, as lack of insurance or
inability to pay directly impacts the ability to obtain necessary health services.
7. After teaching a group of nursing students about the issue of informed consent, which of the
following, if identified by the student, would indicate an understanding of a violation 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. Getting verbal consent over the phone for emergency procedures
ANS: A
Rationale: Performing a procedure on a minor without parental or legal guardian consent is a
violation of informed consent, unless it is an emergency situation where the minor's life is in
danger.
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
His parents are out of town on vacation, and the child is staying with a neighbor. Which action
would be the priority?
a. Getting telephone consent with two people listening to the verbal consent
b. Providing emergency care without parental consent
c. Contacting the child's aunt or uncle to obtain their consent
d. Advocating for termination of parental rights for this situation
ANS: A
Rationale: In an emergency situation when parents are unavailable, telephone consent with two
witnesses is acceptable. Emergency care can be provided without consent only if the situation is
immediately life-threatening and no consent can be obtained.
9. After 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 entire family, and relationships will change.
b. Families are not capable of making health care decisions for themselves.
pg. 3
