Test Bank
,Table Of Contents
Unit I Introduction To Maternity And Pediatric Nursing
○ Chapter 1: Perspectives On Maternal And Child Health Care
○ Chapter 2: Caring For Women And Children
Unit Ii Women's Health Throughout The Lifespan
○ Chapter 3: Anatomy And Physiology Of The Female Reproductive System
○ Chapter 4: Common Gynecologic Issues
○ Chapter 5: Sexually Transmitted Infections
○ Chapter 6: Disorders Of The Breasts
○ Chapter 7: Benign Disorders Of The Female Reproductive Tract
○ Chapter 8: Cancers Of The Female Reproductive Tract
○ Chapter 9: Violence And Abuse
Unit Iii Pregnancy
○ Chapter 10: Fetal Development And Genetics
○ Chapter 11: Maternal Adaptation During Pregnancy
○ Chapter 12: Nursing Management During Pregnancy
Unit Iv Labor And Birth
○ Chapter 13: Labor And Birth Process
○ Chapter 14: Nursing Management During Labor And Birth
Unit V Postpartum Period
○ Chapter 15: Postpartum Adaptations
○ Chapter 16: Nursing Management During The Postpartum Period
Unit Vi The Newborn
○ Chapter 17: Newborn Transitioning
○ Chapter 18: Nursing Management Of The Newborn
Unit Vii Childbearing At Risk
○ Chapter 19: Nursing Management Of Pregnancy At Risk: Pregnancy-
Related Complications
○ Chapter 20: Nursing Management Of The Pregnancy At Risk: Selected
Health Conditions And Vulnerable Populations
, ○ Chapter 21: Nursing Management Of Labor And Birth At Risk
○ Chapter 22: Nursing Management Of The Postpartum Patient At Risk
Unit Viii The Newborn At Risk
○ Chapter 23: Nursing Care Of The Newborn With Special Needs
○ Chapter 24: Nursing Management Of The Newborn At Risk: Acquired
And Congenital Newborn Conditions
Unit Ix Health Promotion Of The Growing Child And Family
○ Chapter 25: Growth And Development Of The Newborn And Infant
○ Chapter 26: Growth And Development Of The Toddler
○ Chapter 27: Growth And Development Of The Preschooler
○ Chapter 28: Growth And Development Of The School-Age Child
○ Chapter 29: Growth And Development Of The Adolescent
Unit X Foundations Of Pediatric Nursing
○ Chapter 30: Atraumatic Care Of Children And Families
○ Chapter 31: Health Supervision
○ Chapter 32: Health Assessment Of Children
○ Chapter 33: Caring For Children In Diverse Settings
○ Chapter 34: Caring For The Special Needs Child
○ Chapter 35: Key Pediatric Nursing Interventions
○ Chapter 36: Nursing Care Of The Child With An Alteration In Comfort–
Pain Assessment And Management
Unit Xi Nursing Care Of The Child With A Health Disorder
○ Chapter 37: Nursing Care Of The Child With An Infection
○ Chapter 38: Nursing Care Of The Child With An Alteration In
Intracranial Regulation/Neurologic Disorder
○ Chapter 39: Nursing Care Of The Child With An Alteration In
Sensory Perception/Disorder Of The Eyes Or Ears
○ Chapter 40: Nursing Care Of The Child With An Alteration In
Gas Exchange/Respiratory Disorder
○ Chapter 41: Nursing Care Of The Child With An Alteration
In Perfusion/Cardiovascular Disorder
,○ Chapter 42: Nursing Care Of The Child With An Alteration In
Bowel Elimination/Gastrointestinal Disorder
○ Chapter 43: Nursing Care Of The Child With An Alteration In
Urinary Elimination/Genitourinary Disorder
○ Chapter 44: Nursing Care Of The Child With An Alteration
In Mobility/Neuromuscular Or Musculoskeletal Disorder
○ Chapter 45: Nursing Care Of The Child With An Alteration In
Tissue Integrity/Integumentary Disorder
○ Chapter 46: Nursing Care Of The Child With An Alteration In
Cellular Regulation/Hematologic Or Neoplastic Disorder
○ Chapter 47: Nursing Care Of The Child With An Alteration In Immunity
Or Immunologic Disorder
○ Chapter 48: Nursing Care Of The Child With An Alteration
In Metabolism/Endocrine Disorder
○ Chapter 49: Nursing Care Of The Child With An Alteration In Genetics
○ Chapter 50: Nursing Care Of The Child With An Alteration In
Behavior, Cognition, Or Development
○ Chapter 51: Nursing Care During A Pediatric Emergency
,Test Bank - Maternity And Pediatric Nursing (5th Edition) By Ricci
Chapter 1
1. When Integrating The Principles Of Family-Centered Care Into The Birthing
Process, The Nurse Would Base Care Upon Which Belief?
A. Birth Is Viewed As A Medical Event.
B. Families Are Unable To Make Informed Choices Due To Stress.
C. Birth Results In Changes In Relationships.
D. Families Require Little Information To Make Appropriate Decisions For Care.
Answer: C
Rationale: Family-Centered Care Is Based On The Following Principles: Birth
Affects The Entire Family, And Relationships Will Change; Birth Is Viewed As A Normal,
Healthy Event In The Life Of The Family; And Families Are Capable Of Making
Decisions About Their Own Care If Given Adequate Information And Professional
Support.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion And Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: P. 7
2. The Nurse Is Working With A Group Of Community Health Members To Develop
A Plan To Address The Special Health Needs Of Women. The Group Would Design
Educational Programs To Address Which Priority Condition?
A. Smoking
B. Heart Disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The Group Needs To Address Cardiovascular Disease, The Number One
Cause Of Death In Women Regardless Of Racial Or Ethnic Group. Smoking Is Related
To Heart Disease And The Development Of Cancer. However, Heart Disease And
Cancer Can Occur In Any Woman Regardless Of Her Smoking History. Cancer Is The
Second Leading Cause Of Death, With Women Having A One In Three Lifetime
Risk Of Developing Cancer. Diabetes Is Another Important Health Condition That
Can Affect Women. However, It Is Not The Major Health Problem That Heart
Disease Is.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
,Reference: P. 12
3. A Nurse Is Conducting An Orientation Program For A Group Of Newly Hired
Nurses. As Part Of The Program, The Nurse Is Reviewing The Issue Of Informed
Consent. The Nurse Determines That The Teaching Was Effective When The Group
Identifies Which Situation As A Violation Of Informed Consent?
A. Performing A Procedure On A 15-Year-Old Without Parental Consent
B. Serving As A Witness To The Signature Process On An Operative Permit
C. Asking Whether The Client Understands What She Is Signing Following
Receiving Education
D. Getting Verbal Consent Over The Phone For An Emergency Procedure From
The Spouse Of A Unconscious Woman
Answer: A
Rationale: In Most States, Only Clients Over The Age Of 18 Can Legally Provide
Consent For Health Care. Serving As A Witness To The Signature Process, Asking
Whether The Client Understands What She Is Signing, And Getting Verbal Consent
Over The Phone For Emergency Procedures Are All Key To Informed Consent And
Are Not Violations.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Reference: P. 45
4. A Pregnant Woman Is To Undergo An Invasive Procedure To Evaluate The Status
Of Her Fetus. To Ensure Informed Consent, Which Action Would Be The Priority
Responsibility Of The Nurse Providing Care To This Woman?
A. Asking Relevant Questions To Determine The Client's Understanding
B. Providing A Detailed Description Of The Risks And Benefits Of The Procedure
C. Explaining The Exact Steps That Will Occur During The Procedure
D. Offering Suggestions For Alternative Options For
Treatment Answer: A
Rationale: The Nurse's Responsibilities Related To Informed Consent Include:
Ensuring The Consent Form Is Completed With Signatures From The Client; Serving
As A Witness To The Signature Process; And Determining Whether The Client
Understands What She Is Signing By Asking Her Pertinent Questions. The
Physician, Advanced Practice Nurse, Or Midwife Is Responsible For Informing The
Client About The Procedure And Obtaining Consent By Providing A Detailed
Description Of The Procedure Or Treatment, Its Potential Risks And Benefits, And
Alternative Methods Available.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management Of Care
,Integrated Process: Nursing Process
Reference: P. 45
5. A 9-Month-Old With Glaucoma Requires Surgery. The Infant's Parents Are
Divorced. To Obtain Informed Consent, Which Action Would Be Most
Appropriate?
A. Contacting The Father For Informed Consent
B. Obtaining Informed Consent From The Mother
C. Seeking A Court Ruling On The Course Of Care
D. Determining Sole Or Joint Custody By The
Parents Answer: D
Rationale: The Most Appropriate Action Would Be To Determine Legal Custody By
Court Decree. If The Parents Have Joint Custody, Then Either Parent May Give
Consent, But It Is Always Best To Have Consent Given By Both Parents. The Parent
With Only Physical Custody May Give Consent For Emergency Care. The Last Resort
Is Getting A Court Ruling; Usually This Is Not Necessary Unless The Parents
Disagree About The Care Of The Child.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Reference: P. 47
6. Which Statement Made By A Nursing Student Would Best Indicate That
Her Education On Family-Centered Care Was Fully Understood?
A. "Childbirth Affects The Entire Family, And Relationships Will Change."
B. "Families Are Usually Not Capable Of Making Health Care Decisions For
Themselves, Especially In Stressful Situations."
C. "Mothers Are The Only Family Member Affected By Childbirth."
D. "Since Childbirth Is A Medical Procedure, It May Affect Everyone."
Answer: A
Rationale: Childbirth Affects The Entire Family, And Relationships Will Change.
Childbirth Is Viewed As A Normal Life Event, Not A Medical Procedure. Families Are
Very Capable Of Making Health Care Decisions About Their Own Care With Proper
Information And Support.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: P. 15
7. Which Aspect Of Client Wellness Has Not Been A Focus Of Health During The
21st Century ?
,A. Disease Prevention
B. Health Promotion
C. Wellness
D. Analysis Of Morbidity And Mortality
Answer: D
Rationale: The Focus On Health Has Shifted To Disease Prevention, Health
Promotion, And Wellness. In The Last Century, Much Of The Focus Was On
Analyzing Morbidity And Mortality Rates.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
Reference: , P. Health Status Of Women And Children
8. A Nurse Is Planning A Continuum Of Care For A Client During Pregnancy, Labor,
And Childbirth. What Is The Most Important Factor In Enhancing The Birthing
Experience?
A. Adhering To Strict Specific Routines
B. Involving A Pediatric Physician
C. Educating The Client About The Importance Of A Support Person
D. Assigning Several Nurses As A Support
Team Answer: C
Rationale: Educating The Client About The Importance Of A Support Person
During Labor And Delivery Has Been Shown To Improve And Enhance The Birthing
Experience. Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion And Maintenance
Integrated Process: Teaching/Learning
Reference: P. 5-7
9. The Nurse Is Administering A Number Of Therapeutic Interventions For
Neonates, Infants, And Children On The Pediatric Unit. Which Intervention
Contributes To An Increase In Chronic Illness Seen In Early Childhood?
A. Administering Antibiotics To Prevent Lethal Infections
B. Vaccinating Children To Prevent Childhood Diseases
C. Using Mechanical Ventilation For Premature Infants
D. Using Corticosteroids As A Treatment For
Asthma Answer: C
Rationale: Using Mechanical Ventilation And Medications To Foster Lung
Development In Premature Infants Increases Their Survival Rate. Yet The Infants
Who Survive Are Often Faced With Myriad Chronic Illnesses. Administering
Antibiotics To Prevent Lethal
,Infections, Vaccinating Children To Prevent Childhood Diseases, And Using
Corticosteroids As A Treatment For Asthma May Cause Side Effects, But Do Not
Contribute To Chronic Illness In Children.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
Reference: P. 5-7
10. The Nurse Is Reviewing A Copy Of The U.S. Surgeon General's Report, Healthy
People 2020. Which Nursing Action Best Reflects The Nurse Fostering This Health
Care Agenda?
A. The Nurse Signs Up For Classes To Obtain An Advanced Degree In Nursing.
B. The Nurse Volunteers At A Local Health Care Clinic Providing Free Vaccinations
For Low-Income Populations.
C. The Nurse Performs An In-Service On Basic Hospital Equipment For Student
Nurses.
D. The Nurse Compiles Nursing Articles On Evidence-Based Practices In Nursing
To Present At A Hospital Training Seminar.
Answer: B
Rationale: Healthy People 2020 Is A Comprehensive Health Promotion And Disease
Prevention Agenda That Is Working Toward Improving The Quantity And Quality Of
Life For All Americans. Overarching Goals Are To Eliminate Preventable Disease,
Disability, Injury, And Premature Death; Achieve Health Equity, Eliminate Disparities,
And Improve The Health Of All Groups; Create Physical And Social Environments That
Promote Good Health; And Promote Healthy Development And Behaviors Across
Every Stage Of Life. Volunteering At A Local Health Care Clinic Directly Reflects The
Goal Of Improving The Health Of All Groups Of People. Signing Up For Classes,
Performing In-Services On Equipment, And Compiling Nursing Articles On
Evidence-Based Practices In Nursing Are All Worthwhile Activities That Foster Health
Care Delivery, But Are Not As Directly Linked To The Agenda Of Promoting Health
In The Community.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Understand
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
Reference: P. 9
11. When Assessing A Family For Barriers To Health Care, The Nurse Documents
The Psychosocial Barriers. What Is An Example Of This Type Of Health Care
Deficit?
A. Academic Difficulties
B. Respiratory Illness
C. Poor Sanitation
D. Inherited
Diseases Answer: A
, Rationale: Environmental And Psychosocial Factors Are Now An Identified Area Of
Concern In Children. They Include Academic Differences, Complex Psychiatric
Disorders, Self-Harm And Harm To Others, Use Of Firearms, Hostility At School,
Substance Use Disorder, Hiv/Aids, And Adverse Effects Of The Media. Respiratory
Illness And Inherited Diseases Are Health Problems, And Poor Sanitation Is An
Environmental Factor.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: P. 13
12. When Integrating The Principles Of Family-Centered Care, The Nurse Would
Include Which Concept?
A. Parents Want Nurses To Make Decisions About Their Child's Treatment.
B. Families Are Unable To Make Informed Choices.
C. People Have Taken Increased Responsibility For Their Own Health.
D. Families Require Little Information To Make Appropriate Decisions.
Answer: C
Rationale: Due To The Influence Of Managed Care, The Focus On Prevention, Better
Education, And Technological Advances, People Have Taken Increased
Responsibility For Their Own Health. Parents Now Want Information About Their
Child's Illness, To Participate In Making Decisions About Treatment, And To
Accompany Their Children To All Health Care Situations.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Understand
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
Reference: P. 15
13. The Nurse Is Caring For A 2-Week-Old Girl With A Metabolic Disorder.
Which Activity 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 Answer: A
Rationale: Family-Centered Care Requires That The Nurse Provide Open And
Honest Information To The Child And Family. It Is Inappropriate To Soften
Unpleasant Information Or Prognoses. Evaluating And Changing The Nursing Plan
Of Care To Fit
,Table Of Contents
Unit I Introduction To Maternity And Pediatric Nursing
○ Chapter 1: Perspectives On Maternal And Child Health Care
○ Chapter 2: Caring For Women And Children
Unit Ii Women's Health Throughout The Lifespan
○ Chapter 3: Anatomy And Physiology Of The Female Reproductive System
○ Chapter 4: Common Gynecologic Issues
○ Chapter 5: Sexually Transmitted Infections
○ Chapter 6: Disorders Of The Breasts
○ Chapter 7: Benign Disorders Of The Female Reproductive Tract
○ Chapter 8: Cancers Of The Female Reproductive Tract
○ Chapter 9: Violence And Abuse
Unit Iii Pregnancy
○ Chapter 10: Fetal Development And Genetics
○ Chapter 11: Maternal Adaptation During Pregnancy
○ Chapter 12: Nursing Management During Pregnancy
Unit Iv Labor And Birth
○ Chapter 13: Labor And Birth Process
○ Chapter 14: Nursing Management During Labor And Birth
Unit V Postpartum Period
○ Chapter 15: Postpartum Adaptations
○ Chapter 16: Nursing Management During The Postpartum Period
Unit Vi The Newborn
○ Chapter 17: Newborn Transitioning
○ Chapter 18: Nursing Management Of The Newborn
Unit Vii Childbearing At Risk
○ Chapter 19: Nursing Management Of Pregnancy At Risk: Pregnancy-
Related Complications
○ Chapter 20: Nursing Management Of The Pregnancy At Risk: Selected
Health Conditions And Vulnerable Populations
, ○ Chapter 21: Nursing Management Of Labor And Birth At Risk
○ Chapter 22: Nursing Management Of The Postpartum Patient At Risk
Unit Viii The Newborn At Risk
○ Chapter 23: Nursing Care Of The Newborn With Special Needs
○ Chapter 24: Nursing Management Of The Newborn At Risk: Acquired
And Congenital Newborn Conditions
Unit Ix Health Promotion Of The Growing Child And Family
○ Chapter 25: Growth And Development Of The Newborn And Infant
○ Chapter 26: Growth And Development Of The Toddler
○ Chapter 27: Growth And Development Of The Preschooler
○ Chapter 28: Growth And Development Of The School-Age Child
○ Chapter 29: Growth And Development Of The Adolescent
Unit X Foundations Of Pediatric Nursing
○ Chapter 30: Atraumatic Care Of Children And Families
○ Chapter 31: Health Supervision
○ Chapter 32: Health Assessment Of Children
○ Chapter 33: Caring For Children In Diverse Settings
○ Chapter 34: Caring For The Special Needs Child
○ Chapter 35: Key Pediatric Nursing Interventions
○ Chapter 36: Nursing Care Of The Child With An Alteration In Comfort–
Pain Assessment And Management
Unit Xi Nursing Care Of The Child With A Health Disorder
○ Chapter 37: Nursing Care Of The Child With An Infection
○ Chapter 38: Nursing Care Of The Child With An Alteration In
Intracranial Regulation/Neurologic Disorder
○ Chapter 39: Nursing Care Of The Child With An Alteration In
Sensory Perception/Disorder Of The Eyes Or Ears
○ Chapter 40: Nursing Care Of The Child With An Alteration In
Gas Exchange/Respiratory Disorder
○ Chapter 41: Nursing Care Of The Child With An Alteration
In Perfusion/Cardiovascular Disorder
,○ Chapter 42: Nursing Care Of The Child With An Alteration In
Bowel Elimination/Gastrointestinal Disorder
○ Chapter 43: Nursing Care Of The Child With An Alteration In
Urinary Elimination/Genitourinary Disorder
○ Chapter 44: Nursing Care Of The Child With An Alteration
In Mobility/Neuromuscular Or Musculoskeletal Disorder
○ Chapter 45: Nursing Care Of The Child With An Alteration In
Tissue Integrity/Integumentary Disorder
○ Chapter 46: Nursing Care Of The Child With An Alteration In
Cellular Regulation/Hematologic Or Neoplastic Disorder
○ Chapter 47: Nursing Care Of The Child With An Alteration In Immunity
Or Immunologic Disorder
○ Chapter 48: Nursing Care Of The Child With An Alteration
In Metabolism/Endocrine Disorder
○ Chapter 49: Nursing Care Of The Child With An Alteration In Genetics
○ Chapter 50: Nursing Care Of The Child With An Alteration In
Behavior, Cognition, Or Development
○ Chapter 51: Nursing Care During A Pediatric Emergency
,Test Bank - Maternity And Pediatric Nursing (5th Edition) By Ricci
Chapter 1
1. When Integrating The Principles Of Family-Centered Care Into The Birthing
Process, The Nurse Would Base Care Upon Which Belief?
A. Birth Is Viewed As A Medical Event.
B. Families Are Unable To Make Informed Choices Due To Stress.
C. Birth Results In Changes In Relationships.
D. Families Require Little Information To Make Appropriate Decisions For Care.
Answer: C
Rationale: Family-Centered Care Is Based On The Following Principles: Birth
Affects The Entire Family, And Relationships Will Change; Birth Is Viewed As A Normal,
Healthy Event In The Life Of The Family; And Families Are Capable Of Making
Decisions About Their Own Care If Given Adequate Information And Professional
Support.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion And Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: P. 7
2. The Nurse Is Working With A Group Of Community Health Members To Develop
A Plan To Address The Special Health Needs Of Women. The Group Would Design
Educational Programs To Address Which Priority Condition?
A. Smoking
B. Heart Disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The Group Needs To Address Cardiovascular Disease, The Number One
Cause Of Death In Women Regardless Of Racial Or Ethnic Group. Smoking Is Related
To Heart Disease And The Development Of Cancer. However, Heart Disease And
Cancer Can Occur In Any Woman Regardless Of Her Smoking History. Cancer Is The
Second Leading Cause Of Death, With Women Having A One In Three Lifetime
Risk Of Developing Cancer. Diabetes Is Another Important Health Condition That
Can Affect Women. However, It Is Not The Major Health Problem That Heart
Disease Is.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
,Reference: P. 12
3. A Nurse Is Conducting An Orientation Program For A Group Of Newly Hired
Nurses. As Part Of The Program, The Nurse Is Reviewing The Issue Of Informed
Consent. The Nurse Determines That The Teaching Was Effective When The Group
Identifies Which Situation As A Violation Of Informed Consent?
A. Performing A Procedure On A 15-Year-Old Without Parental Consent
B. Serving As A Witness To The Signature Process On An Operative Permit
C. Asking Whether The Client Understands What She Is Signing Following
Receiving Education
D. Getting Verbal Consent Over The Phone For An Emergency Procedure From
The Spouse Of A Unconscious Woman
Answer: A
Rationale: In Most States, Only Clients Over The Age Of 18 Can Legally Provide
Consent For Health Care. Serving As A Witness To The Signature Process, Asking
Whether The Client Understands What She Is Signing, And Getting Verbal Consent
Over The Phone For Emergency Procedures Are All Key To Informed Consent And
Are Not Violations.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Reference: P. 45
4. A Pregnant Woman Is To Undergo An Invasive Procedure To Evaluate The Status
Of Her Fetus. To Ensure Informed Consent, Which Action Would Be The Priority
Responsibility Of The Nurse Providing Care To This Woman?
A. Asking Relevant Questions To Determine The Client's Understanding
B. Providing A Detailed Description Of The Risks And Benefits Of The Procedure
C. Explaining The Exact Steps That Will Occur During The Procedure
D. Offering Suggestions For Alternative Options For
Treatment Answer: A
Rationale: The Nurse's Responsibilities Related To Informed Consent Include:
Ensuring The Consent Form Is Completed With Signatures From The Client; Serving
As A Witness To The Signature Process; And Determining Whether The Client
Understands What She Is Signing By Asking Her Pertinent Questions. The
Physician, Advanced Practice Nurse, Or Midwife Is Responsible For Informing The
Client About The Procedure And Obtaining Consent By Providing A Detailed
Description Of The Procedure Or Treatment, Its Potential Risks And Benefits, And
Alternative Methods Available.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management Of Care
,Integrated Process: Nursing Process
Reference: P. 45
5. A 9-Month-Old With Glaucoma Requires Surgery. The Infant's Parents Are
Divorced. To Obtain Informed Consent, Which Action Would Be Most
Appropriate?
A. Contacting The Father For Informed Consent
B. Obtaining Informed Consent From The Mother
C. Seeking A Court Ruling On The Course Of Care
D. Determining Sole Or Joint Custody By The
Parents Answer: D
Rationale: The Most Appropriate Action Would Be To Determine Legal Custody By
Court Decree. If The Parents Have Joint Custody, Then Either Parent May Give
Consent, But It Is Always Best To Have Consent Given By Both Parents. The Parent
With Only Physical Custody May Give Consent For Emergency Care. The Last Resort
Is Getting A Court Ruling; Usually This Is Not Necessary Unless The Parents
Disagree About The Care Of The Child.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Reference: P. 47
6. Which Statement Made By A Nursing Student Would Best Indicate That
Her Education On Family-Centered Care Was Fully Understood?
A. "Childbirth Affects The Entire Family, And Relationships Will Change."
B. "Families Are Usually Not Capable Of Making Health Care Decisions For
Themselves, Especially In Stressful Situations."
C. "Mothers Are The Only Family Member Affected By Childbirth."
D. "Since Childbirth Is A Medical Procedure, It May Affect Everyone."
Answer: A
Rationale: Childbirth Affects The Entire Family, And Relationships Will Change.
Childbirth Is Viewed As A Normal Life Event, Not A Medical Procedure. Families Are
Very Capable Of Making Health Care Decisions About Their Own Care With Proper
Information And Support.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: P. 15
7. Which Aspect Of Client Wellness Has Not Been A Focus Of Health During The
21st Century ?
,A. Disease Prevention
B. Health Promotion
C. Wellness
D. Analysis Of Morbidity And Mortality
Answer: D
Rationale: The Focus On Health Has Shifted To Disease Prevention, Health
Promotion, And Wellness. In The Last Century, Much Of The Focus Was On
Analyzing Morbidity And Mortality Rates.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
Reference: , P. Health Status Of Women And Children
8. A Nurse Is Planning A Continuum Of Care For A Client During Pregnancy, Labor,
And Childbirth. What Is The Most Important Factor In Enhancing The Birthing
Experience?
A. Adhering To Strict Specific Routines
B. Involving A Pediatric Physician
C. Educating The Client About The Importance Of A Support Person
D. Assigning Several Nurses As A Support
Team Answer: C
Rationale: Educating The Client About The Importance Of A Support Person
During Labor And Delivery Has Been Shown To Improve And Enhance The Birthing
Experience. Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion And Maintenance
Integrated Process: Teaching/Learning
Reference: P. 5-7
9. The Nurse Is Administering A Number Of Therapeutic Interventions For
Neonates, Infants, And Children On The Pediatric Unit. Which Intervention
Contributes To An Increase In Chronic Illness Seen In Early Childhood?
A. Administering Antibiotics To Prevent Lethal Infections
B. Vaccinating Children To Prevent Childhood Diseases
C. Using Mechanical Ventilation For Premature Infants
D. Using Corticosteroids As A Treatment For
Asthma Answer: C
Rationale: Using Mechanical Ventilation And Medications To Foster Lung
Development In Premature Infants Increases Their Survival Rate. Yet The Infants
Who Survive Are Often Faced With Myriad Chronic Illnesses. Administering
Antibiotics To Prevent Lethal
,Infections, Vaccinating Children To Prevent Childhood Diseases, And Using
Corticosteroids As A Treatment For Asthma May Cause Side Effects, But Do Not
Contribute To Chronic Illness In Children.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
Reference: P. 5-7
10. The Nurse Is Reviewing A Copy Of The U.S. Surgeon General's Report, Healthy
People 2020. Which Nursing Action Best Reflects The Nurse Fostering This Health
Care Agenda?
A. The Nurse Signs Up For Classes To Obtain An Advanced Degree In Nursing.
B. The Nurse Volunteers At A Local Health Care Clinic Providing Free Vaccinations
For Low-Income Populations.
C. The Nurse Performs An In-Service On Basic Hospital Equipment For Student
Nurses.
D. The Nurse Compiles Nursing Articles On Evidence-Based Practices In Nursing
To Present At A Hospital Training Seminar.
Answer: B
Rationale: Healthy People 2020 Is A Comprehensive Health Promotion And Disease
Prevention Agenda That Is Working Toward Improving The Quantity And Quality Of
Life For All Americans. Overarching Goals Are To Eliminate Preventable Disease,
Disability, Injury, And Premature Death; Achieve Health Equity, Eliminate Disparities,
And Improve The Health Of All Groups; Create Physical And Social Environments That
Promote Good Health; And Promote Healthy Development And Behaviors Across
Every Stage Of Life. Volunteering At A Local Health Care Clinic Directly Reflects The
Goal Of Improving The Health Of All Groups Of People. Signing Up For Classes,
Performing In-Services On Equipment, And Compiling Nursing Articles On
Evidence-Based Practices In Nursing Are All Worthwhile Activities That Foster Health
Care Delivery, But Are Not As Directly Linked To The Agenda Of Promoting Health
In The Community.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Understand
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
Reference: P. 9
11. When Assessing A Family For Barriers To Health Care, The Nurse Documents
The Psychosocial Barriers. What Is An Example Of This Type Of Health Care
Deficit?
A. Academic Difficulties
B. Respiratory Illness
C. Poor Sanitation
D. Inherited
Diseases Answer: A
, Rationale: Environmental And Psychosocial Factors Are Now An Identified Area Of
Concern In Children. They Include Academic Differences, Complex Psychiatric
Disorders, Self-Harm And Harm To Others, Use Of Firearms, Hostility At School,
Substance Use Disorder, Hiv/Aids, And Adverse Effects Of The Media. Respiratory
Illness And Inherited Diseases Are Health Problems, And Poor Sanitation Is An
Environmental Factor.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: P. 13
12. When Integrating The Principles Of Family-Centered Care, The Nurse Would
Include Which Concept?
A. Parents Want Nurses To Make Decisions About Their Child's Treatment.
B. Families Are Unable To Make Informed Choices.
C. People Have Taken Increased Responsibility For Their Own Health.
D. Families Require Little Information To Make Appropriate Decisions.
Answer: C
Rationale: Due To The Influence Of Managed Care, The Focus On Prevention, Better
Education, And Technological Advances, People Have Taken Increased
Responsibility For Their Own Health. Parents Now Want Information About Their
Child's Illness, To Participate In Making Decisions About Treatment, And To
Accompany Their Children To All Health Care Situations.
Question Format: Multiple Choice
Chapter 1: Perspectives On Maternal And Child Health Care
Cognitive Level: Understand
Client Needs: Health Promotion And Maintenance
Integrated Process: Nursing Process
Reference: P. 15
13. The Nurse Is Caring For A 2-Week-Old Girl With A Metabolic Disorder.
Which Activity 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 Answer: A
Rationale: Family-Centered Care Requires That The Nurse Provide Open And
Honest Information To The Child And Family. It Is Inappropriate To Soften
Unpleasant Information Or Prognoses. Evaluating And Changing The Nursing Plan
Of Care To Fit
