Chapter 1: Introduction to Maternity and Pediatric Nursing
Multiple Choice
1. A patient is admitted to the labor and delivery unit, and a plan of care based on
that patient’s needs is developed by which member of the health-care team?
1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
2. How does a nurse practitioner’s role differ from that of a certified nurse midwife with
regard to maternity care?
1) The nurse practitioner does not usually deliver babies but cares for women before
and after delivery.
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
does have prescribing privileges.
3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner
practices independently and does not have hospital privileges.
4) The certified nurse midwife and the nurse practitioner have very similar roles
with little difference between the two.
3. The provider explains the need for an amniocentesis, but the patient declines the
procedure. The nurse supports the patient’s right to make this decision, demonstrating an
understanding of which ethical principle?
1) Autonomy
,2) Beneficence
3) Nonmaleficence
4) Justice
4. The nurse joins a community outreach program to promote vaccination of children,
demonstrating which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
5. The nurse working in an acute care facility makes it a point to never look at the
declaration page showing the patient’s insurance or lack of insurance because of a belief that all
patients should be treated equally. This demonstrates which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
6. A patient asks the student nurse whether a medication is safe to take during
pregnancy. The student thinks it is an approved medication during pregnancy. Which is the
student’s best response?
1) “I’m pretty sure it is a safe medication.”
,2) “I’m not qualified to answer that question.”
3) “I will ask your obstetric provider.”
4) “I really don’t know.”
7. Which term describes assisting a family to feel supported, listened to, and competent?
1) Enable
2) Empathy
3) Egocentric
4) Empowerment
8. Which action should the nurse implement in order to apply the principles of family-
centered care in the hospital environment?
1) Implementing strict visitation policy for siblings
2) Allowing a child to “cry it out” when parents leave the bedside
3) Encouraging parents to continue bedtime routines, such as reading a story
4) Discouraging cultural foods because they cannot be provided by the dietary
department
9. Which anatomical difference between adults and children places a pediatric patient at
risk for insensible losses?
1) Large body surface area
2) Obligatory nose breathing
, 3) Disproportionate head size
4) Poorly developed intercostal chest muscles
10. Which pediatric anatomical factor increases the risk for respiratory failure when care
is provided to a child?
1) Smaller airway
2) Obligatory nose breathing
3) Large posterior head bone occiput
4) Poorly developed intercostal chest muscles
11. Which pediatric anatomical factor increases the risk for airway occlusion when care is
provided to a child?
1) A large posterior head bone occiput
2) An increase in total body surface area
3) A decrease in circulatory blood volume
4) Intercostal chest muscles that are poorly developed
12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of
assent?
1) Feedback from the child is part of the agreement or assent.
2) All children 7 or older can participate in assent.
3) Assent only applies to emancipated children.
4) The health-care team does not need to include the parent or guardian in assent.
Multiple Choice
1. A patient is admitted to the labor and delivery unit, and a plan of care based on
that patient’s needs is developed by which member of the health-care team?
1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
2. How does a nurse practitioner’s role differ from that of a certified nurse midwife with
regard to maternity care?
1) The nurse practitioner does not usually deliver babies but cares for women before
and after delivery.
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
does have prescribing privileges.
3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner
practices independently and does not have hospital privileges.
4) The certified nurse midwife and the nurse practitioner have very similar roles
with little difference between the two.
3. The provider explains the need for an amniocentesis, but the patient declines the
procedure. The nurse supports the patient’s right to make this decision, demonstrating an
understanding of which ethical principle?
1) Autonomy
,2) Beneficence
3) Nonmaleficence
4) Justice
4. The nurse joins a community outreach program to promote vaccination of children,
demonstrating which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
5. The nurse working in an acute care facility makes it a point to never look at the
declaration page showing the patient’s insurance or lack of insurance because of a belief that all
patients should be treated equally. This demonstrates which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
6. A patient asks the student nurse whether a medication is safe to take during
pregnancy. The student thinks it is an approved medication during pregnancy. Which is the
student’s best response?
1) “I’m pretty sure it is a safe medication.”
,2) “I’m not qualified to answer that question.”
3) “I will ask your obstetric provider.”
4) “I really don’t know.”
7. Which term describes assisting a family to feel supported, listened to, and competent?
1) Enable
2) Empathy
3) Egocentric
4) Empowerment
8. Which action should the nurse implement in order to apply the principles of family-
centered care in the hospital environment?
1) Implementing strict visitation policy for siblings
2) Allowing a child to “cry it out” when parents leave the bedside
3) Encouraging parents to continue bedtime routines, such as reading a story
4) Discouraging cultural foods because they cannot be provided by the dietary
department
9. Which anatomical difference between adults and children places a pediatric patient at
risk for insensible losses?
1) Large body surface area
2) Obligatory nose breathing
, 3) Disproportionate head size
4) Poorly developed intercostal chest muscles
10. Which pediatric anatomical factor increases the risk for respiratory failure when care
is provided to a child?
1) Smaller airway
2) Obligatory nose breathing
3) Large posterior head bone occiput
4) Poorly developed intercostal chest muscles
11. Which pediatric anatomical factor increases the risk for airway occlusion when care is
provided to a child?
1) A large posterior head bone occiput
2) An increase in total body surface area
3) A decrease in circulatory blood volume
4) Intercostal chest muscles that are poorly developed
12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of
assent?
1) Feedback from the child is part of the agreement or assent.
2) All children 7 or older can participate in assent.
3) Assent only applies to emancipated children.
4) The health-care team does not need to include the parent or guardian in assent.
