Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
TEST BANK
Maternal & Child Nursing Care
Marcia London, Patricia Ladewig, Jane W. Ball, Ruth C. Bindler, Kay J. Cowen
3rd Edition
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
Table of Contents
Chapter 1: Contemporary Maternal–Newborn and Child Health Nursing
Chapter 2: Culture and the Family
Chapter 3: Reproductive Anatomy and Physiology
Chapter 4: Conception and Fetal Development
Chapter 5: Health Promotion for Women
Chapter 6: Common Gynecologic Problems
Chapter 7: Families with Special Reproductive Concerns
Chapter 8: Preparation for Parenthood
Chapter 9: Physical and Physiologic Changes of Pregnancy
Chapter 10: Antepartal Nursing Assessment
Chapter 11: The Expectant Family: Needs and Care
Chapter 12: Maternal Nutrition
Chapter 13 Adolescent Pregnancy
Chapter 14: Assessment of Fetal Well-being
Chapter 15: Pregnancy at Risk: Pregestational Problems
Chapter 16: Pregnancy at Risk: Gestational Onset
Chapter 17: Processes and Stages of Labor and Birth
Chapter 18: Intrapartal Nursing Assessment
Chapter 19: The Family in Childbirth: Needs and Care
Chapter 20: Pharmacologic Pain Management
Chapter 21: Childbirth at Risk: Prelabor Complications
Chapter 22: Childbirth at Risk: Labor-Related Complications
Chapter 23: Birth-Related Procedures
Chapter 24: The Physiologic Responses of the Newborn to Birth
Chapter 25: Nursing Assessment of the Newborn
Chapter 26: The Normal Newborn: Needs and Care
Chapter 27: Newborn Nutrition
Chapter 28: The Newborn at Risk: Conditions Present at Birth
Chapter 29: The Newborn at Risk: Birth-Related Stressors
Chapter 30: Postpartal Adaptation and Nursing Assessment
Chapter 31: The Postpartal Family: Early Care Needs and Home Care
Chapter 32: The Postpartal Family at Risk
Chapter 33: Growth and Development
Chapter 34: Infant, Child, and Adolescent Nutrition
Chapter 35: Pediatric Assessment
Chapter 36: Health Promotion and Maintenance: General Concepts, The Newborn, and the Infant
Chapter 37: Health Promotion and Maintenance for the Toddler, the Preschooler, and the Scho ol-Age Child
Chapter 38: Health Promotion and Maintenance: The Adolescent
Chapter 39: Nursing Considerations for the Child and Family in the Community
Chapter 40: Nursing Considerations for the Child and Family with a Chronic Condition
Chapter 41: Nursing Considerations for the Hospitalized Child
Chapter 42: Pain Assessment and Management in Children
Chapter 43: The Child with a Life-Threatening Condition and End-of-Life Care
Chapter 44: Social and Environmental Influences on the Child
Chapter 45: Immunization and Communicable Diseases
Chapter 46: The Child with Alterations in Fluids, Electrolytes, and Acid–Base Balance
Chapter 47: The Child with Alterations in Eye, Ear, Nose, and Throat Function
Chapter 48: The Child with Alterations in Respiratory Function
Chapter 49: The Child with Alterations in Cardiovascular Function
Chapter 50: The Child with Alterations in Immune Function
Chapter 51: The Child with Alterations in Hematologic Function
Chapter 52: The Child with Cancer
Chapter 53: The Child with Alterations in Gastrointestinal Function
Chapter 54: The Child with Alterations in Genitourinary Function
Chapter 55: The Child with Alterations in Endocrine Function
Chapter 56: The Child with Alterations in Neurologic Function
Chapter 57: The Child with Alterations in Mental Health and Cognitive Function
Chapter 58: The Child with Alterations in Musculoskeletal Function
Chapter 59: The Child with Alterations in Skin Integrity
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
Chapter 1: Contemporary Maternal–Newborn and Child Health Nursing
Chapter 01_LO01_Q01
A nurse is examining different nursing roles. Which of the following best illustrates an advanced
practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother–baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for
high-risk infants
Correct Answer: 4
Rationale:
1. A registered nurse who is the manager of a large obstetrical 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 registered nurse who is the manager of a large obstetrical 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.
3. 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.
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.
Cognitive Level: Knowledge
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO01_Q02
The major focus of the nurse practitioner is on:
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
1. Leadership.
2. Physical and psychosocial clinical assessment.
3. Independent care of the high-risk, pregnant client.
4. Tertiary prevention.
Correct Answer: 2
Rationale:
1. Leadership might be a quality of the NP, but it is not the major focus.
2. Physical and psychosocial clinical assessment is the major focus of the nurse practitioner
(NP), who provides care in many different clinical settings.
3. NPs cannot provide independent care of the high-risk pregnant client, but must work under a
physician’s supervision.
4. The NP cannot do tertiary prevention as a major focus.
Cognitive Level: Knowledge/Comprehension
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO01_Q03
The role of the certified nurse–midwife (CNM) is to: (Select all that apply.)
1. Be prepared to manage independently the care of women at low risk for complications
during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
5. Be educated in two disciplines of nursing.
Correct Answers: 1; 3; 5
Rationale:
1. A 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. CNMs cannot give primary care for high-risk clients who are in hospital settings. The
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
physician provides the primary care.
3. A 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.
4. The CNM does not need to obtain a physician consultation for any technical procedures at
delivery.
5. The CNM is educated in the disciplines of nursing and midwifery.
Cognitive Level: Knowledge/Comprehension
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO02_Q04
During the hospital admission process, the child’s parent receives information about the pediatric
unit’s goals, including the statement that the unit practices “family-centered care.” The parent
asks why that should be important. The nurse would respond that in the “family-centered care”
paradigm, the:
1. Mother is the principal caregiver in each family.
2. Child’s physician is the key person in assuring the health of a child is maintained.
3. Family serves as the constant influence and continuing support in the child’s life.
4. Father is the leader in each home; thus, all communications should include him.
Answer: 3
Rationale:
1. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
2. The physician is not present during the day-to-day routines in a child’s life
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. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
Cognitive Level: Knowledge/Comprehension
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Planning
Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the
needs of childbearing and childrearing families
Chapter 01_LO03_Q05
Despite the availability of State Children’s Health Insurance Programs (SCHIPs), many eligible
children are not enrolled. The nursing intervention that can best help eligible children become
enrolled is:
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 SCHIP eligibility.
4. Education of the family about the need for keeping regular well-child visit appointments.
Answer: 3
Rationale:
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, and neither
will the educational effort described.
3. In the role of an advocate, a nurse will advance the interests of another by suggesting the
family investigate its SCHIP eligibility.
4. The case management activity mentioned will not provide a source of funding, and neither
will the educational effort described.
Health Promotion and Maintenance
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
access to health care.
Chapter 01_LO04_Q06
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
The telephone triage nurse at a pediatric clinic knows each call is important. However,
recognizing that infant deaths are most frequent in the following categories, the nurse must be
extra attentive during calls from parents of infants who are: (Select all that apply.)
1. Less than 3 weeks old.
2. Of an American Indian family.
3. Of a non-Hispanic black family.
4. Between 6 and 8 months old.
5. Born to an unmarried mother.
Answer: 1; 3; 5
Rationale:
1. Almost two-thirds of all infant deaths occur during the first 28 days after birth. This category
has a higher risk of death than some of the other categories listed (American Indian family and
infants age between 6 and 8 months old).
2. Almost two-thirds of all infant deaths occur during the first 28 days after birth. This category
has a higher risk of death than some of the other categories listed (American Indian family and
infants age between 6 and 8 months old).
3. Infant mortality rates are highest among non-Hispanic black women (13.6 per 1,000 live
births).
4. Almost two-thirds of all infant deaths occur during the first 28 days after birth.
5. Infant mortality rates are higher among infants born to unmarried mothers.
Almost two-thirds of all infant deaths occur during the first 28 days after birth.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Analysis
Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further
research questions.
Chapter 01_LO05_Q07
The maternity nurse’s best defense against an accusation of malpractice or negligence is that the
nurse:
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
1. Followed the physician’s written orders.
2. Met the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
standards of practice.
3. Is a certified nurse–midwife or nurse practitioner.
4. Was acting on the advice of the nurse manager.
Correct Answer: 2
Rationale:
1. Following the physician’s written orders is not enough to defend the nurse from accusations
because the orders and/or advice might be wrong or unethical.
2. Meeting the AWHONN standards of practice would cover the maternity nurse against an
accusation of malpractice or negligence because the standards are rigorous and cover all bases of
excellent nursing practice.
3. Being a certified nurse–midwife or nurse practitioner does not defend the nurse against these
accusations if she does not follow the AWHONN standards of practice.
4. Acting on the advice of the nurse manager is not enough to defend the nurse from accusations
because the orders and/or advice might be wrong or unethical.
Cognitive Level: Application
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
Chapter 01_LO05_Q08
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal
guidelines delineate that pediatric clients must give consent for participation in research trials.
Based on the client’s age, the nurse would seek assent from which child? Select all that apply.
1. A precocious 4-year-old starting as a cystic fibrosis research study participant
2. A 7-year-old leukemia client electing to receive a newly developed trial medication
3. A 10-year-old starting in an investigative study for clients with precocious puberty
4. A 13-year-old client beginning participation in a research program for ADHD treatments
Correct Answers: 2; 3; 4
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
Rationale:
1. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about health care procedures and treatments, and give
assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about health care procedures and treatments, and give
assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about health care procedures and treatments, and give
assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about health care procedures and treatments, and give
assent.
Cognitive Level: Application
Category of Client Need: Psychosocial Integrity
Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
Chapter 01_LO05_Q09
A 12-year-old pediatric client is in need of surgery. The health care member who is legally
responsible for obtaining informed consent for an invasive procedure is:
1. The nurse.
2. The physician.
3. The unit secretary.
4. The social worker.
Correct Answer: 2
Rationale:
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
1. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal
responsibility to obtain this because it consists of an explanation about the medical condition, a
detailed description of treatment plans, the expected benefits and risks related to the proposed
treatment plan, alternative treatment options, the client’s questions, and the guardian’s right to
refuse treatment.
2. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal
responsibility to obtain this because it consists of an explanation about the medical condition, a
detailed description of treatment plans, the expected benefits and risks related to the proposed
treatment plan, alternative treatment options, the client’s questions, and the guardian’s right to
refuse treatment.
3. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal
responsibility to obtain this because it consists of an explanation about the medical condition, a
detailed description of treatment plans, the expected benefits and risks related to the proposed
treatment plan, alternative treatment options, the client’s questions, and the guardian’s right to
refuse treatment.
4. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal
responsibility to obtain this because it consists of an explanation about the medical condition, a
detailed description of treatment plans, the expected benefits and risks related to the proposed
treatment plan, alternative treatment options, the client’s questions, and the guardian’s right to
refuse treatment.
Cognitive Level: Comprehension
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
Chapter 01_LO05_Q10
A nurse who tells family members the sex of a newborn baby without first consulting the parents
would be considered having committed:
1. Breach of privacy.
2. Negligence.
TEST BANK
Maternal & Child Nursing Care
Marcia London, Patricia Ladewig, Jane W. Ball, Ruth C. Bindler, Kay J. Cowen
3rd Edition
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
Table of Contents
Chapter 1: Contemporary Maternal–Newborn and Child Health Nursing
Chapter 2: Culture and the Family
Chapter 3: Reproductive Anatomy and Physiology
Chapter 4: Conception and Fetal Development
Chapter 5: Health Promotion for Women
Chapter 6: Common Gynecologic Problems
Chapter 7: Families with Special Reproductive Concerns
Chapter 8: Preparation for Parenthood
Chapter 9: Physical and Physiologic Changes of Pregnancy
Chapter 10: Antepartal Nursing Assessment
Chapter 11: The Expectant Family: Needs and Care
Chapter 12: Maternal Nutrition
Chapter 13 Adolescent Pregnancy
Chapter 14: Assessment of Fetal Well-being
Chapter 15: Pregnancy at Risk: Pregestational Problems
Chapter 16: Pregnancy at Risk: Gestational Onset
Chapter 17: Processes and Stages of Labor and Birth
Chapter 18: Intrapartal Nursing Assessment
Chapter 19: The Family in Childbirth: Needs and Care
Chapter 20: Pharmacologic Pain Management
Chapter 21: Childbirth at Risk: Prelabor Complications
Chapter 22: Childbirth at Risk: Labor-Related Complications
Chapter 23: Birth-Related Procedures
Chapter 24: The Physiologic Responses of the Newborn to Birth
Chapter 25: Nursing Assessment of the Newborn
Chapter 26: The Normal Newborn: Needs and Care
Chapter 27: Newborn Nutrition
Chapter 28: The Newborn at Risk: Conditions Present at Birth
Chapter 29: The Newborn at Risk: Birth-Related Stressors
Chapter 30: Postpartal Adaptation and Nursing Assessment
Chapter 31: The Postpartal Family: Early Care Needs and Home Care
Chapter 32: The Postpartal Family at Risk
Chapter 33: Growth and Development
Chapter 34: Infant, Child, and Adolescent Nutrition
Chapter 35: Pediatric Assessment
Chapter 36: Health Promotion and Maintenance: General Concepts, The Newborn, and the Infant
Chapter 37: Health Promotion and Maintenance for the Toddler, the Preschooler, and the Scho ol-Age Child
Chapter 38: Health Promotion and Maintenance: The Adolescent
Chapter 39: Nursing Considerations for the Child and Family in the Community
Chapter 40: Nursing Considerations for the Child and Family with a Chronic Condition
Chapter 41: Nursing Considerations for the Hospitalized Child
Chapter 42: Pain Assessment and Management in Children
Chapter 43: The Child with a Life-Threatening Condition and End-of-Life Care
Chapter 44: Social and Environmental Influences on the Child
Chapter 45: Immunization and Communicable Diseases
Chapter 46: The Child with Alterations in Fluids, Electrolytes, and Acid–Base Balance
Chapter 47: The Child with Alterations in Eye, Ear, Nose, and Throat Function
Chapter 48: The Child with Alterations in Respiratory Function
Chapter 49: The Child with Alterations in Cardiovascular Function
Chapter 50: The Child with Alterations in Immune Function
Chapter 51: The Child with Alterations in Hematologic Function
Chapter 52: The Child with Cancer
Chapter 53: The Child with Alterations in Gastrointestinal Function
Chapter 54: The Child with Alterations in Genitourinary Function
Chapter 55: The Child with Alterations in Endocrine Function
Chapter 56: The Child with Alterations in Neurologic Function
Chapter 57: The Child with Alterations in Mental Health and Cognitive Function
Chapter 58: The Child with Alterations in Musculoskeletal Function
Chapter 59: The Child with Alterations in Skin Integrity
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
Chapter 1: Contemporary Maternal–Newborn and Child Health Nursing
Chapter 01_LO01_Q01
A nurse is examining different nursing roles. Which of the following best illustrates an advanced
practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother–baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for
high-risk infants
Correct Answer: 4
Rationale:
1. A registered nurse who is the manager of a large obstetrical 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 registered nurse who is the manager of a large obstetrical 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.
3. 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.
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.
Cognitive Level: Knowledge
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO01_Q02
The major focus of the nurse practitioner is on:
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
1. Leadership.
2. Physical and psychosocial clinical assessment.
3. Independent care of the high-risk, pregnant client.
4. Tertiary prevention.
Correct Answer: 2
Rationale:
1. Leadership might be a quality of the NP, but it is not the major focus.
2. Physical and psychosocial clinical assessment is the major focus of the nurse practitioner
(NP), who provides care in many different clinical settings.
3. NPs cannot provide independent care of the high-risk pregnant client, but must work under a
physician’s supervision.
4. The NP cannot do tertiary prevention as a major focus.
Cognitive Level: Knowledge/Comprehension
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO01_Q03
The role of the certified nurse–midwife (CNM) is to: (Select all that apply.)
1. Be prepared to manage independently the care of women at low risk for complications
during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
5. Be educated in two disciplines of nursing.
Correct Answers: 1; 3; 5
Rationale:
1. A 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. CNMs cannot give primary care for high-risk clients who are in hospital settings. The
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
physician provides the primary care.
3. A 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.
4. The CNM does not need to obtain a physician consultation for any technical procedures at
delivery.
5. The CNM is educated in the disciplines of nursing and midwifery.
Cognitive Level: Knowledge/Comprehension
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO02_Q04
During the hospital admission process, the child’s parent receives information about the pediatric
unit’s goals, including the statement that the unit practices “family-centered care.” The parent
asks why that should be important. The nurse would respond that in the “family-centered care”
paradigm, the:
1. Mother is the principal caregiver in each family.
2. Child’s physician is the key person in assuring the health of a child is maintained.
3. Family serves as the constant influence and continuing support in the child’s life.
4. Father is the leader in each home; thus, all communications should include him.
Answer: 3
Rationale:
1. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
2. The physician is not present during the day-to-day routines in a child’s life
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. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
Cognitive Level: Knowledge/Comprehension
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Planning
Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the
needs of childbearing and childrearing families
Chapter 01_LO03_Q05
Despite the availability of State Children’s Health Insurance Programs (SCHIPs), many eligible
children are not enrolled. The nursing intervention that can best help eligible children become
enrolled is:
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 SCHIP eligibility.
4. Education of the family about the need for keeping regular well-child visit appointments.
Answer: 3
Rationale:
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, and neither
will the educational effort described.
3. In the role of an advocate, a nurse will advance the interests of another by suggesting the
family investigate its SCHIP eligibility.
4. The case management activity mentioned will not provide a source of funding, and neither
will the educational effort described.
Health Promotion and Maintenance
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
access to health care.
Chapter 01_LO04_Q06
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
The telephone triage nurse at a pediatric clinic knows each call is important. However,
recognizing that infant deaths are most frequent in the following categories, the nurse must be
extra attentive during calls from parents of infants who are: (Select all that apply.)
1. Less than 3 weeks old.
2. Of an American Indian family.
3. Of a non-Hispanic black family.
4. Between 6 and 8 months old.
5. Born to an unmarried mother.
Answer: 1; 3; 5
Rationale:
1. Almost two-thirds of all infant deaths occur during the first 28 days after birth. This category
has a higher risk of death than some of the other categories listed (American Indian family and
infants age between 6 and 8 months old).
2. Almost two-thirds of all infant deaths occur during the first 28 days after birth. This category
has a higher risk of death than some of the other categories listed (American Indian family and
infants age between 6 and 8 months old).
3. Infant mortality rates are highest among non-Hispanic black women (13.6 per 1,000 live
births).
4. Almost two-thirds of all infant deaths occur during the first 28 days after birth.
5. Infant mortality rates are higher among infants born to unmarried mothers.
Almost two-thirds of all infant deaths occur during the first 28 days after birth.
Cognitive Level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Analysis
Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further
research questions.
Chapter 01_LO05_Q07
The maternity nurse’s best defense against an accusation of malpractice or negligence is that the
nurse:
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
1. Followed the physician’s written orders.
2. Met the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
standards of practice.
3. Is a certified nurse–midwife or nurse practitioner.
4. Was acting on the advice of the nurse manager.
Correct Answer: 2
Rationale:
1. Following the physician’s written orders is not enough to defend the nurse from accusations
because the orders and/or advice might be wrong or unethical.
2. Meeting the AWHONN standards of practice would cover the maternity nurse against an
accusation of malpractice or negligence because the standards are rigorous and cover all bases of
excellent nursing practice.
3. Being a certified nurse–midwife or nurse practitioner does not defend the nurse against these
accusations if she does not follow the AWHONN standards of practice.
4. Acting on the advice of the nurse manager is not enough to defend the nurse from accusations
because the orders and/or advice might be wrong or unethical.
Cognitive Level: Application
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
Chapter 01_LO05_Q08
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal
guidelines delineate that pediatric clients must give consent for participation in research trials.
Based on the client’s age, the nurse would seek assent from which child? Select all that apply.
1. A precocious 4-year-old starting as a cystic fibrosis research study participant
2. A 7-year-old leukemia client electing to receive a newly developed trial medication
3. A 10-year-old starting in an investigative study for clients with precocious puberty
4. A 13-year-old client beginning participation in a research program for ADHD treatments
Correct Answers: 2; 3; 4
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
Rationale:
1. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about health care procedures and treatments, and give
assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about health care procedures and treatments, and give
assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about health care procedures and treatments, and give
assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about health care procedures and treatments, and give
assent.
Cognitive Level: Application
Category of Client Need: Psychosocial Integrity
Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
Chapter 01_LO05_Q09
A 12-year-old pediatric client is in need of surgery. The health care member who is legally
responsible for obtaining informed consent for an invasive procedure is:
1. The nurse.
2. The physician.
3. The unit secretary.
4. The social worker.
Correct Answer: 2
Rationale:
, Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011) - Test Bank
1. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal
responsibility to obtain this because it consists of an explanation about the medical condition, a
detailed description of treatment plans, the expected benefits and risks related to the proposed
treatment plan, alternative treatment options, the client’s questions, and the guardian’s right to
refuse treatment.
2. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal
responsibility to obtain this because it consists of an explanation about the medical condition, a
detailed description of treatment plans, the expected benefits and risks related to the proposed
treatment plan, alternative treatment options, the client’s questions, and the guardian’s right to
refuse treatment.
3. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal
responsibility to obtain this because it consists of an explanation about the medical condition, a
detailed description of treatment plans, the expected benefits and risks related to the proposed
treatment plan, alternative treatment options, the client’s questions, and the guardian’s right to
refuse treatment.
4. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal
responsibility to obtain this because it consists of an explanation about the medical condition, a
detailed description of treatment plans, the expected benefits and risks related to the proposed
treatment plan, alternative treatment options, the client’s questions, and the guardian’s right to
refuse treatment.
Cognitive Level: Comprehension
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
Chapter 01_LO05_Q10
A nurse who tells family members the sex of a newborn baby without first consulting the parents
would be considered having committed:
1. Breach of privacy.
2. Negligence.
