Textbook2022-Full Download
Chapter 1
Contemporary Maternal, Newborn, and Child Health Nursing
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
Answer: 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.
Page Ref: 3
Cognitive Level: Remembering
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
Answer: 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
, 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.
Answer: 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
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.
Answer: 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
Answer: 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
Answer: 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
2. Acts on the advice of the nurse manager
3. Becomes certified as a nurse–midwife or nurse practitioner
4. Meets the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
standards of practice
Answer: 4
Explanation:
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. 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.
Chapter 1
Contemporary Maternal, Newborn, and Child Health Nursing
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
Answer: 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.
Page Ref: 3
Cognitive Level: Remembering
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
Answer: 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
, 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.
Answer: 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
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.
Answer: 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
Answer: 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
Answer: 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
2. Acts on the advice of the nurse manager
3. Becomes certified as a nurse–midwife or nurse practitioner
4. Meets the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
standards of practice
Answer: 4
Explanation:
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. 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.
