Test Bank for Essentials of Maternity, Newborn, and Women’s Health 4th Edition by Susan Ricci, Chapter 1-51 C0mplete Guide. Contents: Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care 4 Chapter 2- Family-Centered Community-Based Care 9

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1. AlgrouploflnurseslareldiscussinglthelreasonslforlthelUnitedlStates'llowlrankingslforlinfantlandlmat
ernallmortalitylandlwhatlimpactltheylcouldlmakelonltheselmortalitylrateslinltheirlpractice.lWhichlact
ionlcouldlnurseslimplementltolreduceltheselrates?
A. ensuringlthatlalllpregnantlclientslreceiveltheirlimmunizations
B. assuringlearlylandladequatelprenatallcare
C. providinglmorelextensivelwomen'slshelters
D. encouraginglalllwomenltoleatlalbalancedldietlA

nswer:lB

Rationale:lThellackloflprenatallcarelduringlpregnancylislalmajorlcontributinglfactorltolalpoorloutcom
e.lPrenatallcarelislwelllknownltolpreventlcomplicationsloflpregnancylandltolsupportlthelbirthloflhealt
hylinfants.lInfantlmortalitylcommonlylincludeslproblemsloccurringlatlbirthlorlshortlylthereafter.lThu
s,lassuringlearlylandladequatelprenatallcarelwouldlhavelthelgreatestlimpactlonldecreasingltheselrates
.lReceivinglimmunizationslwilllhelplpreventlsomelinfantldiseases,lbutlitldoeslnotlhavelalmajorlimpac
tlonloveralllmaternallandlinfantlmortality.lProvidinglmorelextensivelwomen'slshelterslwouldlbelhelp
fullforlthoselwomenlwholhavelexperiencelintimatelpartnerlviolence.lEncouraginglwomenltoleatlbala
ncedldietslhelps,lbutlitldoeslnotlpreventlgeneticlfactorslthatlcouldlbeldetectedlbylensuringlearlylandlad
equatelprenatallcare.
Questionlformat:lMultiplelChoice
Chapterl1:lPerspectiveslonlMaternal,lNewborn,landlWomen'slHealthlCarelCo
gnitivelLevel:lApply
ClientlNeeds:lHealthlPromotionlandlMaintenancel
Reference:lp.l10-12

2. Whenlintegratinglthelprinciplesloflfamily-
centeredlcarelintolthelbirthinglprocess,lthelnurselwouldlbaselcareluponlwhichlbelief?
A. Birthlislviewedlaslalmedicallevent.
B. Familieslarelunableltolmakelinformedlchoicesldueltolstress.
C. Birthlresultslinlchangeslinlrelationships.
D. Familieslrequirellittlelinformationltolmakelappropriateldecisionslforlcare.

Answer:lC

Rationale:lFamily-
centeredlcarelislbasedlonlthelfollowinglprinciples:lBirthlaffectslthelentirelfamily,landlrelationshipsl
willlchange;lbirthlislviewedlaslalnormal,lhealthyleventlinlthellifeloflthelfamily;landlfamilieslarelcapab
leloflmakingldecisionslaboutltheirlownlcareliflgivenladequatelinformationlandlprofessionallsupport.
Questionlformat:lMultiplelChoice
Chapterl1:lPerspectiveslonlMaternal,lNewborn,landlWomen'slHealthlCarelCo
gnitivelLevel:lApply
ClientlNeeds:lHealthlPromotionlandlMaintenancelI
ntegratedlProcess:lCaring
Reference:lp.l6-7




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3. Whenlpreparinglalteachinglplanlforlalgrouploflwomenlduringltheirlfirstlpregnancy,lthelnurselrevi
ewslhowlmaternitylcarelhaslchangedloverlthelyears.lWhichlinformationlwouldlthelnurselincludelw
henldiscussingleventsloccurringlinlthel20thlcentury?
A. Epidemicsloflpuerperallfever
B. Performanceloflthelfirstlcesareanlbirth
C. X-rayldevelopedltolassesslpelviclsize
D. Developmentloflfree-

standinglbirthinglcentersl(LDRPs)lAnswer:lD

Rationale:lInlthel20thlcenturyl(1900s),lfree-
standinglbirthlcentersl(LDRPs)lwereldeveloped.lPuerperallfeverlepidemics,lthelfirstlcesareanlbirth,lan
dlX-rayltolassesslpelviclsizelwereleventsloccurringlduringlthel19thlcenturyl(1800s).
Questionlformat:lMultiplelChoice
Chapterl1:lPerspectiveslonlMaternal,lNewborn,landlWomen'slHealthlCarelCo
gnitivelLevel:lUnderstand
ClientlNeeds:lHealthlPromotionlandlMaintenancelI
ntegratedl Process:l Teaching/LearninglReference:l
p.l4

4. Thelnurselislworkinglwithlalgrouploflcommunitylhealthlmembersltoldeveloplalplanltoladdresslthels
peciallhealthlneedsloflwomen.lThelgrouplwouldldesignleducationallprogramsltoladdresslwhichlprio
ritylcondition?
A. Smoking
B. Heartldisease
C. Diabetes
D. Cancerl

Answer:lB

Rationale:lThelgrouplneedsltoladdresslcardiovascularldisease,lthelnumberlonelcauselofldeathlinlwom
enlregardlessloflraciallorlethniclgroup.lSmokinglislrelatedltolheartldiseaselandltheldevelopmentloflca
ncer.lHowever,lheartldiseaselandlcancerlcanloccurlinlanylwomanlregardlessloflherlsmokinglhistory.l
Cancerlislthelsecondlleadinglcauselofldeath,lwithlwomenlhavinglalonelinlthreellifetimelrisklofldevelo
pinglcancer.lDiabeteslislanotherlimportantlhealthlconditionlthatlcanlaffectlwomen.lHowever,litlislnotl
thelmajorlhealthlproblemlthatlheartldiseaselis.
Questionlformat:lMultiplelChoice
Chapterl1:lPerspectiveslonlMaternal,lNewborn,landlWomen'slHealthlCarelCo
gnitivelLevel:lApply
ClientlNeeds:lHealthlPromotionlandlMaintenancelI
ntegratedlProcess:lNursinglProcess
Reference:lp.l12-13

5. Alnurselislconductinglanlorientationlprogramlforlalgrouploflnewlylhiredlnurses.lAslpartloflthelprog
ram,lthelnurselislreviewinglthelissueloflinformedlconsent.lThelnurseldetermineslthatlthe




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teachinglwasleffectivelwhenlthelgrouplidentifieslwhichlsituationlaslalviolationloflinformedlconsent?
A. Performinglalprocedurelonlal15-year-oldlwithoutlparentallconsent
B. Servinglaslalwitnessltolthelsignaturelprocesslonlanloperativelpermit
C. Askinglwhetherlthelclientlunderstandslwhatlshelislsigninglfollowinglreceivingleducation
D. Gettinglverballconsentloverlthelphonelforlanlemergencylprocedurelfromlthelspouseloflalunc
onsciouslwoman

Answer:lA

Rationale:lInlmostlstates,lonlylclientsloverlthelagelofl18lcanllegallylprovidelconsentlforlhealthlcare.lS
ervinglaslalwitnessltolthelsignaturelprocess,laskinglwhetherlthelclientlunderstandslwhatlshelislsigning
,landlgettinglverballconsentloverlthelphonelforlemergencylprocedureslarelalllkeyltolinformedlconsentl
andlarelnotlviolations.
Questionlformat:lMultiplelChoice
Chapterl1:lPerspectiveslonlMaternal,lNewborn,landlWomen'slHealthlCarelCo
gnitivelLevel:lAnalyze
ClientlNeeds:lSafe,lEffectivelCarelEnvironment:lManagementloflCarelIntegr
atedlProcess:lNursinglProcess
Reference:lp.l30-31

6. Alpregnantlwomanlisltolundergolanlinvasivelprocedureltolevaluatelthelstatusloflherlfetus.lTolensu
relinformedlconsent,lwhichlactionlwouldlbelthelprioritylresponsibilityloflthelnurselprovidinglcarel
tolthislwoman?
A. Askinglrelevantlquestionsltoldeterminelthelclient'slunderstanding
B. Providinglaldetailedldescriptionloflthelriskslandlbenefitsloflthelprocedure
C. Explaininglthelexactlstepslthatlwillloccurlduringlthelprocedure
D. Offeringlsuggestionslforlalternativeloptionslforltreatmentl

Answer:lA

Rationale:lThelnurse'slresponsibilitieslrelatedltolinformedlconsentlinclude:lEnsuringlthelconsentlforml
islcompletedlwithlsignatureslfromlthelclient;lservinglaslalwitnessltolthelsignaturelprocess;landldetermi
ninglwhetherlthelclientlunderstandslwhatlshelislsigninglbylaskinglherlpertinentlquestions.lThelphysici
an,ladvancedlpracticelnurse,lorlmidwifelislresponsiblelforlinforminglthelclientlaboutlthelprocedurelan
dlobtaininglconsentlbylprovidinglaldetailedldescriptionloflthelprocedurelorltreatment,litslpotentiallrisk
slandlbenefits,landlalternativelmethodslavailable.
Questionlformat:lMultiplelChoice
Chapterl1:lPerspectiveslonlMaternal,lNewborn,landlWomen'slHealthlCarelCo
gnitivelLevel:lApply
ClientlNeeds:lSafe,lEffectivelCarelEnvironment:lManagementloflCarelIntegr
atedlProcess:lNursinglProcess
Reference:lp.l30-31

7. Thelfamilylislthelbasiclunitloflsociety.lWhichlstatementlcorrectlylillustrateslthelimportanceloflthisl
conceptlrelatedltolhowlsocietylfunctions?




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