UIYTHRGFEDTY
Whizznurse@2024
YUTREW a b ir b . c o m / t e s t
consent, including major and minor surgery; invasive p r o c e d u r e s such as lumbar
puncture or bone marrow aspiration; treatments placing the child at higher risk,
such as chemotherapy or radiation therapy; procedures or treatments involving
research; photography involving children; and applying arbei rsb .tcroami/ nt e ts st to children.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: M a n a g eam e n t o f Care
birb.c o m/te st
Integrated Process: Nursing Process
Reference: p. 45-46
20. A child needs a consent form signed for a minor surgical procedure. Which
statement accurately describes the responsibilities of the health care
providers when obtaining the consent?
A. The physician is responsible for ensuring that the c o nasbei r bn. cto mfo/ t er sm
t
is completed with
signatures from the parents or legal guardians.
B. The physician is responsible for serving as a witness to the signature process.
C. The nurse is responsible for informing the child and f aa bmi r bi .lcyo ma/ t be sot ut the procedure
and obtaining consent.
D. The nurse is responsible for determining that the parents or legal guardians
understand what they are signing by asking them pertinent questions.
Answer: D
Rationale: The nurse's responsibility related to informed consent includes the
following: determining that the parents or legal g u a r d i a na bsi r bu. cno md /et ersst tand what they
are signing by asking them pertinent questions, ensuring that the consent form is
completed with signatures from the parents or legal guardians, and serving as a
witness to the signature process. The physician or a d v a na bci reb d. c o pm r/ t easct titioner providing
or performing the treatment and/or procedure is responsible for informing the child
and family about the procedure and obtaining consent by providing a detailed
description of the procedure or treatment, the potential risks and benefits, and
alternative methods available.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 46
21. The nurse is caring for a child brought to the emergency department by
a babysitter. The child needs an emergency appendectomy and the parents
cannot be contacted. What would be the nurse's best response to this
situation?
A. Have the babysitter sign the consent form even if s h ea bdi r bo. ceo sm / nt e os t t have signed
papers to do so.
B. Have the primary care physician for the child sign the consent form.
C. Document failed attempts to obtain consent to allow ea bm
i r be
. c ro m
g /et ens tc y care.
D. Delay medical care until the child's next of kin can be contacted.
, UIYTHRGFEDTY
Whizznurse@2024
YUTREW
Answer: C
Rationale: Health care providers can provide emergencya bti rr be. cao tmm / tee s t nt to a child
without consent if they have made reasonable attempts to contact the child's
parent or legal guardian (American Academy of Pediatrics, Committee on Pediatric
Emergency Medicine, 2007). If the parent is not available, then the person in
charge may give consent for emergency treatment if t h aa tb i r pb . ec orms / ot e ns t has a signed form
from the parent or legal guardian allowing him or her to do so. During an
emergency situation, a verbal consent via the telephone may be obtained. In
urgent or emergent situations, appropriate medical c a r e a bni reb .vc oemr/ t essht ould be delayed or
withheld due to an inability to obtain consent.
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. 46
22. The nurse knows that the emancipated minor is considered to have
the legal capacity of an adult and may make his or her own health care
decisions. Which child would potentially be considered an emancipated
mainb i rob r. c?o m
A. A minor with financial independence who is living with his parents
B. A minor who is pregnant
C. A child older than 13 years of age who asks for emancipation
D. A minor who puts his or her medical decisions in writianb igr b
Answer: B
Rationale: Emancipation may be considered in any of the following situations,
depending on the state's laws: membership in a branch of the armed services,
marriage, court-determined emancipation, financial independence and living apart
from parents, college attendance, pregnancy, mother y oa ub i nr b g. c oemr / t te hs t a n 18 years of
age, and a runaway.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caa brier b
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 46
23. After describing the procedure and medical necessity, the nurse asks a
14-year- old child to assent to a skin graft. Which statement accurately
describes the
requirements for this type of assent?
A. The age of assent occurs at 12 years old.
B. It is not necessary to obtain assent from a minor for a procedure.
C. A minor can dissent to a procedure but his or her w is ahbei r bs. c ao mre/ t e snt ot binding.
, UIYTHRGFEDTY
Whizznurse@2024
YUTREW a b i rb . co m / te s t
D. In some cases, such as cases of significant morbidity o r m o r t a lity, dissent may
need to be overridden.
Answer: D
Rationale: Assent means agreeing to something. In pediatric health care, the term
assent refers to the child's participation in the decision-making process about
health care (McCullough & Stein, 2009). In some cases, a sb iur bc. cho ma/ t ess tc ase s of significant
morbidity or mortality, dissent may need to be overridden. The age of assent
depends on the child's developmental level, maturity, and psychological state. The
converse of assent, dissent (disagreeing with the treatmaeb inr bt. c opmla/ t ens t), when given by
an adolescent 13 to 17 years of age, is considered binding in some states.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 47
24. The family is the basic unit of society. Which statement correctly
illustrates the importance of this concept related to how society
functions?
A. Healthy, well-functioning families provide members oaf b ai r bl .lc oamg/ t ee sst with fulfilling,
supporting relationships.
B. The family serves as a place that encourages members to autonomously function
in pursuit of personal pleasures.
C. Society functions best when families determine how tahb ei r by. c owm i/ tlel s it nt e rfac e with
others without having to deal with the overall consequences.
D. Work is an important part of family function but is not necessary for success if
one member can fulfill multiple roles.
Answer: A
Rationale: The family is the basic unit of society. In o r d ea rb i r fbo. c ro mt/ht e isst to work well,
members of the family must work together. Families make a central contribution to
enhance the quality of our society. Families must consider how their actions will
impact others, and one member cannot fulfill all roles wiatbhi r bin. c o tmh/ t ee s tfamily.
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
25. A nursing group is examining their hospital's es for the
maternaabilrbo.cuomtc/teosm
t
previous 5 years. Which identified factors have contributed to the decline
in the maternal mortality rate? Select all that apply.
A. Increased participation of women in prenatal care
B. Use of ultrasound to detect disorders
, UIYTHRGFEDTY
Whizznurse@2024
YUTREW
C. Increased use of anesthesia with birth
D. Closer monitoring for complications associated with hypertension of pregnancy
E. Better management of hemorrhage and infection
Answer: A, B, D, E
Rationale: The following factors have contributed to the decline in the maternal
mortality rate: increased participation of women in p r e n aabti rab .lc ocma/ trees t; greater detection
of disorders such as ectopic pregnancy or placenta previa; prevention of related
complications through the use of ultrasound; increased control of complications
associated with hypertension of pregnancy; and d e c r e a saeb idr b . uc osme/ t eos t f anesthesia with
birth.
Question format: Multiple Select
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
26. The nurse is working with a group of community health members to
develop a plan to address the special health needs of women. Which
educational program
would the group most likely identify as the
priority?
A. risk reduction strategies for diabetes
B. methods for smoking cessation
C. ways to adopt a heart-healthy lifestyle
D. importance of cancer screening and early detection
Answer: C
Rationale: The group needs to address cardiovascular disease, the number one
cause of death in women regardless of racial or ethnic group. Thus, education for
adopting a heart-healthy lifestyle would be the priority. Smoking is related to heart
disease and the development of cancer. However, h e a r t a db i ri bs. ec oams/ tee s ta n d 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 t ha bai r bt . cco am n/ t e sat ffect women.
However, it is not the major health problem that heart disease is, and thus
educational programs focusing on smoking cessation, cancer screening and early
detection, and diabetes risk reduction would be lesser priorities.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Analyze
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 12-13
27. A perinatal nurse is interviewing a group a women i na b ti r hb . ceo mc / ot e m
st
munity about health care services. Assessment of these services reveals
that many of them are
Whizznurse@2024
YUTREW a b ir b . c o m / t e s t
consent, including major and minor surgery; invasive p r o c e d u r e s such as lumbar
puncture or bone marrow aspiration; treatments placing the child at higher risk,
such as chemotherapy or radiation therapy; procedures or treatments involving
research; photography involving children; and applying arbei rsb .tcroami/ nt e ts st to children.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: M a n a g eam e n t o f Care
birb.c o m/te st
Integrated Process: Nursing Process
Reference: p. 45-46
20. A child needs a consent form signed for a minor surgical procedure. Which
statement accurately describes the responsibilities of the health care
providers when obtaining the consent?
A. The physician is responsible for ensuring that the c o nasbei r bn. cto mfo/ t er sm
t
is completed with
signatures from the parents or legal guardians.
B. The physician is responsible for serving as a witness to the signature process.
C. The nurse is responsible for informing the child and f aa bmi r bi .lcyo ma/ t be sot ut the procedure
and obtaining consent.
D. The nurse is responsible for determining that the parents or legal guardians
understand what they are signing by asking them pertinent questions.
Answer: D
Rationale: The nurse's responsibility related to informed consent includes the
following: determining that the parents or legal g u a r d i a na bsi r bu. cno md /et ersst tand what they
are signing by asking them pertinent questions, ensuring that the consent form is
completed with signatures from the parents or legal guardians, and serving as a
witness to the signature process. The physician or a d v a na bci reb d. c o pm r/ t easct titioner providing
or performing the treatment and/or procedure is responsible for informing the child
and family about the procedure and obtaining consent by providing a detailed
description of the procedure or treatment, the potential risks and benefits, and
alternative methods available.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 46
21. The nurse is caring for a child brought to the emergency department by
a babysitter. The child needs an emergency appendectomy and the parents
cannot be contacted. What would be the nurse's best response to this
situation?
A. Have the babysitter sign the consent form even if s h ea bdi r bo. ceo sm / nt e os t t have signed
papers to do so.
B. Have the primary care physician for the child sign the consent form.
C. Document failed attempts to obtain consent to allow ea bm
i r be
. c ro m
g /et ens tc y care.
D. Delay medical care until the child's next of kin can be contacted.
, UIYTHRGFEDTY
Whizznurse@2024
YUTREW
Answer: C
Rationale: Health care providers can provide emergencya bti rr be. cao tmm / tee s t nt to a child
without consent if they have made reasonable attempts to contact the child's
parent or legal guardian (American Academy of Pediatrics, Committee on Pediatric
Emergency Medicine, 2007). If the parent is not available, then the person in
charge may give consent for emergency treatment if t h aa tb i r pb . ec orms / ot e ns t has a signed form
from the parent or legal guardian allowing him or her to do so. During an
emergency situation, a verbal consent via the telephone may be obtained. In
urgent or emergent situations, appropriate medical c a r e a bni reb .vc oemr/ t essht ould be delayed or
withheld due to an inability to obtain consent.
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. 46
22. The nurse knows that the emancipated minor is considered to have
the legal capacity of an adult and may make his or her own health care
decisions. Which child would potentially be considered an emancipated
mainb i rob r. c?o m
A. A minor with financial independence who is living with his parents
B. A minor who is pregnant
C. A child older than 13 years of age who asks for emancipation
D. A minor who puts his or her medical decisions in writianb igr b
Answer: B
Rationale: Emancipation may be considered in any of the following situations,
depending on the state's laws: membership in a branch of the armed services,
marriage, court-determined emancipation, financial independence and living apart
from parents, college attendance, pregnancy, mother y oa ub i nr b g. c oemr / t te hs t a n 18 years of
age, and a runaway.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caa brier b
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 46
23. After describing the procedure and medical necessity, the nurse asks a
14-year- old child to assent to a skin graft. Which statement accurately
describes the
requirements for this type of assent?
A. The age of assent occurs at 12 years old.
B. It is not necessary to obtain assent from a minor for a procedure.
C. A minor can dissent to a procedure but his or her w is ahbei r bs. c ao mre/ t e snt ot binding.
, UIYTHRGFEDTY
Whizznurse@2024
YUTREW a b i rb . co m / te s t
D. In some cases, such as cases of significant morbidity o r m o r t a lity, dissent may
need to be overridden.
Answer: D
Rationale: Assent means agreeing to something. In pediatric health care, the term
assent refers to the child's participation in the decision-making process about
health care (McCullough & Stein, 2009). In some cases, a sb iur bc. cho ma/ t ess tc ase s of significant
morbidity or mortality, dissent may need to be overridden. The age of assent
depends on the child's developmental level, maturity, and psychological state. The
converse of assent, dissent (disagreeing with the treatmaeb inr bt. c opmla/ t ens t), when given by
an adolescent 13 to 17 years of age, is considered binding in some states.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 47
24. The family is the basic unit of society. Which statement correctly
illustrates the importance of this concept related to how society
functions?
A. Healthy, well-functioning families provide members oaf b ai r bl .lc oamg/ t ee sst with fulfilling,
supporting relationships.
B. The family serves as a place that encourages members to autonomously function
in pursuit of personal pleasures.
C. Society functions best when families determine how tahb ei r by. c owm i/ tlel s it nt e rfac e with
others without having to deal with the overall consequences.
D. Work is an important part of family function but is not necessary for success if
one member can fulfill multiple roles.
Answer: A
Rationale: The family is the basic unit of society. In o r d ea rb i r fbo. c ro mt/ht e isst to work well,
members of the family must work together. Families make a central contribution to
enhance the quality of our society. Families must consider how their actions will
impact others, and one member cannot fulfill all roles wiatbhi r bin. c o tmh/ t ee s tfamily.
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
25. A nursing group is examining their hospital's es for the
maternaabilrbo.cuomtc/teosm
t
previous 5 years. Which identified factors have contributed to the decline
in the maternal mortality rate? Select all that apply.
A. Increased participation of women in prenatal care
B. Use of ultrasound to detect disorders
, UIYTHRGFEDTY
Whizznurse@2024
YUTREW
C. Increased use of anesthesia with birth
D. Closer monitoring for complications associated with hypertension of pregnancy
E. Better management of hemorrhage and infection
Answer: A, B, D, E
Rationale: The following factors have contributed to the decline in the maternal
mortality rate: increased participation of women in p r e n aabti rab .lc ocma/ trees t; greater detection
of disorders such as ectopic pregnancy or placenta previa; prevention of related
complications through the use of ultrasound; increased control of complications
associated with hypertension of pregnancy; and d e c r e a saeb idr b . uc osme/ t eos t f anesthesia with
birth.
Question format: Multiple Select
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
26. The nurse is working with a group of community health members to
develop a plan to address the special health needs of women. Which
educational program
would the group most likely identify as the
priority?
A. risk reduction strategies for diabetes
B. methods for smoking cessation
C. ways to adopt a heart-healthy lifestyle
D. importance of cancer screening and early detection
Answer: C
Rationale: The group needs to address cardiovascular disease, the number one
cause of death in women regardless of racial or ethnic group. Thus, education for
adopting a heart-healthy lifestyle would be the priority. Smoking is related to heart
disease and the development of cancer. However, h e a r t a db i ri bs. ec oams/ tee s ta n d 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 t ha bai r bt . cco am n/ t e sat ffect women.
However, it is not the major health problem that heart disease is, and thus
educational programs focusing on smoking cessation, cancer screening and early
detection, and diabetes risk reduction would be lesser priorities.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Analyze
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 12-13
27. A perinatal nurse is interviewing a group a women i na b ti r hb . ceo mc / ot e m
st
munity about health care services. Assessment of these services reveals
that many of them are
