Test Bank- Essentials of Maternity Newborn and Women’sHealth Nursing 6th Edition Susan Ricc
Chapter 1- Perspectives on Maternal, Newborn, and Women’s
Health Care
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in
decreasing these rates, which factor would most likely need to be addressed as having
the greatest impact? A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’sshelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-centered care, the nurse would include
which of the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse
expects to review how maternity care has changed over the years. Which of the
following would the nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic
size D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor
determines that additional teaching is needed when the students identify which
condition as a leading cause? A) Hemorrhage
B) Embolism
C) Obstructed
labor D) Infection
5. The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. Which of the following conditions would
the group address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
consider which factor to be most important?
A) Language
, Test Bank- Essentials of Maternity Newborn and Women’sHealth Nursing 6th Edition Susan Ricci
B) Health care workers’attitudes
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent.
Which of the following, if identified by the student, would indicate an understanding of
a violation of informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with a
neighbor. Which action would be the priority?
D) Getting telephone consent with two people listening to the verbal consent
E) Providing emergency care without parental consent
F) Contacting the child’sauntoruncle to obtain their consent
G) Advocating for termination of parental rights for this situation
20. After teaching nursing students about the basic concepts of family-centered care, the
instructor determines that the teaching was successful when the students state which of the
following?
A) ―Childbirthaffectstheentire family, and relationships will change.‖
B) ―Familiesarenotcapable of making health care decisions for themselves.‖
C) ―Mothersarefamily members affected by childbirth.‖
D) ―Childbirthisamedicalprocedure.‖
10. A nursing instructor is preparing a class discussion on the trends in health care and
health care delivery over the past several centuries. When discussing the changes during
the past century, which of the following would the instructor be least likely to include?
A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care
with the understanding that based on this clien views illness as which of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
D) From an imbalance of yin and yang
12. A nurse is developing a plan of care for a woman to ensure continuity of care
during pregnancy, labor, and childbirth. Which of the following would be most
important for the nurse to incorporate into that plan?
,A) Adhering to strict, specific routines
, Test Bank- Essentials of Maternity Newborn and Women’sHealth Nursing 6th Edition Susan Ricc
B) Involvinga pediatric physician
C) Educatingthe client about the importance of a support person
D) Assigningseveral nurses as a support team
13. A nursing instructor is preparing a class discussion on case management in
maternal and newb orn health care. Which ofthe following would the instructor
include as a keycomponent? Select all that apply.
A) Advocacy
B) Coordination
C) Communication
D) Resourcemanagement
E) Event managed care
13. After teaching a group of students about the concept of maternal mortality, the instructor
det ermines that additional teachingis needed when the students state which of the following?
A) ―Therate includes accidental causes for deaths.‖
B) ―Itaddresses pregnancy-related causes.‖
C) ―Thedurationofthepregnancyisnot a concern.‖
D) ―Thetimeframeis typicallyforaspecified year.‖
15. A group of students are reviewing the historical aspects about childbirth. The
students demon strate understanding of the information when theyidentifythe use of
twilight sleep as a key event during which time frame?
A) 1700s
B) 1800s
C) 1900s
D) 2000s
16. A nurseis providing care to a woman who has just delivered ahealthynewborn. Which
acti on would least likely demonstrate application of the concept of family-centered care?
A) Focusingon the birth as a normal healthyevent for the family
B) Creatingopportunities for the familyto make informed decisions
C) Encouragingthe woman to keep her other children at home
D) Fostering a sense of respect for the mother and the family
17. When discussingfetal mortalitywith a group of students, a nurse addresses maternal
factors. Wh ich of the following would the nurse most likelyinclude? Select all that apply.
A) Chromosomal abnormalities
B) Malnutrition
C) Preterm cervical dilation
D) Underlyingdisease condition
E) Poorplacental attachment
18. A nurse is preparing a presentation for a local community group about health status
and children’shealth.Whichofthe followingwould the nurse include as one of the most
significant meas ures?
A) Fetal mortalityrate
Chapter 1- Perspectives on Maternal, Newborn, and Women’s
Health Care
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in
decreasing these rates, which factor would most likely need to be addressed as having
the greatest impact? A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’sshelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-centered care, the nurse would include
which of the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse
expects to review how maternity care has changed over the years. Which of the
following would the nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic
size D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor
determines that additional teaching is needed when the students identify which
condition as a leading cause? A) Hemorrhage
B) Embolism
C) Obstructed
labor D) Infection
5. The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. Which of the following conditions would
the group address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
consider which factor to be most important?
A) Language
, Test Bank- Essentials of Maternity Newborn and Women’sHealth Nursing 6th Edition Susan Ricci
B) Health care workers’attitudes
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent.
Which of the following, if identified by the student, would indicate an understanding of
a violation of informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with a
neighbor. Which action would be the priority?
D) Getting telephone consent with two people listening to the verbal consent
E) Providing emergency care without parental consent
F) Contacting the child’sauntoruncle to obtain their consent
G) Advocating for termination of parental rights for this situation
20. After teaching nursing students about the basic concepts of family-centered care, the
instructor determines that the teaching was successful when the students state which of the
following?
A) ―Childbirthaffectstheentire family, and relationships will change.‖
B) ―Familiesarenotcapable of making health care decisions for themselves.‖
C) ―Mothersarefamily members affected by childbirth.‖
D) ―Childbirthisamedicalprocedure.‖
10. A nursing instructor is preparing a class discussion on the trends in health care and
health care delivery over the past several centuries. When discussing the changes during
the past century, which of the following would the instructor be least likely to include?
A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care
with the understanding that based on this clien views illness as which of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
D) From an imbalance of yin and yang
12. A nurse is developing a plan of care for a woman to ensure continuity of care
during pregnancy, labor, and childbirth. Which of the following would be most
important for the nurse to incorporate into that plan?
,A) Adhering to strict, specific routines
, Test Bank- Essentials of Maternity Newborn and Women’sHealth Nursing 6th Edition Susan Ricc
B) Involvinga pediatric physician
C) Educatingthe client about the importance of a support person
D) Assigningseveral nurses as a support team
13. A nursing instructor is preparing a class discussion on case management in
maternal and newb orn health care. Which ofthe following would the instructor
include as a keycomponent? Select all that apply.
A) Advocacy
B) Coordination
C) Communication
D) Resourcemanagement
E) Event managed care
13. After teaching a group of students about the concept of maternal mortality, the instructor
det ermines that additional teachingis needed when the students state which of the following?
A) ―Therate includes accidental causes for deaths.‖
B) ―Itaddresses pregnancy-related causes.‖
C) ―Thedurationofthepregnancyisnot a concern.‖
D) ―Thetimeframeis typicallyforaspecified year.‖
15. A group of students are reviewing the historical aspects about childbirth. The
students demon strate understanding of the information when theyidentifythe use of
twilight sleep as a key event during which time frame?
A) 1700s
B) 1800s
C) 1900s
D) 2000s
16. A nurseis providing care to a woman who has just delivered ahealthynewborn. Which
acti on would least likely demonstrate application of the concept of family-centered care?
A) Focusingon the birth as a normal healthyevent for the family
B) Creatingopportunities for the familyto make informed decisions
C) Encouragingthe woman to keep her other children at home
D) Fostering a sense of respect for the mother and the family
17. When discussingfetal mortalitywith a group of students, a nurse addresses maternal
factors. Wh ich of the following would the nurse most likelyinclude? Select all that apply.
A) Chromosomal abnormalities
B) Malnutrition
C) Preterm cervical dilation
D) Underlyingdisease condition
E) Poorplacental attachment
18. A nurse is preparing a presentation for a local community group about health status
and children’shealth.Whichofthe followingwould the nurse include as one of the most
significant meas ures?
A) Fetal mortalityrate
