Test Bank for Maternal & Child Health Nursing: Care of the Childbearing &
Childbearing Family 8th Edition By Silbert-Flagg and Pillitteri (56 chapters)
Table of Contents
Chapter 1: A Framework for Maternal and Child Health Nursing .............................................3
Chapter 2: Diversity and Maternal Child Nursing ..................................................................... 6
Chapter 3: The Childbearing and Childrearing Family in the Community ................................9
Chapter 4: Home Care and the Childbearing and Childrearing Family ................................... 12
Chapter 5: The Nursing Role in Reproductive and Sexual Health ...........................................16
Chapter 7: Nursing Care of the Family Having Difficulty Conceiving a Child .......................22
Chapter 8: The Nursing Role in Genetic Assessment and Counseling .................................... 26
Chapter 9: Nursing Care During Normal Pregnancy and Care of the Developing Fetus .........29
Chapter 10: Nursing Care Related to Psychological and Physiologic Changes of Pregnancy 32
Chapter 11: Nursing Care Related to Assessment of a Pregnant Family ................................. 35
Chapter 12: Nursing Care to Promote Fetal and Maternal Health ........................................... 38
Chapter 13: The Nursing Role in Promoting Nutritional Health During Pregnancy ............... 40
Chapter 14: Preparing a Family for Childbirth and Parenting ................................................. 44
Chapter 15: Nursing Care of a Family During Labor and Birth ...............................................47
Chapter 16: The Nursing Role in Providing Comfort During Labor and Birth ....................... 50
Chapter 17: Nursing Care of a Postpartal Family .................................................................... 53
Chapter 18: Nursing Care of a Family With a Newborn ..........................................................56
Chapter 19: Nutritional Needs of a Newborn ...........................................................................60
Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a
Preexisting or Newly Acquired Illness .....................................................................................63
Chapter 21: Nursing Care of a Family Experiencing a Sudden Pregnancy Complication .......66
Chapter 22: Nursing Care of a Pregnant Family With Special Needs ..................................... 71
Chapter 23: Nursing Care of a Family Experiencing a Complication of Labor or Birth ......... 76
Chapter 24: Nursing Care of a Family During a Surgical Intervention for Birth .....................82
Chapter 25: Nursing Care of a Family Experiencing a Postpartum Complication .................. 87
Chapter 26: Nursing Care of a Family With a High-Risk Newborn ........................................ 92
Chapter 27: Nursing Care of the Child Born With a Physical or Developmental Challenge .. 97
Chapter 28: Principles of Growth and Development ............................................................. 102
Chapter 29: Nursing Care of a Family With an Infant ........................................................... 107
Chapter 30: Nursing Care of a Family With a Toddler .......................................................... 112
Chapter 31: Nursing Care of a Family With a Preschool Child ............................................. 117
Chapter 32: Nursing Care of a Family With a School-Age Child ..........................................122
Chapter 33: Nursing Care of a Family With an Adolescent ...................................................127
Chapter 34: Child Health Assessment ....................................................................................132
Chapter 35: Communication and Teaching With Children and Families .............................. 137
Chapter 36: Nursing Care of a Family With an Ill Child ....................................................... 142
Chapter 37: Nursing Care of a Family When a Child Needs Diagnostic or Therapeutic
Modalities ............................................................................................................................... 147
Chapter 38: Nursing Care of a Family When a Child Needs Medication Administration or
Intravenous Therapy ...............................................................................................................152
Chapter 39: Pain Management in Children ............................................................................ 156
Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder ................161
Chapter 41: Nursing Care of a Family When a Child Has a Cardiovascular Disorder .......... 166
Chapter 42: Nursing Care of a Family When a Child Has an Immune Disorder ...................171
Chapter 43: Nursing Care of a Family When a Child Has an Infectious Disorder ................ 176
Chapter 44: Nursing Care of a Family When a Child Has a Hematologic Disorder ..............181
Chapter 45: Nursing Care of a Family When a Child Has a Gastrointestinal Disorder .........187
Chapter 46: Nursing Care of a Family When a Child Has a Renal or Urinary Tract Disorder192
Chapter 47: Nursing Care of a Family When a Child Has a Reproductive Disorder .............197
Chapter 48: Nursing Care of a Family When a Child Has an Endocrine or a Metabolic
Disorder .................................................................................................................................. 202
1
,Chapter 49: Nursing Care of a Family When a Child Has a Neurologic Disorder ................ 207
Chapter 50: Nursing Care of a Family When a Child Has a Vision or Hearing Disorder ..... 212
Chapter 51: Nursing Care of a Family When a Child Has a Musculoskeletal Disorder ........ 217
Chapter 52: Nursing Care of a Family When a Child Has an Unintentional Injury .............. 222
Chapter 53: Nursing Care of a Family When a Child Has a Malignancy .............................. 227
Chapter 54: Nursing Care of a Family When a Child Has an Intellectual or Mental Health
Disorder .................................................................................................................................. 232
Chapter 55: Nursing Care of a Family in Crisis: Maltreatment and Violence in the Family .237
Chapter 56: Nursing Care of a Family When a Child Has a Long-Term or Terminal Illness242
2
,Chapter 1: A Framework for Maternal and Child Health Nursing
Q1. The primary focus of maternal and child health nursing is:
A. Treatment of adult chronic diseases
B. Promotion and maintenance of family health across life stages
C. Development of new surgical techniques
D. Limiting family involvement in care
Answer: B
Explanation: MCH nursing emphasizes prevention, promotion, and maintenance of health for
mothers, infants, children, and families, not just disease treatment.
Q2. Maternal mortality rate is defined as the number of maternal deaths per:
A. 100 births
B. 1,000 births
C. 10,000 live births
D. 100,000 live births
Answer: D
Explanation: By international definition, maternal mortality is measured per 100,000 live
births.
Q3. The infant mortality rate is considered a key indicator of:
A. Nursing workload
B. National health status
C. Population growth only
D. Medical school performance
Answer: B
Explanation: Infant mortality reflects a country’s overall health system effectiveness and
socioeconomic development.
Q4. Family-centered care means:
A. The nurse makes all decisions for the family
B. Care is provided with the family’s input, values, and preferences respected
C. Only the mother is involved in decision-making
D. The family is excluded to reduce stress
Answer: B
Explanation: Family-centered care places the family at the core of health decisions and
acknowledges them as the constant in the child’s life.
Q5. Which factor contributed most to the decline of infant mortality in the 20th century?
A. Availability of entertainment
B. Improvements in sanitation, nutrition, and immunization
C. Increase in urban populations
D. Higher fertility rates
Answer: B
Explanation: Public health advances in sanitation, nutrition, and immunizations drastically
reduced infant mortality.
Q6. Evidence-based practice in MCH nursing requires:
A. Clinical decisions based solely on tradition
B. Use of research evidence, clinical expertise, and patient preferences
C. Avoidance of new research to maintain consistency
D. Decisions made only by physicians
Answer: B
3
, Explanation: Evidence-based practice integrates best available research, clinical judgment,
and family values.
Q7. A nurse teaching prenatal nutrition to a community group is demonstrating which core
function of MCH nursing?
A. Disease treatment
B. Health promotion and prevention
C. Limiting patient education
D. Research only
Answer: B
Explanation: Teaching to prevent complications and promote healthy pregnancy is an
example of health promotion and disease prevention.
Q8. A nurse includes both parents in newborn teaching. This illustrates:
A. Paternal exclusion
B. Family-centered care
C. Provider-centered care
D. Maternal-only care
Answer: B
Explanation: Family-centered care involves all family members in the child’s care and
decision-making.
Q9. A nurse aligns a clinic’s maternal health programs with “Healthy People 2030” objectives.
This demonstrates:
A. Random practice
B. Evidence-based and goal-oriented care
C. Ignoring research evidence
D. Preference for tradition
Answer: B
Explanation: Using national health objectives ensures that interventions are aligned with
evidence-based, population-focused goals.
Q10. A nurse notes two communities: one with higher infant mortality despite similar hospital
availability. Which factor is most likely influencing outcomes?
A. Differences in prenatal care access
B. Television ownership
C. Road infrastructure only
D. Number of restaurants
Answer: A
Explanation: Access and quality of prenatal care strongly influence maternal and infant
outcomes beyond hospital presence.
Q11. Data shows maternal mortality is highest among women with limited access to:
A. Cosmetic procedures
B. Skilled birth attendants and emergency obstetric care
C. Private insurance only
D. Surgical equipment upgrades
Answer: B
Explanation: Access to skilled care during pregnancy and childbirth is the strongest
determinant of maternal survival.
Q12. A nurse finds increased neonatal deaths in an area with good vaccination coverage.
Which other factor should be investigated?
A. Maternal nutrition and birth conditions
B. Family television ownership
4
Childbearing Family 8th Edition By Silbert-Flagg and Pillitteri (56 chapters)
Table of Contents
Chapter 1: A Framework for Maternal and Child Health Nursing .............................................3
Chapter 2: Diversity and Maternal Child Nursing ..................................................................... 6
Chapter 3: The Childbearing and Childrearing Family in the Community ................................9
Chapter 4: Home Care and the Childbearing and Childrearing Family ................................... 12
Chapter 5: The Nursing Role in Reproductive and Sexual Health ...........................................16
Chapter 7: Nursing Care of the Family Having Difficulty Conceiving a Child .......................22
Chapter 8: The Nursing Role in Genetic Assessment and Counseling .................................... 26
Chapter 9: Nursing Care During Normal Pregnancy and Care of the Developing Fetus .........29
Chapter 10: Nursing Care Related to Psychological and Physiologic Changes of Pregnancy 32
Chapter 11: Nursing Care Related to Assessment of a Pregnant Family ................................. 35
Chapter 12: Nursing Care to Promote Fetal and Maternal Health ........................................... 38
Chapter 13: The Nursing Role in Promoting Nutritional Health During Pregnancy ............... 40
Chapter 14: Preparing a Family for Childbirth and Parenting ................................................. 44
Chapter 15: Nursing Care of a Family During Labor and Birth ...............................................47
Chapter 16: The Nursing Role in Providing Comfort During Labor and Birth ....................... 50
Chapter 17: Nursing Care of a Postpartal Family .................................................................... 53
Chapter 18: Nursing Care of a Family With a Newborn ..........................................................56
Chapter 19: Nutritional Needs of a Newborn ...........................................................................60
Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a
Preexisting or Newly Acquired Illness .....................................................................................63
Chapter 21: Nursing Care of a Family Experiencing a Sudden Pregnancy Complication .......66
Chapter 22: Nursing Care of a Pregnant Family With Special Needs ..................................... 71
Chapter 23: Nursing Care of a Family Experiencing a Complication of Labor or Birth ......... 76
Chapter 24: Nursing Care of a Family During a Surgical Intervention for Birth .....................82
Chapter 25: Nursing Care of a Family Experiencing a Postpartum Complication .................. 87
Chapter 26: Nursing Care of a Family With a High-Risk Newborn ........................................ 92
Chapter 27: Nursing Care of the Child Born With a Physical or Developmental Challenge .. 97
Chapter 28: Principles of Growth and Development ............................................................. 102
Chapter 29: Nursing Care of a Family With an Infant ........................................................... 107
Chapter 30: Nursing Care of a Family With a Toddler .......................................................... 112
Chapter 31: Nursing Care of a Family With a Preschool Child ............................................. 117
Chapter 32: Nursing Care of a Family With a School-Age Child ..........................................122
Chapter 33: Nursing Care of a Family With an Adolescent ...................................................127
Chapter 34: Child Health Assessment ....................................................................................132
Chapter 35: Communication and Teaching With Children and Families .............................. 137
Chapter 36: Nursing Care of a Family With an Ill Child ....................................................... 142
Chapter 37: Nursing Care of a Family When a Child Needs Diagnostic or Therapeutic
Modalities ............................................................................................................................... 147
Chapter 38: Nursing Care of a Family When a Child Needs Medication Administration or
Intravenous Therapy ...............................................................................................................152
Chapter 39: Pain Management in Children ............................................................................ 156
Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder ................161
Chapter 41: Nursing Care of a Family When a Child Has a Cardiovascular Disorder .......... 166
Chapter 42: Nursing Care of a Family When a Child Has an Immune Disorder ...................171
Chapter 43: Nursing Care of a Family When a Child Has an Infectious Disorder ................ 176
Chapter 44: Nursing Care of a Family When a Child Has a Hematologic Disorder ..............181
Chapter 45: Nursing Care of a Family When a Child Has a Gastrointestinal Disorder .........187
Chapter 46: Nursing Care of a Family When a Child Has a Renal or Urinary Tract Disorder192
Chapter 47: Nursing Care of a Family When a Child Has a Reproductive Disorder .............197
Chapter 48: Nursing Care of a Family When a Child Has an Endocrine or a Metabolic
Disorder .................................................................................................................................. 202
1
,Chapter 49: Nursing Care of a Family When a Child Has a Neurologic Disorder ................ 207
Chapter 50: Nursing Care of a Family When a Child Has a Vision or Hearing Disorder ..... 212
Chapter 51: Nursing Care of a Family When a Child Has a Musculoskeletal Disorder ........ 217
Chapter 52: Nursing Care of a Family When a Child Has an Unintentional Injury .............. 222
Chapter 53: Nursing Care of a Family When a Child Has a Malignancy .............................. 227
Chapter 54: Nursing Care of a Family When a Child Has an Intellectual or Mental Health
Disorder .................................................................................................................................. 232
Chapter 55: Nursing Care of a Family in Crisis: Maltreatment and Violence in the Family .237
Chapter 56: Nursing Care of a Family When a Child Has a Long-Term or Terminal Illness242
2
,Chapter 1: A Framework for Maternal and Child Health Nursing
Q1. The primary focus of maternal and child health nursing is:
A. Treatment of adult chronic diseases
B. Promotion and maintenance of family health across life stages
C. Development of new surgical techniques
D. Limiting family involvement in care
Answer: B
Explanation: MCH nursing emphasizes prevention, promotion, and maintenance of health for
mothers, infants, children, and families, not just disease treatment.
Q2. Maternal mortality rate is defined as the number of maternal deaths per:
A. 100 births
B. 1,000 births
C. 10,000 live births
D. 100,000 live births
Answer: D
Explanation: By international definition, maternal mortality is measured per 100,000 live
births.
Q3. The infant mortality rate is considered a key indicator of:
A. Nursing workload
B. National health status
C. Population growth only
D. Medical school performance
Answer: B
Explanation: Infant mortality reflects a country’s overall health system effectiveness and
socioeconomic development.
Q4. Family-centered care means:
A. The nurse makes all decisions for the family
B. Care is provided with the family’s input, values, and preferences respected
C. Only the mother is involved in decision-making
D. The family is excluded to reduce stress
Answer: B
Explanation: Family-centered care places the family at the core of health decisions and
acknowledges them as the constant in the child’s life.
Q5. Which factor contributed most to the decline of infant mortality in the 20th century?
A. Availability of entertainment
B. Improvements in sanitation, nutrition, and immunization
C. Increase in urban populations
D. Higher fertility rates
Answer: B
Explanation: Public health advances in sanitation, nutrition, and immunizations drastically
reduced infant mortality.
Q6. Evidence-based practice in MCH nursing requires:
A. Clinical decisions based solely on tradition
B. Use of research evidence, clinical expertise, and patient preferences
C. Avoidance of new research to maintain consistency
D. Decisions made only by physicians
Answer: B
3
, Explanation: Evidence-based practice integrates best available research, clinical judgment,
and family values.
Q7. A nurse teaching prenatal nutrition to a community group is demonstrating which core
function of MCH nursing?
A. Disease treatment
B. Health promotion and prevention
C. Limiting patient education
D. Research only
Answer: B
Explanation: Teaching to prevent complications and promote healthy pregnancy is an
example of health promotion and disease prevention.
Q8. A nurse includes both parents in newborn teaching. This illustrates:
A. Paternal exclusion
B. Family-centered care
C. Provider-centered care
D. Maternal-only care
Answer: B
Explanation: Family-centered care involves all family members in the child’s care and
decision-making.
Q9. A nurse aligns a clinic’s maternal health programs with “Healthy People 2030” objectives.
This demonstrates:
A. Random practice
B. Evidence-based and goal-oriented care
C. Ignoring research evidence
D. Preference for tradition
Answer: B
Explanation: Using national health objectives ensures that interventions are aligned with
evidence-based, population-focused goals.
Q10. A nurse notes two communities: one with higher infant mortality despite similar hospital
availability. Which factor is most likely influencing outcomes?
A. Differences in prenatal care access
B. Television ownership
C. Road infrastructure only
D. Number of restaurants
Answer: A
Explanation: Access and quality of prenatal care strongly influence maternal and infant
outcomes beyond hospital presence.
Q11. Data shows maternal mortality is highest among women with limited access to:
A. Cosmetic procedures
B. Skilled birth attendants and emergency obstetric care
C. Private insurance only
D. Surgical equipment upgrades
Answer: B
Explanation: Access to skilled care during pregnancy and childbirth is the strongest
determinant of maternal survival.
Q12. A nurse finds increased neonatal deaths in an area with good vaccination coverage.
Which other factor should be investigated?
A. Maternal nutrition and birth conditions
B. Family television ownership
4
