Maternity and Pediatric Nursing
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
Reference: Ch. 1 — Health Status of Women and Children —
Mortality
Question Stem:
The nurse is counseling a community group about national
priorities for maternal-child health. Which health indicator is
considered the best overall measure of a nation’s health
status?
Options:
A. Rate of cesarean births
B. Infants receiving breastfeeding at discharge
C. Infant mortality rate
D. Number of women receiving prenatal vitamins
,Correct Answer: C
Rationales:
• C: Infant mortality reflects maternal health, quality of
medical care, socioeconomic conditions, and public health
practices.
• A: Cesarean rates reflect practice trends, not overall
population health.
• B: Breastfeeding is beneficial but not a comprehensive
indicator of health systems or outcomes.
• D: Prenatal vitamin use does not measure maternal-child
outcomes directly.
Teaching Point: Infant mortality is a key indicator of national
health and quality of maternal-child care.
Citation: Ricci et al. (2024), Ch. 1.
2
Reference: Ch. 1 — Legal and Ethical Issues — Informed
Consent
Question Stem:
A nurse prepares a 32-year-old client for a surgical procedure
requiring informed consent. Which nursing action reflects a
legal and ethical requirement for valid consent?
,Options:
A. Ensuring the form is signed before any sedation is given
B. Explaining the risks and benefits to the client
C. Clarifying that the provider is responsible for the final
decision
D. Witnessing the signature even if the client appears confused
Correct Answer: A
Rationales:
• A: Consent must be voluntary and obtained prior to
sedation to ensure decision-making capacity.
• B: The nurse may reinforce information, but the provider is
responsible for explanation.
• C: The provider must present information; the nurse does
not direct decisions.
• D: If the client is confused, consent is invalid; the nurse
must stop the process.
Teaching Point: Informed consent must be voluntary, informed,
and completed before sedation.
Citation: Ricci et al. (2024), Ch. 1.
3
Reference: Ch. 1 — Legal and Ethical Issues — Assent
, Question Stem:
The nurse prepares a 10-year-old child for an elective surgical
procedure. The parents sign consent. Which action best reflects
appropriate child assent?
Options:
A. Avoid discussing the procedure to reduce anxiety
B. Ask the child to verbally agree after developmentally
appropriate explanation
C. Require the child to sign the legal consent form
D. Allow parents to speak on behalf of the child
Correct Answer: B
Rationales:
• B: Children 7 and older should give assent through age-
appropriate explanation and agreement.
• A: Avoiding discussion increases fear and distrust.
• C: Children do not sign legal consent.
• D: Parents consent, but children should still be included.
Teaching Point: Children capable of understanding should
provide assent, in addition to parental consent.
Citation: Ricci et al. (2024), Ch. 1.
4
Reference: Ch. 1 — Morbidity
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
Reference: Ch. 1 — Health Status of Women and Children —
Mortality
Question Stem:
The nurse is counseling a community group about national
priorities for maternal-child health. Which health indicator is
considered the best overall measure of a nation’s health
status?
Options:
A. Rate of cesarean births
B. Infants receiving breastfeeding at discharge
C. Infant mortality rate
D. Number of women receiving prenatal vitamins
,Correct Answer: C
Rationales:
• C: Infant mortality reflects maternal health, quality of
medical care, socioeconomic conditions, and public health
practices.
• A: Cesarean rates reflect practice trends, not overall
population health.
• B: Breastfeeding is beneficial but not a comprehensive
indicator of health systems or outcomes.
• D: Prenatal vitamin use does not measure maternal-child
outcomes directly.
Teaching Point: Infant mortality is a key indicator of national
health and quality of maternal-child care.
Citation: Ricci et al. (2024), Ch. 1.
2
Reference: Ch. 1 — Legal and Ethical Issues — Informed
Consent
Question Stem:
A nurse prepares a 32-year-old client for a surgical procedure
requiring informed consent. Which nursing action reflects a
legal and ethical requirement for valid consent?
,Options:
A. Ensuring the form is signed before any sedation is given
B. Explaining the risks and benefits to the client
C. Clarifying that the provider is responsible for the final
decision
D. Witnessing the signature even if the client appears confused
Correct Answer: A
Rationales:
• A: Consent must be voluntary and obtained prior to
sedation to ensure decision-making capacity.
• B: The nurse may reinforce information, but the provider is
responsible for explanation.
• C: The provider must present information; the nurse does
not direct decisions.
• D: If the client is confused, consent is invalid; the nurse
must stop the process.
Teaching Point: Informed consent must be voluntary, informed,
and completed before sedation.
Citation: Ricci et al. (2024), Ch. 1.
3
Reference: Ch. 1 — Legal and Ethical Issues — Assent
, Question Stem:
The nurse prepares a 10-year-old child for an elective surgical
procedure. The parents sign consent. Which action best reflects
appropriate child assent?
Options:
A. Avoid discussing the procedure to reduce anxiety
B. Ask the child to verbally agree after developmentally
appropriate explanation
C. Require the child to sign the legal consent form
D. Allow parents to speak on behalf of the child
Correct Answer: B
Rationales:
• B: Children 7 and older should give assent through age-
appropriate explanation and agreement.
• A: Avoiding discussion increases fear and distrust.
• C: Children do not sign legal consent.
• D: Parents consent, but children should still be included.
Teaching Point: Children capable of understanding should
provide assent, in addition to parental consent.
Citation: Ricci et al. (2024), Ch. 1.
4
Reference: Ch. 1 — Morbidity
