SAFE MATERNITY & PEDIATRIC NURSING CARE
1st EDITION TEST BANK
By Luanne Linnard-Palmer and Gloria Haile Coats
TEST BANK
TEST BANK FOR:
TEST BANK
,SAFE MATERNITY & PEDIATRIC NURSING CARE 1st EDITION TEST BANK By Luanne Linnard-Palmer
and Gloria Haile Coats
Contents:
I. Introduction of Maternity and Pediatric Nursing
Chapter 1. Healthy People 2020 and Initiatives for Healthy Families
II. Pregnancy and The Family
Chapter 2. Introduction to Maternity Nursing
Chapter 3. Human Reproduction and Fetal Development
Chapter 4. Physical and Psychological Changes of Pregnancy
Chapter 5. Antepartal Nursing Assessment
Chapter 6. Nursing Care During Pregnancy
Chapter 7. Nursing Care of Complications During Pregnancy
III. Birth and The Family
Chapter 8. Process and Stages of Labor and Birth
Chapter 9. Nursing Assessment During Labor
Chapter 10. Nursing Care During Labor
Chapter 11. Nursing Care of the Woman with Complications During Labor and Birth
Chapter 12. Birth-Related Procedures
IV. Postpartum Period and The Family
Chapter 13. Physiologic and Behavioral Adaptations During the Postpartum Period
Chapter 14. Assessment and Care of the Family After Birth
V. The Newborn
Chapter 15. Physiologic and Behavioral Adaptations of the Newborn
Chapter 16. Assessment and Care of the Newborn
Chapter 17. Newborn Nutrition
Chapter 18. Newborn at Risk; Conditions Present at Birth
Chapter 19. Newborn at Risk; Birth-Related Stressors
VI. Growth and Development
Chapter 20. Introduction to Pediatric Nursing
Chapter 21. Health Promotion of the Infant
Chapter 22. Health Promotion of the Toddler
Chapter 23. Health Promotion of the Preschooler
Chapter 24. Health Promotion of the School-Age Child
Chapter 25. Health Promotion of the Adolescent
VII. Pediatric Concerns and Considerations
Chapter 26. The Hospitalized Child
Chapter 27. Acutely Ill Children and Their Needs
Chapter 28. The Abused Child
VIII. Deviations in Pediatric Health
Chapter 29. Child with A Neurologic Condition
Chapter 30. Child with A Sensory Impairment
Chapter 31. Child with A Mental Health Condition
Chapter 32. Child with A Respiratory Condition
Chapter 33. Child with A Cardiac Condition
Chapter 34. Child with A Metabolic Condition
Chapter 35. Child with A Musculoskeletal Condition
Chapter 36. Child with A Gastrointestinal Condition
Chapter 37. Child with A Genitourinary Condition
Chapter 38. Child with A Skin Condition
Chapter 39. Child with A Communicable Disease
Chapter 40. Child with An Oncologic or Hematologic Condition
, l
Test Bank: Safe Maternity & Pediatric Nursing Care 1st Edition
Chapter 1: Healthy People 2020 and Initiatives for Healthy Families
MULTIPLE CHOICE
1. Which statement is accurate regarding the Healthy People 2020 initiative related to
families, children, and infants?
1) Most of the Healthy People documents apply specifically to infants and children.
2) Healthy People documents address the good health of adults, which benefits
children.
3) There are no Healthy People initiatives specifically addressing infants or children.
4) The only initiative impacting families, infants, and children encourages
breastfeeding.
ANS: 2
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Describe how the Healthy People 2020 initiative relates to
families, children, and infants.
Chapter page reference: 4
Heading: Leading Health Indicators
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 Very few of the Healthy People 2020 initiatives are specific to families,
children, or infants.
2 By helping adults stay healthy, Healthy People 2020 creates healthier families
with healthier children, so this statement is accurate.
3 Some Healthy People 2020 initiatives do address children, but they are in the
minority.
4 There are initiatives impacting families, infants, and children other than the one
mentioned in the chapter on breastfeeding.
PTS: 1 CON: Promoting Health
2. What two federal agencies oversee objectives related to maternal, infant, and child health
in the Healthy People 2020 initiative?
1) The Department of Agriculture and the Centers for Disease Control and Prevention
2) The Department of Children and Youth Services and the Health Resources and
Services Administration
3) The Centers for Medicare & Medicaid Services and the Health Resources and
Services Administration
4) The Centers for Disease Control and Prevention and the Health Resources and
Services Administration
ANS: 4
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
, l
Chapter learning objective: List government agencies that are involved in the Healthy
People objectives.
Chapter page reference: 3
Heading: Historical Perspective
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 The Department of Agriculture is not involved in overseeing objectives.
2 The Department of Children and Youth Services is not involved in overseeing
objectives.
3 The Centers for Medicare & Medicaid Services has no role in overseeing
objectives.
4 The Centers for Disease Control and Prevention and the Health Resources and
Services Administration are the agencies that oversee the objectives of Healthy
People 2020.
PTS: 1 CON: Promoting Health
3. Who created the original Healthy People initiative?
1) The Centers for Disease Control and Prevention
2) The Health Resources and Services Administration
3) President Jimmy Carter
4) The surgeon general of the United States
ANS: 4
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Describe how the Healthy People 2020 initiative relates to
families, children, and infants.
Chapter page reference: 4
Heading: Leading Health Indicators
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 Although the Centers for Disease Control and Prevention oversees the
objectives, it did not create the original Healthy People initiative.
2 Although the Health Resources and Services Administration oversees the
objectives, it did not create the original Healthy People initiative.
3 President Jimmy Carter supported the original Healthy People initiative; he did
not create it.
4 The surgeon general of the United States created the original Healthy People
initiative to promote better health in the country.
, l
PTS: 1 CON: Promoting Health
4. Which initiative did not demonstrate improvement over the past decades?
1) Air quality
2) Childhood exposure to secondhand smoke
3) Suicide and depression in adolescents
4) Increased physical activity for adults
ANS: 3
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Describe historical perspectives related to the Healthy People
initiative.
Chapter page reference: 1
Heading: Historical Perspective
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 Air quality has improved, although problems still exist in some areas.
2 Childhood exposure to secondhand smoke has declined as a result of a reduction
in the number of adults who smoke.
3 Unfortunately, suicide and depression in adolescents is still a significant problem
that has not improved and is actually getting worse.
4 Adults are more active, and physical activity has improved over the past decade.
PTS: 1 CON: Promoting Health
5. One initiative of Healthy People 2020 is to increase the proportion of infants who are
breastfed. What is the maternity nurse’s primary role in helping to meet this initiative?
1) All nurses should become lactation consultants.
2) Increasing the percentage of employers that offer a place to pump breast milk
3) Providing support and teaching immediately after birth
4) Increasing the percentage of live births in hospitals
ANS: 3
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Discuss how the Healthy People objectives apply to maternal
and child well-being.
Chapter page reference: 4-6
Heading: Application: Healthy People 2020 Objective – Increase Proportion of Infants
Who Are Breastfed
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
, l
1 There is no need for all nurses to become lactation consultants, and this is not the
primary role of nurses.
2 Although nurses can advocate for pumping areas in the workplace, this is not the
primary role of nurses in meeting this initiative.
3 Nurses can take an active role in teaching and supporting new mothers in
breastfeeding their babies after birth, but it is important to allow the patient
autonomy to make her own decision.
4 Nurses cannot increase the percentage of live births in hospitals, but they can
contribute to this initiative (although this has nothing to do with meeting the
breastfeeding initiative).
PTS: 1 CON: Promoting Health
6. How can maternal and pediatric nurses promote Healthy People objectives for their
clients?
1) Provide all patients with a copy of the current Healthy People objectives
2) Plan care that includes teaching and support for Healthy People objectives
3) Require all new mothers to breastfeed while hospitalized
4) Discourage the father from ever bottle feeding the newborn
ANS: 2
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Explain how maternal and pediatric nurses can be instrumental
in promoting Healthy People objectives for their clients.
Chapter page reference: 6
Heading: Healthy People 2020 Leads to Healthy Families
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 Providing patients with a copy of the current initiatives is not the most effective
means of helping clients meet these initiatives.
2 The nurse, who has a primary role in health promotion, can plan care that keeps
the Healthy People objectives in mind and can provide teaching and support to
help patients meet the objectives.
3 Breastfeeding is a choice each woman makes, and it cannot be required of all
new mothers.
4 Discouraging the father from ever bottle feeding the newborn is not realistic,
reasonable, or helpful.
PTS: 1 CON: Promoting Health
7. When the Healthy People 2020 initiatives are reviewed, which initiative related to infants
and young children has shown improvement?
1) Suicide rates in adolescents
2) Increased life expectancy
3) Babies put to bed on their backs
, l
4) Infant mortality rates
ANS: 3
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Analyze the progress, or lack of, for each of the Leading
Health Indicators that pertain to families.
Chapter page reference: 3
Heading: Introduction
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 The suicide rate in adolescents has not shown improvement and is actually
worsening.
2 Increased life expectancy is seen in adults, not infants and young children.
3 More babies are sleeping on their backs, with a significant decline in the
frequency of sudden infant death syndrome as a result.
4 Unfortunately, infant mortality rates are increasing and have not improved.
PTS: 1 CON: Promoting Health
, l
Chapter 2: Introduction to Maternity Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What impact did moving births to hospitals in the early 20th century have on the rate of
complications and deaths?
1) Dramatic decline
2) Slow decline
3) Slight increase
4) Drastic increase
2. What was the motivating factor for advancing nursing roles in the care of women in the early 20th
century?
1) Lack of access to health care for poor women and those in rural areas
2) Patients’ modesty and desire to be cared for by a woman
3) Fear of death if attended by a physician
4) Changes in laws and regulations
3. Which statement most accurately describes how maternity nursing has changed over the last 50
years?
1) Nurses have assumed many duties once assigned to physicians.
2) Nurses no longer assist physicians in caring for the laboring patient.
3) Nurses are reducing infant mortality by taking on greater responsibilities.
4) Nurses are responsible for delivering more infants than physicians are.
4. A patient is admitted to the labor and delivery unit, and a plan of care based on that patient’s needs is
developed by which member of the health-care team?
1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
5. How does a nurse practitioner’s role differ from that of a certified nurse midwife with regard to
maternity care?
1) The nurse practitioner does not usually deliver babies but cares for women before
and after delivery.
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
does have prescribing privileges.
3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner
practices independently and does not have hospital privileges.
4) The certified nurse midwife and the nurse practitioner have very similar roles with
little difference between the two.
6. When moving to a new state, the nurse learns the scope of practice in the new state by doing what?
1) Reading the Nurse Practice Act on the Board of Nursing Web site
, l
2) Asking other nurses with the same credentials what they are allowed to do
3) Following the scope of practice learned in nursing school
4) Reviewing research articles to find evidence of best practices
7. Which organization establishes standards of care for maternity nursing?
1) American Nurses Association
2) American Academy of Pediatrics
3) Association of Women’s Health, Obstetric and Neonatal Nurses
4) National League for Nursing
8. The nurse wants to establish an evidence-based practice. Where can evidence be found to support a
change in the way a procedure is performed?
1) Past experience
2) Facility procedure manual
3) Nursing research
4) Nursing organizations
9. The provider explains the need for an amniocentesis, but the patient declines the procedure. The
nurse supports the patient’s right to make this decision, demonstrating an understanding of which
ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
10. The nurse joins a community outreach program to promote vaccination of children, demonstrating
which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
11. The nurse working in an acute care facility makes it a point to never look at the declaration page
showing the patient’s insurance or lack of insurance because of a belief that all patients should be
treated equally. This demonstrates which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
12. A patient asks the student nurse whether a medication is safe to take during pregnancy. The student
thinks it is an approved medication during pregnancy. Which is the student’s best response?
1) “I’m pretty sure it is a safe medication.”
2) “I’m not qualified to answer that question.”
3) “I will ask your obstetric provider.”
4) “I really don’t know.”
, l
13. Which statement made by a nursing student to a patient indicates the need for the nursing instructor
to clarify the student’s role in providing maternity care?
1) “I’ve had three children, and I know from experience how helpful Lamaze
breathing is to pain control.”
2) “You’re not allowed to have anything to eat this close to delivery, but let me get
you some ice chips.”
3) “You’re doing really great. You’re almost fully dilated, so it won’t be much longer
now. Hang in there.”
4) “You said you wanted to deliver without taking pain medications. Are you sure you
want to change your mind now?”
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
14. The nurse working in the neonatal intensive care unit (NICU) sits with the family as the provider
explains that the neonate has no hope of survival and recommends discontinuation of life support.
Which ethical dilemma(s) should the nurse identify in this situation? (Select all that apply.)
1) Quality of life versus quantity of life
2) The cost of providing futile care
3) Euthanasia versus God’s will
4) Lack of support for decision making
5) Knowledge deficit
15. The nurse working in an obstetric clinic admits a woman who is 5 months pregnant and admits to a
heroin addiction. Which interventions will be effective in meeting the nurse’s ethical obligation to
the unborn fetus? (Select all that apply.)
1) Reporting the patient’s heroin use to the police
2) Teaching the patient about the impacts to babies born to heroin addicts
3) Providing referrals to community resources for drug treatment
4) Discussing the option of abortion because the mother will be unable to care for the
child
5) Determining whether the patient has family support during her pregnancy
1st EDITION TEST BANK
By Luanne Linnard-Palmer and Gloria Haile Coats
TEST BANK
TEST BANK FOR:
TEST BANK
,SAFE MATERNITY & PEDIATRIC NURSING CARE 1st EDITION TEST BANK By Luanne Linnard-Palmer
and Gloria Haile Coats
Contents:
I. Introduction of Maternity and Pediatric Nursing
Chapter 1. Healthy People 2020 and Initiatives for Healthy Families
II. Pregnancy and The Family
Chapter 2. Introduction to Maternity Nursing
Chapter 3. Human Reproduction and Fetal Development
Chapter 4. Physical and Psychological Changes of Pregnancy
Chapter 5. Antepartal Nursing Assessment
Chapter 6. Nursing Care During Pregnancy
Chapter 7. Nursing Care of Complications During Pregnancy
III. Birth and The Family
Chapter 8. Process and Stages of Labor and Birth
Chapter 9. Nursing Assessment During Labor
Chapter 10. Nursing Care During Labor
Chapter 11. Nursing Care of the Woman with Complications During Labor and Birth
Chapter 12. Birth-Related Procedures
IV. Postpartum Period and The Family
Chapter 13. Physiologic and Behavioral Adaptations During the Postpartum Period
Chapter 14. Assessment and Care of the Family After Birth
V. The Newborn
Chapter 15. Physiologic and Behavioral Adaptations of the Newborn
Chapter 16. Assessment and Care of the Newborn
Chapter 17. Newborn Nutrition
Chapter 18. Newborn at Risk; Conditions Present at Birth
Chapter 19. Newborn at Risk; Birth-Related Stressors
VI. Growth and Development
Chapter 20. Introduction to Pediatric Nursing
Chapter 21. Health Promotion of the Infant
Chapter 22. Health Promotion of the Toddler
Chapter 23. Health Promotion of the Preschooler
Chapter 24. Health Promotion of the School-Age Child
Chapter 25. Health Promotion of the Adolescent
VII. Pediatric Concerns and Considerations
Chapter 26. The Hospitalized Child
Chapter 27. Acutely Ill Children and Their Needs
Chapter 28. The Abused Child
VIII. Deviations in Pediatric Health
Chapter 29. Child with A Neurologic Condition
Chapter 30. Child with A Sensory Impairment
Chapter 31. Child with A Mental Health Condition
Chapter 32. Child with A Respiratory Condition
Chapter 33. Child with A Cardiac Condition
Chapter 34. Child with A Metabolic Condition
Chapter 35. Child with A Musculoskeletal Condition
Chapter 36. Child with A Gastrointestinal Condition
Chapter 37. Child with A Genitourinary Condition
Chapter 38. Child with A Skin Condition
Chapter 39. Child with A Communicable Disease
Chapter 40. Child with An Oncologic or Hematologic Condition
, l
Test Bank: Safe Maternity & Pediatric Nursing Care 1st Edition
Chapter 1: Healthy People 2020 and Initiatives for Healthy Families
MULTIPLE CHOICE
1. Which statement is accurate regarding the Healthy People 2020 initiative related to
families, children, and infants?
1) Most of the Healthy People documents apply specifically to infants and children.
2) Healthy People documents address the good health of adults, which benefits
children.
3) There are no Healthy People initiatives specifically addressing infants or children.
4) The only initiative impacting families, infants, and children encourages
breastfeeding.
ANS: 2
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Describe how the Healthy People 2020 initiative relates to
families, children, and infants.
Chapter page reference: 4
Heading: Leading Health Indicators
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 Very few of the Healthy People 2020 initiatives are specific to families,
children, or infants.
2 By helping adults stay healthy, Healthy People 2020 creates healthier families
with healthier children, so this statement is accurate.
3 Some Healthy People 2020 initiatives do address children, but they are in the
minority.
4 There are initiatives impacting families, infants, and children other than the one
mentioned in the chapter on breastfeeding.
PTS: 1 CON: Promoting Health
2. What two federal agencies oversee objectives related to maternal, infant, and child health
in the Healthy People 2020 initiative?
1) The Department of Agriculture and the Centers for Disease Control and Prevention
2) The Department of Children and Youth Services and the Health Resources and
Services Administration
3) The Centers for Medicare & Medicaid Services and the Health Resources and
Services Administration
4) The Centers for Disease Control and Prevention and the Health Resources and
Services Administration
ANS: 4
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
, l
Chapter learning objective: List government agencies that are involved in the Healthy
People objectives.
Chapter page reference: 3
Heading: Historical Perspective
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 The Department of Agriculture is not involved in overseeing objectives.
2 The Department of Children and Youth Services is not involved in overseeing
objectives.
3 The Centers for Medicare & Medicaid Services has no role in overseeing
objectives.
4 The Centers for Disease Control and Prevention and the Health Resources and
Services Administration are the agencies that oversee the objectives of Healthy
People 2020.
PTS: 1 CON: Promoting Health
3. Who created the original Healthy People initiative?
1) The Centers for Disease Control and Prevention
2) The Health Resources and Services Administration
3) President Jimmy Carter
4) The surgeon general of the United States
ANS: 4
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Describe how the Healthy People 2020 initiative relates to
families, children, and infants.
Chapter page reference: 4
Heading: Leading Health Indicators
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 Although the Centers for Disease Control and Prevention oversees the
objectives, it did not create the original Healthy People initiative.
2 Although the Health Resources and Services Administration oversees the
objectives, it did not create the original Healthy People initiative.
3 President Jimmy Carter supported the original Healthy People initiative; he did
not create it.
4 The surgeon general of the United States created the original Healthy People
initiative to promote better health in the country.
, l
PTS: 1 CON: Promoting Health
4. Which initiative did not demonstrate improvement over the past decades?
1) Air quality
2) Childhood exposure to secondhand smoke
3) Suicide and depression in adolescents
4) Increased physical activity for adults
ANS: 3
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Describe historical perspectives related to the Healthy People
initiative.
Chapter page reference: 1
Heading: Historical Perspective
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 Air quality has improved, although problems still exist in some areas.
2 Childhood exposure to secondhand smoke has declined as a result of a reduction
in the number of adults who smoke.
3 Unfortunately, suicide and depression in adolescents is still a significant problem
that has not improved and is actually getting worse.
4 Adults are more active, and physical activity has improved over the past decade.
PTS: 1 CON: Promoting Health
5. One initiative of Healthy People 2020 is to increase the proportion of infants who are
breastfed. What is the maternity nurse’s primary role in helping to meet this initiative?
1) All nurses should become lactation consultants.
2) Increasing the percentage of employers that offer a place to pump breast milk
3) Providing support and teaching immediately after birth
4) Increasing the percentage of live births in hospitals
ANS: 3
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Discuss how the Healthy People objectives apply to maternal
and child well-being.
Chapter page reference: 4-6
Heading: Application: Healthy People 2020 Objective – Increase Proportion of Infants
Who Are Breastfed
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
, l
1 There is no need for all nurses to become lactation consultants, and this is not the
primary role of nurses.
2 Although nurses can advocate for pumping areas in the workplace, this is not the
primary role of nurses in meeting this initiative.
3 Nurses can take an active role in teaching and supporting new mothers in
breastfeeding their babies after birth, but it is important to allow the patient
autonomy to make her own decision.
4 Nurses cannot increase the percentage of live births in hospitals, but they can
contribute to this initiative (although this has nothing to do with meeting the
breastfeeding initiative).
PTS: 1 CON: Promoting Health
6. How can maternal and pediatric nurses promote Healthy People objectives for their
clients?
1) Provide all patients with a copy of the current Healthy People objectives
2) Plan care that includes teaching and support for Healthy People objectives
3) Require all new mothers to breastfeed while hospitalized
4) Discourage the father from ever bottle feeding the newborn
ANS: 2
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Explain how maternal and pediatric nurses can be instrumental
in promoting Healthy People objectives for their clients.
Chapter page reference: 6
Heading: Healthy People 2020 Leads to Healthy Families
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 Providing patients with a copy of the current initiatives is not the most effective
means of helping clients meet these initiatives.
2 The nurse, who has a primary role in health promotion, can plan care that keeps
the Healthy People objectives in mind and can provide teaching and support to
help patients meet the objectives.
3 Breastfeeding is a choice each woman makes, and it cannot be required of all
new mothers.
4 Discouraging the father from ever bottle feeding the newborn is not realistic,
reasonable, or helpful.
PTS: 1 CON: Promoting Health
7. When the Healthy People 2020 initiatives are reviewed, which initiative related to infants
and young children has shown improvement?
1) Suicide rates in adolescents
2) Increased life expectancy
3) Babies put to bed on their backs
, l
4) Infant mortality rates
ANS: 3
Chapter number and title: 1: Healthy People 2020 and Initiatives for Healthy Families
Chapter learning objective: Analyze the progress, or lack of, for each of the Leading
Health Indicators that pertain to families.
Chapter page reference: 3
Heading: Introduction
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Promoting Health
Difficulty: Easy
Feedback
1 The suicide rate in adolescents has not shown improvement and is actually
worsening.
2 Increased life expectancy is seen in adults, not infants and young children.
3 More babies are sleeping on their backs, with a significant decline in the
frequency of sudden infant death syndrome as a result.
4 Unfortunately, infant mortality rates are increasing and have not improved.
PTS: 1 CON: Promoting Health
, l
Chapter 2: Introduction to Maternity Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What impact did moving births to hospitals in the early 20th century have on the rate of
complications and deaths?
1) Dramatic decline
2) Slow decline
3) Slight increase
4) Drastic increase
2. What was the motivating factor for advancing nursing roles in the care of women in the early 20th
century?
1) Lack of access to health care for poor women and those in rural areas
2) Patients’ modesty and desire to be cared for by a woman
3) Fear of death if attended by a physician
4) Changes in laws and regulations
3. Which statement most accurately describes how maternity nursing has changed over the last 50
years?
1) Nurses have assumed many duties once assigned to physicians.
2) Nurses no longer assist physicians in caring for the laboring patient.
3) Nurses are reducing infant mortality by taking on greater responsibilities.
4) Nurses are responsible for delivering more infants than physicians are.
4. A patient is admitted to the labor and delivery unit, and a plan of care based on that patient’s needs is
developed by which member of the health-care team?
1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
5. How does a nurse practitioner’s role differ from that of a certified nurse midwife with regard to
maternity care?
1) The nurse practitioner does not usually deliver babies but cares for women before
and after delivery.
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
does have prescribing privileges.
3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner
practices independently and does not have hospital privileges.
4) The certified nurse midwife and the nurse practitioner have very similar roles with
little difference between the two.
6. When moving to a new state, the nurse learns the scope of practice in the new state by doing what?
1) Reading the Nurse Practice Act on the Board of Nursing Web site
, l
2) Asking other nurses with the same credentials what they are allowed to do
3) Following the scope of practice learned in nursing school
4) Reviewing research articles to find evidence of best practices
7. Which organization establishes standards of care for maternity nursing?
1) American Nurses Association
2) American Academy of Pediatrics
3) Association of Women’s Health, Obstetric and Neonatal Nurses
4) National League for Nursing
8. The nurse wants to establish an evidence-based practice. Where can evidence be found to support a
change in the way a procedure is performed?
1) Past experience
2) Facility procedure manual
3) Nursing research
4) Nursing organizations
9. The provider explains the need for an amniocentesis, but the patient declines the procedure. The
nurse supports the patient’s right to make this decision, demonstrating an understanding of which
ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
10. The nurse joins a community outreach program to promote vaccination of children, demonstrating
which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
11. The nurse working in an acute care facility makes it a point to never look at the declaration page
showing the patient’s insurance or lack of insurance because of a belief that all patients should be
treated equally. This demonstrates which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
12. A patient asks the student nurse whether a medication is safe to take during pregnancy. The student
thinks it is an approved medication during pregnancy. Which is the student’s best response?
1) “I’m pretty sure it is a safe medication.”
2) “I’m not qualified to answer that question.”
3) “I will ask your obstetric provider.”
4) “I really don’t know.”
, l
13. Which statement made by a nursing student to a patient indicates the need for the nursing instructor
to clarify the student’s role in providing maternity care?
1) “I’ve had three children, and I know from experience how helpful Lamaze
breathing is to pain control.”
2) “You’re not allowed to have anything to eat this close to delivery, but let me get
you some ice chips.”
3) “You’re doing really great. You’re almost fully dilated, so it won’t be much longer
now. Hang in there.”
4) “You said you wanted to deliver without taking pain medications. Are you sure you
want to change your mind now?”
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
14. The nurse working in the neonatal intensive care unit (NICU) sits with the family as the provider
explains that the neonate has no hope of survival and recommends discontinuation of life support.
Which ethical dilemma(s) should the nurse identify in this situation? (Select all that apply.)
1) Quality of life versus quantity of life
2) The cost of providing futile care
3) Euthanasia versus God’s will
4) Lack of support for decision making
5) Knowledge deficit
15. The nurse working in an obstetric clinic admits a woman who is 5 months pregnant and admits to a
heroin addiction. Which interventions will be effective in meeting the nurse’s ethical obligation to
the unborn fetus? (Select all that apply.)
1) Reporting the patient’s heroin use to the police
2) Teaching the patient about the impacts to babies born to heroin addicts
3) Providing referrals to community resources for drug treatment
4) Discussing the option of abortion because the mother will be unable to care for the
child
5) Determining whether the patient has family support during her pregnancy
