1
,Maternal .& .Child .Nursing .Care, .5e .(London .et .al.)
Chapter .1 . Contemporary .Maternal, .Newborn, .and .Child .Health .Nursing
1) A .nurse .is .examining .different .nursing .roles. .Which .statement .best .illustrates .an
.advanced .practice .nursing .role?
1. A .registered .nurse .who .is .the .manager .of .a .large .obstetric .unit
2. A .clinical .nurse .specialist .working .as .a .staff .nurse .on .a .mother-baby .unit
3. A .registered .nurse .who .is .the .circulating .nurse .at .surgical .deliveries .(cesarean .sections)
4. A .clinical .nurse .specialist .with .whom .other .nurses .consult .for .this .nurse's .expertise .in
.caring .for .high-risk .infants
Answer: . 4
Explanation: . A .clinical .nurse .specialist .with .whom .other .nurses .consult .for .expertise .in
.caring .for .high-risk .infants .would .illustrate .an .advanced .practice .nursing .role. .This .nurse .has
.specialized .knowledge .and .competence .in .a .specific .clinical .area, .and .is .master's-prepared.
Page .Ref: .3
Cognitive .Level: . Remembering
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .II.B.4. .Function .competently .within .own .scope .of .practice .as
.a .member .of .the .health .care .team .| .AACN .Essential .Competencies: .VI.1. .Compare/contrast
.the .roles .and .perspectives .of .the .nursing .profession .with .other .care .professionals .on .the
.healthcare .team .(i.e. .scope .of .discipline, .education .and .licensure .requirements) .| .NLN
.Competencies: .Teamwork; .Knowledge; .Scope .of .practice, .roles, .and .responsibilities .of .health
.care .team .members, .including .overlaps .| .Nursing/Integrated .Concepts: .Nursing .Process:
.Assessment .Learning .Outcome: . 1.1 .Identify .the .nursing .roles .available .to .maternal-newborn
.and .pediatric .nurses.
MNL .LO: . 1.1.2. .Explore .the .role .of .the .nurse .in .maternity .care .delivery.
2) What .is .the .major .focus .of .the .nurse .practitioner .(NP)?
1. Leadership
2. Tertiary .prevention
3. Physical .and .psychosocial .clinical .assessment
4. Independent .care .of .the .high-risk, .pregnant .client
.Answer: . 3
Explanation: . Physical .and .psychosocial .clinical .assessment .is .the .major .focus .of .the .NP.
.Page .Ref: .3
Cognitive .Level: . Remembering
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .II.B.4. .Function .competently .within .own .scope .of .practice .as
.a .member .of .the .health .care .team .| .AACN .Essential .Competencies: .VI.1. .Compare/contrast
.the .roles .and .perspectives .of .the .nursing .profession .with .other .care .professionals .on .the
.healthcare .team .(i.e. .scope .of .discipline, .education .and .licensure .requirements) .| .NLN
.Competencies: .Teamwork; .Knowledge; .Scope .of .practice, .roles, .and .responsibilities .of .health
.care .team .members, .including .overlaps .| .Nursing/Integrated .Concepts: .Nursing .Process:
.Assessment .Learning .Outcome: . 1.1 .Identify .the .nursing .roles .available .to .maternal-newborn
.and .pediatric .nurses.
MNL .LO: . 1.1.2. .Explore .the .role .of .the .nurse .in .maternity .care .delivery.
2
,3) What .is .the .role .of .the .certified .nurse—midwife .(CNM)? .Select .all .that .apply.
1. Give .primary .care .for .healthy .newborns.
2. Be .educated .in .two .disciplines .of .nursing.
3. Give .primary .care .for .high-risk .clients .who .are .in .hospital .settings.
4. Obtain .a .physician .consultation .for .all .technical .procedures .at .delivery.
5. Be .prepared .to .manage .independently .the .care .of .women .at .low .risk .for .complications
.during .pregnancy .and .birth.
Answer: . 1, .2, .5
Explanation: . The .CNM .is .prepared .to .manage .independently .the .care .of .women .at .low .risk
.for .complications .during .pregnancy .and .birth .and .the .care .of .healthy .newborns.
The .CNM .is .educated .in .the .disciplines .of .nursing .and .midwifery.
The .CNM .is .prepared .to .manage .independently .the .care .of .women .at .low .risk .for
.complications .during .pregnancy .and .birth .and .the .care .of .healthy .newborns.
Page .Ref: .3
Cognitive .Level: . Understanding
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .II.B.4. .Function .competently .within .own .scope .of .practice .as
.a .member .of .the .health .care .team .| .AACN .Essential .Competencies: .VI.1. .Compare/contrast
.the .roles .and .perspectives .of .the .nursing .profession .with .other .care .professionals .on .the
.healthcare .team .(i.e. .scope .of .discipline, .education .and .licensure .requirements) .| .NLN
.Competencies: .Teamwork; .Knowledge; .Scope .of .practice, .roles, .and .responsibilities .of .health
.care .team .members, .including .overlaps .| .Nursing/Integrated .Concepts: .Nursing .Process:
.Assessment .Learning .Outcome: . 1.1 .Identify .the .nursing .roles .available .to .maternal-newborn
.and .pediatric .nurses.
MNL .LO: . 1.1.2. .Explore .the .role .of .the .nurse .in .maternity .care .delivery.
3
, 4) During .the .hospital .admission .process, .a .child's .parent .asks .for .information .about
.family- .centered .care. .What .should .the .nurse .explain .to .this .parent?
1. Mother .is .the .principal .caregiver .in .each .family.
2. Father .is .the .leader .in .each .home; .thus, .all .communications .should .include .him.
3. Family .serves .as .the .constant .influence .and .continuing .support .in .the .child's .life.
4. Child's .physician .is .the .key .person .in .ensuring .the .health .of .a .child .is
.maintained. .Answer: . 3
Explanation: . The .foundation .for .the .development .of .trusting .relationships .and .partnerships
.with .families .is .the .recognition .that .the .family .is .the .principal .caregiver, .knows .the .unique
.nature .of .each .individual .child .best, .plays .the .vital .role .of .meeting .the .child's .needs, .and .is
.responsible .for .ensuring .each .child's .health.
Page .Ref: .3
Cognitive .Level: . Applying
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .I.B.3. .Provide .patient-centered .care .with .sensitivity .and
.respect .for .the .diversity .of .human .experience .| .AACN .Essential .Competencies: .IX.5. .Deliver
.compassionate, .patient-centered, .evidence-based .care .that .respects .patient .and .family
.preferences .| .NLN .Competencies: .Relationship .Centered .Care; .Knowledge; .The .role .of .family,
.culture, .and .community .in .a .person's .development .| .Nursing/Integrated .Concepts: .Nursing
.Process: .Planning
Learning .Outcome: . 1.2 .Summarize .the .use .of .community-based .nursing .care .in .meeting .the
.needs .of .childbearing .and .childrearing .families.
MNL .LO: . 1.1.1. .Relate .the .effect .of .culture .and .family .to .the .childbearing .experience.
5) A .child .is .not .enrolled .in .the .Children's .Health .Insurance .Program .(CHIP). .What .should
.the .nurse .do .to .encourage .the .family .to .consider .enrolling .the .child .in .this .program?
1. Assessment .of .the .details .of .the .family's .income .and .expenditures
2. Case .management .to .limit .costly, .unnecessary .duplication .of .services
3. Advocacy .for .the .child .by .encouraging .the .family .to .investigate .its .CHIP .eligibility
4. Education .of .the .family .about .the .need .for .keeping .regular .well-child .visit
.appointments .Answer: . 3
Explanation: . In .the .role .of .an .advocate, .a .nurse .will .advance .the .interests .of .another .by
.suggesting .the .family .investigate .its .CHIP .eligibility.
Page .Ref: .6
Cognitive .Level: . Applying
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .I.A.1. .Integrate .understanding .of .multiple .dimensions .of
.patient .centered .care: .information, .communication, .and .education .| .AACN .Essential
.Competencies: .V.12. .Advocate .for .consumers .and .the .nursing .profession .| .NLN
.Competencies: .Relationship .Centered .Care; .Practice; .Communicate .information .effectively;
.listen .openly .and .cooperatively .| .Nursing/Integrated .Concepts: .Nursing .Process:
.Implementation
Learning .Outcome: . 1.3 .Summarize .the .current .status .of .factors .related .to .health .insurance .and
.access .to .health .care.
MNL .LO: . 1.1.4. .Examine .the .legal .and .ethical .influences .on .the .delivery .of .nursing .care .to
.the .childbearing .family.
4
,Maternal .& .Child .Nursing .Care, .5e .(London .et .al.)
Chapter .1 . Contemporary .Maternal, .Newborn, .and .Child .Health .Nursing
1) A .nurse .is .examining .different .nursing .roles. .Which .statement .best .illustrates .an
.advanced .practice .nursing .role?
1. A .registered .nurse .who .is .the .manager .of .a .large .obstetric .unit
2. A .clinical .nurse .specialist .working .as .a .staff .nurse .on .a .mother-baby .unit
3. A .registered .nurse .who .is .the .circulating .nurse .at .surgical .deliveries .(cesarean .sections)
4. A .clinical .nurse .specialist .with .whom .other .nurses .consult .for .this .nurse's .expertise .in
.caring .for .high-risk .infants
Answer: . 4
Explanation: . A .clinical .nurse .specialist .with .whom .other .nurses .consult .for .expertise .in
.caring .for .high-risk .infants .would .illustrate .an .advanced .practice .nursing .role. .This .nurse .has
.specialized .knowledge .and .competence .in .a .specific .clinical .area, .and .is .master's-prepared.
Page .Ref: .3
Cognitive .Level: . Remembering
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .II.B.4. .Function .competently .within .own .scope .of .practice .as
.a .member .of .the .health .care .team .| .AACN .Essential .Competencies: .VI.1. .Compare/contrast
.the .roles .and .perspectives .of .the .nursing .profession .with .other .care .professionals .on .the
.healthcare .team .(i.e. .scope .of .discipline, .education .and .licensure .requirements) .| .NLN
.Competencies: .Teamwork; .Knowledge; .Scope .of .practice, .roles, .and .responsibilities .of .health
.care .team .members, .including .overlaps .| .Nursing/Integrated .Concepts: .Nursing .Process:
.Assessment .Learning .Outcome: . 1.1 .Identify .the .nursing .roles .available .to .maternal-newborn
.and .pediatric .nurses.
MNL .LO: . 1.1.2. .Explore .the .role .of .the .nurse .in .maternity .care .delivery.
2) What .is .the .major .focus .of .the .nurse .practitioner .(NP)?
1. Leadership
2. Tertiary .prevention
3. Physical .and .psychosocial .clinical .assessment
4. Independent .care .of .the .high-risk, .pregnant .client
.Answer: . 3
Explanation: . Physical .and .psychosocial .clinical .assessment .is .the .major .focus .of .the .NP.
.Page .Ref: .3
Cognitive .Level: . Remembering
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .II.B.4. .Function .competently .within .own .scope .of .practice .as
.a .member .of .the .health .care .team .| .AACN .Essential .Competencies: .VI.1. .Compare/contrast
.the .roles .and .perspectives .of .the .nursing .profession .with .other .care .professionals .on .the
.healthcare .team .(i.e. .scope .of .discipline, .education .and .licensure .requirements) .| .NLN
.Competencies: .Teamwork; .Knowledge; .Scope .of .practice, .roles, .and .responsibilities .of .health
.care .team .members, .including .overlaps .| .Nursing/Integrated .Concepts: .Nursing .Process:
.Assessment .Learning .Outcome: . 1.1 .Identify .the .nursing .roles .available .to .maternal-newborn
.and .pediatric .nurses.
MNL .LO: . 1.1.2. .Explore .the .role .of .the .nurse .in .maternity .care .delivery.
2
,3) What .is .the .role .of .the .certified .nurse—midwife .(CNM)? .Select .all .that .apply.
1. Give .primary .care .for .healthy .newborns.
2. Be .educated .in .two .disciplines .of .nursing.
3. Give .primary .care .for .high-risk .clients .who .are .in .hospital .settings.
4. Obtain .a .physician .consultation .for .all .technical .procedures .at .delivery.
5. Be .prepared .to .manage .independently .the .care .of .women .at .low .risk .for .complications
.during .pregnancy .and .birth.
Answer: . 1, .2, .5
Explanation: . The .CNM .is .prepared .to .manage .independently .the .care .of .women .at .low .risk
.for .complications .during .pregnancy .and .birth .and .the .care .of .healthy .newborns.
The .CNM .is .educated .in .the .disciplines .of .nursing .and .midwifery.
The .CNM .is .prepared .to .manage .independently .the .care .of .women .at .low .risk .for
.complications .during .pregnancy .and .birth .and .the .care .of .healthy .newborns.
Page .Ref: .3
Cognitive .Level: . Understanding
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .II.B.4. .Function .competently .within .own .scope .of .practice .as
.a .member .of .the .health .care .team .| .AACN .Essential .Competencies: .VI.1. .Compare/contrast
.the .roles .and .perspectives .of .the .nursing .profession .with .other .care .professionals .on .the
.healthcare .team .(i.e. .scope .of .discipline, .education .and .licensure .requirements) .| .NLN
.Competencies: .Teamwork; .Knowledge; .Scope .of .practice, .roles, .and .responsibilities .of .health
.care .team .members, .including .overlaps .| .Nursing/Integrated .Concepts: .Nursing .Process:
.Assessment .Learning .Outcome: . 1.1 .Identify .the .nursing .roles .available .to .maternal-newborn
.and .pediatric .nurses.
MNL .LO: . 1.1.2. .Explore .the .role .of .the .nurse .in .maternity .care .delivery.
3
, 4) During .the .hospital .admission .process, .a .child's .parent .asks .for .information .about
.family- .centered .care. .What .should .the .nurse .explain .to .this .parent?
1. Mother .is .the .principal .caregiver .in .each .family.
2. Father .is .the .leader .in .each .home; .thus, .all .communications .should .include .him.
3. Family .serves .as .the .constant .influence .and .continuing .support .in .the .child's .life.
4. Child's .physician .is .the .key .person .in .ensuring .the .health .of .a .child .is
.maintained. .Answer: . 3
Explanation: . The .foundation .for .the .development .of .trusting .relationships .and .partnerships
.with .families .is .the .recognition .that .the .family .is .the .principal .caregiver, .knows .the .unique
.nature .of .each .individual .child .best, .plays .the .vital .role .of .meeting .the .child's .needs, .and .is
.responsible .for .ensuring .each .child's .health.
Page .Ref: .3
Cognitive .Level: . Applying
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .I.B.3. .Provide .patient-centered .care .with .sensitivity .and
.respect .for .the .diversity .of .human .experience .| .AACN .Essential .Competencies: .IX.5. .Deliver
.compassionate, .patient-centered, .evidence-based .care .that .respects .patient .and .family
.preferences .| .NLN .Competencies: .Relationship .Centered .Care; .Knowledge; .The .role .of .family,
.culture, .and .community .in .a .person's .development .| .Nursing/Integrated .Concepts: .Nursing
.Process: .Planning
Learning .Outcome: . 1.2 .Summarize .the .use .of .community-based .nursing .care .in .meeting .the
.needs .of .childbearing .and .childrearing .families.
MNL .LO: . 1.1.1. .Relate .the .effect .of .culture .and .family .to .the .childbearing .experience.
5) A .child .is .not .enrolled .in .the .Children's .Health .Insurance .Program .(CHIP). .What .should
.the .nurse .do .to .encourage .the .family .to .consider .enrolling .the .child .in .this .program?
1. Assessment .of .the .details .of .the .family's .income .and .expenditures
2. Case .management .to .limit .costly, .unnecessary .duplication .of .services
3. Advocacy .for .the .child .by .encouraging .the .family .to .investigate .its .CHIP .eligibility
4. Education .of .the .family .about .the .need .for .keeping .regular .well-child .visit
.appointments .Answer: . 3
Explanation: . In .the .role .of .an .advocate, .a .nurse .will .advance .the .interests .of .another .by
.suggesting .the .family .investigate .its .CHIP .eligibility.
Page .Ref: .6
Cognitive .Level: . Applying
Client .Need/Sub: . Safe .and .Effective .Care .Environment/Management .of .Care
Standards: . QSEN .Competencies: .I.A.1. .Integrate .understanding .of .multiple .dimensions .of
.patient .centered .care: .information, .communication, .and .education .| .AACN .Essential
.Competencies: .V.12. .Advocate .for .consumers .and .the .nursing .profession .| .NLN
.Competencies: .Relationship .Centered .Care; .Practice; .Communicate .information .effectively;
.listen .openly .and .cooperatively .| .Nursing/Integrated .Concepts: .Nursing .Process:
.Implementation
Learning .Outcome: . 1.3 .Summarize .the .current .status .of .factors .related .to .health .insurance .and
.access .to .health .care.
MNL .LO: . 1.1.4. .Examine .the .legal .and .ethical .influences .on .the .delivery .of .nursing .care .to
.the .childbearing .family.
4
