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