Maternal – Child Nursing Fifth Edition
TestBank
By McKinney. James. Murray. Nelson. Ashwill
,Table of Contents
1. Foundations of Maternity, Women‘s Health, and Child Health Nursing
2. The Nurse‘s Role in Maternity, Women‘s Health, and Pediatric Nursing
3. The Childbearing and Child-Rearing Family
4. Communicating with Children and Families
5. Health Promotion for the Developing Child
6. Health Promotion for the Infant
7. Health Promotion During Early Childhood
8. Health Promotion for the School-Age Child
9. Health Promotion for the Adolescent
10. Heredity and Environmental Influences on Development
MATERNITY NURSING CARE
11. Reproductive Anatomy and Physiology
12. Conception and Prenatal Development
13. Adaptations to Pregnancy
14. Nutrition for Childbearing
15. Prenatal Diagnostic Tests
16. Giving Birth
17. Intrapartum Fetal Surveillance
18. Pain Management for Childbirth
19. Nursing Care During Obstetric Procedures
20. Postpartum Adaptations
21. The Normal Newborn: Adaptation and Assessment
22. The Normal Newborn: Nursing Care
23. Newborn Feeding
24. The Childbearing Family with Special Needs
25. Pregnancy-Related Complications
26. Concurrent Disorders During Pregnancy
27. The Woman with an Intrapartum Complication
28. The Woman with a Postpartum Complication
29. The High-Risk Newborn: Problems Related to Gestational Age and Development
30. The High-Risk Newborn: Acquired and Congenital Conditions
31. Management of Fertility and Infertility
32. Women‘s Health Care
,PEDIATRIC NURSING CARE
33. Physical Assessment of Children
34. Emergency Care of the Child
35. The III Child in the Hospital and Other Care Settings
36. The Child with a Chronic Condition or Terminal Illness
37. Principles and Procedures for Nursing Care of Children
38. Medication Administration and Safety for Infants and Children
39. Pain Management for Children
40. The Child with a Fluid and Electrolyte Alteration
41. The Child with an Infectious Disease
42. The Child with an Immunologic Alteration
43. The Child with a Gastrointestinal Alteration
44. The Child with a Genitourinary Alteration
45. The Child with a Respiratory Alteration
46. The Child with a Cardiovascular Alteration
47. The Child with a Hematologic Alteration
48. The Child with Cancer
49. The Child with an Alteration in Tissue Integrity
50. The Child with a Musculoskeletal Alteration
51. The Child with an Endocrine or Metabolic Alteration
52. The Child with a Neurologic Alteration
53. Psychosocial Problems in Children and Families
54. The Child with a Developmental Disability
55. The Child with a Sensory Alteration
Glossary
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in
the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century, Semmelweis discovered how it could
be prevented with improved hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in
a nursery.
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice
of rooming-in and finally to family-centered maternity care. Family-centered care was a
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
.
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the
pediatric setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute care setting to the ambulatory setting in order to provide more
cost-efficient care. The number of hospital beds being used has decreased as more care is
given in outpatient settings and in the home. The number of children living in poverty has
increased over the past decade. One of the biggest changes in health care has been the
growth of managed care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, but that is not the primary
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
Education Act that provides financial incentives to states to establish comprehensive early
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of
their parents before
.
, a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
ANS: D
Minors are not considered capable of giving informed consent, so a surgical procedure
would require consent of the parent or guardian. Exceptions exist for obtaining treatment for
drug abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
7. The maternity nurse should have a clear understanding of the correct use of a
clinical pathway. One characteristic of clinical pathways is that they
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
a particular health problem. They are used to identify patient outcomes, specify time lines to
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
include interventions from a variety of disciplines, promote collaboration, and involve a
comprehensive approach to care. They are developed by multiple health care professionals
and reflect interdisciplinary care. They can be used in multiple settings and for patients
throughout the life span. They are not part of the nursing process but can be used in
conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
c. single women and their children.
d. intravenous (IV) substance abusers.
ANS: C
Pregnancy and birth, especially for a teenager, are important contributing factors for
becoming homeless. People preparing for retirement, migrant workers, and IV substance
abusers are not among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
.
, 9. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
this nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter.
b. Assisting women to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
d. Working as an intake counselor at a women‘s shelter.
ANS: C
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
likely participate in community service providing prenatal care outreach activities in
community centers, particularly in low-income areas. Pamphlets in other languages,
enrolling in Medicaid, and working at a women‘s shelter all might impact infant mortality,
but the greatest effect would be from assisting women to get consistent prenatal care.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If
she continues to refuse, what is the first action the nurse should take?
a. Consult the family of the woman.
b. Notify the provider of the situation.
c. Document the woman‘s refusal in the nurse‘s notes.
d. Make a referral to the hospital ethics committee.
ANS: B
Patients must be allowed to make choices voluntarily without undue influence or coercion from
others. The physician, especially if unaware of the patient‘s decision, should be notified
immediately. Both professionals can work to ensure the mother understands the rationale for the
action and the possible consequences of refusal. The woman herself is the decision maker, unless
incapacitated. Documentation should occur but is not the first action. This situation does not rise
to the level of an ethical issue so there is no reason to call the ethics committee.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 18 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
a. The report assures the legal department that no problem exists.
b. Reports are a permanent part of the patient‘s chart.
c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
d. This report is a form of documentation of an event that may result in legal action.
ANS: D
An incident report is used when something occurs that might result in legal action, such as a
patient fall or medication error. It warns the legal department that there may be a problem in a
particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘
notes should not contain any reference to them.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 18 OBJ: Integrated Process: Communication and Documentation
.
, MSC: Client Needs: Safe and Effective Care Environment
12. Elective abortion is considered an ethical issue because
a. abortion law is unclear about a woman‘s constitutional rights.
b. the Supreme Court ruled that life begins at conception.
c. a conflict exists between the rights of the woman and the rights of the fetus.
d. it requires third-party consent.
ANS: C
Elective abortion is an ethical dilemma because two opposing courses of action are available.
The belief that induced abortion is a private choice is in conflict with the belief that elective
pregnancy termination is taking a life. Abortion laws are clear concerning a woman‘s
constitutional rights. The Supreme Court has not ruled on when life begins. Abortion does not
require third-party consent.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 11 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
13. Which woman would be most likely to seek prenatal care?
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
ANS: B
The patient who acknowledges the pregnancy early, has access to health care, and has no
reason to avoid health care is most likely to seek prenatal care. Being in denial about the
pregnancy increases the risk of not seeking care. This patient is also 15, and other social
factors may discourage her from seeking care as well. Women who abuse substances are less
likely to receive prenatal care. Some women see pregnancy and delivery as a natural
occurrence and do not seek health care.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
14. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
nurse administers an analgesic but does not perform any assessments. The woman then has
a tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of
the nurse be interpreted in relation to standards of care?
a. Negligent: the nurse failed to assess the woman for possible complications
b. Negligent: because the nurse medicated the woman
c. Not negligent: the woman had signed a waiver concerning the use of side rails
d. Not negligent: the woman did not inform the nurse of her symptoms as soon
as they occurred
ANS: A
.
, There are four elements to malpractice, which is negligence in the performance of professional
duties: duty, breach of duty, damage, and proximate cause. The nurse was negligent because she
or he did not perform any assessments, which is the first step of the nursing process and is a
standard of care. By not assessing the patient, the nurse did not meet established standards of
care, and thus is guilty of professional negligence, or malpractice.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 16 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
15. Which patient situation fails to meet the first requirement of informed consent?
a. The patient does not understand the physician‘s explanations.
b. The physician gives the patient only a partial list of possible side effects and
complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.
ANS: C
The first requirement of informed consent is that the patient must be competent to make
decisions about health care. Full disclosure of information is an important element of the
consent, but first the patient has to be competent to sign. Understanding is an important
element of the consent, but first the patient has to be competent to sign. Voluntary consent is
an important element of the consent, but first the patient has to be competent to sign.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
16. Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as often as the provider‘s
order allows.
b. A neonatal nurse provides nourishment and care to a newborn who has a
defect that is incompatible with life.
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
abortion.
d. A postpartum nurse provides information about adoption to a new mother who
feels she cannot adequately care for her infant.
ANS: C
A dilemma exists in this situation because the nurse is being asked to assist with a procedure
that she or he believes is morally wrong. The other situations do not contain elements of
conflict for the nurse.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 11 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
17. When planning a parenting class, the nurse should explain that the leading cause of death
in children 1 to 4 years of age in the United States is
a. premature birth.
b. congenital anomalies.
.
, c. accidental death.
d. respiratory tract illness.
ANS: C
Although the rates have dropped, unintentional injury (accidents) are still the leading cause
of death for children aged 1 to 19. The other options contribute to morbidity and mortality in
children but are not the leading cause.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 10 | Table 1.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
18. A nurse is floated to a different unit. The nurse does not know how to perform a treatment that
has been prescribed for one of his or her assigned patients. What should the nurse‘s first
action be?
a. Delay the treatment until another nurse can do it.
b. Make the child‘s parents aware of the situation.
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
ANS: C
Nurses who work outside their usual areas of expertise must assess their own skills and avoid
performing tasks or taking on responsibilities in areas in which they are not competent. This
nurse should inform the supervisor of the situation. The nurse could endanger the child by
delaying the intervention until another nurse is available. Telling the child‘s parents would most
likely increase their anxiety and will not resolve the difficulty. Transfer to another unit delays
needed treatment and would create unnecessary disruption for the child and family.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 19 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
19. The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she could
provide information regarding the recommended amount of television viewing time for her
daughter. The nurse responds that the appropriate amount of time a child should be watching
television is
a. 1 to 2 hours per day.
b. 2 to 3 hours per day.
c. 3 to 4 hours per day.
d. 4 hours or more.
ANS: A
The American Academy of Pediatrics (2013) encourages parents to monitor their children‘s
media exposure and limit their children‘s screen time (TV, computer, video games) to no
more than 1 to 2 hours per day. The other options all contain more screen time than is
recommended.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 15 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
.
