Exam (elaborations)

Test Bank Maternity and Pediatric Nursing 3rd Edition by Ricci, Kyle and Carman

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Course
Chamberlain College Of Nursing

Institution
Chamberlain College Nursing

Test Bank Maternity and Pediatric Nursing 3rd Edition by Ricci, Kyle and CarmanContents Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................. 2 Chapter 2- Family-Centered Community-Based Care ..........................

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Uploaded on December 15, 2023
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Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................. 2
Chapter 2- Family-Centered Community-Based Care .......................................................................................................... 6
Chapter 3- Anatomy and Physiology of the Reproductive System ..................................................................................10
Chapter 4- Common Reproductive Issues ..........................................................................................................................14
Chapter 5- Sexually Transmitted Infections.........................................................................................................................18
Chapter 6- Disorders of the Breasts .....................................................................................................................................22
Chapter 7- Benign Disorders of the Female Reproductive Tract ....................................................................................27
Chapter 8- Cancers of the Female Reproductive Tract .....................................................................................................31
Chapter 9- Violence and Abuse.............................................................................................................................................35
Chapter 10- Fetal Development and Genetics ....................................................................................................................39
Chapter 11- Maternal Adaptation During Pregnancy .........................................................................................................43
Chapter 12- Nursing Management During Pregnancy.......................................................................................................48
Chapter 13- Labor and Birth Process...................................................................................................................................52
Chapter 14- Nursing Management During Labor and Birth .............................................................................................56
Chapter 15- Postpartum Adaptations...................................................................................................................................61
Chapter 16- Nursing Management During the Postpartum Period ................................................................................66
Chapter 17- Newborn Transitioning ....................................................................................................................................70
Chapter 18- Nursing Management of the Newborn ..........................................................................................................75
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy .............................................................................80
Chapter 20- Nursing Management of the Pregnancy at Risk ............................................................................................84
Chapter 21- Nursing Management of Labor and Birth at Risk .........................................................................................89
Chapter 22- Nursing Management of the Postpartum Woman at Risk ..........................................................................93
Chapter 23- Nursing Care of the Newborn With Special Needs......................................................................................98
Chapter 24- Nursing Management of the Newborn at Risk .......................................................................................... 102
Chapter 25- Growth and Development of the Newborn and Infant........................................................................... 107
Chapter 26- Growth and Development of the Toddler ................................................................................................. 112
Chapter 27- Growth and Development of the Preschooler........................................................................................... 117
Chapter 28- Growth and Development of the School-Age Child ................................................................................ 122
Chapter 29- Growth and Development of the Adolescent ............................................................................................ 128
Chapter 30- Atraumatic Care of Children and Families .................................................................................................. 134
Chapter 31- Health Supervision ......................................................................................................................................... 137
Chapter 32- Health Assessment of Children .................................................................................................................... 143
Chapter 33- Caring for Children in Diverse Settings ...................................................................................................... 148
Chapter 34- Caring for the Special Needs Child.............................................................................................................. 154
Chapter 35- Key Pediatric Nursing Interventions ........................................................................................................... 159
Chapter 36- Pain Management in Children ...................................................................................................................... 164
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder......................................... 170
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ... 175
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears
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, ................................................................................................................................................................................................ 180
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder .................. 186
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder .................... 190
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder .. 195
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder ... 200
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal
Disorder................................................................................................................................................................................ 205
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder .......... 215
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
Disorder................................................................................................................................................................................ 220
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder..................... 230
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ........................ 235
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ...................................................................... 240
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development .................. 246
Chapter 51- Nursing Care During a Pediatric Emergency ............................................................................................. 251

Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care

1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for
infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most
likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet

2. When integrating the principles of family-centered care, the nurse would include which of the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions

3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review
how maternity care has changed over the years. Which of the following would the nurse include when
discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers

4. After teaching a group of students about pregnancy-related mortality, the instructor determines that
additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor

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, D) Infection

5. The nurse is working with a group of community health members to develop a plan to address the special
health needs of women. Which of the following conditions would the group address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer

6. When assessing a family for possible barriers to health care, the nurse would consider which factor to be
most important?
A) Language
B) Health care workers’ attitudes
C) Transportation
D) Finances

7. After teaching a group of nursing students about the issue of informed consent. Which of the following,
if identified by the student, would indicate an understanding of a violation of informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures

8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents
are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the child’s aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation

9. After teaching nursing students about the basic concepts of family-centered care, the instructor determines
that the teaching was successful when the students state which of the following?
A) “Childbirth affects the entire family, and relationships will change.”
B) “Families are not capable of making health care decisions for themselves.”
C) “Mothers are the family members affected by childbirth.”
D) “Childbirth is a medical procedure.”

10. A nursing instructor is preparing a class discussion on the trends in health care and health care
delivery over the past several centuries. When discussing the changes during the past century, which of
the following would the instructor be least likely to include?
A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality

11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the
understanding that based on this client’s cultural background, the client most likely views illness as which
of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
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, D) From an imbalance of yin and yang

12. A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor,
and childbirth. Which of the following would be most important for the nurse to incorporate into that plan?
A) Adhering to strict, specific routines
B) Involving a pediatric physician
C) Educating the client about the importance of a support person
D) Assigning several nurses as a support team

13. A nursing instructor is preparing a class discussion on case management in maternal and newborn
health care. Which of the following would the instructor include as a key component? Select all that apply.
A) Advocacy
B) Coordination
C) Communication
D) Resource management
E) Event managed care

14. After teaching a group of students about the concept of maternal mortality, the instructor
determines that additional teaching is needed when the students state which of the following?
A) “The rate includes accidental causes for deaths.”
B) “It addresses pregnancy-related causes.”
C) “The duration of the pregnancy is not a concern.”
D) “The time frame is typically for a specified year.”

15. A group of students are reviewing the historical aspects about childbirth. The students demonstrate
understanding of the information when they identify the use of twilight sleep as a key event during which
time frame?
A) 1700s
B) 1800s
C) 1900s
D) 2000s

16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which action
would least likely demonstrate application of the concept of family-centered care?
A) Focusing on the birth as a normal healthy event for the family
B) Creating opportunities for the family to make informed decisions
C) Encouraging the woman to keep her other children at home
D) Fostering a sense of respect for the mother and the family

17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which of
the following would the nurse most likely include? Select all that apply.
A) Chromosomal abnormalities
B) Malnutrition
C) Preterm cervical dilation
D) Underlying disease condition
E) Poor placental attachment

18. A nurse is preparing a presentation for a local community group about health status and
children’s health. Which of the following would the nurse include as one of the most significant measures?
A) Fetal mortality rate
B) Neonatal mortality rate
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