,Table of Content
Chapter 01: 21st Century Maternity Nursing .................................................................................... 4
Chapter 02: Community Care: The Family and Culture ................................................................. 16
MATCHING .................................................................................................................................... 25
Chapter 05: Infertility, Contraception, and Abortion ...................................................................... 27
MATCHING .................................................................................................................................... 43
COMPLETION................................................................................................................................ 44
Chapter 06: Genetics, Conception, and Fetal Development ............................................................ 44
Chapter 09: Maternal and Fetal Nutrition ........................................................................................ 69
Chapter 25: The High Risk Newborn .............................................................................................. 94
MATCHING .................................................................................................................................. 132
Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion ....... 136
Chapter 28: Developmental and Genetic Influences on Child Health Promotion ......................... 149
MATCHING .................................................................................................................................. 170
Chapter 29: Communication, History, and Physical Assessment.................................................. 172
MATCHING .................................................................................................................................. 201
Chapter 30: Pain Assessment and Management in Children ......................................................... 203
COMPLETION.............................................................................................................................. 214
MATCHING .................................................................................................................................. 215
Chapter 31: The Infant and Family ................................................................................................ 217
MATCHING .................................................................................................................................. 254
Chapter 32: The Toddler and Family............................................................................................. 256
Chapter 33: The Preschooler and Family ...................................................................................... 285
Chapter 34: The School-Age Child and Family ............................................................................ 308
MATCHING .................................................................................................................................. 336
MULTIPLE CHOICE .................................................................................................................... 338
MATCHING .................................................................................................................................. 383
Chapter 36: Chronic Illness, Disability, and End-of-Life Care ..................................................... 385
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family...................... 417
Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization .................... 451
Chapter 39: Pediatric Variations of Nursing Interventions ........................................................... 470
COMPLETION.............................................................................................................................. 507
MATCHING .................................................................................................................................. 507
Chapter 40: Respiratory Dysfunction ............................................................................................ 509
Chapter 41: Gastrointestinal Dysfunction ..................................................................................... 540
,MATCHING .................................................................................................................................. 576
Chapter 42: Cardiovascular Dysfunction....................................................................................... 576
MATCHING .................................................................................................................................. 613
Chapter 43: Hematologic and Immunologic Dysfunction ............................................................. 615
MATCHING .................................................................................................................................. 654
Chapter 44: Genitourinary Dysfunction ........................................................................................ 655
MULTIPLE CHOICE .................................................................................................................... 682
MATCHING .................................................................................................................................. 715
Chapter 46: Endocrine Dysfunction .............................................................................................. 717
Chapter 47: Integumentary Dysfunction ....................................................................................... 742
Chapter 48: Musculoskeletal or Articular Dysfunction ................................................................. 780
Chapter 49: Neuromuscular or Muscular Dysfunction .................................................................. 806
,Chapter 01: 21st Century Maternity Nursing
1. When providing care for a pregnant woman, the nurse should be aware that one of the most
frequently reported maternal medical risk factors is:
a. Diabetes mellitus. c. Chronic hypertension.
b. Mitral valve prolapse (MVP). d. Anemia.
ANS: A
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must
incorporate both teamwork and communication with clinicians into her care delivery, The SBAR
technique of communication is an easy-to-remember mechanism for communication. Which of
the following correctly defines this acronym?
a. Situation, baseline assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
ANS: B
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
a. Providing care to patients directly at the bedside.
b. Primarily hospital care of maternity patients.
c. Practice using an evidence-based approach.
,d. Planning patient care to cover longer hospital stays.
ANS: C
4. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment
of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse
to:
a. Use maternity jargon in order for the patient to become familiar with these terms. b Speak
quickly and efficiently to expedite the visit.
.
,c. Provide the patient with handouts.
d Assess whether the patient understands the discussion.
ANS: D
6. When managing health care for pregnant women at a prenatal clinic, the nurse should
recognize that the most significant barrier to access to care is the pregnant woman‘s:
a. Age. c. Educational level.
b. Minority status. d. Inability to pay.
ANS: D
7. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
8. When the nurse is unsure about how to perform a patient care procedure, the best action
would
be to:
,a. Ask another nurse.
b. Discuss the procedure with the patient‘s physician.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual and follow the guidelines for the procedure.
ANS: D
9. From the nurse‘s perspective, what measure should be the focus of the health care system to
reduce the rate of infant mortality further?
a. Implementing programs to ensure women‘s early participation in ongoing prenatal care
b. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
c. Expanding the number of neonatal intensive care units (NICUs)
d. Mandating that all pregnant women receive care from an obstetrician
ANS: A
10. Alternative and complementary therapies:
a. Replace conventional Western modalities of treatment.
,b. Are used by only a small number of American adults.
c. Recognize the value of clients‘ input into their health care.
d. Focus primarily on the disease an individual is experiencing.
ANS: C
11. A 38-year-old Hispanic woman delivered a 9-pound, 6-ounce girl vaginally after being in
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds would the woman
potentially have a legitimate legal case for negligence?
a. She is Hispanic. c. The standards of care were not met.
b. She delivered a girl. d. She refused fetal monitoring.
ANS: C
12. A newly graduated nurse is attempting to understand the reason for increasing health care
spending in the United States. Her research finds that these costs are much higher compared with
other developed countries as a result of:
a. A higher rate of obesity among pregnant women.
b. Limited access to technology.
c. Increased usage of health care services along with lower prices.
d. Homogeneity of the population.
,ANS: A
13. The term used to describe legal and professional responsibility for practice for maternity
nurses is:
a. Collegiality. c. Evaluation.
b. Ethics. d. Accountability.
ANS: D
14. Through the use of social media technology, nurses can link with other nurses who may
share similar interests, insights about practice, and advocate for patients. The most concerning
pitfall for nurses using this technology is:
a. Violation of patient privacy and confidentiality.
b. Institutions and colleagues may be cast in an unfavorable light.
c. Unintended negative consequences for using social media.
d. Lack of institutional policy governing online contact.
ANS: A
15. An important development that affects maternity nursing is integrative health care, which:
a. Seeks to provide the same health care for all racial and ethnic groups.
b. Blends complementary and alternative therapies with conventional Western
, treatment.
c. Focuses on the disease or condition rather than the background of the client.
d. Has been mandated by Congress.
ANS: B
16. Recent trends in childbirth practices in the United States indicate that:
a. More than 15% of mothers had late or no prenatal care.
b. The percentage of Hispanics, non-Hispanic African Americans, and Caucasians who
received prenatal care was essentially the same.
c. Births occurring in the hospital accounted for 99% of births.
d. Cesarean births have been declining as a percentage of live births.
ANS: C
17. Recent trends in childbirth practice indicate that:
a. Delayed pushing is now discouraged in the second stage of labor.
b. Episiotomy rates are increasing.
c. Midwives perform more episiotomies than physicians.
