Test Bank for Maternity and Pediatric Nursing 4th Edition
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Chapter 1
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1. When integrating the principles of family-centered care into the birthing
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process, the nurse would base care upon which belief? A. Birth is viewed as
a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the following principles: Birth affects
the entire family, and relationships will change; birth is viewed as a normal,
healthy event in the life of the family; and families are capable of making decisions
about their own care if given adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
,2. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. The group would design
educational programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular di s e a s e , th e number one
cause of death in women regardless of racial or ethnic group. Smoking is related
to heart disease and the development of cancer. However, heart disease and cancer
can occur in any woman regardless of her smoking history cancer is the
second leading cause of death, with women having a one in three lifetime risk of
developing cancer. Diabetes is another important health condition that can affect
women. However, it is not the major health problem that heart disease is.
Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
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Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses.
As part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst ed
consent. The nurse determines that the teaching was effective when the group
identifies which situation as a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an operative permit
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergency procedure from the spouse
of a unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent
for health care. Serving as a witness to the signature process, asking
whether the client understands what she is signing, and getting verbal consent over
the phone for emergency procedures are all key to informed consent and are not
violations.
,Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health care
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset priority
responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the procedure D. Offering
suggestions for alternative options for treatment
Answer: A
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Rationale: The nurse's responsibilities related to informed consent include: Ensuring
the consent form is completed with signatures from the client; serving as a witness
to the signature process; and determining whether the client understands what she
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is signing by asking her pertinent questions. The physician, advanced practice
nurse, or midwife is responsible for informing the client about the procedure and
obtaining consent by providing a detailed description of the procedure or
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treatment, its potential risks and benefits, and alternative methods available
.
Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The
inabfiarbn.cto'ms/tepsat rents are divorced. To obtain informed consent,
which action would be most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents
,Answer: D
Rationale: The most appropriate action would be to determine legal custody by
court decree. If the parents have joint custody, then either parent may give
consent, but it is always best to have consent given by both parents. The parent
with only physical custody may give consent for emergency care. The last resort
is
getting a court ruling; usually this is not necessary unless the parents disagree about
the care of the child.
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,Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management Care
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would bea bsi rtb . cionmd/ tiecsat
te that her education on family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B. "Families are usually not capable of making health caarbei r bd. ceo mc/itse isot ns for
themselves, especially in stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone."
Answer: A
Rationale: Childbirth affects the entire family, and relationships will change.
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Childbirth is viewed as a normal life event, not a medical procedure. Families are
very capable of making health care decisions about their own care with proper
information and support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
Client Needs: Psychosocial Integrity
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Integrated Process: Nursing Process
Reference: p. 15
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7. Which aspect of client wellness has not been a focus aobfir bh.ceo ma/lttehst
during the 21st century ?
A. Disease prevention B. Health promotion
C. Wellness
D. Analysis of morbidity and mortality
Answer: D
Rationale: The focus on health has shifted to disease prea bvi reb .nc otmio/ tne s,t health
promotion, and wellness. In the last century, much of the focus was on analyzing
morbidity and mortality rates.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
, Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: , p. Health Status of Women and Children
8. A nurse is planning a continuum of care for a client
duabriirbn.cgomp/treestgnancy, labor, and childbirth. What is the most
important factor in enhancing the birthing experience?
A. Adhering to strict specific routines
B. Involving a pediatric physician
C. Educating the client about the importance of a supporatbirpb.ecorms/otenst D. Assigning
several nurses as a support team
Answer: C
Rationale: Educating the client about the importance of a support person during labor
and delivery has been shown to improve and enhance the birthing experience.
Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 5-7
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9. The nurse is administering a number of therapeutic inatbeirbr.vcoemn/tteisot
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ns for neonates, infants, and children on the pediatric unit. Which
intervention contributes to an increase in chronic illness seen in early
childhood?
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A. Administering antibiotics to prevent lethal infections
B. Vaccinating children to prevent childhood diseases
C. Using mechanical ventilation for premature infants
D. Using corticosteroids as a treatment for asthma
Answer: C
Rationale: Using mechanical ventilation and medications to foster lung development
in premature infants increases their survival rate. Yet thaebiribn.cfoamn/ttesst who
survive are often faced with myriad chronic illnesses. Administering antibiotics to
prevent lethal
infections, vaccinating children to prevent childhood dise a s e s , a n d using
corticosteroids as a treatment for asthma may cause side effects, but do not
contribute to chronic illness in children.
Question format: Multiple Choice
