Test Bank For
Maternity and Pediatric Nursing 4th Edition
Ricci Kyle Carman
,Chapter 1
1. When integrating the principles of family-centered care into the birthing
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 fo llo w inagb i rpb .rc ionmc/ t ieps tle s : 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 d ise as e, the 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 h is t oarbyi r b. . cCo ma/nt e cs ter 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
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
,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 is s u e a ob i rfb .icno fmo/ t re m s t 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 oapb i er br. cao tmi v/ t ees t permit
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergeanb icr by. c opmr/ot ecs ted ure 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, a n d a gb i reb t. ctoimn /gt e s vt erbal 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 Caa brierb
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 parb oi r bc. ceodmu/ t erset
D. Offering suggestions for alternative options for treatment
Answer: A
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 ca lbi i er b n. c to mu/ t ne sdt erstands what she
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 treatment,
its potential risks and benefits, and alternative m e t h o d s a ab i vr ba. c iol ma /bt elset .
Question format: Multiple Choice
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 i na bfi ar b n. c to 'ms/ t eps at
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 ba boi rtbh. c o pm a/ t erset nts. 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.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageam b i r be. cnotm /o
t efs t Care
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would b ea bsi r tb . ci onmd/ t iecs at 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 c a ar bei r bd. c eo mc /i t se is ot 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 r e la t i oa bni r bs. hc oi mp/st e swt ill change.
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
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focus aob fi r bh. c eo ma/ lt te hs t
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 p r ea bvi reb .nc ot mi o/ t ne 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 dua bri ir bn. cgo mp/ trees tgnancy,
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 suppora tb irp
b .e
c orm
s/o
ten
st
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
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
9. The nurse is administering a number of therapeutic i na tbei r br.vc oemn/ t te isot ns for
neonates, infants, and children on the pediatric unit. Which intervention
contributes to an increase in chronic illness seen in early childhood?
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 t haeb i ribn. cfoamn/ t te ss t who survive are
often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal
, ab ir b .c om / te st
infections, vaccinating children to prevent childhood d is e 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
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 5-7
10. The nurse is reviewing a copy of the U.S. Surgeon Gaeb inr be. croaml/ 't ess tReport,
Healthy People 2020. Which nursing action best reflects the nurse fostering
this health care agenda?
A. The nurse signs up for classes to obtain an advanced degree in nursing.
B. The nurse volunteers at a local health care clinic pro vaibdi ribn. cgo mf/rt ees et vaccinations for
low-income populations.
C. The nurse performs an in-service on basic hospital equipment for student nurses.
D. The nurse compiles nursing articles on evidence-bas eadb i r bp. croamc/ tteisct es in nursing to
present at a hospital training seminar.
Answer: B
Rationale: Healthy People 2020 is a comprehensive health promotion and disease
prevention agenda that is working toward improving the quantity and quality of life
for all Americans. Overarching goals are to eliminate preventable disease, disability,
injury, and premature death; achieve health equity, e l i ma bi ni r ba. ctoem / dt e isst parities, and
improve the health of all groups; create physical and social environments that
promote good health; and promote healthy development and behaviors across
every stage of life. Volunteering at a local health care c l ianb i ir cb . cdo mi r/ et e cs t t l y reflects the goal
of improving the health of all groups of people. Signing up for classes, performing
in-services on equipment, and compiling nursing articles on evidence-based
practices in nursing are all worthwhile activities that foster health care delivery, but
are not as directly linked to the agenda of promoting h e aabli tr bh. c oi nm / t te hs t e community.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
11. When assessing a family for barriers to health care, the nurse
documents the psychosocial barriers. What is an example of this type of
health care deficit?
A. Academic difficulties
B. Respiratory illness
C. Poor sanitation
D. Inherited diseases
Answer: A
, Rationale: Environmental and psychosocial factors are now an identified area of
concern in children. They include academic differences, complex psychiatric
disorders, self-harm and harm to others, use of firearmsa ,b i rhb .oc osmt /itlei stty at school,
substance use disorder, HIV/AIDS, and adverse effects of the media. Respiratory
illness and inherited diseases are health problems, and poor sanitation is an
environmental factor.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 13
12. When integrating the principles of family-centered c aa bri reb ,. c otmh/ et e s nt urse
would include which concept?
A. Parents want nurses to make decisions about their child's treatment.
B. Families are unable to make informed choices.
C. People have taken increased responsibility for their own health.
D. Families require little information to make appropriate decisions.
Answer: C
Rationale: Due to the influence of managed care, the focus on prevention, better
education, and technological advances, people have taken increased responsibility
for their own health. Parents now want information a b o ua tb i r tb h. c eo mi r/ t ecs ht ild's illness, to
participate in making decisions about treatment, and to accompany their children to
all health care situations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 15
13. The nurse is caring for a 2-week-old girl with a
metaabb i o
r b l. cic
o md/ t eiss torder. Which activity would deviate from the
characteristics of family-centered care?
A. Softening unpleasant information or prognoses
B. Evaluating and changing the nursing plan of care
C. Collaborating with the child and family as equals
D. Showing respect for the family's beliefs and wishes
Answer: A
Rationale: Family-centered care requires that the nurse provide open and honest
information to the child and family. It is inappropriate to soften unpleasant
information or prognoses. Evaluating and changing the na bui r rb s. cionmg/ t e ps t la n of care to fit
