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Test Bank for Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman
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Test Bank for Maternity andPediatric 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.
abirb.com/test
Answer: C
Rationale: Family-centered care is based on the followinagbirp
b.r
cion
mc
/teip
stles: 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 abirb.com/test
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance abirb.com/test
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
abirb.com/test
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?
abirb.com/test
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer abirb.com/test
Answer: B
Rationale: The group needs to address cardiovascular diasbe ase, the number one cause
irb.com/test
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 histoarby
irb..cCom a/n
tec
ster 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 abirb.com/test
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
abirb.com/test
Integrated Process: Nursing Process
abirb.com/test
, abirb.com/test
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 issueaboirfb.icnomfo/tresm
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 oap erative permit
birb.com/ test
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergeanbicrby.copmr/o
tec
stedure from the
spouse of a unconscious woman
Answer: A
abirb.com/test
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, andabgireb.tctoimn/g
tesv
t 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 Caabrie
rb.com/test
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
abirb.com/test
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 wou abld
irb.b
coe
m/t teh
se
t 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 parbirb
oc.ceod ure
m/test
D. Offering suggestions for alternative options for treatment
Answer: A abirb.com/test
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 calbiie rbn.ctomu/tn
esd
t 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 methodsaa vailable.
bir b.com/test
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
abirb.com/test
Intergrated Process: Nursing Process
Reference: p. 45
,5. A 9-month-old with glaucoma requires surgery. The in
abfirabn tm
.co's/tepstarents 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
abirb.com/test
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents
Answer: D abirb.com/test
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 b
aboirtbh
.copma/terse
t 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. abirb.com/test
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageam birbe.cnotm/otefstCare
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would be st indicate that her
abirb.com/test
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 caarbeirbd
.cec/itsesio
om t 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."
abirb.com/test
Answer: A
Rationale: Childbirth affects the entire family, and relatiaobnirbs.h
coim
p/stesw
t 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 abirb.com/test
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
abirb.com/test
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focus aobifrbh
.ce
oma/ltetsht during the 21st
century ?
abirb.com/test
, abirb.com/test
A. Disease prevention
B. Health promotion
C. Wellness
D. Analysis of morbidity and mortality abirb.com/test
Answer: D
Rationale: The focus on health has shifted to disease prevention, health promotion,
abirb.com/te st
and wellness. In the last century, much of the focus was on analyzing morbidity
and mortality rates.
Question format: Multiple Choice abirb.com/test
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process abirb.com/test
Reference: , p. Health Status of Women and Children
8. A nurse is planning a continuum of care for a client du
abriribn.cgomp/tree
stgnancy, 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 suppoarbtirp b.ecorms/o
tenst
D. Assigning several nurses as a support team
Answer: C
abirb.com/test
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 abirb.com/test
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning abirb.com/test
Reference: p. 5-7
9. The nurse is administering a number of therapeutic inatbe
irbr.v
coe
mn/tt
eiso
t 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 abirb.com/test
C. Using mechanical ventilation for premature infants
D. Using corticosteroids as a treatment for asthma
abirb.com/test
Answer: C
Rationale: Using mechanical ventilation and medications to foster lung development
in premature infants increases their survival rate. Yet thaebiribn.cfoamn/tetsst who survive are
often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal
abirb.com/test
, abirb.com /test
infections, vaccinating children to prevent childhood diseases, an 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 abirb.com/test
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
abirb.com/test
Integrated Process: Nursing Process
Reference: p. 5-7
10. The nurse is reviewing a copy of the U.S. Surgeon Gaebin rbe.cr
oaml/'t s
estReport, 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 provaibdiribn.cgomf/rteeste 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-basead birbp.croamc/tteisct es in nursing to
present at a hospital training seminar.
Answer: B
abirb.com/test
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, elim inate disparities, and improve
abirb.com/t es t
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 clain
biirbc.cdir/teescttly reflects the goal of improving the
om
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 heaablirbth.coimn/teth st
e community.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand abirb.com/test
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
abirb.com/test
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
abirb.com/test
B. Respiratory illness
C. Poor sanitation
D. Inherited diseases
abirb.com/test
Answer: A
abirb.com/test
, abirb.com/test
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,birh
b.o
cosmt/itleistty 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 abirb.com/test
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Psychosocial Integrity abirb.com/test
Integrated Process: Nursing Process
Reference: p. 13
12. When integrating the principles of family-centered caabrireb.,cotmh/teesn
t 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. abirb.com/test
C. People have taken increased responsibility for their own health.
D. Families require little information to make appropriate decisions.
Answer: C abirb.com/test
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 abouabtirtbh eir child's illness, to
.co m/test
participate in making decisions about treatment, and to accompany their children to
all health care situations.
Question format: Multiple Choice abirb.com/test
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process abirb.com/test
Reference: p. 15
13. The nurse is caring for a 2-week-old girl with a metaab
biro
bl.cic
omd
/teis
storder. 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 abirb.com/test
D. Showing respect for the family's beliefs and wishes
Answer: A
abirb.com/test
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 n abu
irr
bs
.cion
mg/tep
st lan of care to fit
abirb.com/test
, abirb.com/test
the needs of the child and family, collaborating with them as equ als, and showing
respect for their beliefs and wishes are guidelines for family-centered care.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrie
rb.com/test
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
abirb.com/test
Reference: p. 39
14. The nurse is caring for a 14-year-old girl with multiple health problems. Which
activity would best reflect evidence-based practice by thabeirbn
.cu
or
ms/tees?
t
A. Following blood pressure monitoring recommendations
B. Determining how often the vital signs are monitored
C. Using hospital protocol for ordering diagnostic tests
D. Deciding the prescribed medication dose abirb.com/test
Answer: A
abirb.com/test
Rationale: Using hospital protocol for ordering a diagnostic test, determining how
often the vital signs are monitored, and deciding the medication dose ordered
would be the health care provider's responsibility. However, following blood
pressure monitoring recommendations would be part of aebivrbi.d
coemn
/tc
eset -based practice
reflected in the nursing care delivered.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
abirb.com/test
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 13 abirb.com/test
15. The nurse is functioning in the primary role to care for a 12-year-old boy with
metastatic cancer in the liver. Which activity is typical of advocacy?
A. Instructing parents about proper home care abirb.com/test
B. Educating the family about choices they have
C. Telling parents about clinical guidelines
D. Teaching the family about types of cancers abirb.com/test
Answer: B
Rationale: Educating the family about choices they haveabrirebg .coamr/dteisn
t g therapies for the
cancer in the child's liver is an example of advocacy, in which the nurse advances
the interests of the child and family by informing them of options and assisting
them to make informed decisions. Telling parents about proper home care, clinical
guidelines, and the types of cancers are all done in the primary role of educator.
abirb.com/ test
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Understand abirb.com/test
Client Needs: Safe, Effective Care Environment: Management of Care
abirb.com/test
, abirb.com/test
Integrated Process: Caring
Reference: p. 14
16. The nurse is caring for a 14-year-old boy with a grow
abtirh
b.cho/rtem
om st one deficiency.
Which action best reflects using the nursing process to provide quality care to
children and their families?
A. Reviewing the effectiveness of interventions
abirb.com/test
B. Questioning the facility standards for care
C. Earning continuing education credits
D. Ensuring reasonable costs for care provided
abirb.com/test
Answer: A
Rationale: The nursing process is used to care for the child and family during health
promotion, maintenance, restoration, and rehabilitation.abIirtb.icsoma/tepstroblem-solving
method based on the scientific method that allows nursing care to be planned and
implemented in a thorough, organized manner to ensure quality and consistency of
care. The nursing process is applicable to all health careabsireb.tctoimn/g
tesst and consists of
five steps: assessment, nursing diagnosis, outcome identification and planning,
implementation, and outcome evaluation. Reviewing the effectiveness of
interventions is related to outcome evaluation in the nursing process. Even though
the three remaining answer options are valuable in ensuarbiirnb.gcom q/uteastlity of care in health
care facilities, they do not involve the direct care of the child and family using the
nursing process.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrie rb.com/test
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process abirb.com/test
Reference: p. 4
17. A preschool child is scheduled to undergo a diagnostic test. Which action by the
nurse would violate a child's bill of health care rights? abirb.com/test
A. Arranging for her mother to be with her
B. Telling the child the test will not hurt
C. Assuring the child that the test will be done quickly abirb.com/test
D. Introducing the child to the lab technicians
Answer: B
abirb.com/test
Rationale: Telling the child the test will not hurt lacks veracity. It is not a lie, but it
does not honor the child's right to be educated honestly about his or her health
care. Arranging for the mother to be with the child, assuring the child that the test
will be done quickly, and introducing the child to the lababtierbc.chomn/itcesia
t
ns are actions that
honor the child's bill of health care rights.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrie rb.com/test
Cognitive Level: Understand
abirb.com/test
, abirb.com/test
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 49
abirb.com/test
18. The pediatric nurse knows that the children being treated are considered
minors. Which statement accurately describes the regulations related to consent for
medical treatment?
A. Children older than age 16 can provide their own conasbeirb.c ntomfo/tre,st or refusal of,
medical procedures.
B. A guardian
ad litem may be appointed by the parents to serve to praobitrbe.ccotmt/th
ese
t child's best
interests.
C. Parents ultimately are the decision makers regarding medical treatment for their
children younger than the age of 18.
D. When divorce occurs, the parent with whom the childabiisrb.lciovmin /tegst on a daily basis
will be granted custody of the child.
Answer: C abirb.com/test
Rationale: Parents ultimately are the decision makers for their children. Generally,
only persons over the age of majority (18 years of age) can legally provide consent
for health care. Minors (children younger than 18 years aobfirba.cg ome/)tesgt enerally require
adult guardians to act on their behalf. Biological or adoptive parents are usually
considered to be the child's legal guardian. When divorce occurs, one or both
parents may be granted custody of the child. In certain cases (such as child
violence or neglect, or during foster care), a guardian adabilribt.emmay be appointed by
com/test
the courts. This person generally serves to protect the child's best interests.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrie
rb.com/test
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45-46 abirb.com/test
19. The nurse is caring for a 12-year-old child hospitalized for internal injuries
following a motor vehicle accident. For which medical treabairtbm
.coe
mn/tetstwould the nurse
ensure that an informed consent is completed beyond the one signed at admission?
A. Diagnostic imaging
B. Cardiac monitoring
C. Blood testing abirb.com/test
D. Spinal tap
Answer: D
abirb.com/test
Rationale: Most care given in a health care setting is covered by the initial consent
for treatment signed when the child becomes a client at that office or clinic or by
the consent to treatment signed upon admission to the habo
irs
b.p
coim
ta/tel sot r other inpatient
facility. Certain procedures, however, require a specific process of informed
abirb.com/test
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