Maternity and Pediatric Nursing 4th Edition.pdf

Maternity and Pediatric Nursing 4th Edition Test Bank 2023 3RD TERM EXAM 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 forcare. Answer: C Rationale: Family -centered care is based on the followin agb irpb .rcionmc/ tieps tles: 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. Diabete sD. Cancer Answer: B Rationale: The group needs to address cardiovascular d ise as 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 a nd cancer can occur in any woman regardless of her smoking his to arbyi r b.. cCo ma/ntecs 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. Questio n 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 orientat ion program for a group of newly hired nurses. As part of the program, the nurse is reviewing the is sue aob irfb .icno fmo/ trems 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 ier br. caotmiv/ 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 emerge anb icrby.c opmr/otecs tedure 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 agb i rebt. ctoimn/gt e svterbal consent ov er 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 Caabrierb Cognitive Level: Analyze Client Needs: Safe, Effective Care Enviro nment: 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 this woman? action wouabldirb.bcoem/ttehset priori ty responsibility of the nurse providing care to 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 parboirbc.ceodmu/terset 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 calbiier bn. c to mu/ tne 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 treat ment, its potential risks and benefits, and alternative me thodsaab ivr ba. ciolma/bt elset. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: M anagement of Care Integrated Process: Nursing Process Reference: p. 45 5. A 9-month -old with glaucoma requires surgery. The in a bfiar bn. c to'ms/ t epsat 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 opma/ 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: Manageambirbe.cnotm/otefstCare Integrated Process: Nursing Process Reference: p. 47 6. Which statement made by a nursing student would bea bsi rtb . cionmd/ tiecsatte 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 rela tio a bni r bs.hc oimp/st e swtill 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 aobfi r bh. ceo ma/lt tehs 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 rea 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 du abriirbn.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 Chapt er 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 in atbei r br.vc oemn/ tteisot 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 chi ldhood 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 th aeb i ribn. cfoamn/ tte ss t who survive are often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal