Test bank maternity and pediatric
nursing 3rd edition chapter 1-51 by
susan ricci newest 2024 withcomplete
solutions
,Chapter - Family-Centered Community-Based Care
1. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the
following activities 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
2. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which of the following activities would be considered the tertiary level of prevention?
A) Arranging for a physical therapy session
B) Teaching parents to administer albuterol
C) Reminding parent to give a full course of antibiotics
D) Giving a DTaP vaccination at the proper interval
3. A nursing student is reviewing information about documenting client care and education in the
medical record and the purposes that it serves. The student demonstrates a need for additional
study when the nurse identifies which of the following as a reason?
A) Serves as a communication tool for the interdisciplinary team.
B) Demonstrates education the family has received if legal matters arise.
C) Permits others access to allow refusal of medical insurance coverage.
D) Verifies meeting client education standards set by the Joint Commission.
4. A pregnant client tells her nurse that she is interested in arranging a home birth. After
educating the client on the advantages and disadvantages, which statement would indicate that
the client understood the information?
A) “I like having the privacy, but it might be too expensive for me to set up in my home.”
B) “I want to have more control, but I am concerned if an emergency would arise.”
C) “It is safer because I will have a midwife.”
D) “The midwife is trained to resolve any emergency, and she can bring any pain meds.”
5. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment
reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She
states, “I’m pretty tired. And with this pain, I haven’t been drinking and eating like I should. The
medication helps a bit but not much. My mom has been helping with the baby.” Her incision is
clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this
client?
A) Impaired skin integrity related to cesarean birth incision
,B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
6. When caring for childbearing families from cultures different from one’s own, which of the
following must be accomplished first?
A) Adapt to the practices of the family’s culture
, B) Determine similarities between both cultures
C) Assess personal feelings about that culture
D) Learn as much as possible about that culture
7. After teaching a group of students about the changes in health care delivery and funding,
which of the following, if identified by the group as a current trend seen in the maternal and
child health care settings, would indicate that the teaching was successful?
A) Increase in community settings for care
B) Decrease in family poverty level
C) Increase in hospitalization of children
D) Decrease in managed care
8. The nurse would recommend the use of which supplement as a primary prevention strategy to
prevent neural tube defects with pregnant women?
A) Calcium
B) Folic acid
C) Vitamin C
D) Iron
9. Which action would the nurse include in a primary prevention program in the community to
help reduce the incidence of HIV infection?
A) Provide treatment for clients who test positive for HIV
B) Monitor viral load counts periodically
C) Educate clients in how to practice safe sex
D) Offer testing for clients who practice unsafe sex
10. When assuming the role of discharge planner for a woman requiring ventilator support at
home, the nurse would do which of the following?
A) Confer with the client’s mother
B) Teach new self-care skills to the client
C) Determine if there is a need for back-up power
D) Discuss coverage with the insurance company
11. When comparing community-based nursing with nursing in the acute care setting to a group
of nursing students, the nurse describes the challenges associated with community-based nursing.
Which of the following would the nurse include?
A) Increased time available for education
B) Improved access to resources
C) Decision making in isolation
D) Greater environmental structure
12. After teaching a group of students about the different levels of prevention, the instructor
determines a need for additional teaching when the students identify which of the following as a
secondary prevention level activity in community-based health care?
A) Teaching women to take folic acid supplements to prevent neural tube defects
B) Working with women who are victims of domestic violence
C) Working with clients at an HIV clinic to provide nutritional and CAM therapies
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