TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
TEST BANK FOR MATERNAL-CHILD PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 2
Teaching-Learning MSC: Client Needs: Psychosocial Integrity
OBJ: Integrated Process:
NURSING 5TH EDITION BY MCKINNEY 3. Which setting for childbirth allows the least amount of parent-infant contact?
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing a. Labor/delivery/recovery/postpartum room
MULTIPLE CHOICE b. Birth center
c. Traditional hospital birth
1. Which factor significantly contributed to the shift from home births to hospital births in the d. Home birth
early 20th century?
.
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
ANS: C
c. The importance of early parental-infant contact was identified.
In the traditional hospital setting, the mother may see the infant for only short feeding periods, and the
d. Technologic developments became available to physicians. infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room setting allows
increased parent-infant contact. Birth centers are set up to allow an increase in parent-infant contact.
ANS: D Home births allow an increase in parent-infant contact.
Technologic developments were available to physicians, not lay midwives. So in-hospital births increased PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 2 OBJ: Nursing Process: Planning
in order to take advantage of these advancements. Puerperal sepsis has been a known problem for
generations. In the late 19th century, Semmelweis discovered how it could be prevented with improved MSC: Client Needs: Health Promotion and Maintenance
hygienic practices. The development of forceps is an example of a technology advance made in the early
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
20th century but is not the only reason birthplaces moved. Unlike home births, early hospital births
setting is
hindered bonding between parents and their infants.
a. increased hospitalization of children.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 1 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Safe and Effective Care Environment b. decreased number of children living in poverty.
2. Family-centered maternity care developed in response to c. an increase in ambulatory care.
a. demands by physicians for family involvement in childbirth. d. decreased use of managed care.
b. the Sheppard-Towner Act of 1921. ANS: C
c. parental requests that infants be allowed to remain with them rather than in a nursery. One effect of managed care has been that pediatric health care delivery has shifted dramatically from
the acute care setting to the ambulatory setting in order to provide more cost-efficient care. The
d. changes in pharmacologic management of labor.
number of hospital beds being used has decreased as more care is given in outpatient settings and in
ANS: C the home. The number of children living in poverty has increased over the past decade. One of the
biggest changes in health care has been the growth of managed care.
As research began to identify the benefits of early extended parent-infant contact, parents began to
insist that the infant remain with them. This gradually developed into the practice of rooming-in and PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 5 OBJ: Nursing Process: Planning
finally to family-centered maternity care. Family-centered care was a request by parents, not physicians.
MSC: Client Needs: Safe and Effective Care Environment
The Sheppard-Towner Act of 1921 provided funds for state-managed programs for mothers and
children. The changes in pharmacologic management of labor were not a factor in family-centered 5. The Women, Infants, and Children (WIC) program provides
maternity care.
,TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
a. well-child examinations for infants and children living at the poverty level. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 17 OBJ: Nursing Process: Planning
b. immunizations for high-risk infants and children. MSC: Client Needs: Safe and Effective Care Environment
c. screening for infants with developmental disorders. 7. The maternity nurse should have a clear understanding of the correct use of a clinical pathway.
One characteristic of clinical pathways is that they
d. supplemental food supplies to low-income pregnant or breastfeeding women.
a. are developed and implemented by nurses.
ANS: D
b. are used primarily in the pediatric setting.
WIC is a federal program that provides supplemental food supplies to low-income women who are
pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and Periodic c. set specific time lines for sequencing interventions.
Screening, Diagnosis, and Treatment Program provides for well-child examinations and for treatment of
any medical problems diagnosed during such checkups. Children in the WIC program are often referred d. are part of the nursing process.
for immunizations, but that is not the primary focus of the program. Public Law 99-457 is part of the
ANS: C
Individuals with Disabilities Education Act that provides financial incentives to states to establish
comprehensive early intervention services for infants and toddlers with, or at risk for, developmental Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a particular
disabilities. health problem. They are used to identify patient outcomes, specify time lines to achieve those
outcomes, direct appropriate interventions and sequencing of interventions, include interventions from
a variety of disciplines, promote collaboration, and involve a comprehensive approach to care. They are
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Integrated Process: Teaching-Learning developed by multiple health care professionals and reflect interdisciplinary care. They can be used in
multiple settings and for patients throughout the life span. They are not part of the nursing process but
MSC: Client Needs: Health Promotion and Maintenance can be used in conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 7 OBJ: Nursing Process: Planning
REF: p. 8 MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
6. In most states, adolescents who are not emancipated minors must have the permission of their b. migrant workers.
parents before
c. single women and their children.
.
d. intravenous (IV) substance abusers.
ANS: C
a. treatment for drug abuse.
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
b. treatment for sexually transmitted diseases (STDs). homeless. People preparing for retirement, migrant workers, and IV substance abusers are not among
the fastest growing groups of homeless people.
c. accessing birth control.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 14 OBJ: Nursing Process:
d. surgery. Assessment
ANS: D MSC: Client Needs: Physiologic Integrity
Minors are not considered capable of giving informed consent, so a surgical procedure would require
consent of the parent or guardian. Exceptions exist for obtaining treatment for drug abuse or STDs or for
getting birth control in most states.
,TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
. b. Reports are a permanent part of the patient’s chart.
c. The nurse’s notes should contain, “Incident report filed, and copy placed in chart.”
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity would this d. This report is a form of documentation of an event that may result in legal action.
nurse most likely participate in?
ANS: D
a. Creating pamphlets in several different languages using an interpreter.
An incident report is used when something occurs that might result in legal action, such as a patient fall
b. Assisting women to enroll in Medicaid by their third trimester. or medication error. It warns the legal department that there may be a problem in a particular patient’s
care. Incident reports are not part of the patient’s chart; thus the nurses’ notes should not contain any
c. Volunteering to provide prenatal care at community centers. reference to them.
d. Working as an intake counselor at a women’s shelter. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
ANS: C REF: p. 18 OBJ: Integrated Process: Communication and Documentation
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most likely .
participate in community service providing prenatal care outreach activities in community centers,
particularly in low-income areas. Pamphlets in other languages, enrolling in Medicaid, and working at a
women’s shelter all might impact infant mortality, but the greatest effect would be from assisting
women to get consistent prenatal care. MSC: Client Needs: Safe and Effective Care Environment
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
12. Elective abortion is considered an ethical issue because
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If she
a. abortion law is unclear about a woman’s constitutional rights.
continues to refuse, what is the first action the nurse should take?
b. the Supreme Court ruled that life begins at conception.
a. Consult the family of the woman.
c. a conflict exists between the rights of the woman and the rights of the fetus.
b. Notify the provider of the situation.
d. it requires third-party consent.
c. Document the woman’s refusal in the nurse’s notes.
ANS: C
d. Make a referral to the hospital ethics committee.
Elective abortion is an ethical dilemma because two opposing courses of action are available. The belief
ANS: B
that induced abortion is a private choice is in conflict with the belief that elective pregnancy termination
Patients must be allowed to make choices voluntarily without undue influence or coercion from others. is taking a life. Abortion laws are clear concerning a woman’s constitutional rights. The Supreme Court
The physician, especially if unaware of the patient’s decision, should be notified immediately. Both has not ruled on when life begins. Abortion does not require third-party consent.
professionals can work to ensure the mother understands the rationale for the action and the possible
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 11 OBJ: Integrated Process:
consequences of refusal. The woman herself is the decision maker, unless incapacitated. Documentation
Teaching-Learning MSC: Client Needs: Safe and Effective Care Environment
should occur but is not the first action. This situation does not rise to the level of an ethical issue so
there is no reason to call the ethics committee. 13. Which woman would be most likely to seek prenatal care?
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 18 OBJ: Nursing Process: Implementation a. A 15-year-old who tells her friends, “I don’t believe I’m pregnant.”
MSC: Client Needs: Safe and Effective Care Environment
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
11. Which statement is true regarding the “quality assurance” or “incident” report?
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
a. The report assures the legal department that no problem exists.
, TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home. 15. Which patient situation fails to meet the first requirement of informed consent?
ANS: B a. The patient does not understand the physician’s explanations.
The patient who acknowledges the pregnancy early, has access to health care, and has no reason to b. The physician gives the patient only a partial list of possible side effects and complications.
avoid health care is most likely to seek prenatal care. Being in denial about the pregnancy increases the
risk of not seeking care. This patient is also 15, and other social factors may discourage her from seeking c. The patient is confused and disoriented.
care as well. Women who abuse substances are less likely to receive prenatal care. Some women see
d. The patient signs a consent form because her husband tells her to.
pregnancy and delivery as a natural occurrence and do not seek health care.
ANS: C
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 14 OBJ: Nursing Process:
Assessment The first requirement of informed consent is that the patient must be competent to make decisions
about health care. Full disclosure of information is an important element of the consent, but first the
MSC: Client Needs: Health Promotion and Maintenance
patient has to be competent to sign. Understanding is an important element of the consent, but first the
14. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The nurse patient has to be competent to sign. Voluntary consent is an important element of the consent, but first
administers an analgesic but does not perform any assessments. The woman then has a tonic-clonic the patient has to be competent to sign.
seizure, falls out of bed, and fractures her femur. How would the actions of the nurse be interpreted in
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 17 OBJ: Nursing Process:
relation to standards of care?
Assessment
a. Negligent: the nurse failed to assess the woman for possible complications
MSC: Client Needs: Safe and Effective Care Environment
b. Negligent: because the nurse medicated the woman
16. Which situation reflects a potential ethical dilemma for the nurse?
c. Not negligent: the woman had signed a waiver concerning the use of side rails
a. A nurse administers analgesics to a patient with cancer as often as the provider’s order allows.
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as they occurred
b. A neonatal nurse provides nourishment and care to a newborn who has a defect that is
ANS: A incompatible with life.
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective abortion.
d. A postpartum nurse provides information about adoption to a new mother who feels she cannot
adequately care for her infant.
ANS: C
A dilemma exists in this situation because the nurse is being asked to assist with a procedure that she or
. he believes is morally wrong. The other situations do not contain elements of conflict for the nurse.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 11 OBJ: Nursing Process:
Assessment
There are four elements to malpractice, which is negligence in the performance of professional duties:
duty, breach of duty, damage, and proximate cause. The nurse was negligent because she or he did not MSC: Client Needs: Safe and Effective Care Environment
perform any assessments, which is the first step of the nursing process and is a standard of care. By not
assessing the patient, the nurse did not meet established standards of care, and thus is guilty of 17. When planning a parenting class, the nurse should explain that the leading cause of death in
professional negligence, or malpractice. children 1 to 4 years of age in the United States is
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 16 OBJ: Nursing Process: a. premature birth.
Evaluation
b. congenital anomalies.
MSC: Client Needs: Safe and Effective Care Environment
.
TEST BANK FOR MATERNAL-CHILD PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 2
Teaching-Learning MSC: Client Needs: Psychosocial Integrity
OBJ: Integrated Process:
NURSING 5TH EDITION BY MCKINNEY 3. Which setting for childbirth allows the least amount of parent-infant contact?
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing a. Labor/delivery/recovery/postpartum room
MULTIPLE CHOICE b. Birth center
c. Traditional hospital birth
1. Which factor significantly contributed to the shift from home births to hospital births in the d. Home birth
early 20th century?
.
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
ANS: C
c. The importance of early parental-infant contact was identified.
In the traditional hospital setting, the mother may see the infant for only short feeding periods, and the
d. Technologic developments became available to physicians. infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room setting allows
increased parent-infant contact. Birth centers are set up to allow an increase in parent-infant contact.
ANS: D Home births allow an increase in parent-infant contact.
Technologic developments were available to physicians, not lay midwives. So in-hospital births increased PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 2 OBJ: Nursing Process: Planning
in order to take advantage of these advancements. Puerperal sepsis has been a known problem for
generations. In the late 19th century, Semmelweis discovered how it could be prevented with improved MSC: Client Needs: Health Promotion and Maintenance
hygienic practices. The development of forceps is an example of a technology advance made in the early
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
20th century but is not the only reason birthplaces moved. Unlike home births, early hospital births
setting is
hindered bonding between parents and their infants.
a. increased hospitalization of children.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 1 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Safe and Effective Care Environment b. decreased number of children living in poverty.
2. Family-centered maternity care developed in response to c. an increase in ambulatory care.
a. demands by physicians for family involvement in childbirth. d. decreased use of managed care.
b. the Sheppard-Towner Act of 1921. ANS: C
c. parental requests that infants be allowed to remain with them rather than in a nursery. One effect of managed care has been that pediatric health care delivery has shifted dramatically from
the acute care setting to the ambulatory setting in order to provide more cost-efficient care. The
d. changes in pharmacologic management of labor.
number of hospital beds being used has decreased as more care is given in outpatient settings and in
ANS: C the home. The number of children living in poverty has increased over the past decade. One of the
biggest changes in health care has been the growth of managed care.
As research began to identify the benefits of early extended parent-infant contact, parents began to
insist that the infant remain with them. This gradually developed into the practice of rooming-in and PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 5 OBJ: Nursing Process: Planning
finally to family-centered maternity care. Family-centered care was a request by parents, not physicians.
MSC: Client Needs: Safe and Effective Care Environment
The Sheppard-Towner Act of 1921 provided funds for state-managed programs for mothers and
children. The changes in pharmacologic management of labor were not a factor in family-centered 5. The Women, Infants, and Children (WIC) program provides
maternity care.
,TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
a. well-child examinations for infants and children living at the poverty level. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 17 OBJ: Nursing Process: Planning
b. immunizations for high-risk infants and children. MSC: Client Needs: Safe and Effective Care Environment
c. screening for infants with developmental disorders. 7. The maternity nurse should have a clear understanding of the correct use of a clinical pathway.
One characteristic of clinical pathways is that they
d. supplemental food supplies to low-income pregnant or breastfeeding women.
a. are developed and implemented by nurses.
ANS: D
b. are used primarily in the pediatric setting.
WIC is a federal program that provides supplemental food supplies to low-income women who are
pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and Periodic c. set specific time lines for sequencing interventions.
Screening, Diagnosis, and Treatment Program provides for well-child examinations and for treatment of
any medical problems diagnosed during such checkups. Children in the WIC program are often referred d. are part of the nursing process.
for immunizations, but that is not the primary focus of the program. Public Law 99-457 is part of the
ANS: C
Individuals with Disabilities Education Act that provides financial incentives to states to establish
comprehensive early intervention services for infants and toddlers with, or at risk for, developmental Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a particular
disabilities. health problem. They are used to identify patient outcomes, specify time lines to achieve those
outcomes, direct appropriate interventions and sequencing of interventions, include interventions from
a variety of disciplines, promote collaboration, and involve a comprehensive approach to care. They are
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Integrated Process: Teaching-Learning developed by multiple health care professionals and reflect interdisciplinary care. They can be used in
multiple settings and for patients throughout the life span. They are not part of the nursing process but
MSC: Client Needs: Health Promotion and Maintenance can be used in conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 7 OBJ: Nursing Process: Planning
REF: p. 8 MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
6. In most states, adolescents who are not emancipated minors must have the permission of their b. migrant workers.
parents before
c. single women and their children.
.
d. intravenous (IV) substance abusers.
ANS: C
a. treatment for drug abuse.
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
b. treatment for sexually transmitted diseases (STDs). homeless. People preparing for retirement, migrant workers, and IV substance abusers are not among
the fastest growing groups of homeless people.
c. accessing birth control.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 14 OBJ: Nursing Process:
d. surgery. Assessment
ANS: D MSC: Client Needs: Physiologic Integrity
Minors are not considered capable of giving informed consent, so a surgical procedure would require
consent of the parent or guardian. Exceptions exist for obtaining treatment for drug abuse or STDs or for
getting birth control in most states.
,TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
. b. Reports are a permanent part of the patient’s chart.
c. The nurse’s notes should contain, “Incident report filed, and copy placed in chart.”
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity would this d. This report is a form of documentation of an event that may result in legal action.
nurse most likely participate in?
ANS: D
a. Creating pamphlets in several different languages using an interpreter.
An incident report is used when something occurs that might result in legal action, such as a patient fall
b. Assisting women to enroll in Medicaid by their third trimester. or medication error. It warns the legal department that there may be a problem in a particular patient’s
care. Incident reports are not part of the patient’s chart; thus the nurses’ notes should not contain any
c. Volunteering to provide prenatal care at community centers. reference to them.
d. Working as an intake counselor at a women’s shelter. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
ANS: C REF: p. 18 OBJ: Integrated Process: Communication and Documentation
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most likely .
participate in community service providing prenatal care outreach activities in community centers,
particularly in low-income areas. Pamphlets in other languages, enrolling in Medicaid, and working at a
women’s shelter all might impact infant mortality, but the greatest effect would be from assisting
women to get consistent prenatal care. MSC: Client Needs: Safe and Effective Care Environment
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
12. Elective abortion is considered an ethical issue because
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If she
a. abortion law is unclear about a woman’s constitutional rights.
continues to refuse, what is the first action the nurse should take?
b. the Supreme Court ruled that life begins at conception.
a. Consult the family of the woman.
c. a conflict exists between the rights of the woman and the rights of the fetus.
b. Notify the provider of the situation.
d. it requires third-party consent.
c. Document the woman’s refusal in the nurse’s notes.
ANS: C
d. Make a referral to the hospital ethics committee.
Elective abortion is an ethical dilemma because two opposing courses of action are available. The belief
ANS: B
that induced abortion is a private choice is in conflict with the belief that elective pregnancy termination
Patients must be allowed to make choices voluntarily without undue influence or coercion from others. is taking a life. Abortion laws are clear concerning a woman’s constitutional rights. The Supreme Court
The physician, especially if unaware of the patient’s decision, should be notified immediately. Both has not ruled on when life begins. Abortion does not require third-party consent.
professionals can work to ensure the mother understands the rationale for the action and the possible
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 11 OBJ: Integrated Process:
consequences of refusal. The woman herself is the decision maker, unless incapacitated. Documentation
Teaching-Learning MSC: Client Needs: Safe and Effective Care Environment
should occur but is not the first action. This situation does not rise to the level of an ethical issue so
there is no reason to call the ethics committee. 13. Which woman would be most likely to seek prenatal care?
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 18 OBJ: Nursing Process: Implementation a. A 15-year-old who tells her friends, “I don’t believe I’m pregnant.”
MSC: Client Needs: Safe and Effective Care Environment
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
11. Which statement is true regarding the “quality assurance” or “incident” report?
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
a. The report assures the legal department that no problem exists.
, TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home. 15. Which patient situation fails to meet the first requirement of informed consent?
ANS: B a. The patient does not understand the physician’s explanations.
The patient who acknowledges the pregnancy early, has access to health care, and has no reason to b. The physician gives the patient only a partial list of possible side effects and complications.
avoid health care is most likely to seek prenatal care. Being in denial about the pregnancy increases the
risk of not seeking care. This patient is also 15, and other social factors may discourage her from seeking c. The patient is confused and disoriented.
care as well. Women who abuse substances are less likely to receive prenatal care. Some women see
d. The patient signs a consent form because her husband tells her to.
pregnancy and delivery as a natural occurrence and do not seek health care.
ANS: C
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 14 OBJ: Nursing Process:
Assessment The first requirement of informed consent is that the patient must be competent to make decisions
about health care. Full disclosure of information is an important element of the consent, but first the
MSC: Client Needs: Health Promotion and Maintenance
patient has to be competent to sign. Understanding is an important element of the consent, but first the
14. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The nurse patient has to be competent to sign. Voluntary consent is an important element of the consent, but first
administers an analgesic but does not perform any assessments. The woman then has a tonic-clonic the patient has to be competent to sign.
seizure, falls out of bed, and fractures her femur. How would the actions of the nurse be interpreted in
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 17 OBJ: Nursing Process:
relation to standards of care?
Assessment
a. Negligent: the nurse failed to assess the woman for possible complications
MSC: Client Needs: Safe and Effective Care Environment
b. Negligent: because the nurse medicated the woman
16. Which situation reflects a potential ethical dilemma for the nurse?
c. Not negligent: the woman had signed a waiver concerning the use of side rails
a. A nurse administers analgesics to a patient with cancer as often as the provider’s order allows.
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as they occurred
b. A neonatal nurse provides nourishment and care to a newborn who has a defect that is
ANS: A incompatible with life.
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective abortion.
d. A postpartum nurse provides information about adoption to a new mother who feels she cannot
adequately care for her infant.
ANS: C
A dilemma exists in this situation because the nurse is being asked to assist with a procedure that she or
. he believes is morally wrong. The other situations do not contain elements of conflict for the nurse.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 11 OBJ: Nursing Process:
Assessment
There are four elements to malpractice, which is negligence in the performance of professional duties:
duty, breach of duty, damage, and proximate cause. The nurse was negligent because she or he did not MSC: Client Needs: Safe and Effective Care Environment
perform any assessments, which is the first step of the nursing process and is a standard of care. By not
assessing the patient, the nurse did not meet established standards of care, and thus is guilty of 17. When planning a parenting class, the nurse should explain that the leading cause of death in
professional negligence, or malpractice. children 1 to 4 years of age in the United States is
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 16 OBJ: Nursing Process: a. premature birth.
Evaluation
b. congenital anomalies.
MSC: Client Needs: Safe and Effective Care Environment
.
