Maternity and Pediatric Nursing 4th Edition

Ricci Kyle Carman Test Bank

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 followinagb 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. 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 his toa

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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 sueaob 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 o

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C. Asking whether the client understands what she is signing following receiving

education

D. Getting verbal consent over the phone for an emergeanb 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, anda

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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 Caabrierb

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

responsibility of the nurse providing care to this woman?

priority

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 p

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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 calbi

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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 me thods

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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 ina 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 b

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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.

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 be

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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 tioa bni r b

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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 focusaobfi 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 re

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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 duab

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gnancy,

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

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 ina

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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 thaeb i ribn. cfoamn/ tte ss t who survive are

often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal