Maternal-Child Nursing 5th Edition Test Bank
Maternal-Child Nursing 5th Edition Test Bank is packed with exam-focused study material, tips, and strategies to help you excel.
Julian Cooper
Contributor
4.5
52
13 days ago
Preview (16 of 605)
Sign in to access the full document!
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased 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 hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in a
nursery.
d. changes in pharmacologic management of labor.
ANS: C
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 finally to family-centered maternity care. Family-centered care was a request
by parents, not physicians. 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 maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased 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 hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in a
nursery.
d. changes in pharmacologic management of labor.
ANS: C
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 finally to family-centered maternity care. Family-centered care was a request
by parents, not physicians. 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 maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased 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 hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in a
nursery.
d. changes in pharmacologic management of labor.
ANS: C
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 finally to family-centered maternity care. Family-centered care was a request
by parents, not physicians. 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 maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased 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 hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in a
nursery.
d. changes in pharmacologic management of labor.
ANS: C
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 finally to family-centered maternity care. Family-centered care was a request
by parents, not physicians. 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 maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the 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. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
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 number of hospital beds being used has decreased as more care is
given in outpatient settings and in 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.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
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 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 for immunizations, but that is not the primary
focus of the program. Public Law 99-457 is part of the 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 disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of their
parents before
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the 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. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
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 number of hospital beds being used has decreased as more care is
given in outpatient settings and in 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.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
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 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 for immunizations, but that is not the primary
focus of the program. Public Law 99-457 is part of the 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 disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of their
parents before
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
ANS: D
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.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
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
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
particular 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 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 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
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
c. single women and their children.
d. intravenous (IV) substance abusers.
ANS: C
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
homeless. People preparing for retirement, migrant workers, and IV substance abusers are not
among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
this nurse most likely participate in?
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
ANS: D
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.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
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
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
particular 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 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 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
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
c. single women and their children.
d. intravenous (IV) substance abusers.
ANS: C
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
homeless. People preparing for retirement, migrant workers, and IV substance abusers are not
among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
this nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter.
b. Assisting women to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
d. Working as an intake counselor at a women’s shelter.
ANS: C
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.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If she
continues to refuse, what is the first action the nurse should take?
a. Consult the family of the woman.
b. Notify the provider of the situation.
c. Document the woman’s refusal in the nurse’s notes.
d. Make a referral to the hospital ethics committee.
ANS: B
Patients must be allowed to make choices voluntarily without undue influence or coercion
from others. The physician, especially if unaware of the patient’s decision, should be notified
immediately. Both professionals can work to ensure the mother understands the rationale for
the action and the possible consequences of refusal. The woman herself is the decision maker,
unless incapacitated. Documentation 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.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 18 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. Which statement is true regarding the “quality assurance” or “incident” report?
a. The report assures the legal department that no problem exists.
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.”
d. This report is a form of documentation of an event that may result in legal action.
ANS: D
An incident report is used when something occurs that might result in legal action, such as a
patient fall 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 reference to them.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 18 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Safe and Effective Care Environment
12. Elective abortion is considered an ethical issue because
b. Assisting women to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
d. Working as an intake counselor at a women’s shelter.
ANS: C
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.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If she
continues to refuse, what is the first action the nurse should take?
a. Consult the family of the woman.
b. Notify the provider of the situation.
c. Document the woman’s refusal in the nurse’s notes.
d. Make a referral to the hospital ethics committee.
ANS: B
Patients must be allowed to make choices voluntarily without undue influence or coercion
from others. The physician, especially if unaware of the patient’s decision, should be notified
immediately. Both professionals can work to ensure the mother understands the rationale for
the action and the possible consequences of refusal. The woman herself is the decision maker,
unless incapacitated. Documentation 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.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 18 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. Which statement is true regarding the “quality assurance” or “incident” report?
a. The report assures the legal department that no problem exists.
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.”
d. This report is a form of documentation of an event that may result in legal action.
ANS: D
An incident report is used when something occurs that might result in legal action, such as a
patient fall 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 reference to them.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 18 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Safe and Effective Care Environment
12. Elective abortion is considered an ethical issue because
a. abortion law is unclear about a woman’s constitutional rights.
b. the Supreme Court ruled that life begins at conception.
c. a conflict exists between the rights of the woman and the rights of the fetus.
d. it requires third-party consent.
ANS: C
Elective abortion is an ethical dilemma because two opposing courses of action are available.
The belief that induced abortion is a private choice is in conflict with the belief that elective
pregnancy termination is taking a life. Abortion laws are clear concerning a woman’s
constitutional rights. The Supreme Court has not ruled on when life begins. Abortion does not
require third-party consent.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 11 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
13. Which woman would be most likely to seek prenatal care?
a. A 15-year-old who tells her friends, “I don’t believe I’m pregnant.”
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
ANS: B
The patient who acknowledges the pregnancy early, has access to health care, and has no
reason to 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 care as well. Women who abuse substances are less
likely to receive prenatal care. Some women see pregnancy and delivery as a natural
occurrence and do not seek health care.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
14. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
nurse administers an analgesic but does not perform any assessments. The woman then has a
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
nurse be interpreted in relation to standards of care?
a. Negligent: the nurse failed to assess the woman for possible complications
b. Negligent: because the nurse medicated the woman
c. Not negligent: the woman had signed a waiver concerning the use of side rails
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
they occurred
ANS: A
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 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 professional negligence, or malpractice.
PTS: 1 DIF:
b. the Supreme Court ruled that life begins at conception.
c. a conflict exists between the rights of the woman and the rights of the fetus.
d. it requires third-party consent.
ANS: C
Elective abortion is an ethical dilemma because two opposing courses of action are available.
The belief that induced abortion is a private choice is in conflict with the belief that elective
pregnancy termination is taking a life. Abortion laws are clear concerning a woman’s
constitutional rights. The Supreme Court has not ruled on when life begins. Abortion does not
require third-party consent.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 11 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
13. Which woman would be most likely to seek prenatal care?
a. A 15-year-old who tells her friends, “I don’t believe I’m pregnant.”
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
ANS: B
The patient who acknowledges the pregnancy early, has access to health care, and has no
reason to 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 care as well. Women who abuse substances are less
likely to receive prenatal care. Some women see pregnancy and delivery as a natural
occurrence and do not seek health care.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
14. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
nurse administers an analgesic but does not perform any assessments. The woman then has a
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
nurse be interpreted in relation to standards of care?
a. Negligent: the nurse failed to assess the woman for possible complications
b. Negligent: because the nurse medicated the woman
c. Not negligent: the woman had signed a waiver concerning the use of side rails
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
they occurred
ANS: A
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 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 professional negligence, or malpractice.
PTS: 1 DIF:
Loading page 6...
REF: p. 16 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
15. Which patient situation fails to meet the first requirement of informed consent?
a. The patient does not understand the physician’s explanations.
b. The physician gives the patient only a partial list of possible side effects and
complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.
ANS: C
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 patient has to be competent to sign. Understanding is an important
element of the consent, but first the patient has to be competent to sign. Voluntary consent is
an important element of the consent, but first the patient has to be competent to sign.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
16. Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as often as the provider’s
order allows.
b. A neonatal nurse provides nourishment and care to a newborn who has a defect
that is 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
MSC: Client Needs: Safe and Effective Care Environment
17. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
ANS: C
Although the rates have dropped, unintentional injury (accidents) are still the leading cause of
death for children aged 1 to 19. The other options contribute to morbidity and mortality in
children but are not the leading cause.
MSC: Client Needs: Safe and Effective Care Environment
15. Which patient situation fails to meet the first requirement of informed consent?
a. The patient does not understand the physician’s explanations.
b. The physician gives the patient only a partial list of possible side effects and
complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.
ANS: C
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 patient has to be competent to sign. Understanding is an important
element of the consent, but first the patient has to be competent to sign. Voluntary consent is
an important element of the consent, but first the patient has to be competent to sign.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
16. Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as often as the provider’s
order allows.
b. A neonatal nurse provides nourishment and care to a newborn who has a defect
that is 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
MSC: Client Needs: Safe and Effective Care Environment
17. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
ANS: C
Although the rates have dropped, unintentional injury (accidents) are still the leading cause of
death for children aged 1 to 19. The other options contribute to morbidity and mortality in
children but are not the leading cause.
Loading page 7...
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 10 | Table 1.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
18. A nurse is floated to a different unit. The nurse does not know how to perform a treatment that
has been prescribed for one of his or her assigned patients. What should the nurse’s first
action be?
a. Delay the treatment until another nurse can do it.
b. Make the child’s parents aware of the situation.
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
ANS: C
Nurses who work outside their usual areas of expertise must assess their own skills and avoid
performing tasks or taking on responsibilities in areas in which they are not competent. This
nurse should inform the supervisor of the situation. The nurse could endanger the child by
delaying the intervention until another nurse is available. Telling the child’s parents would
most likely increase their anxiety and will not resolve the difficulty. Transfer to another unit
delays needed treatment and would create unnecessary disruption for the child and family.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 19 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
19. The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she could
provide information regarding the recommended amount of television viewing time for her
daughter. The nurse responds that the appropriate amount of time a child should be watching
television is
a. 1 to 2 hours per day.
b. 2 to 3 hours per day.
c. 3 to 4 hours per day.
d. 4 hours or more.
ANS: A
The American Academy of Pediatrics (2013) encourages parents to monitor their children’s
media exposure and limit their children’s screen time (TV, computer, video games) to no
more than 1 to 2 hours per day. The other options all contain more screen time than is
recommended.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 15 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
20. Family-centered care (FCC) describes safe, quality care that recognizes and adapts to both the
physical and psychosocial needs of the family. Which nursing practice coincides with the
principles of FCC?
a. The newborn is returned to the nursery at night so that the mother can receive
adequate rest before discharge.
b. The father is encouraged to go home after the baby is delivered.
c. All patients are routinely placed on the fetal monitor.
d. The nurse’s assignment includes both mom and baby and increases the nurse’s
REF: p. 10 | Table 1.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
18. A nurse is floated to a different unit. The nurse does not know how to perform a treatment that
has been prescribed for one of his or her assigned patients. What should the nurse’s first
action be?
a. Delay the treatment until another nurse can do it.
b. Make the child’s parents aware of the situation.
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
ANS: C
Nurses who work outside their usual areas of expertise must assess their own skills and avoid
performing tasks or taking on responsibilities in areas in which they are not competent. This
nurse should inform the supervisor of the situation. The nurse could endanger the child by
delaying the intervention until another nurse is available. Telling the child’s parents would
most likely increase their anxiety and will not resolve the difficulty. Transfer to another unit
delays needed treatment and would create unnecessary disruption for the child and family.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 19 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
19. The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she could
provide information regarding the recommended amount of television viewing time for her
daughter. The nurse responds that the appropriate amount of time a child should be watching
television is
a. 1 to 2 hours per day.
b. 2 to 3 hours per day.
c. 3 to 4 hours per day.
d. 4 hours or more.
ANS: A
The American Academy of Pediatrics (2013) encourages parents to monitor their children’s
media exposure and limit their children’s screen time (TV, computer, video games) to no
more than 1 to 2 hours per day. The other options all contain more screen time than is
recommended.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 15 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
20. Family-centered care (FCC) describes safe, quality care that recognizes and adapts to both the
physical and psychosocial needs of the family. Which nursing practice coincides with the
principles of FCC?
a. The newborn is returned to the nursery at night so that the mother can receive
adequate rest before discharge.
b. The father is encouraged to go home after the baby is delivered.
c. All patients are routinely placed on the fetal monitor.
d. The nurse’s assignment includes both mom and baby and increases the nurse’s
Loading page 8...
responsibility for education.
ANS: D
Family-centered care increases the responsibilities of nurses. In addition to the physical care
provided, nurses assume a major role in teaching, counseling, and supporting families. The
other options do not provide family-centered care because they increase family separation or
use technology routinely, which may not be needed.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 2 OBJ: Integrated Process: Caring
MSC: Client Needs: Health Promotion and Maintenance
21. Which statement related to nursing care of the child at home is most correct?
a. The technology-dependent infant can safely be cared for at home.
b. Home care increases readmissions to the hospital for a child with chronic
conditions.
c. There is increased stress for the family when a sick child is being cared for at
home.
d. The family of the child with a chronic condition is likely to be separated from their
support system if the child is cared for at home.
ANS: A
Greater numbers of technology-dependent infants and children are now cared for at home. The
numbers include those needing ventilator assistance, total parenteral nutrition, IV medications,
apnea monitoring, and other device-assisted nursing care. Optimal home care can reduce the
rate of readmission to the hospital for children with chronic conditions. Consumers often
prefer home care because of the decreased stress on the family when the patient is able to
remain at home. When the child is cared for at home the family is less likely to be separated
from their support system because of the need for hospitalization.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
22. Maternity nursing care that is based on knowledge gained through research is known as
a. nurse-sensitive indicators.
b. evidence-based practice.
c. case management.
d. outcomes management.
ANS: B
Evidence-based practice is based on knowledge gained from research and clinical trials.
Nurse-sensitive indicators are patient care outcomes particularly dependent on the quality and
quantity of nursing care provided. Case management is a practice model that uses a systematic
approach to identify specific patients, determine eligibility for care, and arrange access to
services. The determination to lower health care costs while maintaining the quality of care
has led to a clinical practice model known as outcomes management.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 6 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
ANS: D
Family-centered care increases the responsibilities of nurses. In addition to the physical care
provided, nurses assume a major role in teaching, counseling, and supporting families. The
other options do not provide family-centered care because they increase family separation or
use technology routinely, which may not be needed.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 2 OBJ: Integrated Process: Caring
MSC: Client Needs: Health Promotion and Maintenance
21. Which statement related to nursing care of the child at home is most correct?
a. The technology-dependent infant can safely be cared for at home.
b. Home care increases readmissions to the hospital for a child with chronic
conditions.
c. There is increased stress for the family when a sick child is being cared for at
home.
d. The family of the child with a chronic condition is likely to be separated from their
support system if the child is cared for at home.
ANS: A
Greater numbers of technology-dependent infants and children are now cared for at home. The
numbers include those needing ventilator assistance, total parenteral nutrition, IV medications,
apnea monitoring, and other device-assisted nursing care. Optimal home care can reduce the
rate of readmission to the hospital for children with chronic conditions. Consumers often
prefer home care because of the decreased stress on the family when the patient is able to
remain at home. When the child is cared for at home the family is less likely to be separated
from their support system because of the need for hospitalization.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
22. Maternity nursing care that is based on knowledge gained through research is known as
a. nurse-sensitive indicators.
b. evidence-based practice.
c. case management.
d. outcomes management.
ANS: B
Evidence-based practice is based on knowledge gained from research and clinical trials.
Nurse-sensitive indicators are patient care outcomes particularly dependent on the quality and
quantity of nursing care provided. Case management is a practice model that uses a systematic
approach to identify specific patients, determine eligibility for care, and arrange access to
services. The determination to lower health care costs while maintaining the quality of care
has led to a clinical practice model known as outcomes management.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 6 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
Loading page 9...
23. The level of practice a reasonably prudent nurse provides is called
a. the standard of care.
b. risk management.
c. a sentinel event.
d. failure to rescue.
ANS: A
Guidelines for standards of care are published by various professional nursing organizations.
The standard of care for neonatal nurses is set by the Association of Women’s Health,
Obstetric, and Neonatal Nurses (AWHONN). The Society of Pediatric Nurses is the primary
specialty organization that sets standards for the pediatric nurse. Risk management identifies
risks and establishes preventive practices, but it does not define the standard of care. Sentinel
events and failure to rescue can be caused by not practicing up to standards of care, but they
do not define it.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 16 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
MULTIPLE RESPONSE
1. When counseling the newly pregnant woman regarding the option of using a free-standing
birth center for care, the nurse should be aware that this type of care setting includes which
advantages? (Select all that apply.)
a. Less expensive than acute-care hospitals
b. Access to follow-up care for 6 weeks postpartum
c. Equipped for obstetric emergencies
d. Safe, home-like births in a familiar setting
e. Staffing by lay midwives
ANS: A, B, D
Women who are at low risk and desire a safe, home-like birth are very satisfied with this type
of care setting. The new mother may return to the birth center for postpartum follow-up care,
breastfeeding assistance, and family planning information for 6 weeks postpartum. Because
birth centers do not incorporate advanced technologies into their services, costs are
a. the standard of care.
b. risk management.
c. a sentinel event.
d. failure to rescue.
ANS: A
Guidelines for standards of care are published by various professional nursing organizations.
The standard of care for neonatal nurses is set by the Association of Women’s Health,
Obstetric, and Neonatal Nurses (AWHONN). The Society of Pediatric Nurses is the primary
specialty organization that sets standards for the pediatric nurse. Risk management identifies
risks and establishes preventive practices, but it does not define the standard of care. Sentinel
events and failure to rescue can be caused by not practicing up to standards of care, but they
do not define it.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 16 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
MULTIPLE RESPONSE
1. When counseling the newly pregnant woman regarding the option of using a free-standing
birth center for care, the nurse should be aware that this type of care setting includes which
advantages? (Select all that apply.)
a. Less expensive than acute-care hospitals
b. Access to follow-up care for 6 weeks postpartum
c. Equipped for obstetric emergencies
d. Safe, home-like births in a familiar setting
e. Staffing by lay midwives
ANS: A, B, D
Women who are at low risk and desire a safe, home-like birth are very satisfied with this type
of care setting. The new mother may return to the birth center for postpartum follow-up care,
breastfeeding assistance, and family planning information for 6 weeks postpartum. Because
birth centers do not incorporate advanced technologies into their services, costs are
Loading page 10...
d. The nurse must work within school district policies when delegating.
e. Understanding the complexity of the child’s needs is a consideration when
delegating.
ANS: A, B, D, E
Delegation to UAPs is very common in all health care settings, including schools. When
delegating to a UAP in the school setting, factors for the nurse to consider include that the RN
is always responsible for assessment, supervision is necessary, the complexity of the child’s
needs must be considered, and policies must be followed. Medication administration by the
UAP may be allowed.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 19 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
3. A student nurse has been studying Healthy People 2020. What information about this
initiative does the student understand? (Select all that apply.)
a. It is a new agenda for health care and research priorities.
b. None of the priorities in this document pertains to pregnant women or children.
c. Objectives are aimed at keeping people healthy with a good quality of life.
d. Ensuring that 77.9% of women receive prenatal care in the first trimester is one
goal.
e. Increasing to 100% the proportion of people with health insurance.
ANS: C, D, E
The Healthy People 2020 initiative is an update of previous versions and is the nation’s
blueprint for health care and research priorities. Many of its objectives pertain to pregnant
women and children. The objectives include improving health and quality of life, ensuring
that 77.9% of pregnant women receive prenatal care in the first trimester, and increasing the
number of people with health insurance to 100%.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
e. Understanding the complexity of the child’s needs is a consideration when
delegating.
ANS: A, B, D, E
Delegation to UAPs is very common in all health care settings, including schools. When
delegating to a UAP in the school setting, factors for the nurse to consider include that the RN
is always responsible for assessment, supervision is necessary, the complexity of the child’s
needs must be considered, and policies must be followed. Medication administration by the
UAP may be allowed.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 19 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
3. A student nurse has been studying Healthy People 2020. What information about this
initiative does the student understand? (Select all that apply.)
a. It is a new agenda for health care and research priorities.
b. None of the priorities in this document pertains to pregnant women or children.
c. Objectives are aimed at keeping people healthy with a good quality of life.
d. Ensuring that 77.9% of women receive prenatal care in the first trimester is one
goal.
e. Increasing to 100% the proportion of people with health insurance.
ANS: C, D, E
The Healthy People 2020 initiative is an update of previous versions and is the nation’s
blueprint for health care and research priorities. Many of its objectives pertain to pregnant
women and children. The objectives include improving health and quality of life, ensuring
that 77.9% of pregnant women receive prenatal care in the first trimester, and increasing the
number of people with health insurance to 100%.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
Loading page 11...
Chapter 02: The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive reinforcement.
b. Present complex subject material first, while the family is alert and ready to learn.
c. Families should be taught using medical jargon so they will be able to understand
the technical language used by physicians.
d. Learning is best accomplished using the lecture format.
ANS: A
Praise and positive reinforcement are particularly important when a family is trying to master
a frustrating task, such as breastfeeding. Learning is enhanced when the teaching is structured
to present the simple tasks before the complex material. Even though a family may understand
English fairly well, they may not understand the medical terminology or slang terms. A lively
discussion stimulates more learning than a straight lecture, which tends to inhibit questions.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 25 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. When addressing the questions of a newly pregnant woman, the nurse can explain that the
certified nurse-midwife is qualified to perform
a. regional anesthesia.
b. cesarean deliveries.
c. vaginal deliveries.
d. internal versions.
ANS: C
The nurse-midwife is qualified to deliver infants vaginally in uncomplicated pregnancies. The
other procedures must be performed by a physician or other medical provider.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF:
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive reinforcement.
b. Present complex subject material first, while the family is alert and ready to learn.
c. Families should be taught using medical jargon so they will be able to understand
the technical language used by physicians.
d. Learning is best accomplished using the lecture format.
ANS: A
Praise and positive reinforcement are particularly important when a family is trying to master
a frustrating task, such as breastfeeding. Learning is enhanced when the teaching is structured
to present the simple tasks before the complex material. Even though a family may understand
English fairly well, they may not understand the medical terminology or slang terms. A lively
discussion stimulates more learning than a straight lecture, which tends to inhibit questions.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 25 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. When addressing the questions of a newly pregnant woman, the nurse can explain that the
certified nurse-midwife is qualified to perform
a. regional anesthesia.
b. cesarean deliveries.
c. vaginal deliveries.
d. internal versions.
ANS: C
The nurse-midwife is qualified to deliver infants vaginally in uncomplicated pregnancies. The
other procedures must be performed by a physician or other medical provider.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF:
Loading page 12...
Nurses are responsible for various independent functions, including teaching, counseling, and
intervening in nonmedical problems. Interventions initiated by the physician and carried out
by the nurse are called dependent functions. Administering oral analgesics is a dependent
function; it is initiated by a physician or other provider and carried out by the nurse.
Requesting diagnostic studies is a dependent function. Providing wound care is a dependent
function; it is usually initiated by the physician or other provider through direct orders or
protocol.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: Box 2.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
4. Which response by the nurse to the woman’s statement, “I’m afraid to have a cesarean birth,”
would be the most therapeutic?
a. “What concerns you most about a cesarean birth?”
b. “Everything will be OK.”
c. “Don’t worry about it. It will be over soon.”
d. “The doctor will be in later, and you can talk to him.”
ANS: A
Focusing on what the woman is saying and asking for clarification are the most therapeutic
responses. Stating that “everything will be ok” or “don’t worry about it” belittles the woman’s
feelings and might be providing false hope. Telling the patient to talk to the doctor does not
allow the woman to verbalize her feelings when she desires.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: Box 2.2 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Psychosocial Integrity
5. To evaluate the woman’s learning about performing infant care, the nurse should
a. demonstrate infant care procedures.
b. allow the woman to verbalize the procedure.
c. observe the woman as she performs the procedure.
d. routinely assess the infant for cleanliness.
ANS: C
intervening in nonmedical problems. Interventions initiated by the physician and carried out
by the nurse are called dependent functions. Administering oral analgesics is a dependent
function; it is initiated by a physician or other provider and carried out by the nurse.
Requesting diagnostic studies is a dependent function. Providing wound care is a dependent
function; it is usually initiated by the physician or other provider through direct orders or
protocol.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: Box 2.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
4. Which response by the nurse to the woman’s statement, “I’m afraid to have a cesarean birth,”
would be the most therapeutic?
a. “What concerns you most about a cesarean birth?”
b. “Everything will be OK.”
c. “Don’t worry about it. It will be over soon.”
d. “The doctor will be in later, and you can talk to him.”
ANS: A
Focusing on what the woman is saying and asking for clarification are the most therapeutic
responses. Stating that “everything will be ok” or “don’t worry about it” belittles the woman’s
feelings and might be providing false hope. Telling the patient to talk to the doctor does not
allow the woman to verbalize her feelings when she desires.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: Box 2.2 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Psychosocial Integrity
5. To evaluate the woman’s learning about performing infant care, the nurse should
a. demonstrate infant care procedures.
b. allow the woman to verbalize the procedure.
c. observe the woman as she performs the procedure.
d. routinely assess the infant for cleanliness.
ANS: C
Loading page 13...
d. An Asian nurse provides nutritional information to a group of pregnant Asian
women.
ANS: D
Teaching is a vital function of the professional nurse. A patient’s language and culture
influence the learning process; thus a situation that is most conducive to learning is one in
which the teacher has knowledge and understanding of the patient’s language and cultural
beliefs. The ability to understand the language in which teaching is done determines how
much the patient learns. Patients for whom English is not their primary language may not
understand idioms, nuances, slang terms, informal usage of words, or medical words. The
teacher should be fluent in the language of the student. Developmental levels and educational
levels influence how a person learns best. In order for the teacher to best present information,
the class should be composed of the same levels. A large class is not conducive to learning. It
does not allow for questions, and the teacher is not able to see the nonverbal cues from the
students to ensure understanding.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 25 OBJ: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity
7. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
Nursing generates and answers its own questions based on evidence within its unique subject
area. Nurses of all educational levels are in a position to find researchable questions based on
problems seen in their practice area. Designing research studies is generally left to nurses with
advanced degrees. Collecting data may be part of a nurse’s daily activity, but not all nurses
will have this opportunity. Seeking funding goes along with designing and implementing
research studies.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 25 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
8. The step of the nursing process in which the nurse determines the appropriate interventions
for the identified nursing diagnosis is called
a. assessment.
b. planning.
women.
ANS: D
Teaching is a vital function of the professional nurse. A patient’s language and culture
influence the learning process; thus a situation that is most conducive to learning is one in
which the teacher has knowledge and understanding of the patient’s language and cultural
beliefs. The ability to understand the language in which teaching is done determines how
much the patient learns. Patients for whom English is not their primary language may not
understand idioms, nuances, slang terms, informal usage of words, or medical words. The
teacher should be fluent in the language of the student. Developmental levels and educational
levels influence how a person learns best. In order for the teacher to best present information,
the class should be composed of the same levels. A large class is not conducive to learning. It
does not allow for questions, and the teacher is not able to see the nonverbal cues from the
students to ensure understanding.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 25 OBJ: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity
7. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
Nursing generates and answers its own questions based on evidence within its unique subject
area. Nurses of all educational levels are in a position to find researchable questions based on
problems seen in their practice area. Designing research studies is generally left to nurses with
advanced degrees. Collecting data may be part of a nurse’s daily activity, but not all nurses
will have this opportunity. Seeking funding goes along with designing and implementing
research studies.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 25 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
8. The step of the nursing process in which the nurse determines the appropriate interventions
for the identified nursing diagnosis is called
a. assessment.
b. planning.
Loading page 14...
REF: pp. 30-31 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
9. Which goal is most appropriate for demonstrating effective parenting?
a. The parents will demonstrate correct bathing by discharge.
b. The mother will make an appointment with the lactation specialist prior to
discharge.
c. The parents will place the baby in the proper position for sleeping and napping by
2300 on postpartum day 1.
d. The parents will demonstrate effective parenting by discharge.
ANS: D
Outcomes and goals are not the same. Goals are broad and not measurable and so must be
linked to more measurable outcome criteria. Demonstrating effective parenting is one such
goal. The other options are measurable outcome indicators that help determine if the goal has
been met.
PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating
REF: p. 31 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
10. Which nursing intervention is correctly written?
a. Encourage turning, coughing, and deep breathing.
b. Force fluids as necessary.
c. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
d. Observe interaction with infant.
ANS: C
This intervention is the most specific and details what should be done, for how long, and
when. The other interventions are too vague.
PTS: 1 DIF:
MSC: Client Needs: Safe and Effective Care Environment
9. Which goal is most appropriate for demonstrating effective parenting?
a. The parents will demonstrate correct bathing by discharge.
b. The mother will make an appointment with the lactation specialist prior to
discharge.
c. The parents will place the baby in the proper position for sleeping and napping by
2300 on postpartum day 1.
d. The parents will demonstrate effective parenting by discharge.
ANS: D
Outcomes and goals are not the same. Goals are broad and not measurable and so must be
linked to more measurable outcome criteria. Demonstrating effective parenting is one such
goal. The other options are measurable outcome indicators that help determine if the goal has
been met.
PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating
REF: p. 31 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
10. Which nursing intervention is correctly written?
a. Encourage turning, coughing, and deep breathing.
b. Force fluids as necessary.
c. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
d. Observe interaction with infant.
ANS: C
This intervention is the most specific and details what should be done, for how long, and
when. The other interventions are too vague.
PTS: 1 DIF:
Loading page 15...
12. The nurse who coordinates and manages a patient’s care with other members of the health
care team is functioning in which role?
a. Teacher
b. Collaborator
c. Researcher
d. Advocate
ANS: B
The nurse collaborates with other members of the health care team, often coordinating and
managing the patient’s care. Care is improved by this interdisciplinary approach as nurses
work together with dietitians, social workers, physicians, and others. Education is an essential
role of today’s nurse. The nurse functions as a teacher during prenatal care, during maternity
care, and when teaching parents of children regarding normal growth and development.
Nurses contribute to their profession’s knowledge base by systematically investigating
theoretic for practice issues and nursing. A nursing advocate is one who speaks on behalf of
another. As the health professional who is closest to the patient, the nurse is in an ideal
position to humanize care and to intercede on the patient’s behalf.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 25 OBJ: Nursing Process: Planning
care team is functioning in which role?
a. Teacher
b. Collaborator
c. Researcher
d. Advocate
ANS: B
The nurse collaborates with other members of the health care team, often coordinating and
managing the patient’s care. Care is improved by this interdisciplinary approach as nurses
work together with dietitians, social workers, physicians, and others. Education is an essential
role of today’s nurse. The nurse functions as a teacher during prenatal care, during maternity
care, and when teaching parents of children regarding normal growth and development.
Nurses contribute to their profession’s knowledge base by systematically investigating
theoretic for practice issues and nursing. A nursing advocate is one who speaks on behalf of
another. As the health professional who is closest to the patient, the nurse is in an ideal
position to humanize care and to intercede on the patient’s behalf.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 25 OBJ: Nursing Process: Planning
Loading page 16...
15 more pages available. Scroll down to load them.
Preview Mode
Sign in to access the full document!
100%
Study Now!
XY-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat
Document Details
Subject
Nursing