Test Bank for Maternity and Pediatric Nursing, 4th Edition (Chapters 1-51)

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Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test BankChapter 1Perspectives on Maternal and Child Health Care1.The United States ranks 50th in the world for maternal mortality and 41st amongindustrialized nations for infant mortality rate. When developing programs toassist in decreasing these rates, which factor would most likely need to beaddressed as having the greatest impact?A)Resolving all language and cultural differencesB)Assuring early and adequate prenatal careC)Providing more extensive womens sheltersD)Encouraging all women to eat a balanced diet2.When integrating the principles of family-centered care, the nurse would includewhich of the following?A)Childbirth is viewed as a procedural eventB)Families are unable to make informed choicesC)Childbirth results in changes in relationshipsD)Families require little information to make appropriate decisionslOMoARcPSD|13778330

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3.When preparing a teaching plan for a group of first-time pregnant women, thenurse expects to review how maternity care has changed over the years. Whichof the following would the nurse include when discussing events of the20th century?A)Epidemics of puerperal feverB)Performance of the first cesarean birthC)Development of the x-ray to assess pelvic sizeD)Creation of free-standing birth centers4.After teaching a group of students aby-related mortality, theinstructor determines that additis needed when the studentsidentify which condition as a?A)HemorrhageB)EmbolismC)Obstructed laborD)Infection5.The nurse is working with a group of community health members to develop aplan to address the special health needs of women. Which of the followingconditions would the group address as the major problem?A)SmokinglOMoARcPSD|13778330

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B)Heart diseaseC)DiabetesD)Cancer6.When assessing a family for possible barriers to health care, the nurse wouldconsider which factor to be most important?A)LanguageB)Health care workers attitudesC)TransportationD)Finances7.After teachinursing students about the issue of informed consent.Which og, if identified by the student, would indicate anundviolation of informed consent?A)Perprocedure on a 15-year-old without consentB)Serving as a witness to the signature processC)Asking whether the client understands what she is signingD)Getting verbal consent over the phone for emergency procedureslOMoARcPSD|13778330

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8.The nurse is trying to get consent to care for an 11-year-old boy with diabeticketoacidosis. His parents are out of town on vacation, and the child is stayingwith a neighbor. Which action would be the priority?A)Getting telephone consent with two people listening to the verbal consentB)Providing emergency care without parental consentC)Contacting the childs aunt or uncle to obtain their consentD)Advocating for termination of parental rights for this situation9.After teaching nursing students about the basic concepts of family-centered care,the instructor determines that the teaing was successful when the students statewhich of the following?A)Childbirth affects the entirelationships will change.B)Families are noting health care decisions for themselves.C)Mothery members affected by childbirth.D)Cha medical procedure.10.A nursing instructor is preparing a class discussion on the trends in health careand health care delivery over the past several centuries. When discussing thechanges during the past century, which of the following would the instructor beleast likely to include?A)Disease preventionlOMoARcPSD|13778330

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B)Health promotionC)WellnessD)Analysis of morbidity and mortality11.A nurse is assigned to care for an Asian American client. The nurse develops aplan of care with the understanding that based on this clients culturalbackground, the client most likely views illness as which of the following?A)Caused by supernatural forces.B)A punishment for sins.C)Due to spirits or demons.D)From an imbalance o12.A nursea plan of care for a woman to ensure continuity of caredurilabor, and childbirth. Which of the following would be mostie nurse to incorporate into that plan?A)Adherto strict, specific routinesB)Involving a pediatric physicianC)Educating the client about the importance of a support personlOMoARcPSD|13778330

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D)Assigning several nurses as a support team13.A nursing instructor is preparing a class discussion on case management inmaternal and newborn health care. Which of the following would the instructorinclude as a key component? Select all that apply.A)AdvocacyB)CoordinationC)CommunicationD)Resource managementE)Event managed care14.After teaching ats about the concept of maternal mortality, theinstructor detditional teaching is needed when the students statewhich of tA)Theccidental causes for deaths.B)It addres pregnancy-related causes.C)The duration of the pregnancy is not a concern.D)The time frame is typically for a specified year.lOMoARcPSD|13778330

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15.A group of students are reviewing the historical aspects about childbirth. Thestudents demonstrate understanding of the information when they identify theuse of twilight sleep as a key event during which time frame?A)1700sB)1800sC)1900sD)2000s16.A nurse is providing care to a woman who has just delivered a healthy newborn.Which action would least likely demstrate application of the concept offamily-centered care?A)Focusing on the birth as aevent for the familyB)Creating opportumily to make informed decisionsC)Encouraan to keep her other children at homeD)Fosense of respect for the mother and the family17.When discussing fetal mortality with a group of students, a nurse addressesmaternal factors. Which of the following would the nurse most likely include?Select all that apply.A)Chromosomal abnormalitieslOMoARcPSD|13778330

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B)MalnutritionC)Preterm cervical dilationD)Underlying disease conditionE)Poor placental attachment18.A nurse is preparing a presentation for a local community group about healthstatus and childrens health. Which of the following would the nurse include asone of the most significant measures?A)Fetal mortality rateB)Neonatal mortality rateC)Infant mortality rateD)Maternal m19.A gudents are reviewing an article describing information related toindicats for womens health and the results of a national study. Which of thefollowing would the students identify as being satisfactory for women? Selectall that apply.A)Smoking cessationB)Colorectal cancer screeninglOMoARcPSD|13778330

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C)Violence against womenD)Health insurance coverageE)Mammograms20.A nurse is preparing a presentation for a local womens group about heartdisease and women. Which of the following would the nurse expect to addresswhen discussing measures to promote health.A)Women have similar symptoms as men for a heart attack.B)Heart disease is no longer viewed as a mans disease.C)Women experiencing a heart aeater risk for dying.D)Heart attacks in womsily diagnosed.21.A nursedevelop a health education program for a localcomess breast cancer awareness. Which of the following wouldtct to include when describing this problem to the group? Selectall thly.A)White women have higher rates of breast cancer than African American women.B)African American women are more likely to die from breast cancer at any age.C)Survival at any stage is worse among white women.lOMoARcPSD|13778330

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D)Women living in South America have the highest rates of breast cancer.E)Breast cancer is the leading cause of cancer mortality in women.22.A group of nursing students are reviewing information about factors affectingmaternal, newborn, and womens health. The students demonstrateunderstanding of the information when they identify which of the followingdeficiencies as being associated with poverty? Select all that apply.A)LiteracyB)Employment opportunitiesC)MobilityD)Political representationE)SkillsAnswer Key1.B2.C3.D4.B5.B6.D7.AlOMoARcPSD|13778330

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8.A9.A10.D11.D12.C13.A, B, C, D14.A15.C16.C17.B, C, D18.C19.B, E20.C21.22., D, EChapter 2Familommunity-Based Care1.The nur e is caring for a 2-week-old newborn girl with a metabolic disorder.Which of the following activities would deviate from the characteristics offamily-centered care?A)Softening unpleasant information or prognosesB)Evaluating and changing the nursing plan of carelOMoARcPSD|13778330

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C)Collaborating with the child and family as equalsD)Showing respect for the familys beliefs and wishes2.The nurse is providing home care for a 6-year-old girl with multiple medicalchallenges. Which of the following activities would be considered the tertiarylevel of prevention?A)Arranging for a physical therapy sessionB)Teaching parents to administer albuterolC)Reminding parent to give a full course of antibioticsD)Giving a DTaP vaccination at trval3.A nursing studentnformation about documenting client care andeducation in tord and the purposes that it serves. The studentdemonstradditional study when the nurse identifies which of thefollown?A)Smmunication tool for the interdisciplinary team.B)Demonstrates education the family has received if legal matters arise.C)Permits others access to allow refusal of medical insurance coverage.D)Verifies meeting client education standards set by the Joint Commission.lOMoARcPSD|13778330

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4.A pregnant client tells her nurse that she is interested in arranging a home birth.After educating the client on the advantages and disadvantages, which statementwould indicate that the client understood the information?A)I like having the privacy, but it might be too expensive for me to set up in myhome.B)I want to have more control, but I am concerned if an emergency would arise.C)It is safer because I will have a midwife.D)The midwife is trained to resolve any emergency, and she can bring any painmeds.5.The nurse is making a home visit to a client who had a cesarean birth 3 days ago.Assessment reveals that the client iplaining of intermittent pain, rating it as8 on a scale of 1 to 10. She stattired. And with this pain, I haventbeen drinking and eating lie medication helps a bit but not much.My mom has been helpaby. Her incision is clean, dry, and intact.Which nursing diae nurse identify as the priority for this client?A)Impaired skined to cesarean birth incisionB)Fatiffects of surgery and caretaking activitiesC)Imbalaed nutrition, less than body requirements related to poor fluid and foodintakeD)Acute pain related to incision and cesarean birth6.When caring for childbearing families from cultures different from ones own,which of the following must be accomplished first?lOMoARcPSD|13778330

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A)Adapt to the practices of the familys cultureB)Determine similarities between both culturesC)Assess personal feelings about that cultureD)Learn as much as possible about that culture7.After teaching a group of students about the changes in health care delivery andfunding, which of the following, if identified by the group as a current trend seenin the maternal and child health care settings, would indicate that the teachingwas successful?A)Increase in community settings for ceB)Decrease in family povertC)Increase in hospitildrenD)Decreascare8.The nue would recommend the use of which supplement as a primaryprevention strategy to prevent neural tube defects with pregnant women?A)CalciumB)Folic acidlOMoARcPSD|13778330

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C)Vitamin CD)Iron9.Which action would the nurse include in a primary prevention program in thecommunity to help reduce the incidence of HIV infection?A)Provide treatment for clients who test positive for HIVB)Monitor viral load counts periodicallyC)Educate clients in how to practice safe sexD)Offer testing for clients who practiafe sex10.When assuming the re planner for a woman requiring ventilatorsupport at home,d do which of the following?A)ConfermotherB)Teelf-care skills to the clientC)Determine if there is a need for back-up powerD)Discuss coverage with the insurance companylOMoARcPSD|13778330

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11.When comparing community-based nursing with nursing in the acute caresetting to a group of nursing students, the nurse describes the challengesassociated with community-based nursing. Which of the following would thenurse include?A)Increased time available for educationB)Improved access to resourcesC)Decision making in isolationD)Greater environmental structure12.After teaching a group of students abt the different levels of prevention, theinstructor determines a need forteaching when the students identifywhich of the following as a sention level activity in community-based health care?A)Teaching women td supplements to prevent neural tube defectsB)Workingho are victims of domestic violenceC)clients at an HIV clinic to provide nutritional and CAM therapiesD)Teaching hypertensive clients to monitor blood pressure13.A nursing instructor is describing trends in maternal and newborn health care.The instructor addresses the length of stay for vaginal births during the pastdecade, citing that which of the following denotes the average stay?lOMoARcPSD|13778330

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A)2448 hours or lessB)7296 hours or lessC)4872 hours or lessD)96120 hours or less14.Which of the following statements is accurate regarding womens health care intodays system?A)Women spend 95 cents of every dollar spent on health care.B)Women make almost 90% of adecisions.C)Women are still theUnited States.D)Men use mces than women.15.Aucating a client about a care plan. Which of the followingstatems would be appropriate to assess the clients learning ability?A)Did you graduate from high school; how many years of schooling did you have?B)Do you have someone in your family who would understand this information?lOMoARcPSD|13778330

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C)Many people have trouble remembering information; is this a problem for you?D)Would you prefer that the doctor give you more detailed medical information?16.A nurse is developing cultural competence. Which of the following indicatesthat the nurse is in the process of developing cultural knowledge? Select all thatapply.A)Examining personal sociocultural heritageB)Reviewing personal biases and prejudicesC)Seeking resources to further understanding of other culturesD)Becoming familiar with otherrse lifestylesE)Performing a competessmentF)Advocatingce to eliminate disparities.17.Agaged in providing family-centered care for a woman and herfamily.he nurse is providing instrumental support with which activity?A)Explaining to the woman and family what to expect during the birth process.B)Assisting the woman in breathing techniques to cope with labor contractions.lOMoARcPSD|13778330

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C)Reinforcing the womans role as a mother after birthD)Helping the family obtain extra financial help for prescribed phototherapy18.A nurse is considering a change in employment from the acute care setting tocommunity-based nursing. The nurse is focusing her job search on ambulatorycare settings. Which of the following would the nurse most likely find as apossible setting? Select all that apply.A)Urgent care centerB)Hospice careC)Immunization clinicD)Physicians officeE)Day surgery centF)Nursing19.A nursg instructor is presenting a class for a group of students aboutcommunity-based nursing interventions. The instructor determines thatadditional teaching is needed when the students identify which of the following?A)Conducting childbirth education classesB)Counseling a pregnant teen with anemialOMoARcPSD|13778330

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C)Consulting with a parent of a child who is vomitingD)Performing epidemiologic investigations20.During class, a nursing student asks, I read an article that was talking aboutintegrative medicine. What is that? Which response by the instructor would bemost appropriate?A)It refers to the use of complementary and alternative medicine in place oftraditional therapies for a condition.B)It means that complementary and alternative medicine is used together withconventional therapies to reduce pain or discomfort.C)It means that mainstream medical therapies and complementary and alternativetherapies are combined based on sciific evidence for being effective.D)It refers to situations when a clr her family prefer to use anunproven method of treatmven one.21.While a nurse isalth history, the client tells the nurse that shepractices aroe nurse interprets this as which of the following?A)Usils to stimulate the sense of smell to balance the mind andboB)Application of pressure to specific points to allow self-healingC)Use of deep massage of areas on the foot or hand to rebalance body partsD)Participation in chanting and praying to promote healing.lOMoARcPSD|13778330

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22.A pregnant woman asks the nurse about giving birth in a birthing center. Shesays, Im thinking about using one but Im not sure. Which of the followingwould the nurse need to integrate into the explanation about this birth setting?(Select all that apply.)A)An alternative for women who are uncomfortable with a home birth.B)The longer length of stay needed when compared to hospital birthsC)Focus on supporting women through labor instead of managing laborD)View of labor and birth as a normal process requiring no interventionE)Care provided primarily by obstetricians with midwives as backup care23.A nurse practicing in the creparing a presentation for a group ofnursing students abouttting. Which of the following would thenurse include as chhis role?A)Greater emphphysical careB)Brot to include the environmentC)Increasdependency on physicianD)Limited decision making and support24.A nurse is preparing a teaching plan for a woman who is pregnant for the firsttime. Which of the following would the nurse incorporate into the teaching planto foster the clients learning? (Select all that apply.)lOMoARcPSD|13778330

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A)Teach survival skills firstB)Use simple, nonmedical languageC)Refrain from using a hands-on approachD)Avoid repeating informationE)Use visual materials such as photos and videos25.A group of nurses are reviewing the steps for developing cultural competence.The students demonstrate understanding when they identify which of thefollowing as the final step?A)Cultural knowledgeB)Cultural skillsC)Cultural enD)CssAnswer Key1.A2.A3.C4.BlOMoARcPSD|13778330

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5.D6.C7.A8.B9.C10.C11.C12.A13.A14.B15.C16.C,17.18., E19.D20.C21.A22.A, C, D23.B24.A, B, E25.CChapter 3Anatomy and Physiology of the Reproductive SystemlOMoARcPSD|13778330

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1.When describing the menstrual cycle to a group of young women, the nurseexplains that estrogen levels are highest during which phase of the endometrialcycle?A)MenstrualB)ProliferativeC)SecretoryD)Ischemic2.After teaching a group of adolescent girls about female reproductivedevelopment, the nurse determines tt teaching was successful when the girlsstate that menarche is defined asfirst:A)Sexual experienceB)Full hormonal cyC)MenstruD)Sigt development3.A client with a 28-day cycle reports that she ovulated on May 10. The nursewould expect the clients next menses to begin on:A)May 24lOMoARcPSD|13778330

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B)May 26C)May 30D)June 14.Which female reproductive tract structure would the nurse describe to a group ofyoung women as containing rugae that enable it to dilate during labor and birth?A)CervixB)Fallopian tubeC)VaginaD)Vulva5.After teachipregnant women about breast-feeding, the nursedetermiching was successful when the group identifies whichhorant for the production of breast milk after childbirth?A)PlaogenB)ProgesteroneC)Gonadotropin-releasing hormoneD)ProlactinlOMoARcPSD|13778330

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6.The nurse is assessing a 13-year-old girl who has had her first menses. Which ofthe following events would the nurse expect to have occurred first?A)Evidence of pubic hairB)Development of breast budsC)Onset of mensesD)Growth spurt7.When describing the ovarian cycle to a group of students, which phase wouldthe instructor include?A)Luteal phaseB)Proliferative phaseC)Menstrual phasD)Secret8.The nurse is explaining the events that lead up to ovulation. Which hormonewould the nurse identify as being primarily responsible for ovulation?A)EstrogenB)ProgesteronelOMoARcPSD|13778330

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C)Follicle-stimulating hormoneD)Luteinizing hormone9.The nurse is teaching a health education class on male reproductive anatomy andasks the students to identify the site of sperm production. Which structure, ifidentified by the group, would indicate to the nurse that the teaching wassuccessful?A)TestesB)Seminal vesiclesC)ScrotumD)Prostate gland10.The nurse is cam that illustrates the components of the malereproductiich structure would be inappropriate for the nurse toincludory gland?A)SesB)Prostate glandC)Cowpers glandsD)Vas deferenslOMoARcPSD|13778330

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11.The nurse is preparing an outline for a class on the physiology of the malesexual response. Which event would the nurse identify as occurring first?A)Sperm emissionB)Penile vasodilationC)Psychological releaseD)Ejaculation12.A woman comes to the clinic complaining that she has little sexual desire. Aspart of the clients evaluation, the nuwould anticipate the need to evaluatewhich hormone level?A)ProgesteroneB)EstrogenC)Gonadog hormoneD)Tes13.A nurse is conducting a class for a group of teenage girls about femalereproductive anatomy and physiology. Which of the following would the nurseinclude as an external female reproductive organ? Select all that apply.A)Mons pubislOMoARcPSD|13778330

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B)LabiaC)VaginaD)ClitorisE)Uterus14.When describing the hormones involved in the menstrual cycle, a nurseidentifies which hormone as responsible for initiating the cycle?A)EstrogenB)Luteinizing hormoneC)ProgesteroneD)Prolactin15.Atructor is describing the hormones involved in the menstrual cycleto a grp of nursing students. The instructor determines the teaching wassuccessful when the students identify follicle-stimulating hormone as beingsecreted by which of the following?A)HypothalamusB)Anterior pituitary glandlOMoARcPSD|13778330

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C)OvariesD)Corpus luteum16.A woman comes to the clinic for an evaluation. During the visit, the womantells the nurse that her menstrual cycles have become irregular. Ive also beenwaking up at night feeling really hot and sweating. The nurse interprets thesefindings as which of the following?A)MenopauseB)PerimenopauseC)ClimactericD)Menarche17.After teachinudents about female reproductive anatomy, theinstructorat the teaching was successful when the students identifywhichng as the site of fertilization?A)VB)UterusC)Fallopian tubesD)VestibulelOMoARcPSD|13778330

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