Maternal- Child Nursing Test Bank
Nursing care of childbearing and childrearing families
2022
Chapter 01: Foundations of Maternity, Women's Health,
... [Show More] 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?
d. Technologic developments became available to physicians
2. Family-centered maternity care developed in response to
c. parental requests that infants be allowed to remain with them rather than in a nursery.
3. Which setting for childbirth allows the least amount of parent-infant contact?
c. Traditional hospital birth
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric setting is
c. an increase in ambulatory care.
5. The Women, Infants, and Children (WIC) program provides
d. supplemental food supplies to low-income pregnant or breastfeeding women.
6. In most states, adolescents who are not emancipated minors must have the permission of their parents before
d. surgery.
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
c. set specific time lines for sequencing interventions.
8. The fastest growing group of homeless people is
c. single women and their children.
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity would this nurse most likely participate in?
c. Volunteering to provide prenatal care at community centers.
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?
b. Notify the provider of the situation.
11. Which statement is true regarding the "quality assurance" or "incident" report?
d. This report is a form of documentation of an event that may result in legal action.
12. Elective abortion is considered an ethical issue because
c. a conflict exists between the rights of the woman and the rights of the fetus.
13. Which woman would be most likely to seek prenatal care?
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
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
15. Which patient situation fails to meet the first requirement of informed consent?
c. The patient is confused and disoriented.
16. Which situation reflects a potential ethical dilemma for the nurse?
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective abortion.
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
c. accidental death.
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?
c. Inform the nursing supervisor of the problem.
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.
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?
d. The nurse's assignment includes both mom and baby and increases the nurse's responsibility for education.
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.
22. Maternity nursing care that is based on knowledge gained through research is known as
b. evidence-based practice.
23. The level of practice a reasonably prudent nurse provides is called
a. the standard of care.
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
d. Safe, home-like births in a familiar setting
2. A school nurse is working with unlicensed assistive personnel (UAPs). What aspects of delegation should the nurse incorporate into his or her practice in this setting?
a. The registered nurse is always responsible for assessment.
b. Uncomplicated medication administration can be performed by the UAP.
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.
3. A student nurse has been studying Healthy People 2020. What information about this initiative does the student understand? (Select all that apply.)
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.
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.
2. When addressing the questions of a newly pregnant woman, the nurse can explain that the certified nurse-midwife is qualified to perform
c. vaginal deliveries. [Show Less]