Scannell/Ruggiero Page 1 of 21
Davis Advantage for Maternal-Child Nursing 4e Test Bank
Chapter 1: Maternal, Family, and Child Care Concepts
MULTIPLE CHOICE
1. A nurse caring for a 4-year-old uses which technique to foster therapeutic communication?
A. Involves the child in planning care
B. Comforts the child by holding and rocking
C. Incorporates animated storytelling
D. Uses concrete and simple language
ANS: C
Chapter: Chapter 1 Maternal, Family, and Child Care Concepts
Objective: 1. Describe the impact of social determinants of health (SDOH) on physical and
mental health at individual, community, and population levels.
Heading: Building a Trusting Nursing-Patient Relationship
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Communication
Difficulty: Difficult
Feedback
A. An adolescent, not a preschooler, would benefit from being involved in planning
care.
B. An infant, not a preschooler, would benefit from holding and rocking.
C. Storytelling is a developmentally appropriate method of therapeutic communica-
tion for the preschooler.
D. A toddler, not a preschooler, would benefit from the use of simple and concrete
language.
2. Which scenario would be considered an Emergency Medical Treatment and Active Labor Act
(EMTALA) violation?
A. Failing to notify the health-care provider regarding a change in the patient’s condi-
tion
,Scannell/Ruggiero Page 2 of 21
Davis Advantage for Maternal-Child Nursing 4e Test Bank
B. Notifying the parents of an emancipated minor regarding the need for a medical
procedure
C. Denying care to a pregnant individual presenting to obstetric triage
D. Discussing patient information and diagnosis over lunch in the cafeteria
ANS: C
Chapter: Chapter 1 Maternal, Family, and Child Care Concepts
Objective: 2. Identify federal and state regulations regarding adolescent privacy and the eman-
cipation of minors.
Heading: Right to Emergency Treatment
Integrated Processes: Clinical Judgment
Client Need: Safe and Effective Care Environment
Cognitive Level: Evaluation [Evaluating]
Concept: Professionalism
Difficulty: Difficult
Feedback
A. Failing to notify the health-care provider regarding a change in the patient’s con-
dition could result in malpractice but is not considered an EMTALA violation.
B. Notifying the parents of an emancipated minor regarding the need for a medical
procedure is illegal, but not an EMTALA violation. Emancipation is a legal pro-
cess in which a minor is allowed to make their own health-care decisions inde-
pendently without the consent, permission, or notification of a parent or legal
guardian; it occurs when a specific legal or medical condition is present, such as
pregnancy.
C. Denying care to a pregnant individual presenting to obstetric triage is an EM-
TALA violation. The federal regulation known as EMTALA was created to en-
sure that all individuals receive emergency treatment or active labor care when-
ever such treatment is sought.
D. Discussing patient information and diagnosis over lunch in the cafeteria is a vio-
lation of patient privacy and the Health Insurance Portability and Accountability
Act (HIPAA), not EMTALA.
3. A patient wishes to use complementary therapy when managing a chronic health condition.
Which action by the nurse is most appropriate?
,Scannell/Ruggiero Page 3 of 21
Davis Advantage for Maternal-Child Nursing 4e Test Bank
A. Advise the patient that stopping medical treatment may cause it to worsen.
B. Inform the patient that there are no complementary therapies for this condition.
C. Investigate herbs that can be substituted for prescription drugs.
D. Suggest the patient add massage therapy to the medical regimen.
ANS: D
Chapter: Chapter 1 Maternal, Family, and Child Care Concepts
Objective: 5. Explain the role of complementary therapies in addressing and preventing health
issues alongside standard medical treatments.
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
warn them of the effects of stopping treatment.
B. There are always complementary therapies that can be added to a medical regi-
men.
C. Substituting herbs for prescription medication is an example of alternative ther-
apy.
D. Complementary therapy is nontraditional medical treatment used together with
conventional medical treatment. Adding massage to the medical regimen is an ex-
ample of using complementary therapy.
4. A nurse is working with a family that uses multiple complementary and alternative medicine
(CAM) modalities. What action by the nurse is best?
A. Allow the family to continue these practices as desired.
B. Assess how these practices reflect religious beliefs.
C. Inform the family that most of these practices do not work.
, Scannell/Ruggiero Page 4 of 21
Davis Advantage for Maternal-Child Nursing 4e Test Bank
D. Provide evidence-based information about the therapies.
ANS: D
Chapter: Chapter 1 Maternal, Family, and Child Care Concepts
Objective: 5. Explain the role of complementary therapies in addressing and preventing health
issues alongside standard medical treatments.
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Family; Health Promotion
Difficulty: Moderate
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
up the opportunity to provide and discuss information about CAM.
B. A culturally competent nurse will assess how religious and spiritual beliefs affect
health-care practices, but the nurse needs to advocate for the patient/family by
providing solid information.
C. Many CAM practices have demonstrated benefit. Telling the family these don’t
work is false information.
D. The nurse working with individuals or families who use CAM practices should
respect the beliefs, values, and desires of the patient. The nurse should encourage
families to make decisions regarding CAM practices based on evidence and re-
search into their effects. The nurse can best assist in this by providing and dis-
cussing information.
5. Which diagnosis would be considered a component of the leading cause of infant mortality?
A. Hypoplastic left heart syndrome
B. Preterm birth at 21 weeks’ gestation
C. Uterine rupture with resultant fetal demise
D. Motor vehicle accident
ANS: A
Davis Advantage for Maternal-Child Nursing 4e Test Bank
Chapter 1: Maternal, Family, and Child Care Concepts
MULTIPLE CHOICE
1. A nurse caring for a 4-year-old uses which technique to foster therapeutic communication?
A. Involves the child in planning care
B. Comforts the child by holding and rocking
C. Incorporates animated storytelling
D. Uses concrete and simple language
ANS: C
Chapter: Chapter 1 Maternal, Family, and Child Care Concepts
Objective: 1. Describe the impact of social determinants of health (SDOH) on physical and
mental health at individual, community, and population levels.
Heading: Building a Trusting Nursing-Patient Relationship
Integrated Processes: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Communication
Difficulty: Difficult
Feedback
A. An adolescent, not a preschooler, would benefit from being involved in planning
care.
B. An infant, not a preschooler, would benefit from holding and rocking.
C. Storytelling is a developmentally appropriate method of therapeutic communica-
tion for the preschooler.
D. A toddler, not a preschooler, would benefit from the use of simple and concrete
language.
2. Which scenario would be considered an Emergency Medical Treatment and Active Labor Act
(EMTALA) violation?
A. Failing to notify the health-care provider regarding a change in the patient’s condi-
tion
,Scannell/Ruggiero Page 2 of 21
Davis Advantage for Maternal-Child Nursing 4e Test Bank
B. Notifying the parents of an emancipated minor regarding the need for a medical
procedure
C. Denying care to a pregnant individual presenting to obstetric triage
D. Discussing patient information and diagnosis over lunch in the cafeteria
ANS: C
Chapter: Chapter 1 Maternal, Family, and Child Care Concepts
Objective: 2. Identify federal and state regulations regarding adolescent privacy and the eman-
cipation of minors.
Heading: Right to Emergency Treatment
Integrated Processes: Clinical Judgment
Client Need: Safe and Effective Care Environment
Cognitive Level: Evaluation [Evaluating]
Concept: Professionalism
Difficulty: Difficult
Feedback
A. Failing to notify the health-care provider regarding a change in the patient’s con-
dition could result in malpractice but is not considered an EMTALA violation.
B. Notifying the parents of an emancipated minor regarding the need for a medical
procedure is illegal, but not an EMTALA violation. Emancipation is a legal pro-
cess in which a minor is allowed to make their own health-care decisions inde-
pendently without the consent, permission, or notification of a parent or legal
guardian; it occurs when a specific legal or medical condition is present, such as
pregnancy.
C. Denying care to a pregnant individual presenting to obstetric triage is an EM-
TALA violation. The federal regulation known as EMTALA was created to en-
sure that all individuals receive emergency treatment or active labor care when-
ever such treatment is sought.
D. Discussing patient information and diagnosis over lunch in the cafeteria is a vio-
lation of patient privacy and the Health Insurance Portability and Accountability
Act (HIPAA), not EMTALA.
3. A patient wishes to use complementary therapy when managing a chronic health condition.
Which action by the nurse is most appropriate?
,Scannell/Ruggiero Page 3 of 21
Davis Advantage for Maternal-Child Nursing 4e Test Bank
A. Advise the patient that stopping medical treatment may cause it to worsen.
B. Inform the patient that there are no complementary therapies for this condition.
C. Investigate herbs that can be substituted for prescription drugs.
D. Suggest the patient add massage therapy to the medical regimen.
ANS: D
Chapter: Chapter 1 Maternal, Family, and Child Care Concepts
Objective: 5. Explain the role of complementary therapies in addressing and preventing health
issues alongside standard medical treatments.
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A. Because the patient is asking about complementary therapy, there is no need to
warn them of the effects of stopping treatment.
B. There are always complementary therapies that can be added to a medical regi-
men.
C. Substituting herbs for prescription medication is an example of alternative ther-
apy.
D. Complementary therapy is nontraditional medical treatment used together with
conventional medical treatment. Adding massage to the medical regimen is an ex-
ample of using complementary therapy.
4. A nurse is working with a family that uses multiple complementary and alternative medicine
(CAM) modalities. What action by the nurse is best?
A. Allow the family to continue these practices as desired.
B. Assess how these practices reflect religious beliefs.
C. Inform the family that most of these practices do not work.
, Scannell/Ruggiero Page 4 of 21
Davis Advantage for Maternal-Child Nursing 4e Test Bank
D. Provide evidence-based information about the therapies.
ANS: D
Chapter: Chapter 1 Maternal, Family, and Child Care Concepts
Objective: 5. Explain the role of complementary therapies in addressing and preventing health
issues alongside standard medical treatments.
Heading: Complementary and Alternative Therapies
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Family; Health Promotion
Difficulty: Moderate
Feedback
A. Although the nurse cannot stop the family from using CAM, they should not pass
up the opportunity to provide and discuss information about CAM.
B. A culturally competent nurse will assess how religious and spiritual beliefs affect
health-care practices, but the nurse needs to advocate for the patient/family by
providing solid information.
C. Many CAM practices have demonstrated benefit. Telling the family these don’t
work is false information.
D. The nurse working with individuals or families who use CAM practices should
respect the beliefs, values, and desires of the patient. The nurse should encourage
families to make decisions regarding CAM practices based on evidence and re-
search into their effects. The nurse can best assist in this by providing and dis-
cussing information.
5. Which diagnosis would be considered a component of the leading cause of infant mortality?
A. Hypoplastic left heart syndrome
B. Preterm birth at 21 weeks’ gestation
C. Uterine rupture with resultant fetal demise
D. Motor vehicle accident
ANS: A
