/Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank Complete Chapters

1. When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief? A. Birth is viewed as a medical event. B. Families are unable to make informed choices due to stress. C. Birth results in changes in relationships. D. Families require little information to make appropriate decisions for care. Answer: C Rationale: Family-centered care is based on the mc/tiepstles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Integrated Process: Caring Reference: p. 7 2. The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which priority condition? A. Smoking B. Heart disease C. Diabetes D. Cancer Answer: B Rationale: The group needs to address cardiovascular di s e a s e , th e number one cause of death in women regardless of racial or ethnic group. Smoking is related to heart disease and the development of cancer. However, heart disease and cancer can occur in any woman regardless of her smoking histoarbyirb..cComa/ntecster is the second leading cause of death, with women having a one in three lifetime risk of developing cancer. Diabetes is another important health condition that can affect women. However, it is not the major health problem that heart disease is. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 12 3. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the mo/tremst ed consent. The nurse determines that the teaching was effective when the group identifies which situation as a violation of informed consent? A. Performing a procedure on a 15-year-old without parental consent B. Serving as a witness to the signature process on an oapbier iv/ tees t permit C. Asking whether the client understands what she is signing following receiving education D. Getting verbal consent over the phone for an Answer: A Rationale: In most states, only clients over the age of 18 can legally provide consent for health care. Serving as a witness to the signature process, asking whether the client understands what she is signing, n/gtesvt erbal consent over the phone for emergency procedures are all key to informed consent and are not violations. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive Level: Analyze Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 45 4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her fetus. To ensure informed consent, which action A. Asking relevant questions to determine the client's understanding B. Providing a detailed description of the risks and benefits of the procedure C. Explaining the exact steps that will occur during the u/terset D. Offering suggestions for alternative options for treatment Answer: A Rationale: The nurse's responsibilities related to informed consent include: Ensuring the consent form is completed with signatures from the client; serving as a witness to the signature process; and determining whether the calbiier mu/tne sdt erstands what she is signing by asking her pertinent questions. The physician, advanced practice nurse, or midwife is responsible for informing the client about the procedure and obtaining consent by providing a detailed description of the procedure or treatment, its potential risks and benefits, and alternative methods a/btelset . Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 45 5. A 9-month-old with glaucoma requires surgery. The 'ms/tepsat rents are divorced. To obtain informed consent, which action would be most appropriate? A. Contacting the father for informed consent B. Obtaining informed consent from the mother C. Seeking a court ruling on the course of care D. Determining sole or joint custody by the parents Answer: D Rationale: The most appropriate action would be to determine legal custody by court decree. If the parents have joint custody, then either parent may give consent, but it is always best to have consent given by ba boi rtbh. c opma/ t erset nts. The parent with only physical custody may give consent for emergency care. The last resort is getting a court ruling; usually this is not necessary unless the parents disagree about the care of the child. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: M Integrated Process: Nursing Process Reference: p. 47 6. Which statement made by a nursing student would bea bsi rtb . cionmd/ tiecsat te that her education on family-centered care was fully understood? A. "Childbirth affects the entire family, and relationships will change." B. "Families are usually not capable of making health caarbei r bd. ceo mc/itse isot ns for themselves, especially in stressful situations." C. "Mothers are the only family member affected by childbirth." D. "Since childbirth is a medical procedure, it may affect everyone." Answer: A Rationale: Childbirth affects the entire family, and p/steswt ill change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Psychosocial Integrity Integrated Process: Nursing Process Reference: p. 15 7. Which aspect of client wellness has not been a focus aobfir ma/lttehst during the 21st century ? A. Disease prevention B. Health promotion C. Wellness D. Analysis of morbidity and mortality Answer: D Rationale: The focus on health has shifted to disease prea bvi reb .nc otmio/ tne s,t health promotion, and wellness. In the last century, much of the focus was on analyzing morbidity and mortality rates. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Remember Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: , p. Health Status of Women and Children 8. A nurse is planning a continuum of care for a client A. Adhering to strict specific routines B. Involving a pediatric physician C. Educating the client about the importance of a s/otenst D. Assigning several nurses as a support team Answer: C Rationale: Educating the client about the importance of a support person during labor and delivery has been shown to improve and enhance the birthing experience. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Remember Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 5-7 9. The nurse is administering a number of therapeutic n/tteisot ns for neonates, infants, and children on the pediatric unit. Which intervention contributes to an increase in chronic illness seen in early childhood? A. Administering antibiotics to prevent lethal infections B. Vaccinating children to prevent childhood diseases C. Using mechanical ventilation for premature infants D. Using corticosteroids as a treatment for asthma Answer: C