For more test banks https://www.stuvia.com/user/angelinas
b b b b
, Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman b b b b b b b b
Test Bank
b b
Chapter1 b
1. When integrating the principles of family-centered care into the birthing
b b b b b b b b b
process, the nurse would base care upon which belief?
b b b b b b b b b
A. Birth is viewed as a medical event. b b b b b b
B. Familiesare unable to make informed choices due to stress. b b b b b b b b b
C. Birthresultsin changes in relationships. b b b b b
D. Familiesrequire little informationtomakeappropriate decisions for care. b b b b b b b b b
Answer: C b
Rationale:Family-centeredcareisbasedonthefollowinagbi rpb.rcionmc/tiepstles: Birthaffectsthe
b b b b b b b b b b b b bb b b bb b b b b b b b
entire family, and relationships will change; birth is viewed as anormal, healthy event in
b b b b b b b b b b b b b b b
the life of the family; and families are capable of making decisions about their own care
b b b b b b b b b b b b b b b b
if given adequate information and professional support.
b b b b b b b
Question format: Multiple Choice b b b
Chapter1: Perspectives onMaternalandChild Health Careb b b b b b b b
Cognitive Level: Apply
b b b
ClientNeeds:HealthPromotionandMaintenance
b b b b b
Integrated Process: Teaching/Learning
b b b
Integrated Process: Caring
b b b
Reference: p.7 b b
2. The nurse is working with a group of community health members to develop a
b b b b b b b b b b b b b
plan to address the special health needs of women. The group would design
b b b b b b b b b b b b b
educational programs to address which priority condition?
b b b b b b b
A. Smoking
B. Heart disease b
C. Diabetes
D. Cancer
b Answer:B b
Rationale: The group needs to address cardiovascular d ise as e, the number one cause of
b b b b b b b b b b b b b b b
death in women regardless of racial or ethnic group. Smoking is related to heart disease
b b b b b b b b b b b b b b b
and the development of cancer. However, heart disease and cancer
b b b b b b b b b b
canoccurinanywomanregardlessofhersmokingh is toarbyirb..cComa / nt e cs ter isthesecond leading
b b b b b b b b b bb b b b b b b b
cause of death, with women having a one in three lifetime risk of developingcancer.
b b b b b b b b b b b b b b b
Diabetes is another important health condition that can affect women. However, it is not
b b b b b b b b b b b b b b
the major health problem that heart disease is.
b b b b b b b b
Question format: Multiple Choice b b b
Chapter1: Perspectives onMaternaland Child Health Care
b b b b b b b b
Cognitive Level: Apply
b b b
Client Needs: Health Promotion and Maintenance
b b b b b
Integrated Process: Nursing Process b b b
For more test banks https://www.stuvia.com/user/angelinas
b b b b
, Reference: p. 12 b b
3. A nurse is conducting an orientation program for a group of newly hired nurses. As
b b b b b b b b b b b b b b
part of the program, the nurse is reviewing the issuea ob i rfb .icno fmo/ tre m
b b b b s t ed consent. The nurse b b b b b b b b b b b b b b b b b b
determines that the teaching was effective when the group identifies which situation
b b b b b b b b b b b b
as a violation of informed consent?
b b b b b b
A. Performingaprocedure ona15-year-oldwithoutparental consent b b b b b b b b
B. Servingas awitness to the signature process onanoapbierbr.caotmiv/t eest permit
b b b b b b b b b b
b b b
b
b b b b
C. Asking whether the client understands what she is signing following receivingb b b b b b b b b b
education
b
D. Getting verbal consent over the phone for an em er g eanb icr by. c opmr / ot ecs te d ure from the
b b b b b b b b b b b b b b b b b b b b b
spouse of a unconscious woman
b b b b b
Answer: A b
Rationale: In most states, only clients over the age of 18 can legally provide consent for
b b b b b b b b b b b b b b b
health care. Serving as a witness to the signature process, asking
b b b b b b b b b b b
whethertheclientunderstandswhatsheissigning,andagb irebt.ctoimn/gtesvt erbalconsentoverthe
b b b b b b b b
b bb b b b b b
b b b
phone for emergency procedures are all key to informed consent and are not violations.
b b b b b b b b b b b b b b
Question format: Multiple Choice b b b
Chapter1: Perspectives onMaternaland ChildHealth Caabr i er b
b b b b b b b b b
Cognitive Level: Analyze b b
ClientNeeds:Safe, Effective Care Environment: ManagementofCare
b b b b b b b b
Integrated Process: Nursing Process
b b b b
Reference: p. 45 b b
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
b b b b b b b b b b b b b
her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
b b b priority b b b b b
responsibility of the nurse providing care to this woman?
b b b b b b b b b
A. Askingrelevantquestions todeterminetheclient's understanding b b b b b b b
B. Providinga detailed description ofthe risks andbenefits of the procedure b b b b b b b b b b b
C. Explaining the exact steps that will occur during the pa rb oi rbc.ceo dm u/ terset b b b b b b b b b
b b b bb
D. Offeringsuggestionsforalternative options fortreatment b b b b b b
b Answer: A b
Rationale: The nurse's responsibilities relatedto informed consent include: Ensuring the
b b b b b b b b b b
consent form is completed with signatures from the client; serving as a witness tothe
b b b b b b b b b b b b b b b
signatureprocess;anddeterminingwhetherthecalbiierbn.ctomu/tnesdt erstandswhatsheis signing
b b b b b b b
b b b b b b b b b
b b b b
by asking her pertinent questions. The physician, advanced practice nurse, or midwife
b b b b b b b b b b b b
is responsible for informing the client about the procedure and obtaining consent by
b b b b b b b b b b b b b
providing a detailed description of the procedure or treatment, itspotentialrisksandbenefits,
b b b b b b b b b b b b b b
andalternativemethodsaabivr ba.ciolma/bt elset .
b b b b b b b b b b
b bb b b b b b
Question format: Multiple Choice b b b
Chapter1:Perspectives onMaternaland Child HealthCare
b b b b b b b b
Cognitive Level: Apply
b b b
ClientNeeds: Safe, Effective Care Environment: Management of Care
b b b b b b b b
For more test banks https://www.stuvia.com/user/angelinas
b b b b
, IntegratedProcess: Nursing Process b b b
Reference: p. 45
b b b
5. A9-month-oldwithglaucomarequiressurgery.Theinabfiar bn.cto'ms/tepsat rents
b b b b b b b b b b b b b b b b b b
aredivorced.To obtain informedconsent, which action would be most
b b b b b b b b b b b
appropriate?
b
A. Contactingthefather forinformedconsent b b b b b
B. Obtaininginformed consent from the mother b b b b b
C. Seekinga court ruling on the course of care b b b b b b b b
D. Determiningsole orjoint custodyby the parents b b b b b b b
b Answer: D b
Rationale: The most appropriate action would be to determine legal custody by court
b b b b b b b b b b b b
decree. If the parents have joint custody, then either parent may give consent,butitis
b b b b b b b b b b b b b b b b
always besttohaveconsentgivenbybaboirtbh.copma/terset nts.Theparentwith only physical
b b b b b b b b
b b b b b b b
b b b b b
custody may give consent for emergency care. The last resort is getting a court ruling;
b b b b b b b b b b b b b b b
usually this is not necessary unless the parents disagree about the care of the child.
b b b b b b b b b b b b b b b
Questionformat:Multiple Choice b b b
Chapter1: Perspectives onMaternaland ChildHealth Care
b b b b b b b b
Cognitive Level: Apply
b b b
ClientNeeds:Safe,EffectiveCareEnvironment:M anageam
b birbe.cnotm/otefstCareIntegrated
b b b b b bb b b b b
Process: Nursing Process
b b b
Reference: p. 47 b b
6. Whichstatementmadebyanursingstudentwouldbea bsirtb. cionmd/ tiecsat te
b b b b b b b b b
b b b b b b b b
that hereducation on family-centered care was fully understood?
b b b b b b b b b
A. "Childbirthaffects the entire family, and relationships will change." b b b b b b b b
B. "Familiesareusuallynotcapableofmakinghealthcaarbei rbd. ceo mc/itseisot ns forthemselves,
b b b b b b b b b b b b b b b b b b b
especially in stressful situations."
b b b b
C. "Mothersare the onlyfamilymember affectedby childbirth." b b b b b b b b
D. "Sincechildbirth is a medical procedure, it mayaffect everyone."
b b b b b b b b b
b Answer: A b
Rationale:Childbirth affectstheentire family,andrelatioabnirbs . hc oi mp / st es wt illchange. Childbirth is
b b b b b b b b b bb b b b b b b b
viewed as a normal life event, nota medical procedure. Families are very capable of
b b b b b b b b b b b b b b b
making health care decisions about their own care with proper information and
b b b b b b b b b b b b
support.
b
Questionformat: Multiple Choice b b b
Chapter1: Perspectives on Maternaland ChildHealth Care
b b b b b b b b
Cognitive Level: Apply
b b b
ClientNeeds: Psychosocial Integrity
b b b
IntegratedProcess:NursingProcess b b b
Reference: p. 15
b b b
7. Whichaspect ofclient wellnesshasnot been afocusaobfi rbh.ceo ma/lttehs t
b b b b b b b b b b b b b b b b b b
duringthe21stcentury ? b b b b
For more test banks https://www.stuvia.com/user/angelinas
b b b b
b b b b
, Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman b b b b b b b b
Test Bank
b b
Chapter1 b
1. When integrating the principles of family-centered care into the birthing
b b b b b b b b b
process, the nurse would base care upon which belief?
b b b b b b b b b
A. Birth is viewed as a medical event. b b b b b b
B. Familiesare unable to make informed choices due to stress. b b b b b b b b b
C. Birthresultsin changes in relationships. b b b b b
D. Familiesrequire little informationtomakeappropriate decisions for care. b b b b b b b b b
Answer: C b
Rationale:Family-centeredcareisbasedonthefollowinagbi rpb.rcionmc/tiepstles: Birthaffectsthe
b b b b b b b b b b b b bb b b bb b b b b b b b
entire family, and relationships will change; birth is viewed as anormal, healthy event in
b b b b b b b b b b b b b b b
the life of the family; and families are capable of making decisions about their own care
b b b b b b b b b b b b b b b b
if given adequate information and professional support.
b b b b b b b
Question format: Multiple Choice b b b
Chapter1: Perspectives onMaternalandChild Health Careb b b b b b b b
Cognitive Level: Apply
b b b
ClientNeeds:HealthPromotionandMaintenance
b b b b b
Integrated Process: Teaching/Learning
b b b
Integrated Process: Caring
b b b
Reference: p.7 b b
2. The nurse is working with a group of community health members to develop a
b b b b b b b b b b b b b
plan to address the special health needs of women. The group would design
b b b b b b b b b b b b b
educational programs to address which priority condition?
b b b b b b b
A. Smoking
B. Heart disease b
C. Diabetes
D. Cancer
b Answer:B b
Rationale: The group needs to address cardiovascular d ise as e, the number one cause of
b b b b b b b b b b b b b b b
death in women regardless of racial or ethnic group. Smoking is related to heart disease
b b b b b b b b b b b b b b b
and the development of cancer. However, heart disease and cancer
b b b b b b b b b b
canoccurinanywomanregardlessofhersmokingh is toarbyirb..cComa / nt e cs ter isthesecond leading
b b b b b b b b b bb b b b b b b b
cause of death, with women having a one in three lifetime risk of developingcancer.
b b b b b b b b b b b b b b b
Diabetes is another important health condition that can affect women. However, it is not
b b b b b b b b b b b b b b
the major health problem that heart disease is.
b b b b b b b b
Question format: Multiple Choice b b b
Chapter1: Perspectives onMaternaland Child Health Care
b b b b b b b b
Cognitive Level: Apply
b b b
Client Needs: Health Promotion and Maintenance
b b b b b
Integrated Process: Nursing Process b b b
For more test banks https://www.stuvia.com/user/angelinas
b b b b
, Reference: p. 12 b b
3. A nurse is conducting an orientation program for a group of newly hired nurses. As
b b b b b b b b b b b b b b
part of the program, the nurse is reviewing the issuea ob i rfb .icno fmo/ tre m
b b b b s t ed consent. The nurse b b b b b b b b b b b b b b b b b b
determines that the teaching was effective when the group identifies which situation
b b b b b b b b b b b b
as a violation of informed consent?
b b b b b b
A. Performingaprocedure ona15-year-oldwithoutparental consent b b b b b b b b
B. Servingas awitness to the signature process onanoapbierbr.caotmiv/t eest permit
b b b b b b b b b b
b b b
b
b b b b
C. Asking whether the client understands what she is signing following receivingb b b b b b b b b b
education
b
D. Getting verbal consent over the phone for an em er g eanb icr by. c opmr / ot ecs te d ure from the
b b b b b b b b b b b b b b b b b b b b b
spouse of a unconscious woman
b b b b b
Answer: A b
Rationale: In most states, only clients over the age of 18 can legally provide consent for
b b b b b b b b b b b b b b b
health care. Serving as a witness to the signature process, asking
b b b b b b b b b b b
whethertheclientunderstandswhatsheissigning,andagb irebt.ctoimn/gtesvt erbalconsentoverthe
b b b b b b b b
b bb b b b b b
b b b
phone for emergency procedures are all key to informed consent and are not violations.
b b b b b b b b b b b b b b
Question format: Multiple Choice b b b
Chapter1: Perspectives onMaternaland ChildHealth Caabr i er b
b b b b b b b b b
Cognitive Level: Analyze b b
ClientNeeds:Safe, Effective Care Environment: ManagementofCare
b b b b b b b b
Integrated Process: Nursing Process
b b b b
Reference: p. 45 b b
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
b b b b b b b b b b b b b
her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
b b b priority b b b b b
responsibility of the nurse providing care to this woman?
b b b b b b b b b
A. Askingrelevantquestions todeterminetheclient's understanding b b b b b b b
B. Providinga detailed description ofthe risks andbenefits of the procedure b b b b b b b b b b b
C. Explaining the exact steps that will occur during the pa rb oi rbc.ceo dm u/ terset b b b b b b b b b
b b b bb
D. Offeringsuggestionsforalternative options fortreatment b b b b b b
b Answer: A b
Rationale: The nurse's responsibilities relatedto informed consent include: Ensuring the
b b b b b b b b b b
consent form is completed with signatures from the client; serving as a witness tothe
b b b b b b b b b b b b b b b
signatureprocess;anddeterminingwhetherthecalbiierbn.ctomu/tnesdt erstandswhatsheis signing
b b b b b b b
b b b b b b b b b
b b b b
by asking her pertinent questions. The physician, advanced practice nurse, or midwife
b b b b b b b b b b b b
is responsible for informing the client about the procedure and obtaining consent by
b b b b b b b b b b b b b
providing a detailed description of the procedure or treatment, itspotentialrisksandbenefits,
b b b b b b b b b b b b b b
andalternativemethodsaabivr ba.ciolma/bt elset .
b b b b b b b b b b
b bb b b b b b
Question format: Multiple Choice b b b
Chapter1:Perspectives onMaternaland Child HealthCare
b b b b b b b b
Cognitive Level: Apply
b b b
ClientNeeds: Safe, Effective Care Environment: Management of Care
b b b b b b b b
For more test banks https://www.stuvia.com/user/angelinas
b b b b
, IntegratedProcess: Nursing Process b b b
Reference: p. 45
b b b
5. A9-month-oldwithglaucomarequiressurgery.Theinabfiar bn.cto'ms/tepsat rents
b b b b b b b b b b b b b b b b b b
aredivorced.To obtain informedconsent, which action would be most
b b b b b b b b b b b
appropriate?
b
A. Contactingthefather forinformedconsent b b b b b
B. Obtaininginformed consent from the mother b b b b b
C. Seekinga court ruling on the course of care b b b b b b b b
D. Determiningsole orjoint custodyby the parents b b b b b b b
b Answer: D b
Rationale: The most appropriate action would be to determine legal custody by court
b b b b b b b b b b b b
decree. If the parents have joint custody, then either parent may give consent,butitis
b b b b b b b b b b b b b b b b
always besttohaveconsentgivenbybaboirtbh.copma/terset nts.Theparentwith only physical
b b b b b b b b
b b b b b b b
b b b b b
custody may give consent for emergency care. The last resort is getting a court ruling;
b b b b b b b b b b b b b b b
usually this is not necessary unless the parents disagree about the care of the child.
b b b b b b b b b b b b b b b
Questionformat:Multiple Choice b b b
Chapter1: Perspectives onMaternaland ChildHealth Care
b b b b b b b b
Cognitive Level: Apply
b b b
ClientNeeds:Safe,EffectiveCareEnvironment:M anageam
b birbe.cnotm/otefstCareIntegrated
b b b b b bb b b b b
Process: Nursing Process
b b b
Reference: p. 47 b b
6. Whichstatementmadebyanursingstudentwouldbea bsirtb. cionmd/ tiecsat te
b b b b b b b b b
b b b b b b b b
that hereducation on family-centered care was fully understood?
b b b b b b b b b
A. "Childbirthaffects the entire family, and relationships will change." b b b b b b b b
B. "Familiesareusuallynotcapableofmakinghealthcaarbei rbd. ceo mc/itseisot ns forthemselves,
b b b b b b b b b b b b b b b b b b b
especially in stressful situations."
b b b b
C. "Mothersare the onlyfamilymember affectedby childbirth." b b b b b b b b
D. "Sincechildbirth is a medical procedure, it mayaffect everyone."
b b b b b b b b b
b Answer: A b
Rationale:Childbirth affectstheentire family,andrelatioabnirbs . hc oi mp / st es wt illchange. Childbirth is
b b b b b b b b b bb b b b b b b b
viewed as a normal life event, nota medical procedure. Families are very capable of
b b b b b b b b b b b b b b b
making health care decisions about their own care with proper information and
b b b b b b b b b b b b
support.
b
Questionformat: Multiple Choice b b b
Chapter1: Perspectives on Maternaland ChildHealth Care
b b b b b b b b
Cognitive Level: Apply
b b b
ClientNeeds: Psychosocial Integrity
b b b
IntegratedProcess:NursingProcess b b b
Reference: p. 15
b b b
7. Whichaspect ofclient wellnesshasnot been afocusaobfi rbh.ceo ma/lttehs t
b b b b b b b b b b b b b b b b b b
duringthe21stcentury ? b b b b
For more test banks https://www.stuvia.com/user/angelinas
b b b b
