Maternal – Child Nursing Ch 1 NCLEX Exam with Questions and Answers (Latest
Version + Detailed Solutions)
A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first baby was
born by cesarean because the baby was too large to fit through the woman's pelvis. She has
also developed gestational diabetes during this pregnancy. When discussing with the woman
her options for places of birth, what is the best choice for her?
1) Home birth
2) Birth center
3) LDRP in a hospital setting
4) It does not matter. - ✔✔✔-3) LDRP in a hospital setting
Home births and freestanding birthing centers should be used for patients with very low risk for
complications. The woman's past history and present complication with this pregnancy place
her in a high-risk category. Therefore, she needs to be in a setting where emergency care is
quickly available. Because of her complications, the woman is not a candidate for home birth or
a birth center. The woman needs to be in a setting where emergency care is quickly available.
A 27-year-old woman newly diagnosed with diabetes is admitted to an agency to regulate her
medication and receive patient teaching on diabetes. She is assigned a case manager on her
first day. To best explain this role to the woman, the nurse states that a case manager will
1) decide which patient teaching is necessary for the woman.
2) manage and collaborate the woman's care to ensure optimal outcomes.
, Maternal – Child Nursing Ch 1 NCLEX Exam with Questions and Answers (Latest
Version + Detailed Solutions)
3) be responsible for reviewing the woman's chart for errors.
4) decide which method of treatment is most cost effective for the agency. - ✔✔✔-2) manage
and collaborate the woman's care to ensure optimal outcomes.
A case manager will focus on both quality and cost outcomes. He or she will coordinate services
needed and manage the care collaboratively to ensure optimal outcomes.
A 4-year-old is hospitalized for treatment of pneumonia. The nurse informs the child's mother
that the pediatric unit is a Family-Centered Child Care unit. What does this mean for her?
1) She will be allowed input into her child's care.
2) She will not be able to stay at night with her child but must stay during the day.
3) She will not be allowed to visit her child, because it is considered to cause emotional distress.
4) She will be responsible for her child's total care. - ✔✔✔-1) She will be allowed input into her
child's care.
Family-Centered Child Care recognizes and respects the pivotal role of the family in the child's
life. It supports families and views parents and professionals as equal partners. Family-Centered
Child Care units encourage parents to stay with the child around the clock. The child's mother
will share care of the child as the parents and professionals are viewed as equals.
Version + Detailed Solutions)
A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first baby was
born by cesarean because the baby was too large to fit through the woman's pelvis. She has
also developed gestational diabetes during this pregnancy. When discussing with the woman
her options for places of birth, what is the best choice for her?
1) Home birth
2) Birth center
3) LDRP in a hospital setting
4) It does not matter. - ✔✔✔-3) LDRP in a hospital setting
Home births and freestanding birthing centers should be used for patients with very low risk for
complications. The woman's past history and present complication with this pregnancy place
her in a high-risk category. Therefore, she needs to be in a setting where emergency care is
quickly available. Because of her complications, the woman is not a candidate for home birth or
a birth center. The woman needs to be in a setting where emergency care is quickly available.
A 27-year-old woman newly diagnosed with diabetes is admitted to an agency to regulate her
medication and receive patient teaching on diabetes. She is assigned a case manager on her
first day. To best explain this role to the woman, the nurse states that a case manager will
1) decide which patient teaching is necessary for the woman.
2) manage and collaborate the woman's care to ensure optimal outcomes.
, Maternal – Child Nursing Ch 1 NCLEX Exam with Questions and Answers (Latest
Version + Detailed Solutions)
3) be responsible for reviewing the woman's chart for errors.
4) decide which method of treatment is most cost effective for the agency. - ✔✔✔-2) manage
and collaborate the woman's care to ensure optimal outcomes.
A case manager will focus on both quality and cost outcomes. He or she will coordinate services
needed and manage the care collaboratively to ensure optimal outcomes.
A 4-year-old is hospitalized for treatment of pneumonia. The nurse informs the child's mother
that the pediatric unit is a Family-Centered Child Care unit. What does this mean for her?
1) She will be allowed input into her child's care.
2) She will not be able to stay at night with her child but must stay during the day.
3) She will not be allowed to visit her child, because it is considered to cause emotional distress.
4) She will be responsible for her child's total care. - ✔✔✔-1) She will be allowed input into her
child's care.
Family-Centered Child Care recognizes and respects the pivotal role of the family in the child's
life. It supports families and views parents and professionals as equal partners. Family-Centered
Child Care units encourage parents to stay with the child around the clock. The child's mother
will share care of the child as the parents and professionals are viewed as equals.
