Test Bank For Safe Maternity &
Pediatric Nursing Care Second
Edition by Luanne Linnard-Palmer
STUDY GUIDE
Q1. A patient chooses to have a certified nurse-midwife
(CNM) provide care during her pregnancy and delivery. What
does the CNM's scope of practice include?
A. Practice independent from medical supervision
B. Comprehensive prenatal care
C. Attendance at all deliveries
D. Cesarean sections
Answer: B. Comprehensive prenatal care
Rationale: The CNM provides comprehensive prenatal and
postnatal care, attends uncomplicated deliveries, and ensures the
availability of backup physician support. CNMs do not perform
Cesarean sections independently.
Q2. Which medical pioneer discovered the relationship
between the incidence of puerperal fever and unwashed
hands?
A. Karl Cred
B. Ignaz Semmelweis
,C. Louis Pasteur
D. Joseph Lister
Answer: B. Ignaz Semmelweis
Rationale: Ignaz Semmelweis deduced that puerperal fever was
septic, contagious, and transmitted by the unwashed hands of
physicians and medical students. His work laid the foundation for
hand hygiene in obstetrics.
Q3. The provider explains the need for an amniocentesis, but
the patient declines the procedure. The nurse supports the
patient's right to make this decision, demonstrating an
understanding of which ethical principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: A. Autonomy
Rationale: Autonomy is the principle that respects a person's
right to self-determination and to make their own informed
choices. By supporting the patient's refusal, the nurse upholds the
patient's autonomy.
,Q4. The nurse joins a community outreach program to
promote vaccination of children, demonstrating which ethical
principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: B. Beneficence
Rationale: Beneficence refers to actions that promote the well-
being of others. By engaging in a vaccination campaign, the nurse
is actively working to prevent disease and improve community
health, which is an act of beneficence.
Q5. The nurse does not look at the declaration page showing
the patient's insurance status, believing all patients should be
treated equally. This demonstrates which ethical principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: D. Justice
Rationale: Justice is the ethical principle of fairness and equality.
By avoiding knowledge of a patient's insurance status to ensure
equal treatment, the nurse is actively upholding the principle of
justice.
, Q6. A pregnant woman who has recently immigrated to the
US says, "I am afraid of childbirth. I am afraid I will die." What
is the most culturally sensitive nursing response?
A. "Maternal mortality in the US is extremely low."
B. "Anesthesia is available to relieve pain during labor."
C. "Tell me why you are afraid of childbirth."
D. "Your condition will be monitored during labor and delivery."
Answer: C. "Tell me why you are afraid of childbirth."
Rationale: Asking the patient to explain her specific fears
promotes understanding, individualizes care, and demonstrates
therapeutic communication and cultural sensitivity. It respects the
patient's unique background and concerns.
Q7. The nurse supports a family's decision to decline a blood
transfusion based on religious beliefs. This is an example of
which concept?
A. Paternalism
B. Autonomy
C. Beneficence
D. Nonmaleficence
Answer: B. Autonomy
Pediatric Nursing Care Second
Edition by Luanne Linnard-Palmer
STUDY GUIDE
Q1. A patient chooses to have a certified nurse-midwife
(CNM) provide care during her pregnancy and delivery. What
does the CNM's scope of practice include?
A. Practice independent from medical supervision
B. Comprehensive prenatal care
C. Attendance at all deliveries
D. Cesarean sections
Answer: B. Comprehensive prenatal care
Rationale: The CNM provides comprehensive prenatal and
postnatal care, attends uncomplicated deliveries, and ensures the
availability of backup physician support. CNMs do not perform
Cesarean sections independently.
Q2. Which medical pioneer discovered the relationship
between the incidence of puerperal fever and unwashed
hands?
A. Karl Cred
B. Ignaz Semmelweis
,C. Louis Pasteur
D. Joseph Lister
Answer: B. Ignaz Semmelweis
Rationale: Ignaz Semmelweis deduced that puerperal fever was
septic, contagious, and transmitted by the unwashed hands of
physicians and medical students. His work laid the foundation for
hand hygiene in obstetrics.
Q3. The provider explains the need for an amniocentesis, but
the patient declines the procedure. The nurse supports the
patient's right to make this decision, demonstrating an
understanding of which ethical principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: A. Autonomy
Rationale: Autonomy is the principle that respects a person's
right to self-determination and to make their own informed
choices. By supporting the patient's refusal, the nurse upholds the
patient's autonomy.
,Q4. The nurse joins a community outreach program to
promote vaccination of children, demonstrating which ethical
principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: B. Beneficence
Rationale: Beneficence refers to actions that promote the well-
being of others. By engaging in a vaccination campaign, the nurse
is actively working to prevent disease and improve community
health, which is an act of beneficence.
Q5. The nurse does not look at the declaration page showing
the patient's insurance status, believing all patients should be
treated equally. This demonstrates which ethical principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: D. Justice
Rationale: Justice is the ethical principle of fairness and equality.
By avoiding knowledge of a patient's insurance status to ensure
equal treatment, the nurse is actively upholding the principle of
justice.
, Q6. A pregnant woman who has recently immigrated to the
US says, "I am afraid of childbirth. I am afraid I will die." What
is the most culturally sensitive nursing response?
A. "Maternal mortality in the US is extremely low."
B. "Anesthesia is available to relieve pain during labor."
C. "Tell me why you are afraid of childbirth."
D. "Your condition will be monitored during labor and delivery."
Answer: C. "Tell me why you are afraid of childbirth."
Rationale: Asking the patient to explain her specific fears
promotes understanding, individualizes care, and demonstrates
therapeutic communication and cultural sensitivity. It respects the
patient's unique background and concerns.
Q7. The nurse supports a family's decision to decline a blood
transfusion based on religious beliefs. This is an example of
which concept?
A. Paternalism
B. Autonomy
C. Beneficence
D. Nonmaleficence
Answer: B. Autonomy
