Carman All Chapters Complete
MATERNITY & PEDIATRIC NURSING, 5TH EDITION (Ricci, Kyle, Carman)
120 Practice Questions with Answers & Rationales
UNIT 1: Foundations of Maternity & Pediatric Nursing (Questions 1-15)
Question 1
When integrating the principles of family-centered care into the birthing process,
the nurse should base care on which belief?
A. Birth is viewed as a medical event requiring strict protocols
B. Families are unable to make informed choices due to stress
C. Birth results in changes in relationships within the family
D. Families require little information to make appropriate decisions
Answer: C
Rationale: Family-centered care is based on the principle that birth affects the
entire family and that relationships will change. Additional principles include
viewing birth as a normal, healthy event and recognizing that families are capable
of making informed decisions when given adequate information and professional
support.
,Question 2
A community health nurse is developing programs to address the special health
needs of women. Which condition should be the priority for educational
programs?
A. Smoking cessation
B. Heart disease
C. Diabetes mellitus
D. Breast cancer
Answer: B
Rationale: Cardiovascular disease is the number one cause of death in women
regardless of racial or ethnic group. While smoking, diabetes, and cancer are
important health concerns, heart disease remains the leading cause of mortality
and should be the priority focus.
Question 3
The nurse is reviewing the U.S. Surgeon General's Report, Healthy People 2020.
Which nursing action best reflects the goals of this healthcare agenda?
A. The nurse signs up for classes to obtain an advanced nursing degree
B. The nurse volunteers at a local clinic providing free vaccinations for low-income
populations
,C. The nurse performs an in-service on basic hospital equipment for student
nurses
D. The nurse compiles articles on evidence-based practices for a hospital training
seminar
Answer: B
Rationale: Healthy People 2020 focuses on eliminating preventable disease,
achieving health equity, eliminating disparities, and improving health for all
groups. Volunteering at a clinic for low-income populations directly reflects
improving health for all groups and eliminating disparities.
Question 4
A nurse is conducting an orientation for newly hired nurses about informed
consent. Which situation would the nurse identify 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 operative permit
C. Asking whether the client understands what she is signing after education
D. Obtaining verbal consent over the phone from a spouse for an emergency
procedure
, Answer: A
Rationale: In most states, only clients over age 18 can legally provide consent for
healthcare. Serving as a witness, asking about understanding, and obtaining
verbal consent for emergency procedures are all appropriate aspects of the
informed consent process and are not violations.
Question 5
A pregnant woman is to undergo an invasive procedure to evaluate fetal status.
What is the nurse's priority responsibility regarding informed consent?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of risks and benefits
C. Explaining the exact steps that will occur during the procedure
D. Offering suggestions for alternative treatment options
Answer: A
Rationale: The nurse's responsibilities include ensuring the consent form is
completed, serving as a witness to the signature process, and determining
whether the client understands what she is signing by asking pertinent questions.
The physician or advanced practice provider is responsible for describing the
procedure, risks, benefits, and alternatives.