,ORIGINAL TESTBANK || MATERNITY AND PEDIATRIC NURSING 5TH EDITION BY RICCI
. KYLE & CARMAN
Comprehensive Master Exam:
Question 1
A nurse is reviewing maternal mortality statistics with a group of student nurses.
Which factor does the nurse highlight as the primary contributor to current
disparities in maternal morbidity and mortality rates?
A) Geographic location of delivery facilities
B) Maternal age at the time of conception
C) Systemic barriers to early prenatal care
D) Decreased use of electronic fetal monitoring
• Answer: C
• Clinical Rationale: Systemic socioeconomic barriers, structural inequalities,
and a lack of access to early, comprehensive prenatal care remain the leading
drivers behind widening racial and ethnic disparities in maternal mortality.
While maternal age and regional facility access impact individual risk profiles,
systemic care barriers create population-level disparities.
Question 2
The nurse is adopting a family-centered care model on a pediatric unit. Which
action best demonstrates the core philosophy of this care model?
A) Restricting visitation to parents during standard daytime hours only.
B) Collaborating with parents as equal partners in the child’s care plan.
C) Making all clinical decisions independently to relieve parental anxiety.
D) Allowing the child to dictate all medication administration times.
• Answer: B
• Clinical Rationale: Family-centered care recognizes the family as the constant
in the child's life. It emphasizes collaboration, open communication, and
, partnering with parents as vital members of the health care team, rather
than treating them as passive visitors.
Question 3
A community nurse is evaluating the health profile of a neighborhood to address
infant mortality rates. Which statistic provides the most accurate definition of the
infant mortality rate?
A) The number of infant deaths per 1,000 live births occurring within the first year of
life.
B) The number of neonatal deaths per 10,000 live births occurring in the first 28
days.
C) The percentage of fetal deaths occurring after 20 weeks of gestation per year.
D) The number of infant deaths per 100,000 live births due to accidental trauma.
• Answer: A
• Clinical Rationale: The infant mortality rate is universally defined as the
number of deaths of infants under 1 year of age per 1,000 live births. It serves
as a critical global indicator of the health and socioeconomic status of a
population.
Question 4
A nurse is preparing to perform a dressing change on a 5-year-old child. Which
action aligns with the principles of atraumatic care?
A) Telling the child that the procedure will not hurt at all.
B) Performing the procedure in the child’s hospital bed.
C) Allowing the child to hold a piece of the securement tape.
D) Restraining the child firmly without explaining the steps.
• Answer: C
• Clinical Rationale: Atraumatic care aims to minimize psychological and
physical distress. Giving the child a simple, safe task (like holding tape) fosters
a sense of control. Procedures should never be done in the bed (which should
remain a "safe haven"), and honesty about pain is essential to maintain trust.
, Question 5
Which document provides the legal framework and boundaries for a nurse
practicing maternal-child health within a specific state?
A) ANA Standards of Clinical Nursing Practice
B) The State's Nurse Practice Act
C) Institutional Policies and Procedures Manual
D) The Patient's Bill of Rights
• Answer: B
• Clinical Rationale: The Nurse Practice Act of each individual state defines the
legal scope of nursing practice, licensing requirements, and boundaries.
While professional standards and hospital policies guide care, they cannot
override state law.
Question 6
A nurse is practicing evidence-based care on a postpartum unit. What is the primary
purpose of incorporating evidence-based practice (EBP) into clinical routines?
A) To standardise care so all patients receive identical interventions.
B) To lower institutional operating costs and nursing hours.
C) To integrate the best current research with clinical expertise and patient values.
D) To eliminate the need for clinical decision-making by staff nurses.
• Answer: C
• Clinical Rationale: EBP combines the highest quality scientific research
evidence with clinical expertise and the unique preferences, values, and
cultural needs of the patient to optimize health outcomes.
Question 7
A home health nurse is conducting a family assessment using a Calgary Family
Assessment Model framework. The nurse notes that the grandmother makes all the
financial decisions for the household. Which category of family assessment does this
observation fall under?
A) Structural assessment
. KYLE & CARMAN
Comprehensive Master Exam:
Question 1
A nurse is reviewing maternal mortality statistics with a group of student nurses.
Which factor does the nurse highlight as the primary contributor to current
disparities in maternal morbidity and mortality rates?
A) Geographic location of delivery facilities
B) Maternal age at the time of conception
C) Systemic barriers to early prenatal care
D) Decreased use of electronic fetal monitoring
• Answer: C
• Clinical Rationale: Systemic socioeconomic barriers, structural inequalities,
and a lack of access to early, comprehensive prenatal care remain the leading
drivers behind widening racial and ethnic disparities in maternal mortality.
While maternal age and regional facility access impact individual risk profiles,
systemic care barriers create population-level disparities.
Question 2
The nurse is adopting a family-centered care model on a pediatric unit. Which
action best demonstrates the core philosophy of this care model?
A) Restricting visitation to parents during standard daytime hours only.
B) Collaborating with parents as equal partners in the child’s care plan.
C) Making all clinical decisions independently to relieve parental anxiety.
D) Allowing the child to dictate all medication administration times.
• Answer: B
• Clinical Rationale: Family-centered care recognizes the family as the constant
in the child's life. It emphasizes collaboration, open communication, and
, partnering with parents as vital members of the health care team, rather
than treating them as passive visitors.
Question 3
A community nurse is evaluating the health profile of a neighborhood to address
infant mortality rates. Which statistic provides the most accurate definition of the
infant mortality rate?
A) The number of infant deaths per 1,000 live births occurring within the first year of
life.
B) The number of neonatal deaths per 10,000 live births occurring in the first 28
days.
C) The percentage of fetal deaths occurring after 20 weeks of gestation per year.
D) The number of infant deaths per 100,000 live births due to accidental trauma.
• Answer: A
• Clinical Rationale: The infant mortality rate is universally defined as the
number of deaths of infants under 1 year of age per 1,000 live births. It serves
as a critical global indicator of the health and socioeconomic status of a
population.
Question 4
A nurse is preparing to perform a dressing change on a 5-year-old child. Which
action aligns with the principles of atraumatic care?
A) Telling the child that the procedure will not hurt at all.
B) Performing the procedure in the child’s hospital bed.
C) Allowing the child to hold a piece of the securement tape.
D) Restraining the child firmly without explaining the steps.
• Answer: C
• Clinical Rationale: Atraumatic care aims to minimize psychological and
physical distress. Giving the child a simple, safe task (like holding tape) fosters
a sense of control. Procedures should never be done in the bed (which should
remain a "safe haven"), and honesty about pain is essential to maintain trust.
, Question 5
Which document provides the legal framework and boundaries for a nurse
practicing maternal-child health within a specific state?
A) ANA Standards of Clinical Nursing Practice
B) The State's Nurse Practice Act
C) Institutional Policies and Procedures Manual
D) The Patient's Bill of Rights
• Answer: B
• Clinical Rationale: The Nurse Practice Act of each individual state defines the
legal scope of nursing practice, licensing requirements, and boundaries.
While professional standards and hospital policies guide care, they cannot
override state law.
Question 6
A nurse is practicing evidence-based care on a postpartum unit. What is the primary
purpose of incorporating evidence-based practice (EBP) into clinical routines?
A) To standardise care so all patients receive identical interventions.
B) To lower institutional operating costs and nursing hours.
C) To integrate the best current research with clinical expertise and patient values.
D) To eliminate the need for clinical decision-making by staff nurses.
• Answer: C
• Clinical Rationale: EBP combines the highest quality scientific research
evidence with clinical expertise and the unique preferences, values, and
cultural needs of the patient to optimize health outcomes.
Question 7
A home health nurse is conducting a family assessment using a Calgary Family
Assessment Model framework. The nurse notes that the grandmother makes all the
financial decisions for the household. Which category of family assessment does this
observation fall under?
A) Structural assessment
