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Maternity and Pediatric Nursing - Third Edition

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Maternity and Pediatric Nursing - Third Edition Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care 1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact? A) Resolving all language and cultural differences B) Assuring early and adequate prenatal care C) Providing more extensive women’s shelters D) Encouraging all women to eat a balanced diet 2. When integrating the principles of family-centered care, the nurse would include which of the following? A) Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D) Families require little informatiNoUnRtSoINmGaTkB.eCOapMpropriate decisions 3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A) Epidemics of puerperal fever B) Performance of the first cesarean birth C) Development of the x-ray to assess pelvic size D) Creation of free-standing birth centers 4. After teaching a group of students about pregnancy-related mortality, the instructor determines that additional teaching is needed when the students identify which condition as a leading cause? A) Hemorrhage B) Embolism C) Obstructed labor D) Infection

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MATERNITY AND PEDIATRIC NURSING 3RD EDITION RICCI TEST BANK




Maternity and Pediatric Nursing - Third Edition
Chapter 1- Perspectives on Maternal, Newborn, and Women’s
Health Care
1.
The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist
in decreasing these rates, which factor would most likely need to be addressed as
having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-centered care, the nurse would include
which of the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little
informatiNoUnRtSoINmGaTkB.eCOapMpropriate decisions 3.
When preparing a teaching plan for a group of first-time pregnant women, the
nurse expects to review how maternity care has changed over the years. Which of
the following would the nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4.
After teaching a group of students about pregnancy-related mortality, the instructor
determines that additional teaching is needed when the students identify which
condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection

, MATERNITY AND PEDIATRIC NURSING 3RD EDITION RICCI TEST BANK




5.
The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. Which of the following conditions
would the group address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
consider which factor to be most important?
A) Language
B) Health care workers’ attitudes
C) Transportation
D) Finances
7.
After teaching a group of nursing students about the issue of informed consent.
Which of the following, if identified by the student, would indicate an
understanding of a violation of informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
N U R S IN G TB . C O M
C) Asking whether the client under s ta n d s w h a t s he is signing
D) Getting verbal consent over the phone for emergency
procedures 8.
The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with
a neighbor. Which action would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the child’s aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this
situation 9.
After teaching nursing students about the basic concepts of family-centered care,
the instructor determines that the teaching was successful when the students
state which of the following?
A) “Childbirth affects the entire family, and relationships will change.”
B) “Families are not capable of making health care decisions for themselves.”
C) “Mothers are the family members affected by childbirth.”
D) “Childbirth is a medical
procedure.” 10.

, MATERNITY AND PEDIATRIC NURSING 3RD EDITION RICCI TEST BANK




A nursing instructor is preparing a class discussion on the trends in health care and
health care delivery over the past several centuries. When discussing the changes
during the past century, which of the following would the instructor be least likely
to include?
A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and
mortality 11.
A nurse is assigned to care for an Asian American client. The nurse develops a
plan of care with the understanding that based on this client’s cultural background,
the client most likely views illness as which of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
D) From an imbalance of yin and
yang 12.
A nurse is developing a plan of care for a woman to ensure continuity of care
during pregnancy, labor, and childbirth. Which of the following would be most
important for the nurse to incorporate into that plan?
N U R SINGTB.COM
A) Adhering to strict, specific rout in e s
B) Involving a pediatric physician
C) Educating the client about the importance of a support person
D) Assigning several nurses as a support
team 13.
A nursing instructor is preparing a class discussion on case management in
maternal and newborn health care. Which of the following would the instructor
include as a key component? Select all that apply.
A) Advocacy
B) Coordination
C) Communication
D) Resource management
E) Event managed
care 14.
After teaching a group of students about the concept of maternal mortality, the
instructor determines that additional teaching is needed when the students
state which of the following?
A) “The rate includes accidental causes for deaths.”
B) “It addresses pregnancy-related causes.”
C) “The duration of the pregnancy is not a concern.”

, MATERNITY AND PEDIATRIC NURSING 3RD EDITION RICCI TEST BANK




D) “The time frame is typically for a specified
year.” 15.
A group of students are reviewing the historical aspects about childbirth. The
students demonstrate understanding of the information when they identify the use
of twilight sleep as a key event during which time frame?
A) 1700s
B) 1800s
C) 1900s
D) 2000s
16.
A nurse is providing care to a woman who has just delivered a healthy newborn.
Which action would least likely demonstrate application of the concept of family-
centered care?
A) Focusing on the birth as a normal healthy event for the family
B) Creating opportunities for the family to make informed decisions
C) Encouraging the woman to keep her other children at home
D) Fostering a sense of respect for the mother and the
family 17.
When discussing fetal mortality with a group of students, a nurse addresses
maternal factors. Which of the following would the nurse most likely include?
Select all that apply. NURSINGTB.COM

A) Chromosomal abnormalities
B) Malnutrition
C) Preterm cervical dilation
D) Underlying disease condition
E) Poor placental
attachment 18.
A nurse is preparing a presentation for a local community group about health status
and children’s health. Which of the following would the nurse include as one of the
most significant measures?
A) Fetal mortality rate
B) Neonatal mortality rate
C) Infant mortality rate
D) Maternal mortality
rate 19.
A group of students are reviewing an article describing information related to
indicators for women’s health and the results of a national study. Which of the
following would the students identify as being satisfactory for women? Select all
that apply.
A) Smoking cessation

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