lOMoARcPSD|3013804
l
Chapter 01: Foundations of Maternity, Women's Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the early 20th century?
d. Technologic developments became available to physicians
2. Family-centered maternity care developed in response to
c. parental requests that infants be allowed to remain with them rather than in a
nursery.
3. Which setting for childbirth allows the least amount of parent-infant contact?
c. Traditional hospital birth
4. As a result of changes in health care delivery and funding, a current trend seen in the
pediatric setting is
c. an increase in ambulatory care.
5. The Women, Infants, and Children (WIC) program provides
d. supplemental food supplies to low-income pregnant or breastfeeding women.
6. In most states, adolescents who are not emancipated minors must have the permission of
their parents before
d. surgery.
7. The maternity nurse should have a clear understanding of the correct use of a
clinical pathway. One characteristic of clinical pathways is that they
c. set specific time lines for sequencing interventions.
8. The fastest growing group of homeless people is
c. single women and their children.
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity
would this nurse most likely participate in?
c. Volunteering to provide prenatal care at community centers.
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If
she continues to refuse, what is the first action the nurse should take?
b. Notify the provider of the situation.
11. Which statement is true regarding the "quality assurance" or "incident" report?
d. This report is a form of documentation of an event that may result in legal action.
12. Elective abortion is considered an ethical issue because
c. a conflict exists between the rights of the woman and the rights of the fetus.
13. Which woman would be most likely to seek prenatal care?
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
14. A woman who delivered her baby 6 hours ago complains of headache and dizziness.
The nurse administers an analgesic but does not perform any assessments. The woman then
has a tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions
of the nurse be interpreted in relation to standards of care?
a. Negligent: the nurse failed to assess the woman for possible complications
15. Which patient situation fails to meet the first requirement of informed consent?
c. The patient is confused and disoriented.
16. Which situation reflects a potential ethical dilemma for the nurse?
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
abortion.
17. When planning a parenting class, the nurse should explain that the leading cause of death in
, lOMoARcPSD|3013804
children 1 to 4 years of age in the United States is
c. accidental death.
18. A nurse is floated to a different unit. The nurse does not know how to perform a treatment that has been prescribed for one
of his or her assigned patients. What should the nurse's first
action be?
c. Inform the nursing supervisor of the problem.
19. The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she
could provide information regarding the recommended amount of television viewing time for
her daughter. The nurse responds that the appropriate amount of time a child should be
watching television is
a. 1 to 2 hours per day.
20. Family-centered care (FCC) describes safe, quality care that recognizes and adapts to both the physical and
psychosocial needs of the family. Which nursing practice coincides with the
principles of FCC?
d. The nurse's assignment includes both mom and baby and increases the nurse's
responsibility for education.
21. Which statement related to nursing care of the child at home is most correct?
a. The technology-dependent infant can safely be cared for at home.
22. Maternity nursing care that is based on knowledge gained through research is known as
b. evidence-based practice.
23. The level of practice a reasonably prudent nurse provides is called
a. the standard of care.
MULTIPLE RESPONSE
1. When counseling the newly pregnant woman regarding the option of using a free-
standing birth center for care, the nurse should be aware that this type of care setting
includes which advantages? (Select all that apply.)
a. Less expensive than acute-care hospitals
b. Access to follow-up care for 6 weeks postpartum
d. Safe, home-like births in a familiar setting
2. A school nurse is working with unlicensed assistive personnel (UAPs). What aspects
of delegation should the nurse incorporate into his or her practice in this setting?
a. The registered nurse is always responsible for assessment.
b. Uncomplicated medication administration can be performed by the UAP.
d. The nurse must work within school district policies when delegating.
e. Understanding the complexity of the child's needs is a consideration when
delegating.
3. A student nurse has been studying Healthy People 2020. What information about
this initiative does the student understand? (Select all that apply.)
c. Objectives are aimed at keeping people healthy with a good quality of life.
d. Ensuring that 77.9% of women receive prenatal care in the first trimester is
one goal.
e. Increasing to 100% the proportion of people with health insurance.
Chapter 02: The Nurse's Role in Maternity, Women's Health, and Pediatric Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive reinforcement.
2. When addressing the questions of a newly pregnant woman, the nurse can explain that
the certified nurse-midwife is qualified to perform
c. vaginal deliveries.
, lOMoARcPSD|3013804
3. Which nursing intervention is an independent (nurse-driven) function of the nurse?
b. Teaching the woman perineal care
4. Which response by the nurse to the woman's statement, "I'm afraid to have a cesarean
birth," would be the most therapeutic?
a. "What concerns you most about a cesarean birth?"
5. To evaluate the woman's learning about performing infant care, the nurse should
c. observe the woman as she performs the procedure.
6. What situation is most conducive to learning?
d. An Asian nurse provides nutritional information to a group of pregnant Asian
women.
7. What is the primary role of practicing nurses in the research process?
c. Identifying researchable problems
8. The step of the nursing process in which the nurse determines the appropriate
interventions for the identified nursing diagnosis is called
b. planning.
9. Which goal is most appropriate for demonstrating effective parenting?
d. The parents will demonstrate effective parenting by discharge.
10. Which nursing intervention is correctly written?
c. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
11. What part of the nursing process includes the collection of data on vital signs, allergies,
sleep patterns, and feeding behaviors?
a. Assessment
12. The nurse who coordinates and manages a patient's care with other members of the
health care team is functioning in which role?
b. Collaborator
13. Which statement about alternative and complementary therapies is true?
c. Allow for more patient autonomy but also may carry risks
14. Which step in the nursing process identifies the basis or cause of the patient's problem?
c. Nursing diagnosis
MULTIPLE RESPONSE
1. Today's nurse often assumes the role of teacher or educator. Which strategies would be
best to use for a nurse working with a new mother? (Select all that apply.)
a. Computer-based learning
b. Videos
c. Printed material
d. Group discussion
2. The nurse who uses critical thinking understands that the steps of critical thinking include (Select all that apply.)
b. examining biases.
d. managing data.
e. evaluating other factors.
3. A nurse wishes to incorporate the American Nurses Association Code of Ethics for Nurses
in daily practice. Which of the following actions best demonstrates successful integration of
the code into daily routines?
a. Strives to treat all patients equally and with caring kindness
b. Calls the provider when the patient's pain is not controlled with
prescribed medications
c. Reads current literature related to practice area and brings ideas to
unit management
, lOMoARcPSD|3013804
Chapter 03: The Childbearing and Child-Rearing Family
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE
1. The nurse teaches parents that the formula used to guide time-out as a disciplinary method is
a. 1 minute per each year of the child's age.
b. to relate the length of the time-out to the severity of the behavior.
c. never to use time-out for a child younger than 4 years.
d. to follow the time-out with a treat. A
It is important to structure time-out in a time frame that allows the child to understand why he
or she has been removed from the environment. The current guideline is 1 minute per age in
years. Relating time to a behavior is subjective and is inappropriate when the child is very
young. Time-out can be used with the toddler. Negative behavior should not be reinforced
with a positive action. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 44 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
2. The nurse observes that when an 8-year-old enters the playroom, the child often causes
disruption by taking toys from other children. The nurse's best approach for this behavior is
to
a. ban the child from the playroom until the child learns to control behavior.
b. explain to the children in the playroom that this child is very ill and should
be allowed to have the toys.
c. approach the child in his or her room and ask, "Would you like it if the
other children took your toys from you?"
d. approach the child in his room and state, "I am concerned that you are taking
the other children's toys. It upsets them and me." D
By the nurse's using "I" rather than the "you" message, the child can focus on the behavior.
The child and the nurse can begin to explore why the behavior occurs. Banning the child from
the playroom will not solve the problem. The problem is his behavior, not the place where he
exhibits it. Illness is not a reason for a child to be undisciplined. When the child recovers, the
parents will have to deal with a child who is undisciplined and unruly. Children should not be
made to feel guilty and to have their self-esteem attacked. PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 44 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Health Promotion and Maintenance
3. Families who deal effectively with stress exhibit which behavior pattern?
a. Focus on family problems
b. Feel weakened by stress
c. Expect that some stress is normal
d. Feel guilty when stress exists C
Healthy families recognize that some stress is normal in all families. Healthy families focus
on family strengths rather than on the problems and know that stress is temporary and may be
positive. If families are dealing effectively with stress, then weakening of the family unit
should not occur. Because some stress is normal in all families, feeling guilty is not
reasonable. Guilt only immobilizes the family and does not lead to resolution of the stress. PTS: 1 DIF: Cognitive Level:
Comprehension/Understanding
REF: p. 38 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
4. Which family will most likely have the most difficulty coping with a seriously ill child?
a. A single-parent mother who has the support of her parents and siblings
b. Parents who have just moved to the area and have not yet found health
care providers
c. The family of a child who has had multiple hospitalizations related to asthma
and has adequate relationships with the nursing staff
d. A family in which there is a young child and four older married children who
live in the area B
Parents in a new environment will have increased stress related to their lack of a support
system. They have no previous experiences in the setting from which to draw confidence.
Not only does this family not have friends or relatives to help them, they must find a
provider when their child is seriously ill. Although only one parent is available, she has the
support of her extended family, which will assist her in adjusting to the crisis. Because this
family has had positive experiences in the past, family members can draw from those
experiences and feel confident about the setting. This family has an extensive support system
that will assist
the parents in adjusting to the crisis. PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 38 | Box 3.1 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
l
Chapter 01: Foundations of Maternity, Women's Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the early 20th century?
d. Technologic developments became available to physicians
2. Family-centered maternity care developed in response to
c. parental requests that infants be allowed to remain with them rather than in a
nursery.
3. Which setting for childbirth allows the least amount of parent-infant contact?
c. Traditional hospital birth
4. As a result of changes in health care delivery and funding, a current trend seen in the
pediatric setting is
c. an increase in ambulatory care.
5. The Women, Infants, and Children (WIC) program provides
d. supplemental food supplies to low-income pregnant or breastfeeding women.
6. In most states, adolescents who are not emancipated minors must have the permission of
their parents before
d. surgery.
7. The maternity nurse should have a clear understanding of the correct use of a
clinical pathway. One characteristic of clinical pathways is that they
c. set specific time lines for sequencing interventions.
8. The fastest growing group of homeless people is
c. single women and their children.
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity
would this nurse most likely participate in?
c. Volunteering to provide prenatal care at community centers.
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If
she continues to refuse, what is the first action the nurse should take?
b. Notify the provider of the situation.
11. Which statement is true regarding the "quality assurance" or "incident" report?
d. This report is a form of documentation of an event that may result in legal action.
12. Elective abortion is considered an ethical issue because
c. a conflict exists between the rights of the woman and the rights of the fetus.
13. Which woman would be most likely to seek prenatal care?
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
14. A woman who delivered her baby 6 hours ago complains of headache and dizziness.
The nurse administers an analgesic but does not perform any assessments. The woman then
has a tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions
of the nurse be interpreted in relation to standards of care?
a. Negligent: the nurse failed to assess the woman for possible complications
15. Which patient situation fails to meet the first requirement of informed consent?
c. The patient is confused and disoriented.
16. Which situation reflects a potential ethical dilemma for the nurse?
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
abortion.
17. When planning a parenting class, the nurse should explain that the leading cause of death in
, lOMoARcPSD|3013804
children 1 to 4 years of age in the United States is
c. accidental death.
18. A nurse is floated to a different unit. The nurse does not know how to perform a treatment that has been prescribed for one
of his or her assigned patients. What should the nurse's first
action be?
c. Inform the nursing supervisor of the problem.
19. The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she
could provide information regarding the recommended amount of television viewing time for
her daughter. The nurse responds that the appropriate amount of time a child should be
watching television is
a. 1 to 2 hours per day.
20. Family-centered care (FCC) describes safe, quality care that recognizes and adapts to both the physical and
psychosocial needs of the family. Which nursing practice coincides with the
principles of FCC?
d. The nurse's assignment includes both mom and baby and increases the nurse's
responsibility for education.
21. Which statement related to nursing care of the child at home is most correct?
a. The technology-dependent infant can safely be cared for at home.
22. Maternity nursing care that is based on knowledge gained through research is known as
b. evidence-based practice.
23. The level of practice a reasonably prudent nurse provides is called
a. the standard of care.
MULTIPLE RESPONSE
1. When counseling the newly pregnant woman regarding the option of using a free-
standing birth center for care, the nurse should be aware that this type of care setting
includes which advantages? (Select all that apply.)
a. Less expensive than acute-care hospitals
b. Access to follow-up care for 6 weeks postpartum
d. Safe, home-like births in a familiar setting
2. A school nurse is working with unlicensed assistive personnel (UAPs). What aspects
of delegation should the nurse incorporate into his or her practice in this setting?
a. The registered nurse is always responsible for assessment.
b. Uncomplicated medication administration can be performed by the UAP.
d. The nurse must work within school district policies when delegating.
e. Understanding the complexity of the child's needs is a consideration when
delegating.
3. A student nurse has been studying Healthy People 2020. What information about
this initiative does the student understand? (Select all that apply.)
c. Objectives are aimed at keeping people healthy with a good quality of life.
d. Ensuring that 77.9% of women receive prenatal care in the first trimester is
one goal.
e. Increasing to 100% the proportion of people with health insurance.
Chapter 02: The Nurse's Role in Maternity, Women's Health, and Pediatric Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE
1. Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive reinforcement.
2. When addressing the questions of a newly pregnant woman, the nurse can explain that
the certified nurse-midwife is qualified to perform
c. vaginal deliveries.
, lOMoARcPSD|3013804
3. Which nursing intervention is an independent (nurse-driven) function of the nurse?
b. Teaching the woman perineal care
4. Which response by the nurse to the woman's statement, "I'm afraid to have a cesarean
birth," would be the most therapeutic?
a. "What concerns you most about a cesarean birth?"
5. To evaluate the woman's learning about performing infant care, the nurse should
c. observe the woman as she performs the procedure.
6. What situation is most conducive to learning?
d. An Asian nurse provides nutritional information to a group of pregnant Asian
women.
7. What is the primary role of practicing nurses in the research process?
c. Identifying researchable problems
8. The step of the nursing process in which the nurse determines the appropriate
interventions for the identified nursing diagnosis is called
b. planning.
9. Which goal is most appropriate for demonstrating effective parenting?
d. The parents will demonstrate effective parenting by discharge.
10. Which nursing intervention is correctly written?
c. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
11. What part of the nursing process includes the collection of data on vital signs, allergies,
sleep patterns, and feeding behaviors?
a. Assessment
12. The nurse who coordinates and manages a patient's care with other members of the
health care team is functioning in which role?
b. Collaborator
13. Which statement about alternative and complementary therapies is true?
c. Allow for more patient autonomy but also may carry risks
14. Which step in the nursing process identifies the basis or cause of the patient's problem?
c. Nursing diagnosis
MULTIPLE RESPONSE
1. Today's nurse often assumes the role of teacher or educator. Which strategies would be
best to use for a nurse working with a new mother? (Select all that apply.)
a. Computer-based learning
b. Videos
c. Printed material
d. Group discussion
2. The nurse who uses critical thinking understands that the steps of critical thinking include (Select all that apply.)
b. examining biases.
d. managing data.
e. evaluating other factors.
3. A nurse wishes to incorporate the American Nurses Association Code of Ethics for Nurses
in daily practice. Which of the following actions best demonstrates successful integration of
the code into daily routines?
a. Strives to treat all patients equally and with caring kindness
b. Calls the provider when the patient's pain is not controlled with
prescribed medications
c. Reads current literature related to practice area and brings ideas to
unit management
, lOMoARcPSD|3013804
Chapter 03: The Childbearing and Child-Rearing Family
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE
1. The nurse teaches parents that the formula used to guide time-out as a disciplinary method is
a. 1 minute per each year of the child's age.
b. to relate the length of the time-out to the severity of the behavior.
c. never to use time-out for a child younger than 4 years.
d. to follow the time-out with a treat. A
It is important to structure time-out in a time frame that allows the child to understand why he
or she has been removed from the environment. The current guideline is 1 minute per age in
years. Relating time to a behavior is subjective and is inappropriate when the child is very
young. Time-out can be used with the toddler. Negative behavior should not be reinforced
with a positive action. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 44 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
2. The nurse observes that when an 8-year-old enters the playroom, the child often causes
disruption by taking toys from other children. The nurse's best approach for this behavior is
to
a. ban the child from the playroom until the child learns to control behavior.
b. explain to the children in the playroom that this child is very ill and should
be allowed to have the toys.
c. approach the child in his or her room and ask, "Would you like it if the
other children took your toys from you?"
d. approach the child in his room and state, "I am concerned that you are taking
the other children's toys. It upsets them and me." D
By the nurse's using "I" rather than the "you" message, the child can focus on the behavior.
The child and the nurse can begin to explore why the behavior occurs. Banning the child from
the playroom will not solve the problem. The problem is his behavior, not the place where he
exhibits it. Illness is not a reason for a child to be undisciplined. When the child recovers, the
parents will have to deal with a child who is undisciplined and unruly. Children should not be
made to feel guilty and to have their self-esteem attacked. PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 44 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Health Promotion and Maintenance
3. Families who deal effectively with stress exhibit which behavior pattern?
a. Focus on family problems
b. Feel weakened by stress
c. Expect that some stress is normal
d. Feel guilty when stress exists C
Healthy families recognize that some stress is normal in all families. Healthy families focus
on family strengths rather than on the problems and know that stress is temporary and may be
positive. If families are dealing effectively with stress, then weakening of the family unit
should not occur. Because some stress is normal in all families, feeling guilty is not
reasonable. Guilt only immobilizes the family and does not lead to resolution of the stress. PTS: 1 DIF: Cognitive Level:
Comprehension/Understanding
REF: p. 38 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
4. Which family will most likely have the most difficulty coping with a seriously ill child?
a. A single-parent mother who has the support of her parents and siblings
b. Parents who have just moved to the area and have not yet found health
care providers
c. The family of a child who has had multiple hospitalizations related to asthma
and has adequate relationships with the nursing staff
d. A family in which there is a young child and four older married children who
live in the area B
Parents in a new environment will have increased stress related to their lack of a support
system. They have no previous experiences in the setting from which to draw confidence.
Not only does this family not have friends or relatives to help them, they must find a
provider when their child is seriously ill. Although only one parent is available, she has the
support of her extended family, which will assist her in adjusting to the crisis. Because this
family has had positive experiences in the past, family members can draw from those
experiences and feel confident about the setting. This family has an extensive support system
that will assist
the parents in adjusting to the crisis. PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 38 | Box 3.1 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
