Maternal Child Nursing Final Exam with Answers
The nurse is providing atraumatic care to children in a hospital setting. Which of the following are
principles of this philosophy of care? Select all answers that apply.
A) Avoid or reduce painful procedures
B) Avoid or reduce physical distress
C) Minimize parent-child interactions
D) Provide child-centered care
E) Minimize child control
F) Use core primary nursing
(chapter 30) - correct answers A, B, F
Avoid or reduce painful procedures, Avoid or reduce physical distress, Use core primary nursing
The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a
child. Which of the following services would the CLS provide? Select all answers that apply.
A) Medical preparation for tests, surgeries, and other medical procedures
B) Support before and after, but not during, medical procedures
C) Activities to support normal growth and development
D) Grief and bereavement support
E) Emergency room interventions for children and families
F) Only inpatient consultations with families - correct answersC, D, E
Activities to support normal growth and development., Grief and bereavement support, Emergency
room interventions for children and families
The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving
chemotherapy in the hospital. Which of the following is an example of using atraumatic care for this
child?
A) Use restraint or "holding down" of the child during the procedure to prevent injury.
B) Have the parent stand near and/or rub the child's feet during the procedure.
,C) Insert a saline lock if the child will require multiple doses of parenteral medications.
D) Avoid using numbing techniques for multiple blood draws or IV insertion. - correct answersC) Insert a
saline lock if the child will require multiple doses of parenteral medications.
The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the
primary goal of the CLS?
A) Decrease anxiety and fear during hospitalization and painful procedures
B) Keep children who are hospitalized distracted from pain
C) Perform medical procedures using atraumatic principles
D) Act as a liaison between the nurse and the child - correct answersA) Decrease anxiety and fear during
hospitalization and painful procedures
The nurse is preparing a child and his family for a lumbar puncture. Which of the following would be a
primary intervention instituted by the CLS to keep the child safe?
A) Distraction methods
B) Stimulation methods
C) Therapeutic hugging
D) Therapeutic touch - correct answersC) Therapeutic hugging
The child life specialist (CLS) is preparing a 6-year-old child for a magnetic resonance imaging (MRI) scan.
Which of the following statements reflects the use of atraumatic principles when explaining the
procedure?
A) "You will be taken to a magnetic resonance imaging machine for an x-ray of your
liver."
B) "You may hear some loud noises when you are lying in the machine, but they won't
hurt you."
C) "You have nothing to worry about; the MRI machine is safe and will not cause you
any pain."
D) "Let's just get you to the x-ray department for your test and you'll see how simple it
is." - correct answersB) "You may hear some loud noises when you are lying in the machine, but they
won't
,hurt you."
The nurse uses family-centered care to care for children in a pediatric office. Upon what concept is
family-centered care based?
A) The family is the constant in the child's life and the primary source of strength.
B) The care provider is the constant in the child's life and the primary source of
strength.
C) The child must be prepared to be his or her own source of strength during times of
crisis.
D) The wishes of the family should direct the nursing care plan for the child. - correct answersA) The
family is the constant in the child's life and the primary source of strength.
A nurse is promoting the use of family-centered care in a local community clinic. Which of the following
are advantages or disadvantages of this type of care provision? Select all answers that apply.
A) Recovery times are longer.
B) Anxiety is decreased.
C) Communication is improved.
D) Health care costs are increased.
E) Pain management is enhanced.
F) More health care resources are utilized. - correct answersB, C, E
Anxiety is decreased., Communication is improved., Pain management is enhanced.
The nurse knows that effective communication with children and their parents is critical to providing
atraumatic quality nursing care. Which of the following statements accurately describes the
communication patterns of children?
A) Communication patterns are similar from one child to the next.
B) Children often use more words than adults to describe their fears.
C) Children rely more on nonverbal communication and silence.
D) Parents more often require affective communication rather than neutral
, communication. - correct answersC) Children rely more on nonverbal communication and silence.
The nurse is using verbal skills to explain the nursing care plan to parents of a 10-year-old child with
cancer. Which of the following describes a guideline the nurse should follow to provide appropriate
verbal communication?
A) Use closed-ended questions that do not restrict the child's or parent's answers. B) Allow the focus to
change without redirecting the conversation.
C) Restate the child's and parents comments in your own words.
D) Paraphrase the child's or parent's feelings to demonstrate empathy. - correct answersD) Paraphrase
the child's or parent's feelings to demonstrate empathy.
The nurse is incorporating nonverbal communication with verbal communication when explaining the
treatment plan for a child with juvenile diabetes. Which of the following should the nurse do to
communicate effectively with this family?
A) Relax; maintain an open posture, with the arms crossed.
B) Sit opposite the family and lean forward slightly.
C) Use eye contact sparingly to avoid embarrassment.
D) Speak a verbal yes or no; do not use head nods. - correct answersB) Sit opposite the family and lean
forward slightly.
The nurse is teaching the student nurse how to communicate effectively with children. Which one of the
following methods would the nurse recommend?
A) Position self above the child's level to denote authority.
B) If possible, communicate with the child apart from the parent.
C) Direct questions and explanations to the child.
D) Use the medical terms for body parts and medical care. - correct answersC) Direct questions and
explanations to the child.
The nurse is implementing care for a hospitalized toddler. What communication technique would the
nurse use with the child to reflect the child's developmental level?
A) Allow the child extra time to complete thoughts.
B) Communicate solely through play.
The nurse is providing atraumatic care to children in a hospital setting. Which of the following are
principles of this philosophy of care? Select all answers that apply.
A) Avoid or reduce painful procedures
B) Avoid or reduce physical distress
C) Minimize parent-child interactions
D) Provide child-centered care
E) Minimize child control
F) Use core primary nursing
(chapter 30) - correct answers A, B, F
Avoid or reduce painful procedures, Avoid or reduce physical distress, Use core primary nursing
The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a
child. Which of the following services would the CLS provide? Select all answers that apply.
A) Medical preparation for tests, surgeries, and other medical procedures
B) Support before and after, but not during, medical procedures
C) Activities to support normal growth and development
D) Grief and bereavement support
E) Emergency room interventions for children and families
F) Only inpatient consultations with families - correct answersC, D, E
Activities to support normal growth and development., Grief and bereavement support, Emergency
room interventions for children and families
The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving
chemotherapy in the hospital. Which of the following is an example of using atraumatic care for this
child?
A) Use restraint or "holding down" of the child during the procedure to prevent injury.
B) Have the parent stand near and/or rub the child's feet during the procedure.
,C) Insert a saline lock if the child will require multiple doses of parenteral medications.
D) Avoid using numbing techniques for multiple blood draws or IV insertion. - correct answersC) Insert a
saline lock if the child will require multiple doses of parenteral medications.
The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the
primary goal of the CLS?
A) Decrease anxiety and fear during hospitalization and painful procedures
B) Keep children who are hospitalized distracted from pain
C) Perform medical procedures using atraumatic principles
D) Act as a liaison between the nurse and the child - correct answersA) Decrease anxiety and fear during
hospitalization and painful procedures
The nurse is preparing a child and his family for a lumbar puncture. Which of the following would be a
primary intervention instituted by the CLS to keep the child safe?
A) Distraction methods
B) Stimulation methods
C) Therapeutic hugging
D) Therapeutic touch - correct answersC) Therapeutic hugging
The child life specialist (CLS) is preparing a 6-year-old child for a magnetic resonance imaging (MRI) scan.
Which of the following statements reflects the use of atraumatic principles when explaining the
procedure?
A) "You will be taken to a magnetic resonance imaging machine for an x-ray of your
liver."
B) "You may hear some loud noises when you are lying in the machine, but they won't
hurt you."
C) "You have nothing to worry about; the MRI machine is safe and will not cause you
any pain."
D) "Let's just get you to the x-ray department for your test and you'll see how simple it
is." - correct answersB) "You may hear some loud noises when you are lying in the machine, but they
won't
,hurt you."
The nurse uses family-centered care to care for children in a pediatric office. Upon what concept is
family-centered care based?
A) The family is the constant in the child's life and the primary source of strength.
B) The care provider is the constant in the child's life and the primary source of
strength.
C) The child must be prepared to be his or her own source of strength during times of
crisis.
D) The wishes of the family should direct the nursing care plan for the child. - correct answersA) The
family is the constant in the child's life and the primary source of strength.
A nurse is promoting the use of family-centered care in a local community clinic. Which of the following
are advantages or disadvantages of this type of care provision? Select all answers that apply.
A) Recovery times are longer.
B) Anxiety is decreased.
C) Communication is improved.
D) Health care costs are increased.
E) Pain management is enhanced.
F) More health care resources are utilized. - correct answersB, C, E
Anxiety is decreased., Communication is improved., Pain management is enhanced.
The nurse knows that effective communication with children and their parents is critical to providing
atraumatic quality nursing care. Which of the following statements accurately describes the
communication patterns of children?
A) Communication patterns are similar from one child to the next.
B) Children often use more words than adults to describe their fears.
C) Children rely more on nonverbal communication and silence.
D) Parents more often require affective communication rather than neutral
, communication. - correct answersC) Children rely more on nonverbal communication and silence.
The nurse is using verbal skills to explain the nursing care plan to parents of a 10-year-old child with
cancer. Which of the following describes a guideline the nurse should follow to provide appropriate
verbal communication?
A) Use closed-ended questions that do not restrict the child's or parent's answers. B) Allow the focus to
change without redirecting the conversation.
C) Restate the child's and parents comments in your own words.
D) Paraphrase the child's or parent's feelings to demonstrate empathy. - correct answersD) Paraphrase
the child's or parent's feelings to demonstrate empathy.
The nurse is incorporating nonverbal communication with verbal communication when explaining the
treatment plan for a child with juvenile diabetes. Which of the following should the nurse do to
communicate effectively with this family?
A) Relax; maintain an open posture, with the arms crossed.
B) Sit opposite the family and lean forward slightly.
C) Use eye contact sparingly to avoid embarrassment.
D) Speak a verbal yes or no; do not use head nods. - correct answersB) Sit opposite the family and lean
forward slightly.
The nurse is teaching the student nurse how to communicate effectively with children. Which one of the
following methods would the nurse recommend?
A) Position self above the child's level to denote authority.
B) If possible, communicate with the child apart from the parent.
C) Direct questions and explanations to the child.
D) Use the medical terms for body parts and medical care. - correct answersC) Direct questions and
explanations to the child.
The nurse is implementing care for a hospitalized toddler. What communication technique would the
nurse use with the child to reflect the child's developmental level?
A) Allow the child extra time to complete thoughts.
B) Communicate solely through play.
