autonomy—the right of patients to make decisions about their own bodies and medical treatments. This
principle is enshrined in the legal concept of informed consent. Informed consent requires healthcare
providers to disclose all relevant information about the risks, benefits, and alternatives to a medical
treatment or procedure, allowing patients to make informed decisions.However, challenges arise when
patients are not fully capable of making informed decisions (e.g., due to age, mental illness, or language
barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g., a parent or
guardian) should make the decision on the patient’s behalf, and whether the legal framework supports
such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly
ecisions regarding
Test Bank For
Maternal-Child Nursing - Exam Prep
Chapter 1-43
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
children 1 to 4 years of age in the United States is
c. accidental death.
autonomy—the right of patients to make decisions about their own bodies and medical
treatments. This principle is enshrined in the legal concept of informed consent. Informed consent
requires healthcare providers to disclose all relevant information about the risks, benefits, and
alternatives to a medical treatment or procedure, allowing patients to make informed
decisions.However, challenges arise when patients are not fully capable of making informed
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas
can arise regarding whether a third party (e.g., a parent or guardian) should make the decision on
the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-
Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
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.
3. Which nursing intervention is an independent (nurse-driven) function of the nurse?
b. Teaching the woman perineal care
autonomy—the right of patients to make decisions about their own bodies and medical
treatments. This principle is enshrined in the legal concept of informed consent. Informed consent
requires healthcare providers to disclose all relevant information about the risks, benefits, and
alternatives to a medical treatment or procedure, allowing patients to make informed
decisions.However, challenges arise when patients are not fully capable of making informed
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas
can arise regarding whether a third party (e.g., a parent or guardian) should make the decision on
the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-
Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
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. eads current literature related to practice area and brings ideas to unit
management
autonomy—the right of patients to make decisions about their own bodies and medical
treatments. This principle is enshrined in the legal concept of informed consent. Informed
consent requires healthcare providers to disclose all relevant information about the risks,
benefits, and alternatives to a medical treatment or procedure, allowing patients to make
informed decisions.However, challenges arise when patients are not fully capable of making
informed decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical
dilemmas can arise regarding whether a third party (e.g., a parent or guardian) should make the
decision on the patient’s behalf, and whether the legal framework supports such decisions.####
2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
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?
principle is enshrined in the legal concept of informed consent. Informed consent requires healthcare
providers to disclose all relevant information about the risks, benefits, and alternatives to a medical
treatment or procedure, allowing patients to make informed decisions.However, challenges arise when
patients are not fully capable of making informed decisions (e.g., due to age, mental illness, or language
barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g., a parent or
guardian) should make the decision on the patient’s behalf, and whether the legal framework supports
such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly
ecisions regarding
Test Bank For
Maternal-Child Nursing - Exam Prep
Chapter 1-43
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
children 1 to 4 years of age in the United States is
c. accidental death.
autonomy—the right of patients to make decisions about their own bodies and medical
treatments. This principle is enshrined in the legal concept of informed consent. Informed consent
requires healthcare providers to disclose all relevant information about the risks, benefits, and
alternatives to a medical treatment or procedure, allowing patients to make informed
decisions.However, challenges arise when patients are not fully capable of making informed
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas
can arise regarding whether a third party (e.g., a parent or guardian) should make the decision on
the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-
Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
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.
3. Which nursing intervention is an independent (nurse-driven) function of the nurse?
b. Teaching the woman perineal care
autonomy—the right of patients to make decisions about their own bodies and medical
treatments. This principle is enshrined in the legal concept of informed consent. Informed consent
requires healthcare providers to disclose all relevant information about the risks, benefits, and
alternatives to a medical treatment or procedure, allowing patients to make informed
decisions.However, challenges arise when patients are not fully capable of making informed
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas
can arise regarding whether a third party (e.g., a parent or guardian) should make the decision on
the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-
Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
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. eads current literature related to practice area and brings ideas to unit
management
autonomy—the right of patients to make decisions about their own bodies and medical
treatments. This principle is enshrined in the legal concept of informed consent. Informed
consent requires healthcare providers to disclose all relevant information about the risks,
benefits, and alternatives to a medical treatment or procedure, allowing patients to make
informed decisions.However, challenges arise when patients are not fully capable of making
informed decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical
dilemmas can arise regarding whether a third party (e.g., a parent or guardian) should make the
decision on the patient’s behalf, and whether the legal framework supports such decisions.####
2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
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?
