Test Bank - for Maternity and Pediatric Nursing
,Chapter 1
1. When integrating the principles of family-centered care into the birthing process, the
nurse would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
ANS: C
Rationale: Family-centered care is based on the following principles: Birth affects the entire
family, and relationships will change; birth is viewed as a normal, healthy event in the life of
the family; and families are capable of making decisions about their own care if given
adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. The group would design educational
programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
ANS: B
Rationale: The group needs to address cardiovascular disease, the number one cause of
death in women regardless of racial or ethnic group. Smoking is related to heart disease and
the development of cancer. However, heart disease and cancer can occur in any woman
,regardless of her smoking history. Cancer is the second leading cause of death, with women
having a one in three lifetime risk of developing cancer. Diabetes is another important health
condition that can affect women. However, it is not the major health problem that heart
disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process
Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses. As
part of the program, the nurse is reviewing the issue of informed consent. The nurse
determines that the teaching was effective when the group identifies which situation as a
violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an operative permit
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergency procedure from the spouse
of an unconscious woman
ANS: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for
health care. Serving as a witness to the signature process, asking whether the client
understands what she is signing, and getting verbal consent over the phone for emergency
procedures are all key to informed consent and are not violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Analyse
Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Reference: p. 45
, 4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
fetus. To ensure informed consent, which action would be the priority responsibility of the
nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the procedure
D. Offering suggestions for alternative options for treatment
ANS: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring the
consent form is completed with signatures from the client; serving as a witness to the
signature process; and determining whether the client understands what she is signing by
asking her pertinent questions. The physician, advanced practice nurse, or midwife is
responsible for informing the client about the procedure and obtaining consent by providing
a detailed description of the procedure or treatment, its potential risks and benefits, and
alternative methods available.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To
obtain informed consent, which action would be most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents
ANS: D
Rationale: The most appropriate action would be to determine legal custody by court
decree. If the parents have joint custody, then either parent may give consent, but it is
always best to have consent given by both parents. The parent with only physical custody
,Chapter 1
1. When integrating the principles of family-centered care into the birthing process, the
nurse would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
ANS: C
Rationale: Family-centered care is based on the following principles: Birth affects the entire
family, and relationships will change; birth is viewed as a normal, healthy event in the life of
the family; and families are capable of making decisions about their own care if given
adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop a plan
to address the special health needs of women. The group would design educational
programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
ANS: B
Rationale: The group needs to address cardiovascular disease, the number one cause of
death in women regardless of racial or ethnic group. Smoking is related to heart disease and
the development of cancer. However, heart disease and cancer can occur in any woman
,regardless of her smoking history. Cancer is the second leading cause of death, with women
having a one in three lifetime risk of developing cancer. Diabetes is another important health
condition that can affect women. However, it is not the major health problem that heart
disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process
Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses. As
part of the program, the nurse is reviewing the issue of informed consent. The nurse
determines that the teaching was effective when the group identifies which situation as a
violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an operative permit
C. Asking whether the client understands what she is signing following receiving
education
D. Getting verbal consent over the phone for an emergency procedure from the spouse
of an unconscious woman
ANS: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for
health care. Serving as a witness to the signature process, asking whether the client
understands what she is signing, and getting verbal consent over the phone for emergency
procedures are all key to informed consent and are not violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Analyse
Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Reference: p. 45
, 4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her
fetus. To ensure informed consent, which action would be the priority responsibility of the
nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the procedure
D. Offering suggestions for alternative options for treatment
ANS: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring the
consent form is completed with signatures from the client; serving as a witness to the
signature process; and determining whether the client understands what she is signing by
asking her pertinent questions. The physician, advanced practice nurse, or midwife is
responsible for informing the client about the procedure and obtaining consent by providing
a detailed description of the procedure or treatment, its potential risks and benefits, and
alternative methods available.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To
obtain informed consent, which action would be most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents
ANS: D
Rationale: The most appropriate action would be to determine legal custody by court
decree. If the parents have joint custody, then either parent may give consent, but it is
always best to have consent given by both parents. The parent with only physical custody
