1
,Maternal & Child Nursing Care, 5e (London et al.)
v v v v v v v v
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
v v v v v v v v
1) A nurse is examining different nursing roles. Which statement best illustrates an advanced
v v v v v v v v v v v v
practice nursing role?
v v v
1. A registered nurse who is the manager of a large obstetric unit
v v v v v v v v v v v
2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
v v v v v v v v v v v v
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
v v v v v v v v v v v v
4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring
v v v v v v v v v v v v v v
for high-risk infants
v v v
Answer: 4 v
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in caring
v v v v v v v v v v v v v
for high-risk infants would illustrate an advanced practice nursing role. This nurse has
v v v v v v v v v v v v v
specialized knowledge and competence in a specific clinical area, and is master's-prepared.
v v v v v v v v v v v v
Page Ref: 3 v v
Cognitive Level: Remembering v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
v v v v v v v v v v v v
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
v v v v v v v v v v v v v
roles and perspectives of the nursing profession with other care professionals on the healthcare
v v v v v v v v v v v v v v
team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
v v v v v v v v v v v v
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
v v v v v v v v v v v v
members, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
v v v v v v v v v
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
v v v v v v v v v v v v
nurses.
v
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
v v v v v v v v v v v v
2) What is the major focus of the nurse practitioner (NP)?
v v v v v v v v v
1. Leadership
2. Tertiary prevention v
3. Physical and psychosocial clinical assessment
v v v v
4. Independent care of the high-risk, pregnant client v v v v v v
Answer: 3
v v
Explanation: Physical and psychosocial clinical assessment is the major focus of the NP.
v v v v v v v v v v v v
Page Ref: 3
v v v
Cognitive Level: Remembering v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
v v v v v v v v v v v v
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
v v v v v v v v v v v v v
roles and perspectives of the nursing profession with other care professionals on the healthcare
v v v v v v v v v v v v v v
team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
v v v v v v v v v v v v
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
v v v v v v v v v v v v
members, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
v v v v v v v v v
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
v v v v v v v v v v v v
nurses.
v
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
v v v v v v v v v v v v
2
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
v v v v v v v v v v v v
1. Give primary care for healthy newborns.
v v v v v
2. Be educated in two disciplines of nursing.
v v v v v v
3. Give primary care for high-risk clients who are in hospital settings.
v v v v v v v v v v
4. Obtain a physician consultation for all technical procedures at delivery.
v v v v v v v v v
5. Be prepared to manage independently the care of women at low risk for complications during
v v v v v v v v v v v v v v
pregnancy and birth.
v v v
Answer: 1, 2, 5 v v v
Explanation: The CNM is prepared to manage independently the care of women at low risk for
v v v v v v v v v v v v v v v
complications during pregnancy and birth and the care of healthy newborns.
v v v v v v v v v v v
The CNM is educated in the disciplines of nursing and midwifery.
v v v v v v v v v v
The CNM is prepared to manage independently the care of women at low risk for complications
v v v v v v v v v v v v v v v
during pregnancy and birth and the care of healthy newborns.
v v v v v v v v v v
Page Ref: 3
v v
Cognitive Level: Understanding v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
v v v v v v v v v v v v
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
v v v v v v v v v v v v v
roles and perspectives of the nursing profession with other care professionals on the healthcare
v v v v v v v v v v v v v v
team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
v v v v v v v v v v v v
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
v v v v v v v v v v v v
members, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
v v v v v v v v v
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
v v v v v v v v v v v v
nurses.
v
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
v v v v v v v v v v v v
3
, 4) During the hospital admission process, a child's parent asks for information about family-
v v v v v v v v v v v v
centered care. What should the nurse explain to this parent?
v v v v v v v v v v
1. Mother is the principal caregiver in each family.
v v v v v v v
2. Father is the leader in each home; thus, all communications should include him.
v v v v v v v v v v v v
3. Family serves as the constant influence and continuing support in the child's life.
v v v v v v v v v v v v
4. Child's physician is the key person in ensuring the health of a child is maintained.
v v v v v v v v v v v v v v
Answer: 3
v v
Explanation: The foundation for the development of trusting relationships and partnerships with
v v v v v v v v v v v
families is the recognition that the family is the principal caregiver, knows the unique nature of
v v v v v v v v v v v v v v v v
each individual child best, plays the vital role of meeting the child's needs, and is responsible for
v v v v v v v v v v v v v v v v v
ensuring each child's health.
v v v v
Page Ref: 3
v v
Cognitive Level: Applying v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and
v v v v v v v v v
respect for the diversity of human experience | AACN Essential Competencies: IX.5. Deliver
v v v v v v v v v v v v v
compassionate, patient-centered, evidence-based care that respects patient and family
v v v v v v v v v
preferences | NLN Competencies: Relationship Centered Care; Knowledge; The role of family,
v v v v v v v v v v v v
culture, and community in a person's development | Nursing/Integrated Concepts: Nursing
v v v v v v v v v v v
Process: Planning
v v
Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the
v v v v v v v v v v v v
needs of childbearing and childrearing families.
v v v v v v
MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
v v v v v v v v v v v v v
5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the
v v v v v v v v v v v v v v
nurse do to encourage the family to consider enrolling the child in this program?
v v v v v v v v v v v v v v
1. Assessment of the details of the family's income and expenditures v v v v v v v v v
2. Case management to limit costly, unnecessary duplication of services
v v v v v v v v
3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
v v v v v v v v v v v v
4. Education of the family about the need for keeping regular well-child visit appointments
v v v v v v v v v v v v
Answer: 3
v v
Explanation: In the role of an advocate, a nurse will advance the interests of another by
v v v v v v v v v v v v v v v
suggesting the family investigate its CHIP eligibility.
v v v v v v v
Page Ref: 6
v v
Cognitive Level: Applying v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of
v v v v v v v v v
patient centered care: information, communication, and education | AACN Essential
v v v v v v v v v v
Competencies: V.12. Advocate for consumers and the nursing profession | NLN Competencies:
v v v v v v v v v v v v
Relationship Centered Care; Practice; Communicate information effectively; listen openly and
v v v v v v v v v v
cooperatively | Nursing/Integrated Concepts: Nursing Process: Implementation
v v v v v v v
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
v v v v v v v v v v v v v
access to health care.
v v v v
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the
v v v v v v v v v v v v v v v v
childbearing family.
v v
4
,Maternal & Child Nursing Care, 5e (London et al.)
v v v v v v v v
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
v v v v v v v v
1) A nurse is examining different nursing roles. Which statement best illustrates an advanced
v v v v v v v v v v v v
practice nursing role?
v v v
1. A registered nurse who is the manager of a large obstetric unit
v v v v v v v v v v v
2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
v v v v v v v v v v v v
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
v v v v v v v v v v v v
4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring
v v v v v v v v v v v v v v
for high-risk infants
v v v
Answer: 4 v
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in caring
v v v v v v v v v v v v v
for high-risk infants would illustrate an advanced practice nursing role. This nurse has
v v v v v v v v v v v v v
specialized knowledge and competence in a specific clinical area, and is master's-prepared.
v v v v v v v v v v v v
Page Ref: 3 v v
Cognitive Level: Remembering v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
v v v v v v v v v v v v
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
v v v v v v v v v v v v v
roles and perspectives of the nursing profession with other care professionals on the healthcare
v v v v v v v v v v v v v v
team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
v v v v v v v v v v v v
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
v v v v v v v v v v v v
members, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
v v v v v v v v v
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
v v v v v v v v v v v v
nurses.
v
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
v v v v v v v v v v v v
2) What is the major focus of the nurse practitioner (NP)?
v v v v v v v v v
1. Leadership
2. Tertiary prevention v
3. Physical and psychosocial clinical assessment
v v v v
4. Independent care of the high-risk, pregnant client v v v v v v
Answer: 3
v v
Explanation: Physical and psychosocial clinical assessment is the major focus of the NP.
v v v v v v v v v v v v
Page Ref: 3
v v v
Cognitive Level: Remembering v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
v v v v v v v v v v v v
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
v v v v v v v v v v v v v
roles and perspectives of the nursing profession with other care professionals on the healthcare
v v v v v v v v v v v v v v
team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
v v v v v v v v v v v v
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
v v v v v v v v v v v v
members, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
v v v v v v v v v
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
v v v v v v v v v v v v
nurses.
v
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
v v v v v v v v v v v v
2
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
v v v v v v v v v v v v
1. Give primary care for healthy newborns.
v v v v v
2. Be educated in two disciplines of nursing.
v v v v v v
3. Give primary care for high-risk clients who are in hospital settings.
v v v v v v v v v v
4. Obtain a physician consultation for all technical procedures at delivery.
v v v v v v v v v
5. Be prepared to manage independently the care of women at low risk for complications during
v v v v v v v v v v v v v v
pregnancy and birth.
v v v
Answer: 1, 2, 5 v v v
Explanation: The CNM is prepared to manage independently the care of women at low risk for
v v v v v v v v v v v v v v v
complications during pregnancy and birth and the care of healthy newborns.
v v v v v v v v v v v
The CNM is educated in the disciplines of nursing and midwifery.
v v v v v v v v v v
The CNM is prepared to manage independently the care of women at low risk for complications
v v v v v v v v v v v v v v v
during pregnancy and birth and the care of healthy newborns.
v v v v v v v v v v
Page Ref: 3
v v
Cognitive Level: Understanding v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
v v v v v v v v v v v v
member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the
v v v v v v v v v v v v v
roles and perspectives of the nursing profession with other care professionals on the healthcare
v v v v v v v v v v v v v v
team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
v v v v v v v v v v v v
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team
v v v v v v v v v v v v
members, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
v v v v v v v v v
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
v v v v v v v v v v v v
nurses.
v
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
v v v v v v v v v v v v
3
, 4) During the hospital admission process, a child's parent asks for information about family-
v v v v v v v v v v v v
centered care. What should the nurse explain to this parent?
v v v v v v v v v v
1. Mother is the principal caregiver in each family.
v v v v v v v
2. Father is the leader in each home; thus, all communications should include him.
v v v v v v v v v v v v
3. Family serves as the constant influence and continuing support in the child's life.
v v v v v v v v v v v v
4. Child's physician is the key person in ensuring the health of a child is maintained.
v v v v v v v v v v v v v v
Answer: 3
v v
Explanation: The foundation for the development of trusting relationships and partnerships with
v v v v v v v v v v v
families is the recognition that the family is the principal caregiver, knows the unique nature of
v v v v v v v v v v v v v v v v
each individual child best, plays the vital role of meeting the child's needs, and is responsible for
v v v v v v v v v v v v v v v v v
ensuring each child's health.
v v v v
Page Ref: 3
v v
Cognitive Level: Applying v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and
v v v v v v v v v
respect for the diversity of human experience | AACN Essential Competencies: IX.5. Deliver
v v v v v v v v v v v v v
compassionate, patient-centered, evidence-based care that respects patient and family
v v v v v v v v v
preferences | NLN Competencies: Relationship Centered Care; Knowledge; The role of family,
v v v v v v v v v v v v
culture, and community in a person's development | Nursing/Integrated Concepts: Nursing
v v v v v v v v v v v
Process: Planning
v v
Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the
v v v v v v v v v v v v
needs of childbearing and childrearing families.
v v v v v v
MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
v v v v v v v v v v v v v
5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the
v v v v v v v v v v v v v v
nurse do to encourage the family to consider enrolling the child in this program?
v v v v v v v v v v v v v v
1. Assessment of the details of the family's income and expenditures v v v v v v v v v
2. Case management to limit costly, unnecessary duplication of services
v v v v v v v v
3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
v v v v v v v v v v v v
4. Education of the family about the need for keeping regular well-child visit appointments
v v v v v v v v v v v v
Answer: 3
v v
Explanation: In the role of an advocate, a nurse will advance the interests of another by
v v v v v v v v v v v v v v v
suggesting the family investigate its CHIP eligibility.
v v v v v v v
Page Ref: 6
v v
Cognitive Level: Applying v v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
v v v v v v v v
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of
v v v v v v v v v
patient centered care: information, communication, and education | AACN Essential
v v v v v v v v v v
Competencies: V.12. Advocate for consumers and the nursing profession | NLN Competencies:
v v v v v v v v v v v v
Relationship Centered Care; Practice; Communicate information effectively; listen openly and
v v v v v v v v v v
cooperatively | Nursing/Integrated Concepts: Nursing Process: Implementation
v v v v v v v
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
v v v v v v v v v v v v v
access to health care.
v v v v
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the
v v v v v v v v v v v v v v v v
childbearing family.
v v
4
