Maternity and Pediatric Nursing 5th Edition Ricci Kyle Carman Test Bank
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.
Answer: C
Rationale: Family-centered care is based on the followinagb i rpb .rc ionmc/ t ieps tles: 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 Answer: B
Rationale: The group needs to address cardiovascular d ise as e, 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 hist oarbyi r b.. cCo ma/nt ecs ter 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 issuea ob i rfb .icno fmo/ tre ms t ed 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 oapb ier br. caotmi v/ t ees t permit
C. Asking whether the client understands what she is signing following receiving education
D. Getting verbal consent over the phone for an emergeanb icr by. c opmr/ot ecs tedure from
the spouse of a unconscious woman
Answer: 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, a nda gb i reb t. ctoimn/gt e svt erbal 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 Caa brierb
Cognitive Level: Analyze
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 prior
wouabldirb.bcoem/ttehset responsibility of the nurse ity
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 parboi r bc. ceodmu/ t erset
D. Offering suggestions for alternative options for treatment Answer: 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 ca lbii er bn. c to mu/ tne sdt erstands 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 aab i vr ba. c iolma/bt elset .
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?"
Correct Answer: D
Determine which parent has legal custody and obtain consent from that parent.
Rationale:
When parents are divorced, only the parent with legal custody has the authority to provide
informed consent for medical procedures, unless the custody agreement states otherwise (e.g.,
joint legal custody). Health care providers must verify custody status before proceeding with
obtaining consent. This ensures that consent is legally valid.
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 Answer: 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 ba boi rtbh. c opma/ t erset nts. The parent with only physical custody
may give consent for emergency care. The last resort is getting a court ruling; usually this is
not necessary unless the parents disagree about the care of the child.
, Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageamb i r be. cnotm /ot efs tCare
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would b ea bsi r tb . cionmd/ tiecs at te
that her education on family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B. "Families are usually not capable of making health c aarbei r bd. ceo mc /itse isot ns for
themselves, especially in stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone." Answer: A
Rationale: Childbirth affects the entire family, and relati oa bni r bs.hc oimp/st e swt ill change.
Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable
of making health care decisions about their own care with proper
information and support. Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process Reference: p. 15
7. Which aspect of client wellness has not been a focus aob fi r bh. ceo ma/lt te hs t
during the 21st century ?
Disease prevention
A. Health promotion
B. Wellness
C. Analysis of morbidity and mortality Answer: D
Rationale: The focus on health has shifted to disease pr ea bvi reb .nc otmi o/ t ne s,t health
promotion, and wellness. In the last century, much of the focus was on analyzing morbidity
and mortality rates.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Remember
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.
Answer: C
Rationale: Family-centered care is based on the followinagb i rpb .rc ionmc/ t ieps tles: 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 Answer: B
Rationale: The group needs to address cardiovascular d ise as e, 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 hist oarbyi r b.. cCo ma/nt ecs ter 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 issuea ob i rfb .icno fmo/ tre ms t ed 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 oapb ier br. caotmi v/ t ees t permit
C. Asking whether the client understands what she is signing following receiving education
D. Getting verbal consent over the phone for an emergeanb icr by. c opmr/ot ecs tedure from
the spouse of a unconscious woman
Answer: 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, a nda gb i reb t. ctoimn/gt e svt erbal 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 Caa brierb
Cognitive Level: Analyze
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 prior
wouabldirb.bcoem/ttehset responsibility of the nurse ity
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 parboi r bc. ceodmu/ t erset
D. Offering suggestions for alternative options for treatment Answer: 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 ca lbii er bn. c to mu/ tne sdt erstands 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 aab i vr ba. c iolma/bt elset .
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?"
Correct Answer: D
Determine which parent has legal custody and obtain consent from that parent.
Rationale:
When parents are divorced, only the parent with legal custody has the authority to provide
informed consent for medical procedures, unless the custody agreement states otherwise (e.g.,
joint legal custody). Health care providers must verify custody status before proceeding with
obtaining consent. This ensures that consent is legally valid.
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 Answer: 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 ba boi rtbh. c opma/ t erset nts. The parent with only physical custody
may give consent for emergency care. The last resort is getting a court ruling; usually this is
not necessary unless the parents disagree about the care of the child.
, Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageamb i r be. cnotm /ot efs tCare
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would b ea bsi r tb . cionmd/ tiecs at te
that her education on family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B. "Families are usually not capable of making health c aarbei r bd. ceo mc /itse isot ns for
themselves, especially in stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone." Answer: A
Rationale: Childbirth affects the entire family, and relati oa bni r bs.hc oimp/st e swt ill change.
Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable
of making health care decisions about their own care with proper
information and support. Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process Reference: p. 15
7. Which aspect of client wellness has not been a focus aob fi r bh. ceo ma/lt te hs t
during the 21st century ?
Disease prevention
A. Health promotion
B. Wellness
C. Analysis of morbidity and mortality Answer: D
Rationale: The focus on health has shifted to disease pr ea bvi reb .nc otmi o/ t ne s,t health
promotion, and wellness. In the last century, much of the focus was on analyzing morbidity
and mortality rates.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Remember
