TEST BANK
Maternal & Child Nursing Care
Marcia London, Patricia Ladewig, Jane W. Ball, Ruth C. Bindler, Kay J. Cowen
3rd Edition
, Test Bank - Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011)
Chapter 1: Contemporary Maternal–Newborn and Child Health Nursing
Chapter 01_LO01_Q01
A nurse is examining different nursing roles. Which of the following best illustrates an advanced
practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother–baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for
high-risk infants
Correct Answer: 4
Rationale:
1. A registered nurse who is the manager of a large obstetrical unit or one who is a circulating
nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has
graduated from an accredited program in nursing and completed the licensure examination.
2. A registered nurse who is the manager of a large obstetrical unit or one who is a circulating
nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has
graduated from an accredited program in nursing and completed the licensure examination.
3. A clinical nurse specialist working as a staff nurse on a mother–baby unit might have the
qualifications for an advanced practice nursing staff but is not working in that capacity.
4. A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk
infants would illustrate an advanced practice nursing role. This nurse has specialized knowledge
and competence in a specific clinical area, and is master’s-prepared.
Cognitive Level: Knowledge
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO01_Q02
The major focus of the nurse practitioner is on:
, Test Bank - Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011)
1. Leadership.
2. Physical and psychosocial clinical assessment.
3. Independent care of the high-risk, pregnant client.
4. Tertiary prevention.
Correct Answer: 2
Rationale:
1. Leadership might be a quality of the NP, but it is not the major focus.
2. Physical and psychosocial clinical assessment is the major focus of the nurse practitioner
(NP), who provides care in many different clinical settings.
3. NPs cannot provide independent care of the high-risk pregnant client, but must work under a
physician’s supervision.
4. The NP cannot do tertiary prevention as a major focus.
Cognitive Level: Knowledge/Comprehension
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO01_Q03
The role of the certified nurse–midwife (CNM) is to: (Select all that apply.)
1. Be prepared to manage independently the care of women at low risk for complications
during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
5. Be educated in two disciplines of nursing.
Correct Answers: 1; 3; 5
Rationale:
1. A CNM is prepared to manage independently the care of women at low risk for complications
during pregnancy and birth and the care of healthy newborns.
2. CNMs cannot give primary care for high-risk clients who are in hospital settings. The
, Test Bank - Maternal & Child Nursing Care 3rd Edition (Marcia London, 2011)
physician provides the primary care.
3. A CNM is prepared to manage independently the care of women at low risk for complications
during pregnancy and birth and the care of healthy newborns.
4. The CNM does not need to obtain a physician consultation for any technical procedures at
delivery.
5. The CNM is educated in the disciplines of nursing and midwifery.
Cognitive Level: Knowledge/Comprehension
Category of Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
Chapter 01_LO02_Q04
During the hospital admission process, the child’s parent receives information about the pediatric
unit’s goals, including the statement that the unit practices “family-centered care.” The parent
asks why that should be important. The nurse would respond that in the “family-centered care”
paradigm, the:
1. Mother is the principal caregiver in each family.
2. Child’s physician is the key person in assuring the health of a child is maintained.
3. Family serves as the constant influence and continuing support in the child’s life.
4. Father is the leader in each home; thus, all communications should include him.
Answer: 3
Rationale:
1. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
2. The physician is not present during the day-to-day routines in a child’s life
3. The foundation for the development of trusting relationships and partnerships with families is
the recognition that the family is the principal caregiver, knows the unique nature of each
individual child best, plays the vital role of meeting the child’s needs, and is responsible for
ensuring each child’s health.
4. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
Cognitive Level: Knowledge/Comprehension