Maternal-Child Nursing Test Bank: Multiple Choice Questions and Answers, Exams of Nursing

Download Maternal-Child Nursing Test Bank: Multiple Choice Questions and Answers and more Exams Nursing in PDF only on Docsity!

Test Bank For Maternal-Child Nursing,

6th - 2022 All Chapters

Which factor significantly contributed to the shift from home births to hospital births in the early 20th century? - ANSWER>>>Technologic developments became available to physicians.

Family-centered maternity care developed in response to - ANSWER>>>parental requests that infants be allowed to remain with them rather than in a nursery.

Which setting for childbirth allows the least amount of parent-infant contact? - ANSWER>>>Traditional hospital birth

As a result of changes in health care delivery and funding, a current trend seen in the pediatric setting is - ANSWER>>>an increase in ambulatory care.

The Women, Infants, and Children (WIC) program provides - ANSWER>>>supplemental food supplies to low-income pregnant or breastfeeding women

In most states, adolescents who are not emancipated minors must have the permission of their parents before: a. treatment for drug abuse. b. treatment for sexually transmitted diseases (STDs).

c. accessing birth control. d. surgery. - ANSWER>>>Surgery

Clinical pathways .... - ANSWER>>>set specific time lines for sequencing interventions.

The fastest growing group of homeless people is - ANSWER>>>single women and their children.

A nurse wishes to work to reduce infant mortality in the United States. Which activity would this nurse most likely participate in - ANSWER>>>Volunteering to provide prenatal care at community centers.

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? a. Consult the family of the woman. b. Notify the provider of the situation. c. Document the woman's refusal in the nurse's notes. d. Make a referral to the hospital ethics committee. - ANSWER>>>Notify the provider of the situation. (So they can help the pt understand the rationale for the action)

Which statement is true regarding the "quality assurance" or "incident" report? - ANSWER>>>This report is a form of documentation of an event that may result in legal action.

Elective abortion is considered an ethical issue because - ANSWER>>>a conflict exists between the rights of the woman and the rights of the fetus.

Which woman would be most likely to seek prenatal care? a. A 15-year-old who tells her friends, "I don't believe I'm pregnant." b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic. c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol. d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home. - ANSWER>>>ANS: B The patient who acknowledges the pregnancy early, has access to health care, and has no reason to avoid health care is most likely to seek prenatal care

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 b. Negligent: because the nurse medicated the woman - ANSWER>>>A. Negligent: the nurse failed to assess the woman for possible complications

Which patient situation fails to meet the first requirement of informed consent? a.

The patient does not understand the physician's explanations. b. The physician gives the patient only a partial list of possible side effects and complications. c. The patient is confused and disoriented. - ANSWER>>>C. The first requirement of informed consent is that the patient must be competent to make decisions about health care

Which situation reflects a potential ethical dilemma for the nurse? a. A nurse administers analgesics to a patient with cancer as often as the provider's order allows. b. A neonatal nurse provides nourishment and care to a newborn who has a defect that is incompatible with life. c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective abortion. d. A postpartum nurse provides information about adoption to a new mother who feels she cannot adequately care for her infant. - ANSWER>>>ANS: C A dilemma exists in this situation because the nurse is being asked to assist with a procedure that she or he believes is morally wrong.

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 a. premature birth. b. congenital anomalies. c. accidental death. d. respiratory tract illness. - ANSWER>>>C unintentional injury (accidents) are still the leading cause of death for children aged 1 to 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. b. 2 to 3 hours per day. c. 3 to 4 hours per day. d. 4 hours or more. - ANSWER>>>A. Screen time of 1-2 hrs

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? a. The newborn is returned to the nursery at night so that the mother can receive adequate rest before discharge. b. The father is encouraged to go home after the baby is delivered. c. All patients are routinely placed on the fetal monitor. d. The nurse's assignment includes both mom and baby and increases the nurse's responsibility for education. - ANSWER>>>ANS: D Family-centered care increases the responsibilities of nurses

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. b. Home care increases readmissions to the hospital for a child with chronic conditions. c. There is increased stress for the family when a sick child is being cared for at home. d.

The family of the child with a chronic condition is likely to be separated from their support system if the child is cared for at home. - ANSWER>>>ANS: A Greater numbers of technology-dependent infants and children are now cared for at home.

STATA 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 c. Equipped for obstetric emergencies d. Safe, home-like births in a familiar setting e. Staffing by lay midwives - ANSWER>>>ANS: A, B, D

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. c. The nurse does not need to supervise UAPs in this setting. 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. - ANSWER>>>ANS: A, B, D, E

A student nurse has been studying Healthy People 2020. What information about this initiative does the student understand? (Select all that apply.) a. It is a new agenda for health care and research priorities. b. None of the priorities in this document pertains to pregnant women or children. 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. - ANSWER>>>ANS: C, D, E

Which principle of teaching should the nurse use to ensure learning in a family situation? a. Motivate the family with praise and positive reinforcement. b. Present complex subject material first, while the family is alert and ready to learn. c. Families should be taught using medical jargon so they will be able to understand the technical language used by physicians. d. Learning is best accomplished using the lecture format. - ANSWER>>>Motivate the family with praise and positive reinforcement.

When addressing the questions of a newly pregnant woman, the nurse can explain that the certified nurse-midwife is qualified to perform a. regional anesthesia. b. cesarean deliveries. c. vaginal deliveries. d. internal versions. - ANSWER>>>ANS: C The nurse-midwife is qualified to deliver infants vaginally in uncomplicated pregnancies

Which nursing intervention is an independent (nurse-driven) function of the nurse? a. Administering oral analgesics b. Teaching the woman perineal care c. Requesting diagnostic studies d. Providing wound care to a surgical incision - ANSWER>>>ANS: B

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?" b. "Everything will be OK." c. "Don't worry about it. It will be over soon." d. "The doctor will be in later, and you can talk to him." - ANSWER>>>A

To evaluate the woman's learning about performing infant care, the nurse should a. demonstrate infant care procedures.

b. allow the woman to verbalize the procedure. c. observe the woman as she performs the procedure. d. routinely assess the infant for cleanliness. - ANSWER>>>C

What situation is most conducive to learning? a. A teacher who speaks very little Spanish is teaching a class of Latino students. b. A class is composed of students of various ages and educational backgrounds. c. An auditorium is being used as a classroom for 300 students. d. An Asian nurse provides nutritional information to a group of pregnant Asian women. - ANSWER>>>ANS: D

What is the primary role of practicing nurses in the research process? a. Designing research studies b. Collecting data for other researchers c.

Identifying researchable problems d. Seeking funding to support research studies - ANSWER>>>ANS: C Nursing generates and answers its own questions based on evidence within its unique subject area.

The step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis is called a. assessment. b. planning. c. intervention. d. evaluation. - ANSWER>>>B planning

Which goal is most appropriate for demonstrating effective parenting? a. The parents will demonstrate correct bathing by discharge. b. The mother will make an appointment with the lactation specialist prior to discharge. c.

The parents will place the baby in the proper position for sleeping and napping by 2300 on postpartum day 1. d. The parents will demonstrate effective parenting by discharge. - ANSWER>>>ANS: D Outcomes and goals are not the same.

Which nursing intervention is correctly written? a. Encourage turning, coughing, and deep breathing. b. Force fluids as necessary. c. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM. d. Observe interaction with infant. - ANSWER>>>C

This intervention is the most specific and details what should be done, for how long, and when. The other interventions are too vague.

What part of the nursing process includes the collection of data on vital signs, allergies, sleep patterns, and feeding behaviors? a. Assessment b.

Planning c. Intervention d. Evaluation - ANSWER>>>A. Assessment includes gathering baseline data

The nurse who coordinates and manages a patient's care with other members of the health care team is functioning in which role? a. Teacher b. Collaborator c. Researcher d. Advocate - ANSWER>>>B. The nurse collaborates with other members of the health care team, often coordinating and managing the patient's care.

Which statement about alternative and complementary therapies is true? a. Replace conventional Western modalities of treatment b.

Are used by only a small number of American adults c. Allow for more patient autonomy but also may carry risks d. Focus primarily on the disease an individual is experiencing - ANSWER>>>ANS: C Being able to choose alternative and complementary health products and practices does allow for patient autonomy, but the major concern is risk as patients may not disclose their use or substances may interact with other medications the patient is taking

Which step in the nursing process identifies the basis or cause of the patient's problem? a. Intervention b. Expected outcome c. Nursing diagnosis d. Evaluation - ANSWER>>>ANS: C A nursing diagnosis states the problem and its cause ("related to")

STATA

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 e. Lecture - ANSWER>>>A, B, C, D

STATA The nurse who uses critical thinking understands that the steps of critical thinking include (Select all that apply.) a. therapeutic communication. b. examining biases. c. setting priorities. d. managing data. e. evaluating other factors. - ANSWER>>>ANS: B, D, E

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. Reads current literature related to practice area and brings ideas to unit management d. Routinely stays overtime in order to visit and bond with new families e. Decides to "play nicely" and not get involved in disputes about patient care - ANSWER>>>ANS: A, B, C

Which statement best describes development in infants and children? a. Development, a predictable and orderly process, occurs at varying rates within normal limits. b. Development is primarily related to the growth in the number and size of cells. c. Development occurs in a proximodistal direction with fine muscle development occurring first.

d. Development is more easily and accurately measured than growth. - ANSWER>>>ANS: A Development, a continuous and orderly process, provides the basis for increases in the child's function and complexity of behavior

Frequent developmental assessments are important for which reason? a. Stable developmental periods during infancy provide an opportunity to identify any delays or deficits. b. Infants need stimulation specific to the stage of development. c. Critical periods of development occur during childhood. d. Child development is unpredictable and needs monitoring. - ANSWER>>>ANS: C Critical periods are blocks of time during which children are ready to master specific developmental tasks

The nurse is assessing an infant's growth and development. The parents want education on how to stimulate this process. What action suggested by the nurse is inconsistent with knowledge of this topic? a. Have the family draw a three-generation family pedigree. b.

Show the family how to coo and babble with their child. c. Encourage the parents to buy interactive toys for the child. d. Involve the child in activities that are outside the home. - ANSWER>>>ANS: A A family pedigree can help show relationships and health care problems but will not stimulate growth and development

According to Piaget's theory, the period of cognitive development in which the child is able to distinguish between concepts related to fact and fantasy, such as human beings are incapable of flying like birds, is the __________ period of cognitive development. a. sensorimotor b. formal operations c. concrete operations d. preoperational - ANSWER>>>ANS: C Concrete operations is the period of cognitive development in which children's thinking is shifted from egocentric to being able to see another's point of view

The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is

a. Erikson. b. Freud. c. Kohlberg. d. Piaget. - ANSWER>>>ANS: A Erik Erikson viewed development as a series of conflicts affected by social and cultural factors.

A nurse wants to assess a chronically ill child's feelings regarding a lengthy hospitalization and treatments. What action by the nurse is best? a. Ask direct questions of the child as to feelings. b. Watch the child play on several occasions. c. Discuss the situation with the parents. d. Refer the child to the child life specialist for assessment. - ANSWER>>>ANS: B Play for all children is an activity woven with meaning and purpose

Which child is most likely to be frightened by hospitalization?

a. A 4-month-old infant admitted with a diagnosis of bronchiolitis b. A 2-year-old toddler admitted for cystic fibrosis c. A 9-year-old child hospitalized with a fractured femur d. A 15-year-old adolescent admitted for abdominal pain - ANSWER>>>ANS: B All children can be frightened by hospitalization. However, toddlers are most likely to be frightened by hospitalization because their thought processes are egocentric, magical, and illogical.

A nurse uses Erikson's theory to guide nursing practice. What action by a hospitalized 4- year-old child would the nurse evaluate as developmentally appropriate? a. Dressed and fed by the parents b. Independently ask for play materials or other personal needs c. Verbalizes an understanding of the reason for the hospitalization d. Asks for a parent stay in the room at all times - ANSWER>>>ANS: B Erikson identifies initiative as a developmental task for the preschool child

A nurse wants to work to increase the number of immunized children. What action by the nurse would best meet this goal? a. Present a workshop to the local home-schooling parent support group. b. Volunteer for a mass "back to school" immunization clinic. c. Prepare welcome and information packets to college freshmen. d. Work with the health department to bring immunizations to day cares. - ANSWER>>>ANS: A Home-schooled children are often overlooked when it comes to immunizations,

The parents of a preschool-aged child are in the clinic and report the child is seen playing with the genitals frequently. What response by the nurse is best? a. Reassure parents this is normal at this age. b. Teach parents about behavior modification. c. Refer parents and child to a psychologist. d. Ask the provider to speak to the parents. - ANSWER>>>ANS: A

Preschool children are in the Phallic or Oedipal/Electra Stage of Freud's theory during which the genitals become the focus of curiosity and interest.

A nurse is teaching parents to avoid environmental injury to their 2-year-old child. What information does the nurse include in teaching? a. Avoiding sun exposure, secondhand smoke, and lead b. Living in a middle-class neighborhood c. Avoiding smoking and alcohol intake during pregnancy d. Limiting breastfeeding to avoid toxins being passed through breast milk - ANSWER>>>ANS: A

Lead can be present in the home and in toys made overseas. Environmental injury can also be the result of mercury, pesticides (flea and tick collars), radon, and exposure to the sun and secondhand smoke.

Which immunizations should be used with caution in children with an allergy to eggs? a. HepB b. DTaP

c. Hib d. MMR - ANSWER>>>ANS: D Live measles vaccine is produced by using chick embryo cell culture,

When counseling parents and children about the importance of increased physical activity, the nurse will emphasize which of the following? a. Anaerobic exercise should comprise a major component of the child's daily exercise. b. All children should be physically active for at least 2 hours per day. c. It is not necessary to participate in physical education classes at school if a student is taking part in other activities. d. Make exercise a fun and habitual activity. - ANSWER>>>ANS: D It is important to make exercise a fun and habitual activity.

A student nurse is preparing to administer an Hib vaccination to an infant. What action by the student requires the registered nurse to intervene? a. Gives the vaccine information statement prior to administering the vaccine b.

Wipes the dorsal gluteal area with alcohol prior to injection c. Obtains written informed consent before giving the vaccine d. Assesses the family's beliefs and values about vaccinations - ANSWER>>>ANS: B The anterolateral thigh is the preferred site for intramuscular administration of vaccines for infants.

A nurse is planning to teach about injury prevention to a group of parents. What action by the nurse would best ensure a successful event? a. Have handouts listing community resources. b. Provide free safety gear like bike helmets. c. Group parents by child's developmental stage. d. Present the material in an interactive way. - ANSWER>>>ANS: C When providing anticipatory guidance to prevent injury, the most important thing for the nurse to know and understand is developmental levels of the children involved

A nurse is assessing a 1-year-old's food intake over the past 3 days. What information from the parent leads the nurse to provide education on nutrition? a.