- When integrating the principles of family-centered care into the birthing process,
the nurse would base care upon which belief?
- Birth is viewed as a medical event.
- Families are unable to make informed choices due to stress.
- Birth results in changes in relationships.
- 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.
Chapter: 1
Client Needs: Health Promotion and Maintenance
Title: Maternity and Pediatric Nursing, 2e
Page: 6, The History of Maternal and Newborn Health and Health Care
Cognitive Level: Understand
- 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 condition as the priority?
- Smoking
- Heart disease
- Diabetes
- 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.
Chapter: 1
Client Needs: Physiological Integrity: Reduction of Risk Potential
Title: Maternity and Pediatric Nursing, 2e
Page: 13, Women’s Health Indicators
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test nursylab.com nursylab.com Canadian Maternity And Pediatric Nursing 2nd Edition Ricci Carman Kyle Test Bank 1 / 4
Cognitive Level: Apply
- 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?
- Performing a procedure on a 12-year-old cognitively challenged client without
parental consent
- Serving as a witness to the signature process on an operative consent form
- Asking whether the client understands what she is signing following receiving
education
- Getting verbal consent over the phone for an emergency procedure from the
spouse of a unconscious woman
Ans: A
Rationale: In some provinces and territories, mature minors (usually over the age of 14) can give consent, pending their level of maturity and intelligence to make decisions about treatment. In some provinces/territories there are no laws related to consent. Children 12 years old are likely not sufficiently mature to understand teaching and consent related to medical procedures. 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.
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Title: Maternity and Pediatric Nursing, 2e
Page: 43, Exceptions to Parental Consent Requirement
Cognitive Level: Analyze
- The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority?
- Getting telephone consent with two people listening to the verbal consent
- Providing emergency care without parental consent
- Contacting the child's aunt or uncle to obtain their consent
- Asking the courts to grant permission on the child's behalf
Ans: A
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test nursylab.com nursylab.com 2 / 4
Rationale: The priority action would be to contact the neighbor for an emergency number to reach the parents and get their verbal consent with two witnesses listening simultaneously. If the nurse cannot reach the parents, and there is no relative or other person with written authorization to act on the parent's behalf, then the primary care provider may initiate emergency care without the parents' consent. Involving the court would take too much time. The child needs immediate treatment.
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Title: Maternity and Pediatric Nursing, 2e
Page: 43, Exceptions to Parental Consent Requirement
Cognitive Level: Apply
- Which statement made by a nursing student would best indicate that their
education on family-centered care was fully understood?
- “Childbirth affects the entire family, and relationships will change.”
- “Families are challenged to make health care decisions for themselves in
stressful situations.”
- “Mothers are the primary family member affected by childbirth.”
- “Since childbirth is a medical procedure, it may affect everyone.”
Ans: A
Rationale: Childbirth affects the entire family, and relationships will 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.
Chapter: 1
Client Needs: Health Promotion and Maintenance
Title: Maternity and Pediatric Nursing, 2e
Page: 9, Evolution of Maternal and Newborn Nursing
Cognitive Level: Apply
- Which aspect of client wellness has been less of a focus of health during the
21st century in developed countries?
- Disease prevention
- Health promotion
- Wellness
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test nursylab.com nursylab.com 3 / 4
- Analysis of morbidity and mortality
Ans: D
Rationale: The focus on health has shifted to disease prevention, health promotion, and wellness. In the last century, much of the focus was on analyzing morbidity and mortality rates.
Chapter: 1
Client Needs: Health Promotion and Maintenance
Title: Maternity and Pediatric Nursing, 2e
Page: 13, Morbidity
Cognitive Level: Understand
- A nurse is conducting an in-service program for a group of nurses on the health
of women and their families. The nurse determines that additional discussion and clarification is needed when the group makes which statement?
- “Obesity, drug use, and smoking are major problems.”
- “Maintaining a physically active lifestyle is strongly encouraged”
- “Immunizations may be the cause of some illnesses.”
- “Environmental quality is directly related to health care.”
Ans: C
Rationale: Obesity, drug use, and smoking are major concerns. Physical activity
and environmental quality are also on the list of leading health indicators in the Healthy People 2020 Report. The students that understood that immunizations are the causes of diseases need clarification since maintenance of immunizations is one of the health indicators listed in the report.
Chapter: 1
Client Needs: Health Promotion and Maintenance
Title: Maternity and Pediatric Nursing, 2e
Page: 14, Childhood Morbidity
Cognitive Level: Analyze
- A nurse is planning a continuum of care for a client during pregnancy, labor, and
childbirth. What is the most important factor in enhancing the birthing experience?
- Adhering to strict specific routines
- Involving a pediatrician
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test nursylab.com nursylab.com
- / 4