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Test Bank for Maternity and Pediatric Nursing, 4th Edition (Chapters 1-51)

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    Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank Chapter 1 Perspectives on Maternal and Child Health Care 1 . The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact? A ) Resolving all language and cultural differences B ) Assuring early and adequate prenatal care C ) Providing more extensive womens shelters D ) Encouraging all women to eat a balanced diet 2 . When integrating the principles of family-centered care, the nurse would include which of the following? A ) Childbirth is viewed as a procedural event B ) Families are unable to make informed choices C ) Childbirth results in changes in relationships D ) Families require little information to make appropriate decisions lOMoARcPSD|13778330

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    3 . When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A ) Epidemics of puerperal fever B ) Performance of the first cesarean birth C ) Development of the x-ray to assess pelvic size D ) Creation of free-standing birth centers 4 . After teaching a group of students ab y-related mortality, the instructor determines that additi s needed when the students identify which condition as a ? A ) Hemorrhage B ) Embolism C ) Obstructed labor D ) Infection 5 . The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A ) Smoking lOMoARcPSD|13778330

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    B ) Heart disease C ) Diabetes D ) Cancer 6 . When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important? A ) Language B ) Health care workers attitudes C ) Transportation D ) Finances 7 . After teachi nursing students about the issue of informed consent. Which o g, if identified by the student, would indicate an und violation of informed consent? A ) Per procedure on a 15-year-old without consent B ) Serving as a witness to the signature process C ) Asking whether the client understands what she is signing D ) Getting verbal consent over the phone for emergency procedures lOMoARcPSD|13778330

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    8 . 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? A ) Getting telephone consent with two people listening to the verbal consent B ) Providing emergency care without parental consent C ) Contacting the childs aunt or uncle to obtain their consent D ) Advocating for termination of parental rights for this situation 9 . After teaching nursing students about the basic concepts of family-centered care, the instructor determines that the tea ing was successful when the students state which of the following? A ) Childbirth affects the entir elationships will change. B ) Families are not ing health care decisions for themselves. C ) Mother y members affected by childbirth. D ) Ch a medical procedure. 1 0 . A nursing instructor is preparing a class discussion on the trends in health care and health care delivery over the past several centuries. When discussing the changes during the past century, which of the following would the instructor be least likely to include? A ) Disease prevention lOMoARcPSD|13778330

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    B ) Health promotion C ) Wellness D ) Analysis of morbidity and mortality 1 1 . A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the understanding that based on this clients cultural background, the client most likely views illness as which of the following? A ) Caused by supernatural forces. B ) A punishment for sins. C ) Due to spirits or demons. D ) From an imbalance o 1 2 . A nurse a plan of care for a woman to ensure continuity of care duri labor, and childbirth. Which of the following would be most i e nurse to incorporate into that plan? A ) Adher to strict, specific routines B ) Involving a pediatric physician C ) Educating the client about the importance of a support person lOMoARcPSD|13778330

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    D ) Assigning several nurses as a support team 1 3 . A nursing instructor is preparing a class discussion on case management in maternal and newborn health care. Which of the following would the instructor include as a key component? Select all that apply. A ) Advocacy B ) Coordination C ) Communication D ) Resource management E ) Event managed care 1 4 . After teaching a ts about the concept of maternal mortality, the instructor det ditional teaching is needed when the students state which of t A ) The ccidental causes for deaths. B ) It addr es pregnancy-related causes. C ) The duration of the pregnancy is not a concern. D ) The time frame is typically for a specified year. lOMoARcPSD|13778330

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    1 5 . A group of students are reviewing the historical aspects about childbirth. The students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during which time frame? A ) 1700s B ) 1800s C ) 1900s D ) 2000s 1 6 . A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would least likely dem strate application of the concept of family-centered care? A ) Focusing on the birth as a event for the family B ) Creating opportu mily to make informed decisions C ) Encoura an to keep her other children at home D ) Fos ense of respect for the mother and the family 1 7 . When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which of the following would the nurse most likely include? Select all that apply. A ) Chromosomal abnormalities lOMoARcPSD|13778330

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    B ) Malnutrition C ) Preterm cervical dilation D ) Underlying disease condition E ) Poor placental attachment 1 8 . A nurse is preparing a presentation for a local community group about health status and childrens health. Which of the following would the nurse include as one of the most significant measures? A ) Fetal mortality rate B ) Neonatal mortality rate C ) Infant mortality rate D ) Maternal m 1 9 . A g udents are reviewing an article describing information related to indicat s for womens health and the results of a national study. Which of the following would the students identify as being satisfactory for women? Select all that apply. A ) Smoking cessation B ) Colorectal cancer screening lOMoARcPSD|13778330

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    C ) Violence against women D ) Health insurance coverage E ) Mammograms 2 0 . A nurse is preparing a presentation for a local womens group about heart disease and women. Which of the following would the nurse expect to address when discussing measures to promote health. A ) Women have similar symptoms as men for a heart attack. B ) Heart disease is no longer viewed as a mans disease. C ) Women experiencing a heart a eater risk for dying. D ) Heart attacks in wom sily diagnosed. 2 1 . A nurse develop a health education program for a local com ess breast cancer awareness. Which of the following would t ct to include when describing this problem to the group? Select all th ly. A ) White women have higher rates of breast cancer than African American women. B ) African American women are more likely to die from breast cancer at any age. C ) Survival at any stage is worse among white women. lOMoARcPSD|13778330

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    D ) Women living in South America have the highest rates of breast cancer. E ) Breast cancer is the leading cause of cancer mortality in women. 2 2 . A group of nursing students are reviewing information about factors affecting maternal, newborn, and womens health. The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply. A ) Literacy B ) Employment opportunities C ) Mobility D ) Political representation E ) Skills Answer Key 1. B 2. C 3. D 4. B 5. B 6. D 7. A lOMoARcPSD|13778330

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    8. A 9. A 10. D 11. D 12. C 13. A, B, C, D 14. A 15. C 16. C 17. B, C, D 18. C 19. B, E 20. C 21. 22. , D, E Chapter 2 Famil ommunity-Based Care 1 . The nur e is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care? A ) Softening unpleasant information or prognoses B ) Evaluating and changing the nursing plan of care lOMoARcPSD|13778330

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    C ) Collaborating with the child and family as equals D ) Showing respect for the familys beliefs and wishes 2 . The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention? A ) Arranging for a physical therapy session B ) Teaching parents to administer albuterol C ) Reminding parent to give a full course of antibiotics D ) Giving a DTaP vaccination at t rval 3 . A nursing student nformation about documenting client care and education in t ord and the purposes that it serves. The student demonstr additional study when the nurse identifies which of the follow n? A ) S mmunication tool for the interdisciplinary team. B ) Demonstrates education the family has received if legal matters arise. C ) Permits others access to allow refusal of medical insurance coverage. D ) Verifies meeting client education standards set by the Joint Commission. lOMoARcPSD|13778330

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    4 . A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information? A ) I like having the privacy, but it might be too expensive for me to set up in my home. B ) I want to have more control, but I am concerned if an emergency would arise. C ) It is safer because I will have a midwife. D ) The midwife is trained to resolve any emergency, and she can bring any pain meds. 5 . The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client i plaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She stat tired. And with this pain, I havent been drinking and eating li e medication helps a bit but not much. My mom has been help aby. Her incision is clean, dry, and intact. Which nursing dia e nurse identify as the priority for this client? A ) Impaired skin ed to cesarean birth incision B ) Fati ffects of surgery and caretaking activities C ) Imbala ed nutrition, less than body requirements related to poor fluid and food intake D ) Acute pain related to incision and cesarean birth 6 . When caring for childbearing families from cultures different from ones own, which of the following must be accomplished first? lOMoARcPSD|13778330

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    A ) Adapt to the practices of the familys culture B ) Determine similarities between both cultures C ) Assess personal feelings about that culture D ) Learn as much as possible about that culture 7 . After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful? A ) Increase in community settings for c e B ) Decrease in family povert C ) Increase in hospit ildren D ) Decreas care 8 . The nu e would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women? A ) Calcium B ) Folic acid lOMoARcPSD|13778330

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    C ) Vitamin C D ) Iron 9 . Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection? A ) Provide treatment for clients who test positive for HIV B ) Monitor viral load counts periodically C ) Educate clients in how to practice safe sex D ) Offer testing for clients who practi afe sex 1 0 . When assuming the r e planner for a woman requiring ventilator support at home, d do which of the following? A ) Confer mother B ) Te elf-care skills to the client C ) Determine if there is a need for back-up power D ) Discuss coverage with the insurance company lOMoARcPSD|13778330

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    1 1 . When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include? A ) Increased time available for education B ) Improved access to resources C ) Decision making in isolation D ) Greater environmental structure 1 2 . After teaching a group of students ab t the different levels of prevention, the instructor determines a need for teaching when the students identify which of the following as a s ention level activity in community- based health care? A ) Teaching women t d supplements to prevent neural tube defects B ) Working ho are victims of domestic violence C ) clients at an HIV clinic to provide nutritional and CAM therapies D ) Teaching hypertensive clients to monitor blood pressure 1 3 . A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? lOMoARcPSD|13778330

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    A ) 2448 hours or less B ) 7296 hours or less C ) 4872 hours or less D ) 96120 hours or less 1 4 . Which of the following statements is accurate regarding womens health care in todays system? A ) Women spend 95 cents of every dollar spent on health care. B ) Women make almost 90% of a decisions. C ) Women are still the United States. D ) Men use m ces than women. 1 5 . A ucating a client about a care plan. Which of the following statem s would be appropriate to assess the clients learning ability? A ) Did you graduate from high school; how many years of schooling did you have? B ) Do you have someone in your family who would understand this information? lOMoARcPSD|13778330

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    C ) Many people have trouble remembering information; is this a problem for you? D ) Would you prefer that the doctor give you more detailed medical information? 1 6 . A nurse is developing cultural competence. Which of the following indicates that the nurse is in the process of developing cultural knowledge? Select all that apply. A ) Examining personal sociocultural heritage B ) Reviewing personal biases and prejudices C ) Seeking resources to further understanding of other cultures D ) Becoming familiar with other rse lifestyles E ) Performing a compet essment F ) Advocating ce to eliminate disparities. 1 7 . A gaged in providing family-centered care for a woman and her family. he nurse is providing instrumental support with which activity? A ) Explaining to the woman and family what to expect during the birth process. B ) Assisting the woman in breathing techniques to cope with labor contractions. lOMoARcPSD|13778330

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    C ) Reinforcing the womans role as a mother after birth D ) Helping the family obtain extra financial help for prescribed phototherapy 1 8 . A nurse is considering a change in employment from the acute care setting to community-based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply. A ) Urgent care center B ) Hospice care C ) Immunization clinic D ) Physicians office E ) Day surgery cent F ) Nursing 1 9 . A nurs g instructor is presenting a class for a group of students about community-based nursing interventions. The instructor determines that additional teaching is needed when the students identify which of the following? A ) Conducting childbirth education classes B ) Counseling a pregnant teen with anemia lOMoARcPSD|13778330

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    C ) Consulting with a parent of a child who is vomiting D ) Performing epidemiologic investigations 2 0 . During class, a nursing student asks, I read an article that was talking about integrative medicine. What is that? Which response by the instructor would be most appropriate? A ) It refers to the use of complementary and alternative medicine in place of traditional therapies for a condition. B ) It means that complementary and alternative medicine is used together with conventional therapies to reduce pain or discomfort. C ) It means that mainstream medical therapies and complementary and alternative therapies are combined based on sci ific evidence for being effective. D ) It refers to situations when a cl r her family prefer to use an unproven method of treatm ven one. 2 1 . While a nurse is alth history, the client tells the nurse that she practices aro e nurse interprets this as which of the following? A ) Us ils to stimulate the sense of smell to balance the mind and bo B ) Application of pressure to specific points to allow self-healing C ) Use of deep massage of areas on the foot or hand to rebalance body parts D ) Participation in chanting and praying to promote healing. lOMoARcPSD|13778330

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    2 2 . A pregnant woman asks the nurse about giving birth in a birthing center. She says, Im thinking about using one but Im not sure. Which of the following would the nurse need to integrate into the explanation about this birth setting? (Select all that apply.) A ) An alternative for women who are uncomfortable with a home birth. B ) The longer length of stay needed when compared to hospital births C ) Focus on supporting women through labor instead of managing labor D ) View of labor and birth as a normal process requiring no intervention E ) Care provided primarily by obstetricians with midwives as backup care 2 3 . A nurse practicing in the c reparing a presentation for a group of nursing students about tting. Which of the following would the nurse include as ch his role? A ) Greater emph physical care B ) Bro t to include the environment C ) Increas dependency on physician D ) Limited decision making and support 2 4 . A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the clients learning? (Select all that apply.) lOMoARcPSD|13778330

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    A ) Teach survival skills first B ) Use simple, nonmedical language C ) Refrain from using a hands-on approach D ) Avoid repeating information E ) Use visual materials such as photos and videos 2 5 . A group of nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step? A ) Cultural knowledge B ) Cultural skills C ) Cultural en D ) C ss Answer Key 1. A 2. A 3. C 4. B lOMoARcPSD|13778330

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    5. D 6. C 7. A 8. B 9. C 10. C 11. C 12. A 13. A 14. B 15. C 16. C, 17. 18. , E 19. D 20. C 21. A 22. A, C, D 23. B 24. A, B, E 25. C Chapter 3 Anatomy and Physiology of the Reproductive System lOMoARcPSD|13778330

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    1 . When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? A ) Menstrual B ) Proliferative C ) Secretory D ) Ischemic 2 . After teaching a group of adolescent girls about female reproductive development, the nurse determines t t teaching was successful when the girls state that menarche is defined as first: A ) Sexual experience B ) Full hormonal cy C ) Menstru D ) Sig t development 3 . A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the clients next menses to begin on: A ) May 24 lOMoARcPSD|13778330

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    B ) May 26 C ) May 30 D ) June 1 4 . Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth? A ) Cervix B ) Fallopian tube C ) Vagina D ) Vulva 5 . After teachi pregnant women about breast-feeding, the nurse determi ching was successful when the group identifies which hor ant for the production of breast milk after childbirth? A ) Pla ogen B ) Progesterone C ) Gonadotropin-releasing hormone D ) Prolactin lOMoARcPSD|13778330

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    6 . The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first? A ) Evidence of pubic hair B ) Development of breast buds C ) Onset of menses D ) Growth spurt 7 . When describing the ovarian cycle to a group of students, which phase would the instructor include? A ) Luteal phase B ) Proliferative phase C ) Menstrual phas D ) Secret 8 . The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation? A ) Estrogen B ) Progesterone lOMoARcPSD|13778330

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    C ) Follicle-stimulating hormone D ) Luteinizing hormone 9 . The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful? A ) Testes B ) Seminal vesicles C ) Scrotum D ) Prostate gland 1 0 . The nurse is c am that illustrates the components of the male reproducti ich structure would be inappropriate for the nurse to includ ory gland? A ) S es B ) Prostate gland C ) Cowpers glands D ) Vas deferens lOMoARcPSD|13778330

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    1 1 . The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? A ) Sperm emission B ) Penile vasodilation C ) Psychological release D ) Ejaculation 1 2 . A woman comes to the clinic complaining that she has little sexual desire. As part of the clients evaluation, the nu would anticipate the need to evaluate which hormone level? A ) Progesterone B ) Estrogen C ) Gonado g hormone D ) Tes 1 3 . A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which of the following would the nurse include as an external female reproductive organ? Select all that apply. A ) Mons pubis lOMoARcPSD|13778330

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    B ) Labia C ) Vagina D ) Clitoris E ) Uterus 1 4 . When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? A ) Estrogen B ) Luteinizing hormone C ) Progesterone D ) Prolactin 1 5 . A tructor is describing the hormones involved in the menstrual cycle to a gr p of nursing students. The instructor determines the teaching was successful when the students identify follicle-stimulating hormone as being secreted by which of the following? A ) Hypothalamus B ) Anterior pituitary gland lOMoARcPSD|13778330

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    C ) Ovaries D ) Corpus luteum 1 6 . A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. Ive also been waking up at night feeling really hot and sweating. The nurse interprets these findings as which of the following? A ) Menopause B ) Perimenopause C ) Climacteric D ) Menarche 1 7 . After teachin udents about female reproductive anatomy, the instructor at the teaching was successful when the students identify which ng as the site of fertilization? A ) V B ) Uterus C ) Fallopian tubes D ) Vestibule lOMoARcPSD|13778330

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