Deck 1: Contemporary Maternal, Newborn, and Child Health Nursing

Question 1

Despite the availability of State Children's Health Insurance Programs (SCHIPs), many eligible children are not enrolled. The nursing intervention that can best help eligible children become enrolled is:

A)Assessment of the details of the family's income and expenditures.
B)Education of the family about the need for keeping regular well-child visit appointments.
C)Case management to limit costly, unnecessary duplication of services.
D)Advocacy for the child by encouraging the family to investigate its SCHIP eligibility.

Answer 1

Assessment of the details of the family's income and expenditures.

Question 2

The maternity nurse's best defense against an accusation of malpractice or negligence is that the nurse:

A)Followed the physician's written orders.
B)Is a certified nurse-midwife or nurse practitioner.
C)Met the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) standards of practice.
D)Was acting on the advice of the nurse manager.

Answer 2

Met the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) standards of practice.

Question 3

Which of the following families might find cord blood banking to be especially useful?

A)A family with a history of leukemia
B)A family that wishes to avoid a future intrauterine fetal surgery
C)A family that wishes to select the sex of a future child
D)A family with a history of infertility

Answer 3

A family with a history of leukemia

Question 4

A nurse is examining different nursing roles. Which of the following best illustrates an advanced practice nursing role?

A)A registered nurse who is the manager of a large obstetrical unit
B)A clinical nurse specialist working as a staff nurse on a mother-baby unit
C)A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
D)A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants

Question 5

The telephone triage nurse at a pediatric clinic knows each call is important. However, recognizing that infant deaths are most frequent in the following categories, the nurse must be extra attentive during calls from parents of infants who are: (Select all that apply.)

A)Of an American Indian family.
B)Of a non-Hispanic black family.
C)Born to an unmarried mother.
D)Between 6 and 8 months old.
E)Less than 3 weeks old.

Question 6

The major focus of the nurse practitioner is on:

A)Leadership.
B)Independent care of the high-risk, pregnant client.
C)Tertiary prevention.
D)Physical and psychosocial clinical assessment.

Question 7

A 12-year-old pediatric client is in need of surgery. The health care member who is legally responsible for obtaining informed consent for an invasive procedure is:

A)The nurse.
B)The physician.
C)The social worker.
D)The unit secretary.

Question 8

Which of the following practices characterize the basic competencies related to evidence-based practice? Select all that apply.

A)Clinical practice that promotes quality
B)Clinical practice that provides a useful approach to problem solving
C)Clinical practice supported by data
D)Clinical practice supported by intuitive evidence
E)Clinical practice supported by good evidence

Question 9

The role of the certified nurse-midwife (CNM) is to: (Select all that apply.)

A)Give primary care for high-risk clients who are in hospital settings.
B)Give primary care for healthy newborns.
C)Be educated in two disciplines of nursing.
D)Obtain a physician consultation for any technical procedures at delivery.
E)Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth.

Question 10

A nurse is providing guidance to a group of parents of children in the infant-to-preschool age group. After reviewing statistics on the most common cause of death in this age group, the nurse would include information about prevention of:

A)Heart disease by incorporating heart-healthy foods into the child's diet.
B)Cancer by reducing the use of pesticides in the home.
C)Accidental injury, including pool and traffic accidents.
D)Pneumonia by providing a diet high in vitamin C from fruits and vegetables.

Question 11

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:

A)Family serves as the constant influence and continuing support in the child's life.
B)Father is the leader in each home; thus, all communications should include him.
C)Child's physician is the key person in assuring the health of a child is maintained.
D)Mother is the principal caregiver in each family.

Question 12

According to the 1973 Supreme Court decision in Roe v. Wade, abortion is legal if induced:

A)At a federally funded clinic.
B)At a military hospital overseas.
C)Before the period of viability.
D)To provide tissue for therapeutic research.

Question 13

A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines delineate that pediatric clients must give consent for participation in research trials. Based on the client's age, the nurse would seek assent from which child? Select all that apply.

A)A 7-year-old leukemia client electing to receive a newly developed trial medication
B)A 13-year-old client beginning participation in a research program for ADHD treatments
C)A 10-year-old starting in an investigative study for clients with precocious puberty
D)A precocious 4-year-old starting as a cystic fibrosis research study participant

Question 14

A nurse who tells family members the sex of a newborn baby without first consulting the parents would be considered having committed:

A)Breach of privacy.
B)A breach of ethics.
C)Negligence.
D)Malpractice.