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Maternity and Pediatric Nursing 4th Edition
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Chapter 1 n
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1. When integrating the principles of family-centered care into the birthing process,the
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nurse would base care upon which belief?
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A. Birthis viewed as a medicalevent.n n abirb.com/test n n n n
B. Familiesare unable tomake informed choicesdue to stress. n n n n n n n n n
C. Birthresultsin changes in relationships.
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D. Familiesrequirelittleinformationtomakeappropriate decisionsfor care.
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Answer: C n
Rationale:Family-centeredcareisbasedonthef ollowi nagb i rpb .rc ionmc/ t eips t les : Birthaffectsthe
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entire family, andrelationships willchange; birthis viewed as anormal, healthy eventin
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the life of the family; and families are capable of making decisions about their own care if
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given adequate information and professional support.
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Questionformat:Multiple Choice n
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Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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ClientNeeds:HealthPromotionandMaintenance
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Integrated Process: Teaching/Learning
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Integrated Process: Caring
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Reference:p.7 n n
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2. Thenurse isworkingwith agroupof communityhealthmembers todevelopaplan
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to address the special health needs of women. The group would design
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educational programs to address which priority condition?
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A. Smoking
B. Heart disease n
C. Diabetes
D. Cancer abirb.com/test
Answer:B
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Rationale:Thegroupneedstoaddresscardiovasculardiasb ei r ba. csoem,/ t etsht enumberonecause of
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death in women regardless of racial or ethnic group. Smoking is related to heart
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disease and the development of cancer. However, heart disease and cancer
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canoccurinanywoman regardlessofher smokingh is toarbyi r b.. cCo ma/ nt e cs ter isthesecond leading
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cause of death, with women having a one in three lifetime risk of developingcancer.
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Diabetes is anotherimportanthealthcondition thatcanaffect
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women.However, itis notthemajorhealth problem thatheart disease is.
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Questionformat:MultipleChoice
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Chapter1: PerspectivesonMaternal andChild Health Care
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Cognitive Level: Apply n n
ClientNeeds: HealthPromotionandMaintenance
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IntegratedProcess:NursingProcess n n n
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Reference:p.12 n n
3. A nurse is conductingan orientation program for a groupofnewly hired nurses. Aspart
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oftheprogram,thenurseisreviewingthei s s u e a boi rfb .icno mfo/ t re smt edconsent.The nurse
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determines that the teaching was effective when the group identifies which
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situation as a violation of informed consent?
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A. Performingaprocedure ona15-year-oldwithoutparentalconsent n n n n n n n n
B. Servingasawitnesstothesignatureprocessonanoa pb i er br. cao tmi/vt ees t permit
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C. Askingwhether the clientunderstands whatshe is signingfollowingreceiving
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education
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D. Getting verbal consent over thephone forane m e rgeanb icr by. c opmr/ ot e cs te dur e fromthe n n n n n n n n n n n n
spouse ofaunconscious woman
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Answer: A n
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Rationale: In most states, only clients over the age of 18 can legally provide consent for
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health care. Serving as a witness to the signature process, asking whethertheclient
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understandswhatsheissigning,a n d a bgi reb .tctoimn/ gt e s vt erbal consentover
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the phone foremergency procedures are all keyto informed consentandare not
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violations.
Questionformat:Multiple Choice n n n
Chapter1:PerspectivesonMaternal andChildHealthC aabrierb.c om/t est
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Cognitive Level: Analyze n n
ClientNeeds: Safe, Effective CareEnvironment: ManagementofCare
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Integrated Process: Nursing Process
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Reference:p.45 n n
4. A pregnantwomanis to undergo an invasive procedure to evaluate the status ofher
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fetus.Toensureinformedconsent,whichactionwoua bldi r b . bc oem / tt ehs te priority responsibility
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of the nurse providing care to this woman?
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A. Askingrelevantquestionsto determinetheclient's understanding
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B. Providingadetailed descriptionofthe risks andbenefits ofthe procedure
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C. Explainingthe exactstepsthatwilloccurduring the parb ior bc. ceo d nu re
m / te s t
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D. Offeringsuggestionsforalternativeoptionsfortreatment n n n n n n
Answer:A n
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Rationale: The nurse's responsibilities related to informed consent include: Ensuring
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the consent form is completed with signatures from the client; serving as a witness tothe
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signatureprocess;anddetermining whethertheca lbii er b n. c to mu/ t ne sdt erstandswhat sheis signing
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by asking her pertinent questions. The physician, advanced practice nurse, ormidwife is
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responsible for informing the client about the procedure and obtaining consentby
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providing adetailed descriptionofthe procedure ortreatment, itspotential risksand
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benefits,andalternativem e t h o d s a ab i rvb a. c iolma/ bt e lset .
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Questionformat:Multiple Choice n n n
Chapter 1: Perspectives on Maternal and Child Health Care
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CognitiveLevel:Apply
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ClientNeeds:Safe,EffectiveCareEnvironment:ManagementofCare
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IntegratedProcess:NursingProcess n n n
Reference: p. 45
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5. A9-month-oldwithglaucomarequiressurgery.Thein
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. c ot'ms/ t eps tare nts are n n n n n nn n n n n n n n n
divorced. To obtain informed consent, which actionwouldbe most appropriate?
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A. Contactingthe fatherforinformed consent n n n n n
B. Obtaininginformed consentfrom themother n n n n n
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C. Seekingacourtrulingon the course of care n n n n n n n n
D. Determiningsoleorjointcustodybythe parents n n n n n n n
Answer: D
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Rationale: The most appropriate action would be to determine legal custody by court
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ndecree. If the parents have joint custody, then either parent may give consent, butit is
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alwaysbesttohaveconsentgivenbyba boi r tbh. c o pma/ t erset nts.The parentwith only physical
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ncustody may give consent for emergency care. The last resort is getting a court
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nruling; usually this is not necessary unless the parents disagree
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about the care of the child.
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nQuestionformat:MultipleChoice n n
Chapter1: Perspectiveson Maternal andChild Health CareCognitive
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Level: Apply
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ClientNeeds:Safe,EffectiveCareEnvironment:M anageam
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t efs t Care n n n n n n n n n nn
Integrated Process: Nursing Process
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Reference:p.47 n n
6. Which statement madebyanursing studentwouldbea bsi r tb . ci onmd/ t iecs at tethather n n n n n n
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education on family-centered care was fully understood?
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A. "Childbirthaffectsthe entirefamily,andrelationships willchange." n n n n n n n n
B. "Families areusuallynotcapableofmakinghealthcaarbei r bd. c eo mc /it se siot ns forthemselves,
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especially in stressful situations."
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C. "Mothersare the onlyfamilymemberaffected bychildbirth."
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D. "Sincechildbirthis amedicalprocedure, itmayaffect everyone."
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Answer: A n
Rationale:Childbirthaffectstheentirefamily,andr e l a t ioa bni r bs.hc oi mp/st e sw
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t illchange. n n n n n n n
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Childbirthis viewed as anormal life event, not amedicalprocedure. Families are
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verycapable ofmaking healthcare decisions abouttheir owncare withproper informationand
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support.
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Questionformat:Multiple Choice n
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Chapter1: Perspectiveson Maternal andChild Health CareCognitive
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Level: Apply
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ClientNeeds:PsychosocialIntegrity
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IntegratedProcess:NursingProcess n n n
Reference: p. 15
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7. Whichaspectofclient wellness hasnotbeen a focusaob ifr b h. c eo ma/ lt etsht during the21st
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century ?
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