Test Bank For Introductory Maternity & Pediatric Nursing 4th & 5th edition Nancy Hatfield All Chapters | Complete Guide 2023
1
Test Bank For
Introductory Maternity and Pediatric Nursing 4th
Edition Test Bank
2
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
Chapter 1: The Nurse’s Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
- Which principle of teaching should the nurse use to ensure learning in a family situation?
a. Motivate the family with praise and positive feedback.
b. Learning is best accomplished with the lecture format.
c. Present complex subject material first while the family is alert and ready to learn.
d. Families should be taught using medical jargon so they will be able to understand
the technical language used by physicians.
ANS: A
Praise and positive feedback are particularly important when a family is trying to master a
frustrating task such as breastfeeding. A lively discussion stimulates more learning than a
straight lecture, which tends to inhibit questions. Learning is enhanced when the teaching is
structured to present the simple tasks before the complex material. Even though a family may
understand English fairly well, they may not understand the medical terminology or slang terms
that are used.
PTS: 1 DIF: Cognitive Level: Application REF: 18, 19
OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance - Which nursing intervention is an independent function of the nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the client perineal care
d. Providing wound care to a surgical incision
3
ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
and intervening in nonmedical problems. Interventions initiated by the physician and carried out
by the nurse are called dependent functions. Administrating oral analgesics is a dependent
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is
a dependent function. Providing wound care is a dependent function; it is usually initiated by the
physician through direct orders or protocol.
PTS: 1 DIF: Cognitive Level: Understanding REF: 24
OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment
- Which most therapeutic response to the clients statement, Im afraid to have a cesarean birth
should be made by the nurse?
a. Everything will be OK.
b. Dont worry about it. It will be over soon.
c. What concerns you most about a cesarean birth?
d. The physician will be in later and you can talk to him.
ANS: C
The response, What concerns you most about a cesarean birth focuses on what the client is
saying and asks for clarification, which is the most therapeutic response. The response,
Everything will be ok is belittling the clients feelings. The response, Dont worry about it. It will
be over soon will indicate that the clients feelings are not important. The response, The physician
will be in later and you can talk to him does not allow the client to verbalize her feelings when
she wishes to do that.
PTS: 1 DIF: Cognitive Level: Application REF: 18
OBJ: Nursing Process Step: Implementation
4
MSC: Client Needs: Psychosocial Integrity
- Which action should the nurse take to evaluate the clients learning about performing infant
care?
a. Demonstrate infant care procedures.
b. Allow the client to verbalize the procedure.
c. Routinely assess the infant for cleanliness.
d. Observe the client as she performs the procedure.
ANS: D
The clients correct performance of the procedure under the nurses supervision is the best proof of
her ability. Demonstration is an excellent teaching method, but not an evaluation method. During
verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is
not the best tool for evaluation. Routinely assessing the infant for cleanliness will not ensure that
the proper procedure is carried out. The nurse may miss seeing that unsafe techniques being
used.
PTS: 1 DIF: Cognitive Level: Application REF: 21
OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Health Promotion and Maintenance - A nurse is reviewing teaching and learning principles. Which situation is most conducive to
learning?
a. An auditorium is being used as a classroom for 300 students.
b. A teacher who speaks very little Spanish is teaching a class of Hispanic students.
c. A class is composed of students of various ages and educational backgrounds.
d. An Asian nurse provides nutritional information to a group of pregnant Asian
women.
ANS: D
Powered by https://learnexams.com/search/study?query=
Test Bank For Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Chapter 1-42 | Complete Guide Newest Version 2023
1
Chapter 1: The Nurse’s Role in a Changing Maternal–Child Health Care Environment
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
- The opening up of hospital visiting policies for children and
families likely resulted from the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with
his study that revealed the negative results of the separation of child
and mother because of hospitalization. His work led to a re-evaluation
and liberalization of hospital visiting policies for children. Joseph
Brennaman suggested that a lack of stimulation for infants contributed
to high infant mortality rates at the time. In the 1970s and 1980s,
physicians Marshall Klaus and John Kennell carried out important studies on the effect of the
separation of newborns and parents. They established that early separation may have long-term
effects on family relationships and that offering the new family an opportunity to be together at
birth and for a significant period after birth may provide benefits that last well into early
childhood.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4 - An expectant mother states that she read that more black mothers die in childbirth than do
white mothers. When responding to her questions about the reasons for this, the nurse
accurately states that which is the major reason for the high maternal mortality rate?
A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
secondary to lack of access to services or insurance. Income as well as educational level may
play a role in the availability of health care, but they are not directly responsible. Being
unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Understand
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 1 of 613
2
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
- Which statement correctly defines the term “infant death rate”?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he or she
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9 - The nursing instructor is preparing to teach a group of students about the history of maternity
care. What major development will the instructor emphasize as greatly influencing the practice
of maternity care in the United States over the past century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary birth attendants
Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development
of anesthesia allowed women a choice for pain management in birth; the germ theory advanced
the progress of general health care and decreased infections in laboring women. Pediatrics as a
specialty is an important step forward but is not the greatest development, and midwives are
still in practice. Maternity care continues to evolve, and birthing centers are still under
development. Forceps are not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Analyze
Client Needs: Health Promotion and Maintenance
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 2 of 613
3
Integrated Process: Teaching/Learning
Reference: p. 3
- When preparing a client for surgery, the nurse explains that the use of an antiseptic
during the surgery has greatly improved client survival rates and was started by which
physician?
A. Louis Pasteur
B. Ignaz Philip Semmelweis
C. Joseph Lister
D. Alexander Gordon
Answer: C
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur’s theory of
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory
of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
Process: Nursing Process
Reference: p. 4 - A young couple are very excited to learn they are expecting their first child and question
the nurse about which test they need to discover its gender. Which procedure will best provide
this information to the couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling
D. HGP
Answer: A
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
information regarding gene mutations and variations.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 6
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 3 of 613
4
- A family is seeking sources for payment of health care costs. When talking with the family,
the nurse determines that the family makes too much money toqualify for the federal program.
Which source would the nurse likely recommend?
A. Medicaid
B. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
C. Centers for Disease Control
D. State Child Health Insurance Program
Answer: D
Rationale: The State Child Health Insurance Program, first known by its acronym “SCHIP” now
referred to as “CHIP,” was enacted in 1997. CHIP provides health insurance to newborns and
children in low-income families who do not otherwise qualify for Medicaid and are uninsured.
Based on the information given, the family does not qualify for Medicaid, a federal program that
supplies grants to states to provide health care for individuals who have low incomes and meet
other eligibility criteria. The Special Supplemental Nutrition Program for Women, Infants, and
Children (WIC) provides nutritional servides to low-income, nutritionally at-risk pregnant, breastfeeding, and postpartum women and their children (as old as 5 years). The Centers for Disease
Control does not provide funding for health care services.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Caring
Reference: p. 8 - After discussing the various options with a pregnant client and partner, they have
chosen to stay with their newborn and receive care from one nurse at the time of birth. This
is referred to as which type of care?
A. Regionalized care
B. Maternal-child care
C. Centralized care
D. Couplet care
Answer: D
Rationale: Couplet care is care in which the mother and child remain in the same room after
labor/delivery through the postpartum period. This has become the standard of care.
Regionalized or centralized care places the treatment centers in centralized locations and
transfers the patient to the facility. Maternal child care allows the mother to be the primary
provider of care.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Caring
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 4 of 613
5
Reference: p. 5
- A group of nursing students are examining the data of the local hospitals to determine the
potential maternal needs of the community. Which factor will be the best statistical indicator of
the adequacy of prenatal care?
A. Number of prenatal visits
B. Maternal mortality rate
C. Infant mortality rate
D. Infant measurements at birth
Answer: B
Rationale: Maternal mortality rate is the best indicator of a country’s level of prenatal care.
Increases in prenatal care result in a decrease in maternal mortality. Infant mortality is a
reflection of postnatal care. Infant mortality includes all infant deaths from birth to 12 months
and can be the result of congenital anomalies, genetic anomalies, or other problems. The number
of prenatal visits and measurements of the infant at birth are not the best indicators as they do
not accurately reflect the health of the mother.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9 - The nurse is teaching a client about lifestyle changes that could help the client reach a
higher level of wellness. The nurse is engaged in which aspect of care?
A. Infection prevention
B. Cost containment
C. Health promotion
D. Illness treatment
Answer: C
Rationale: By encouraging healthy lifestyle changes, the nurse is engaging in health promotion
activities. Health promotion involves helping people make lifestyle changes to move them to
higher levels of wellness. Health promotion includes all aspects of health: physical, mental,
emotional, social, and spiritual. Although health promotion can help to contain costs over a
longer span, this is not what the nurseis doing. Healthy lifestyle changes are not part of infection
prevention or illness treatment.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning Reference: p. 7
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 5 of 613
6
- A young female client is pregnant for the first time and is uncertain who to seek prenatal
care from. The nurse should point out which health care provider as the likely choice?
A. Perinatologist
B. Neonatologist
C. Family practitioner
D. Obstetrician
Answer: D
Rationale: The obstetrician is the common choice for prenatal care through labor and delivery.
Perinatologists may care for women who have a high-risk pregnancy, and neonatologists
provide care to infants. Family practitioner physicians may provide care but are less likely to
attend in labor and delivery.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 3 - While preparing to teach a group of nursing students the history of maternity care, which
factor will the instructor include to explain as the etiology of most infections in females after
birthing in the 1700s?
A. Reproductive tract infection
B. Breast infection
C. Kidney infection
D. Urinary tract infection
Answer: A
Rationale: Prior to the germ theory, women most often died of puerperal fever, an illness marked
by high fever caused by infection of the reproductive tract after delivering infants. Women who
delivered in hospitals were more likely to develop this infection than women who delivered at
home. Breast infections occurred during breast feeding but were not usually fatal. There was no
greater incidence of kidney or urinary tract infections.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
Process: Teaching/Learning
Reference: p. 3-4 - A group of nursing students are comparing the various changes in maternity care over the
course of history and discover that the development of what medical
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 6 of 613
7
treatment was most influential in moving birth from the home into the hospital setting?
A. Infection control and germ theory
B. Planned cesarean birth
C. Instruments to assist in birth of infants
D. Anesthesia and analgesic therapy
Answer: D
Rationale: Movement from the home to the hospital for the birth of infants began with the use of
medications to control pain during labor. This trend started with the wealthy and followed to
include more of society. Cesarean births are a more recent development than the advent of
anesthesia. Infection control could be maintained at home, so it was not a driving force. The use
of instruments developed along with cesarean technology.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Teaching/Learning
Reference: p. 3
- The nursing instructor is teaching a group of students about the history of maternity and
family care. The instructor determines the session is successful when the students correctly
choose which major change resulting from research by Klaus and Kennell?
A. Limited family visits for children in the hospital
B. Family-centered care of today
C. Rooming-in for maternity patients
D. Isolation of children with infections
Answer: B
Rationale: Klaus and Kennell conducted studies and determined the optimal outcomes for
children occurred when parents had more contact and interaction with the child in the hospital.
Limiting visits has detrimental effects on infant development. Rooming-in was not as well
received, as patients were not comfortable with the loss of privacy. Isolation of children with
infections is still a proper precaution.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning Reference: p. 4 - A client with a history of type 1 diabetes mellitus is confirmed to be pregnant. The nurse
determines this client will be best cared for under which practice model?
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 7 of 613
8
A. Case management
B. The nursing process
C. A clinical pathway
D. A health maintenance organization
Answer: A
Rationale: Case management is a system that integrates management and coordination of care
with financing in an attempt to improve cost-effectiveness, use, quality, and outcomes. The
nursing process involves the practice of nursing; it is not a means of cost saving for the client.
The clinical pathway is a treatment regimen. HMOs are insurance organizations.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 7
- A nursing student is preparing a presentation illustrating the Human Genome Project.
Which function will the student point out as being the primary focus?
A. Genetic testing in adults
B. Detection of genetic mutations in children
C. Identification of human genes and functions
D. Treatment of gene mutations
Answer: C
Rationale: The Human Genome Project was founded in 1990 and its primary purpose was to
identify and label all human genes and their functions. Information from the HGP may
eventually be used in genetic testing, the detection of mutations or variations in children, and
gene therapy.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning Reference: p. 6 - A healthy client without a primary care provider is exploring the options available for a
health care provider to assist with her pregnancy. Which health care provider can the nurse
point out as a best option?
A. Women’s health nurse practitioner (NP)
B. Certified nurse midwife
C. Lay midwife
D. Clinical nurse specialist (CNS)
Answer: B
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 8 of 613
9
Rationale: A certified nurse midwife is a nurse with advanced practice training in the care of
women, specific to pregnancy and birth. A women’s health NP would not be able to deliver the
infant. A CNS is an advanced practice role but not specific to the care of pregnancy women. The
lay midwife has no formal education.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning Reference: p. 3-4
- The nursing instructor is teaching a session comparing the various steps of the nursing
process. The instructor determines the session is successful when the students correctly choose
which step as the first one?
A. Nursing diagnosis
B. Planning
C. Assessment
D. Evaluation
Answer: C
Rationale: Assessment is the first step in the nursing process. The nurse must complete the
assessment and gather information to advance the nursing process. Nursing diagnosis is based on
actual or potential health problems that fall within the range of nursing practice. Evaluation
measures the success or failure of the nursing plan of care. Planning is a stage of execution.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 13 - After completing an assessment, the nurse examines the information to develop a wellness
diagnosis for the client to identify which potential goal?
A. Acute health problems
B. Potential problems
C. The potential for improvement in health
D. Chronic health problems
Answer: C
Rationale: Wellness diagnosis identifies the potential for a client to move from one level of
wellness to a higher level. The identification of potential, acute, and chronic health problems is
part of the diagnostic process.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 9 of 613
10
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 14
- The nurse is organizing health information to teach a client basic principles that will help
maintain wellness in the family. Which actions should the nurse prioritize in this teaching?
A. encouraging yearly checkups for all clients.
B. teaching insulin injection techniques
C. medication administration
D. assisting in understanding a treatment
Answer: A
Rationale: The current movement in health care is to focus on health promotion and thereby
prevent future illness and diseases. Encouraging yearly checkups would assist with finding
problems before they become serious. Prevention, treatment, and rehabilitation are all processes
of care. Teaching a client how to give injections, administer medication, or understand a
treatment would occur after a specific health issue but not prevent these issues from occurring.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 14 - Which nursing intervention would best demonstrate evidence-based practice in maternal–
child health care?
A. Family-centered pediatric care
B. Minimizing parental interaction with preterm infants
C. Placing adults and children with similar diseases on the same unit
D. Decentralizing care to allow clients to be closer to home
Answer: A
Rationale: Evidence-based practice has become the standard that nurses are to strive for in
caring for their clients. By involving the family in caring for ill children, the child and the family
are better served and have improved outcomes. Parental interaction is encouraged for preterm
infants to foster bonding. Children and adults need to be separated on inpatient units to ensure
that the caregivers have a clear understanding of each client’s needs, since children are not small
adults.
Centralized care has proved to be most beneficial to client outcomes by providing resources
and specialists in one location.
Question format: Multiple Choice
Chapter 1: The Nurse’s Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Introductory Maternity & Pediatric Nursing 5th edition Nancy Hatfield Test Bank
Page 10 of 613
Powered by https://learnexams.com/search/study?query=