Chapter 1

Question 1

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

Answer 1

A clinical nurse specialist with whom other nurses consult for this nurse’s expertise in caring for high-risk infants

Question 2

What is the major focus of the nurse practitioner (NP)?

Answer 2

Physical and psychosocial clinical assessment

Question 3

What is the role of the certified nurse–midwife (CNM)? Select all that apply.

1. Give primary care for healthy newborns.
2. Be educated in two disciplines of nursing.
3. Give primary care for high-risk clients who are in hospital settings.
4. Obtain a physician consultation for all technical procedures at delivery.
5. Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth.

Answer 3

1,2,5

Question 4

During the hospital admission process, a child’s parent asks for information about family-centered care. What should the nurse explain to this parent?

Answer 4

Family serves as the constant influence and continuing support in the child’s life.

Question 5

A child is not enrolled in the Children’s Health Insurance Program (CHIP). What should the nurse do to encourage the family to consider enrolling the child in this program?

Answer 5

Advocacy for the child by encouraging the family to investigate its CHIP eligibility

Question 6

The nurse is evaluating telephone calls made by the mothers of newborns in a community clinic. Which calls should the nurse make a priority? Select all that apply.

1. Mother who is 16 years old
2. Mother who is breastfeeding
3. Mother who is a single parent
4. Mother who gave birth to twins 2 weeks ago
5. Mother whose baby was born at 30 weeks’ gestation

Answer 6

1,3,4,5

Question 7

What is the maternity nurse’s best defense against an accusation of malpractice or negligence?

Answer 7

Meets the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) standards of practice

Question 8

The nurse is coordinating a clinical research trial with pediatric clients. From which clients should the nurse seek assent to participate in the research? Select all that apply.

1. A 9-year-old client who qualifies to test a medication for muscular dystrophy
2. A precocious 4-year-old starting as a participant in a cystic fibrosis research study
3. A 10-year-old starting in an investigative study for clients with precocious puberty
4. A 7-year-old client with leukemia who has elected to receive a newly developed trial medication
5. A 13-year-old client beginning participation in a research program for attention deficit/hyperactivity disorder (ADHD) treatments

Answer 8

1,3,4,5

Question 9

A 12-year-old pediatric client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure?

Answer 9

The physician

Question 10

The nurse tells family members the sex of a newborn baby without first consulting the parents. Which act did this nurse commit?

Answer 10

Breach of privacy

Question 11

The nurse is reviewing the 1973 Supreme Court decision in Roe v. Wade for a patient asking about an abortion. What should the nurse explain about the induction of a legal abortion?

Answer 11

It must be performed before the period of viability.

Question 12

Which family might find cord blood banking to be especially useful?

Answer 12

A family with a history of leukemia

Question 13

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, what information should the nurse include about prevention?

Answer 13

Review swimming pool and traffic accidents to prevent accidental injury.

Question 14

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

1. Clinical practice supported by data
2. Clinical practice that promotes quality
3. Clinical practice supported by good evidence
4. Clinical practice supported by intuitive evidence
5. Clinical practice that provides a useful approach to problem solving

Answer 14

1,2,3,5

Question 15

The maternal-child nurse is caring for a teenager who is 16 weeks pregnant. What actions should the nurse perform when advocating for this client? Select all that apply.

1. Understand what the client needs.
2. Know the needs of the client’s family.
3. Compile a list of community resources.
4. Coordinate services to meet quality measures.
5. Examine policies to ensure meeting the client’s needs.

Answer 15

1,2,3,5

Question 16

The nurse is establishing criteria for a medical or healthcare home for children. What should the nurse include when planning this approach to care? Select all that apply.

1. Providers partner with the family.
2. Children are known by the provider.
3. Home visits are made when necessary.
4. Specialty care can be accessed if necessary.
5. Communication with family occurs routinely.

Answer 16

1,2,4,5

Question 17

A client tells the nurse that she is unable to have routine health care because of the lack of health insurance. How should the nurse respond regarding the Affordable Care Act? Select all that apply.

1. There is no annual limit on insurance coverage.
2. Requires enrollment to occur when a specific age is reached.
3. Health insurance can be obtained with pre-existing medical conditions.
4. Provides a tax credit for middle- and low-income families to cover a part of the cost.
5. Young adults can be covered under parents’ health insurance for longer periods of time.

Answer 17

1,3,4,5

Question 18

The nurse is assisting with the design of a study to analyze changes in maternal mortality. What should the nurse keep in mind when planning the design? Select all that apply.

1. The marital status of maternity clients
2. The use of hospitals by maternity clients
3. The prevention of infection with antibiotics
4. The availability of blood products for transfusions
5. The establishment of care centers for high-risk mothers

Answer 18

2,3,4,5

Question 19

The nurse manager is considering adopting clinical practice guidelines to care for clients experiencing abruptio placentae. What advantages of these guidelines should the manager discuss with the nursing staff? Select all that apply.

1. Limit the cost of care.
2. Help evaluate the effectiveness of care.
3. Reduce the number of nurses needed to provide care.
4. Reduce variations when caring for clients with the same health problem.
5. Provide sequence and timing of interventions to help achieve expected client outcomes.

Answer 19

1,2,4,5

Question 20

A female client is considering ovulation-inducing medications to achieve pregnancy. What should the nurse explain as potential adverse effects of this type of assisted reproductive technology (ART)? Select all that apply.

1. Miscarriage
2. Preterm birth
3. Neonatal morbidity
4. Multifetal pregnancy
5. Pelvic inflammatory disease

Answer 20

1,2,3,4