Maternal and Child Health Nursing
Exam Answer Key
Course Introduction
Maternal and Child Health Nursing focuses on the comprehensive care of women throughout pregnancy, childbirth, and the postpartum period, as well as the growth and development of infants and children. The course covers essential concepts of reproductive health, prenatal and postnatal care, newborn assessment, and the management of common health problems encountered during these sensitive life stages. Emphasis is placed on health promotion, disease prevention, family involvement, and culturally sensitive approaches to care. Students will also explore nutritional needs, immunizations, and community resources that support maternal and child well-being, preparing them to advocate for the health of mothers and children across various healthcare settings.
Recommended Textbook
Journey Across the Life Span Human Development and Health Promotion 5th Edition by
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Page 2
Polan
Chapter 1: Healthy Lifestyles
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Sample Questions
Q1) Gary Byrd,a 24-year-old college student,tells the nurse that he sometimes uses various illegal drugs.The nurse can characterize Gary as a substance abuser if he:
A) Continues to be active in college affairs
B) Maintains his self-esteem
C) Begins to lose interest in his relationships
D) Has heightened interest in the opposite sex
Answer: C
Q2) Preventative care,including immunizations and yearly physical examinations,are classified as what type of health-care services?
A) Primary
B) Secondary
C) Tertiary
D) Collaborative
Answer: A
Q3) Stress can be defined as anything psychological or physiological that upsets our equilibrium.
A)True
B)False
Answer: True
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Page 3
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Chapter 2: Culture
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Q1) The health-care worker who believes that his or her values and ways of life are superior to those of the patient is practicing:
A) Ethnocentrism
B) Cultural awareness
C) Cultural sensitivity
D) Cultural mores
Answer: A
Q2) Mrs.Gonzolas is 10 weeks pregnant,and she tells the nurse that she has not had a visit to a medical doctor.She explains that her people prefer to use a partera for pregnancy and delivery.Which of the following responses is most culturally sensitive?
A) "You should have more confidence in our physicians on staff."
B) "I would strongly suggest that you consider using a medical doctor who has specialized in pregnancy."
C) "It is your decision,and please let me know if there is anything I can do to assist you."
D) "The maternal and infant mortality rates are lower in the United States compared to other countries that do not use trained medical doctors."
Answer: C
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Chapter 3: The Family
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Sample Questions
Q1) Reproduction provides the family with a means of:
A) Readiness
B) Division
C) Structure
D) Survival
Answer: D
Q2) Two adults bringing home their newborn infant son
A) Childbearing stage
B) Older-Family stage
C) Grown-Child stage
D) Couple stage
Answer: A
Q3) After birth,a child is given immunization as a way of:
A) Preventing genetically inherited diseases.
B) Providing protection against current infectious diseases.
C) Protecting the child from physical injury.
D) Providing mental stability.
Answer: B
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Chapter 4: Communication
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Q1) The intonation of a person's voice gives clues to the true emotional meaning of the message.
A)True
B)False
Q2) Part of the communication process is:
A) Emotions
B) Mental
C) Physical
D) Feedback
Q3) Communication is the:
A) Last step in the nursing process
B) Most vital link between diagnosis and disease
C) Exchange of information and ideas
D) Basis for all thinking processes
Q4) The caregiver notices that one of her patients is in her room crying.The caregiver's best response is:
A) "I'm sure things will get better."
B) "A good cry will make you feel better."
C) "It may help to talk about what is upsetting you."
D) "Crying is just a waste of time."
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Chapter 5: Theories of Growth and Development
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Q1) Two parents are describing the process of maturation of their children.Which statement about maturation is correct?
A) Skills are acquired through practice.
B) It is the unfolding of moral and intellectual capacity.
C) It is the acquisition of knowledge potential.
D) It is the unfolding of the child's potential regardless of practice and training.
Q2) When a young child from a troubled family acts as though stress does not exist,he is using which coping skill?
A) Repression
B) Regression
C) Compensation
D) Denial
Q3) A newborn infant sucks automatically on its mother's breast.This is an example of: A) Schemata
B) Reflexes
C) Conditioning
D) Assimilation
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Chapter 6: Prenatal Period to 1 Year
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Q1) To prevent the possibility of sudden infant death syndrome (SIDS),the nurse instructs her new parents to always put their baby to sleep on his or her back.
A)True
B)False
Q2) The zygote contains the genetic information from parents.It is represented by a total of:
A) 23 chromosomes
B) 46 pairs of chromosomes
C) 46 chromosomes
D) 56 chromosomes
Q3) The correct stages of prenatal development are as follows:
A) Embryonic,pre-embryonic,fetal
B) Fetal,embryonic,neonatal
C) Pre-embryonic,embryonic,fetal
D) Prenatal,neonatal,fetal
Q4) The first solid food typically offered to the infant is single-grain cereal.
A)True
B)False
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8
Chapter 7: Toddlerhood
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Q1) To foster good eating habits,toddlers should have:
A) Large meals offered
B) At least three meals per day
C) Staggered mealtimes
D) An appetite stimulant
Q2) Sheila Torres brings her 18-month-old toddler to the pediatric clinic.Which of the following findings would represent normal growth?
A) The child can independently brush her teeth.
B) There is complete ossification of all the bones.
C) Language development is complete.
D) The anterior fontanel is closed.
Q3) To reduce temper tantrums,the parent would best be instructed to:
A) Restrict the child's movement
B) Punish the child
C) Give the child more choices
D) Remove the child from the environment
Q4) For toddlers,solitary play during infancy progresses to ________________play.
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9
Chapter 8: Preschool
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Q1) Which of the following fears is not usually predominant in preschool children?
A) Dark
B) Abandonment
C) Mutilation
D) Death
Q2) Preschool children's growth patterns can be described as:
A) Rapid
B) Slow and steady
C) Sporadic
D) Relaxed
Q3) The ability to fully identify color and depth is present at:
A) 3 years old
B) 5 years old
C) 7 years old
D) 2 years old
Q4) The average weight gain during the preschool years is:
A) 1 to 2 pounds
B) 3 to 4 pounds
C) 4 to 5 pounds
D) 5 to 7 pounds
Page 10
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Chapter 9: School Age
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Sample Questions
Q1) Kohlberg's reciprocity is when children:
A) Think only of themselves
B) Begin to be concerned for others
C) Fight parental discipline
D) Gain independent thought
Q2) A young couple brought their 6-year-old son to the doctor's office concerned that he frequently awakens in the night frightened by nightmares.What would be good advice for these parents?
A) Give the child a glass of warm milk.
B) Read the child another bedtime story.
C) Reassure the child that he is safe and not alone.
D) Bring the child to your bed until he falls asleep.
Q3) The caloric intake of the school-age child is determined by:
A) Heart rate and blood pressure
B) Organ maturity and function
C) Cognitive ability
D) Activity and metabolism
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11
Chapter 10: Puberty and Adolescence
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Q1) Fifteen-year-old Vista complains of fatigue and weakness.A common cause of these symptoms in girls Vista's age is:
A) Depression
B) Drug abuse
C) Anemia
D) Bulimia
Q2) Feelings of self-doubt in the teenage years can be stimulated by:
A) Closeness to peers
B) Belonging to a gang
C) Feelings of attachment to someone
D) Inability to select a goal
Q3) The teen's needs for freedom and independence may result in:
A) Renewed closeness to parents
B) Identification with the parent of the opposite sex
C) Mimicking behavior of the parent of the same sex
D) Moving away from the family and home
Q4) Erikson believed that the main task of adolescence is to achieve a state of
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Chapter 11: Early Adulthood
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Sample Questions
Q1) The most ideal form of birth control:
A) Is expensive
B) Is safe
C) Suppresses uterine activity
D) Increases gonadotropins
Q2) One of the characteristics of a mature friendship is:
A) Admiration
B) Opportunity
C) Centrality
D) Reciprocity
Q3) Thirty-eight-year-old Sandra complains of insomnia.You would instruct her that in order to relieve the insomnia,it is best if she:
A) Eats a high-fat meal 1/2 hour before sleep
B) Exercises in the early afternoon
C) Goes to bed only when she is tired
D) Gets into bed and watches television
Q4) Early adulthood is the period during which physical changes slow down.
A)True
B)False
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Chapter 12: Middle Adulthood
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Q1) A decrease in peripheral vision as one ages is due to:
A) Thinning of the lens
B) Loss of peripheral circulation
C) Thickening and increased opacity of the lens
D) Increased muscle tone
Q2) The major difference in physiological changes between men and women during the middle years is that:
A) Men lose their ability to procreate.
B) Women lose their ability to procreate.
C) Most men maintain their earlier body weight.
D) Most women lose more fat cells than do men.
Q3) The pattern of hair growth is generally influenced by:
A) Culture
B) Race
C) Endocrine glands
D) Apocrine glands
Q4) During middle adulthood,there is a gradual loss of muscle strength.
A)True
B)False
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Chapter 13: Late Adulthood
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Q1) Approximately 12.4% of people in the United States are age 65 and older.
A)True
B)False
Q2) A change in height during the older years is due to a:
A) Loss of fat
B) Fusing of the vertebrae
C) Closing of the epiphysis
D) Loss of muscle tone
Q3) Hearing-related changes in elderly patients are initially due to a loss of:
A) Low-frequency tones
B) High-frequency tones
C) External vibration
D) Internal decoding
Q4) Young-old describes a period from ages:
A) 75 to 90
B) 85 to 95
C) 60 to 70
D) 65 to 74
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Page 15
Chapter 14: Death and Dying
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Sample Questions
Q1) Spirituality refers to:
A) One's actions
B) One's race
C) One's ethnicity
D) Internal beliefs about God
Q2) Which of the following is a type of grief?
A) Spontaneous
B) Delayed
C) Anticipatory
D) Advanced
Q3) The defense mechanism of ________________protects individuals by blocking information that threatens one's equilibrium.
A) Reaction formation
B) Rationalization
C) Denial
D) Regression
Q4) Rituals surrounding death and funerals have a therapeutic effect that facilitates the grieving process.
A)True
B)False
Page 16
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