Download as pdf or txt
Download as pdf or txt
You are on page 1of 33

Test Bank for Maternal and Child

Nursing Care 5th Edition by London


Go to download the full and correct content document:
http://testbankbell.com/product/test-bank-for-maternal-and-child-nursing-care-5th-editi
on-by-london/
More products digital (pdf, epub, mobi) instant
download maybe you interests ...

Maternal and Child Nursing Care London 4th Edition Test


Bank

https://testbankbell.com/product/maternal-and-child-nursing-care-
london-4th-edition-test-bank/

Maternal & Child Nursing Care London 3rd Edition


Test Bank

https://testbankbell.com/product/maternal-child-nursing-care-
london-3rd-edition-test-bank/

Test Bank for Maternal and Child Nursing Care, 5th


Edition, by London, ISBN-10: 0134167228, ISBN-13:
9780134167220

https://testbankbell.com/product/test-bank-for-maternal-and-
child-nursing-care-5th-edition-by-london-
isbn-10-0134167228-isbn-13-9780134167220/

Maternal Child Nursing Care Perry Hockenberry


Lowdermilk 5th Edition Test Bank

https://testbankbell.com/product/maternal-child-nursing-care-
perry-hockenberry-lowdermilk-5th-edition-test-bank/
Test Bank for Maternal Child Nursing Care 6th Edition
by Perry

https://testbankbell.com/product/test-bank-for-maternal-child-
nursing-care-6th-edition-by-perry/

Maternal-Child Nursing Care, 1st Edition Test Bank

https://testbankbell.com/product/maternal-child-nursing-care-1st-
edition-test-bank/

Maternal Child Nursing Care Perry 4th Edition Test Bank

https://testbankbell.com/product/maternal-child-nursing-care-
perry-4th-edition-test-bank/

Test Bank for Maternal-Child Nursing 5th Edition

https://testbankbell.com/product/test-bank-for-maternal-child-
nursing-5th-edition/

Test Bank for Maternal Child Nursing Care in Canada 2nd


Edition by Perry

https://testbankbell.com/product/test-bank-for-maternal-child-
nursing-care-in-canada-2nd-edition-by-perry/
Test Bank for Maternal and Child Nursing Care 5th
Edition by London
Full chapter at: https://testbankbell.com/product/test-bank-for-maternal-and-
child-nursing-care-5th-edition-by-london/
Chapter 1
Contemporary Maternal, Newborn, and Child Health Nursing

1) A nurse is examining different nursing roles. Which statement best illustrates an advanced
practice nursing role?
1. A registered nurse who is the manager of a large obstetric unit
2. A clinical nurse specialist working as a staff nurse on a mother–baby unit
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
4. A clinical nurse specialist with whom other nurses consult for this nurse’s expertise in
caring for high-risk infants
Answer: 4
Explanation:
1. A registered nurse who is the manager of a large obstetric unit or one who is a circulating
nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has
graduated from an accredited program in nursing and completed the licensure examination.
2. A clinical nurse specialist working as a staff nurse on a mother–baby unit might have the
qualifications for an advanced practice nursing staff but is not working in that capacity.
3. A registered nurse who is the manager of a large obstetric unit or one who is a circulating
nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has
graduated from an accredited program in nursing and completed the licensure examination.
4. A clinical nurse specialist with whom other nurses consult for expertise in caring for high-
risk infants would illustrate an advanced practice nursing role. This nurse has specialized
knowledge and competence in a specific clinical area, and is master’s-prepared.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the health care team │AACN Essential Competencies: VI.1. Compare/contrast the roles
and perspectives of the nursing profession with other care professionals on the healthcare team (i.e.
scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork;
Knowledge; Scope of practice, roles, and responsibilities of health care team members, including
overlaps │Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery.

1
Copyright © 2017 Pearson Education, Inc.
2) What is the major focus of the nurse practitioner (NP)?
1. Leadership
2. Tertiary prevention
3. Physical and psychosocial clinical assessment
4. Independent care of the high-risk, pregnant client
Answer: 3
Explanation:
1. Leadership might be a quality of the NP, but it is not the major focus.
2. The NP cannot do tertiary prevention as a major focus.
3. Physical and psychosocial clinical assessment is the major focus of the NP.
4. NPs cannot provide independent care of the high-risk pregnant client, but must work under
a physician’s supervision.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the health care team │AACN Essential Competencies: VI.1. Compare/contrast the roles
and perspectives of the nursing profession with other care professionals on the healthcare team (i.e.
scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork;
Knowledge; Scope of practice, roles, and responsibilities of health care team members, including
overlaps │Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery.

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: 1, 2, 5
Explanation:
1. The CNM is prepared to manage independently the care of women at low risk for
complications during pregnancy and birth and the care of healthy newborns.
2. The CNM is educated in the disciplines of nursing and midwifery.
3. CNMs cannot give primary care for high-risk clients who are in hospital settings. The
physician provides the primary care.
4. The CNM does not need to obtain a physician consultation for all technical procedures at
delivery. Situations in which the client is at risk, such as for a 4th-degree laceration or
forceps delivery, would need physician consultation.

2
Copyright © 2017 Pearson Education, Inc.
5. The CNM is prepared to manage independently the care of women at low risk for
complications during pregnancy and birth and the care of healthy newborns.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the health care team │AACN Essential Competencies: VI.1. Compare/contrast the roles
and perspectives of the nursing profession with other care professionals on the healthcare team (i.e.
scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork;
Knowledge; Scope of practice, roles, and responsibilities of health care team members, including
overlaps │Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery.

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?
1. Mother is the principal caregiver in each family.
2. Father is the leader in each home; thus, all communications should include him.
3. Family serves as the constant influence and continuing support in the child’s life.
4. Child’s physician is the key person in ensuring the health of a child is maintained.
Answer: 3
Explanation:
1. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
2. Culturally competent care recognizes that both matriarchal and patriarchal households exist.
3. The foundation for the development of trusting relationships and partnerships with families
is the recognition that the family is the principal caregiver, knows the unique nature of each
individual child best, plays the vital role of meeting the child’s needs, and is responsible for
ensuring each child’s health.
4. The physician is not present during the day-to-day routines in a child’s life.
Page Ref: 3
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and respect
for the diversity of human experience │AACN Essential Competencies: IX.5. Deliver
compassionate, patient-centered, evidence-based care that respects patient and family preferences
│NLN Competencies: Relationship Centered Care; Knowledge; The role of family, culture, and
community in a person's development │Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the needs
of childbearing and childrearing families.
MNL Learning Outcome: 1.1.1. Relate the effect of culture and family to the childbearing
experience.

3
Copyright © 2017 Pearson Education, Inc.
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?
1. Assessment of the details of the family’s income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
4. Education of the family about the need for keeping regular well-child visit appointments
Answer: 3
Explanation:
1. Financial assessment is more commonly the function of a social worker.
2. The case management activity mentioned will not provide a source of funding.
3. In the role of an advocate, a nurse will advance the interests of another by suggesting the
family investigate its CHIP eligibility.
4. The educational effort described will not provide a source of funding.
Page Ref: 6
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: information, communication, and education │ AACN Essential Competencies: V.12.
Advocate for consumers and the nursing profession │ NLN Competencies: Relationship Centered
Care; Practice; Communicate information effectively; listen openly and cooperatively │
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
access to health care.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

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: 1, 3, 4, 5
Explanation:
1. Infant mortality rates are higher for infants of teen mothers.
2. There are no data to support the mortality rate of infants who are being breastfed.
3. Infant mortality rates are higher among unmarried mothers.
4. Infant mortality rates are higher among infants born in multiple births.
5. Infant mortality rates are higher among infants born prematurely.
Page Ref: 8
Cognitive Level: Analyzing

4
Copyright © 2017 Pearson Education, Inc.
Client Need/Sub: Health Promotion and Maintenance
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: information, communication, and education │ AACN Essential Competencies: IX.1.
Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic,
and environmental assessments of health and illness parameters in patients, using developmentally
and culturally appropriate approaches │ NLN Competencies: Context and Environment; Practice;
conduct population-based transcultural health assessments and interventions │Nursing/Integrated
Concepts: Nursing Process: Implementation
Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further
research questions.
MNL Learning Outcome: 1.1.3. Relate various factors to their effect on pregnancy outcomes.

7) What is the maternity nurse’s best defense against an accusation of malpractice or


negligence?
1. Follows the physician’s written orders
2. Acts on the advice of the nurse manager
3. Becomes certified as a nurse–midwife or nurse practitioner
4. Meets the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
standards of practice
Answer: 4
Explanation:
1. Following the physician’s written orders is not enough to defend the nurse from accusations
because the orders and/or advice might be wrong or unethical.
2. Acting on the advice of the nurse manager is not enough to defend the nurse from
accusations because the orders and/or advice might be wrong or unethical.
3. Being a certified nurse–midwife or nurse practitioner does not defend the nurse against
these accusations if she does not follow the AWHONN standards of practice.
4. Meeting the AWHONN standards of practice would cover the maternity nurse against an
accusation of malpractice or negligence because the standards are rigorous and cover all
bases of excellent nursing practice.
Page Ref: 9
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered
care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral,
ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment;
Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students,
patients, and families │ Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

5
Copyright © 2017 Pearson Education, Inc.
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: 1, 3, 4, 5
Explanation:
1. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments, and
give assent.
2. The 4-year-old patient would qualify since the age of assent is 7 years old.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments, and
give assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments, and
give assent.
5. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments, and
give assent.
Page Ref: 11
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered
care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral,
ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment;
Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students,
patients, and families │ Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

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?
1. The nurse
2. The physician
3. The social worker
4. The unit secretary

6
Copyright © 2017 Pearson Education, Inc.
Answer: 2
Explanation:
1. The nurse is not legally responsible for obtaining informed consent for an invasive
procedure.
2. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s
legal responsibility to obtain this because it consists of an explanation about the medical
condition, a detailed description of treatment plans, the expected benefits and risks related
to the proposed treatment plan, alternative treatment options, the client’s questions, and the
client’s or guardian’s right to refuse treatment.
3. It is beyond the social worker’s scope of practice to obtain informed consent for an invasive
procedure.
4. It is beyond the unit secretary’s scope of practice to obtain informed consent for an invasive
procedure.
Page Ref: 10
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered
care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral,
ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment;
Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students,
patients, and families │ Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

10) The nurse tells family members the sex of a newborn baby without first consulting the
parents. Which act did this nurse commit?
1. Negligence
2. Malpractice
3. A breach of ethics
4. Breach of privacy
Answer: 4
Explanation:
1. Any nurse who fails to meet appropriate standards of care invites allegations of negligence.
2. Any nurse who fails to meet appropriate standards of care invites allegations of malpractice.
3. A breach of ethics would not apply to this situation.
4. A breach of privacy would have been committed in this situation, because it violates the right
to privacy of this family. The right to privacy is the right of a person to keep his or her person and
property free from public scrutiny (of even other family members).
Page Ref: 11
Cognitive Level: Analyzing
Client Need/Sub: Safe and Effective Care Environment/Management of Care
7
Copyright © 2017 Pearson Education, Inc.
Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered
care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral,
ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment;
Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students,
patients, and families │Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

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?
1. It must be performed at a federally funded clinic.
2. It must be performed before the period of viability.
3. It must be performed at a military hospital overseas.
4. It must be performed to provide tissue for therapeutic research.
Answer: 2
Explanation:
1. Whether conducted at a federally funded clinic, abortion can be provided legally if under
U.S. laws.
2. Abortion can be performed legally until the period of viability; after viability, the rights of
the fetus take precedence.
3. Whether or not conducted at a military hospital overseas, abortion can be provided legally if
under U.S. laws.
4. Abortion cannot be used to provide tissue for therapeutic research.
Page Ref: 12
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered
care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral,
ethical, and legal conduct │NLN Competencies: Context and Environment; Ethical Comportment;
Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students,
patients, and families │ Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

12) Which family might find cord blood banking to be especially useful?
1. A family with a history of leukemia
2. A family with a history of infertility
3. A family that wishes to select the sex of a future child
8
Copyright © 2017 Pearson Education, Inc.
4. A family that wishes to avoid a future intrauterine fetal surgery
Answer: 1
Explanation:
1. Families with a history of leukemia might find cord blood banking useful because cord
blood, like bone marrow and embryonic tissue, contains regenerative stem cells, which can
replace diseased cells in the affected individual.
2. A family with a history of infertility would not be helped by cord blood banking.
3. A family that wishes to select the sex of a future child would not be helped by cord blood
banking.
4. A family that wishes to avoid a future intrauterine surgery would not be helped by cord
blood banking.
Page Ref: 13
Cognitive Level: Analyzing
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered
care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral,
ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment;
Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students,
patients, and families │Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

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?
1. Reduce the use of pesticides in the home to prevent cancer.
2. Review swimming pool and traffic accidents to prevent accidental injury.
3. Incorporate heart-healthy foods into the child’s diet to prevent heart disease.
4. Provide a diet high in vitamin C from fruits and vegetables to prevent pneumonia.
Answer: 2
Explanation:
1. Cancer is not a common cause of death for this age group.
2. Unintentional injuries are the most common cause of death for children between 1 and 19
years old. In children 1 to 4 years old, this is followed by drowning; fire and burns;
suffocation; and pedestrian-related injuries.
3. Heart disease is not a common cause of death for this age group.
4. Pneumonia is not a common cause of death for this age group.
Page Ref: 8
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance

9
Copyright © 2017 Pearson Education, Inc.
Standards: QSEN Competencies: III.C.3. Value the concept of EBP as integral to determining best
clinical practice │ AACN Essential Competencies: III.6. Integrate evidence, clinical judgment,
interprofessional perspectives and patient preferences in planning, implementing, and evaluating
outcomes of care │NLN Competencies: Knowledge and Science; Practice; evaluate the strength of
evidence for application of research findings to clinical practice │ Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 1.6 Discuss the role of evidence-based practice in improving the quality of
nursing care for childbearing families.
MNL Learning Outcome: 1.1.3. Relate various factors to their effect on pregnancy outcomes.

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: 1, 2, 3, 5
Explanation:
1. Supported by data is a hallmark characteristic of the basic competencies related to evidence-
based practice.
2. Promoting quality is a hallmark characteristic of the basic competencies related to evidence-
based practice.
3. Supported by good evidence is a hallmark characteristic of the basic competencies related to
evidence-based practice.
4. Clinical practice supported by intuitive evidence does not provide valid evidence and data
for the proper actions.
5. Providing a useful approach to problem solving is a hallmark characteristic of the basic
competencies related to evidence-based practice.
Page Ref: 14
Cognitive Level: Analyzing
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: III.C.3. Value the concept of EBP as integral to determining best
clinical practice │ AACN Essential Competencies: III.6. Integrate evidence, clinical judgment,
interprofessional perspectives and patient preferences in planning, implementing, and evaluating
outcomes of care │ NLN Competencies: Knowledge and Science; Practice; evaluate the strength of
evidence for application of research findings to clinical practice │ Nursing/Integrated Concepts:
Nursing Process: Assessment
Learning Outcome: 1.6 Discuss the role of evidence-based practice in improving the quality of
nursing care for childbearing families.
MNL Learning Outcome: 1.1.3. Relate various factors to their effect on pregnancy outcomes.

10
Copyright © 2017 Pearson Education, Inc.
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: 1, 2, 3, 5
Explanation:
1. To be an effective advocate, the nurse must be aware of the individual’s needs.
2. To be an effective advocate, the nurse must be aware of the family’s needs.
3. To be an effective advocate, the nurse must be aware of the healthcare services available
in the hospital and the community. The nurse can then assist the family to make informed
choices about these services and to act in their best interests.
4. Case management is a process of coordinating the delivery of healthcare services in a
manner that focuses on quality outcomes.
5. To be an effective advocate, nurses must also ensure that the policies and resources of
healthcare agencies meet the psychosocial needs of childbearing women and of children and
their families.
Page Ref: 2
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the health care team │ AACN Essential Competencies: VI.1. Compare/contrast the roles
and perspectives of the nursing profession with other care professionals on the healthcare team (i.e.
scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork;
Knowledge; Scope of practice, roles, and responsibilities of health care team members, including
overlaps │Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery.

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: 1, 2, 4, 5
Explanation:
1. Criteria for a medical or healthcare home for children include partnering with the family
in the child’s care.

11
Copyright © 2017 Pearson Education, Inc.
2. Criteria for a medical or healthcare home for children include being well known by a
physician or nurse who provides the usual source of sick care.
3. Home visits are a part of home care.
4. Criteria for a medical or healthcare home for children include having access to specialty
care.
5. Criteria for a medical or healthcare home for children include spending adequate time
communicating clearly with the family.
Page Ref: 5
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and respect
for the diversity of human experience │AACN Essential Competencies: IX.5. Deliver
compassionate, patient-centered, evidence-based care that respects patient and family preferences
│NLN Competencies: Relationship Centered Care; Knowledge; The role of family, culture, and
community in a person's development │Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the needs
of childbearing and childrearing families.
MNL Learning Outcome: 1.1.1. Relate the effect of culture and family to the childbearing
experience.

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: 1, 3, 4, 5
Explanation:
1. The Affordable Care Act eliminates annual limits on insurance coverage.
2. Enrollment when a specific age is reached is a characteristic of Medicare.
3. The Affordable Care Act ends pre-existing condition exclusions for children.
4. The Affordable Care Act provides more affordable health insurance options including tax
credits for middle- and low-income families. These credits cover a major portion of the cost.
5. The Affordable Care Act keeps young adults covered by their parents’ healthcare
insurance for a longer period.
Page Ref: 6
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient
centered care: information, communication, and education │ AACN Essential Competencies: V.12.
Advocate for consumers and the nursing profession │ NLN Competencies: Relationship Centered

12
Copyright © 2017 Pearson Education, Inc.
Care; Practice; Communicate information effectively; listen openly and cooperatively
│Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
access to health care.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

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: 2, 3, 4, 5
Explanation:
1. The marital status of maternity clients would contribute to a study about infant mortality.
2. Factors influencing maternal mortality include the increased use of hospitals by maternity
clients.
3. Factors influencing maternal mortality include the prevention infection with antibiotics.
4. Factors influencing maternal mortality include the availability of blood products for
transfusions.
5. Factors influencing maternal mortality include the establishment of care centers for high-
risk mothers.
Page Ref: 8
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance
Standards: QSEN Competencies: III.B.1. Participate effectively in appropriate data collection and
other research activities │ AACN Essential Competencies: III.2. Demonstrate an understanding of
the basic elements of the research process and models for applying evidence to clinical practice
│NLN Competencies: Knowledge and Science; Knowledge; Defining the relationships between
research and science building, and between research and EBP │ Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further
research questions.
MNL Learning Outcome: 1.1.3. Relate various factors to their effect on pregnancy outcomes.

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.

13
Copyright © 2017 Pearson Education, Inc.
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: 1, 2, 4, 5
Explanation:
1. Clinical practice guidelines are adopted within a healthcare setting to limit costs of care.
2. Clinical practice guidelines are adopted within a healthcare setting to evaluate the
effectiveness of care.
3. Clinical practice guidelines are not used for evidence to reduce the number of nurses
needed to provide care.
4. Clinical practice guidelines are adopted within a healthcare setting to reduce variation in
care management.
5. Clinical practice guidelines are comprehensive interdisciplinary care plans for a specific
condition that describe the sequence and timing of interventions that should result in expected
client outcomes.
Page Ref: 9
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered
care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral,
ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment;
Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students,
patients, and families │ Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of
maternal-child nursing.
MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing
care to the childbearing family.

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: 1, 2, 3, 4
Explanation:
1. Multifetal pregnancy, which can occur through the use of ovulation-inducing
medications, increases the risk of miscarriage.
2. Multifetal pregnancy, which can occur through the use of ovulation-inducing
medications, increases the risk of preterm birth.
3. Multifetal pregnancy, which can occur through the use of ovulation-inducing
medications, increases the risk of neonatal morbidity.
4. Multifetal pregnancy can occur through the use of ovulation-inducing medications.
14
Copyright © 2017 Pearson Education, Inc.
5. Pelvic inflammatory disease is not an adverse effect of ovulation-inducing medications.
Page Ref: 13
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: III.C.3. Value the concept of EBP as integral to determining best
clinical practice │ AACN Essential Competencies: III.6. Integrate evidence, clinical judgment,
interprofessional perspectives and patient preferences in planning, implementing, and evaluating
outcomes of care │NLN Competencies: Knowledge and Science; Practice; evaluate the strength of
evidence for application of research findings to clinical practice │Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 1.6 Discuss the role of evidence-based practice in improving the quality of
nursing care for childbearing families.
MNL Learning Outcome: 1.1.3. Relate various factors to their effect on pregnancy outcomes.

15
Copyright © 2017 Pearson Education, Inc.
Another random document with
no related content on Scribd:
396. Quoted by Hall, P. F., Immigration, p. 128.
TRANSCRIBER’S NOTES
1. Silently corrected palpable typographical errors;
retained non-standard spellings and dialect.
2. Reindexed footnotes using numbers and collected
together at the end of the last chapter.
*** END OF THE PROJECT GUTENBERG EBOOK IMMIGRATION
***

Updated editions will replace the previous one—the old editions


will be renamed.

Creating the works from print editions not protected by U.S.


copyright law means that no one owns a United States copyright
in these works, so the Foundation (and you!) can copy and
distribute it in the United States without permission and without
paying copyright royalties. Special rules, set forth in the General
Terms of Use part of this license, apply to copying and
distributing Project Gutenberg™ electronic works to protect the
PROJECT GUTENBERG™ concept and trademark. Project
Gutenberg is a registered trademark, and may not be used if
you charge for an eBook, except by following the terms of the
trademark license, including paying royalties for use of the
Project Gutenberg trademark. If you do not charge anything for
copies of this eBook, complying with the trademark license is
very easy. You may use this eBook for nearly any purpose such
as creation of derivative works, reports, performances and
research. Project Gutenberg eBooks may be modified and
printed and given away—you may do practically ANYTHING in
the United States with eBooks not protected by U.S. copyright
law. Redistribution is subject to the trademark license, especially
commercial redistribution.

START: FULL LICENSE


THE FULL PROJECT GUTENBERG LICENSE
PLEASE READ THIS BEFORE YOU DISTRIBUTE OR USE THIS WORK

To protect the Project Gutenberg™ mission of promoting the


free distribution of electronic works, by using or distributing this
work (or any other work associated in any way with the phrase
“Project Gutenberg”), you agree to comply with all the terms of
the Full Project Gutenberg™ License available with this file or
online at www.gutenberg.org/license.

Section 1. General Terms of Use and Redistributing Project


Gutenberg™ electronic works

1.A. By reading or using any part of this Project Gutenberg™


electronic work, you indicate that you have read, understand,
agree to and accept all the terms of this license and intellectual
property (trademark/copyright) agreement. If you do not agree to
abide by all the terms of this agreement, you must cease using
and return or destroy all copies of Project Gutenberg™
electronic works in your possession. If you paid a fee for
obtaining a copy of or access to a Project Gutenberg™
electronic work and you do not agree to be bound by the terms
of this agreement, you may obtain a refund from the person or
entity to whom you paid the fee as set forth in paragraph 1.E.8.

1.B. “Project Gutenberg” is a registered trademark. It may only


be used on or associated in any way with an electronic work by
people who agree to be bound by the terms of this agreement.
There are a few things that you can do with most Project
Gutenberg™ electronic works even without complying with the
full terms of this agreement. See paragraph 1.C below. There
are a lot of things you can do with Project Gutenberg™
electronic works if you follow the terms of this agreement and
help preserve free future access to Project Gutenberg™
electronic works. See paragraph 1.E below.

1.C. The Project Gutenberg Literary Archive Foundation (“the


Foundation” or PGLAF), owns a compilation copyright in the
collection of Project Gutenberg™ electronic works. Nearly all the
individual works in the collection are in the public domain in the
United States. If an individual work is unprotected by copyright
law in the United States and you are located in the United
States, we do not claim a right to prevent you from copying,
distributing, performing, displaying or creating derivative works
based on the work as long as all references to Project
Gutenberg are removed. Of course, we hope that you will
support the Project Gutenberg™ mission of promoting free
access to electronic works by freely sharing Project
Gutenberg™ works in compliance with the terms of this
agreement for keeping the Project Gutenberg™ name
associated with the work. You can easily comply with the terms
of this agreement by keeping this work in the same format with
its attached full Project Gutenberg™ License when you share it
without charge with others.

1.D. The copyright laws of the place where you are located also
govern what you can do with this work. Copyright laws in most
countries are in a constant state of change. If you are outside
the United States, check the laws of your country in addition to
the terms of this agreement before downloading, copying,
displaying, performing, distributing or creating derivative works
based on this work or any other Project Gutenberg™ work. The
Foundation makes no representations concerning the copyright
status of any work in any country other than the United States.

1.E. Unless you have removed all references to Project


Gutenberg:

1.E.1. The following sentence, with active links to, or other


immediate access to, the full Project Gutenberg™ License must
appear prominently whenever any copy of a Project
Gutenberg™ work (any work on which the phrase “Project
Gutenberg” appears, or with which the phrase “Project
Gutenberg” is associated) is accessed, displayed, performed,
viewed, copied or distributed:
This eBook is for the use of anyone anywhere in the United
States and most other parts of the world at no cost and with
almost no restrictions whatsoever. You may copy it, give it
away or re-use it under the terms of the Project Gutenberg
License included with this eBook or online at
www.gutenberg.org. If you are not located in the United
States, you will have to check the laws of the country where
you are located before using this eBook.

1.E.2. If an individual Project Gutenberg™ electronic work is


derived from texts not protected by U.S. copyright law (does not
contain a notice indicating that it is posted with permission of the
copyright holder), the work can be copied and distributed to
anyone in the United States without paying any fees or charges.
If you are redistributing or providing access to a work with the
phrase “Project Gutenberg” associated with or appearing on the
work, you must comply either with the requirements of
paragraphs 1.E.1 through 1.E.7 or obtain permission for the use
of the work and the Project Gutenberg™ trademark as set forth
in paragraphs 1.E.8 or 1.E.9.

1.E.3. If an individual Project Gutenberg™ electronic work is


posted with the permission of the copyright holder, your use and
distribution must comply with both paragraphs 1.E.1 through
1.E.7 and any additional terms imposed by the copyright holder.
Additional terms will be linked to the Project Gutenberg™
License for all works posted with the permission of the copyright
holder found at the beginning of this work.

1.E.4. Do not unlink or detach or remove the full Project


Gutenberg™ License terms from this work, or any files
containing a part of this work or any other work associated with
Project Gutenberg™.

1.E.5. Do not copy, display, perform, distribute or redistribute


this electronic work, or any part of this electronic work, without
prominently displaying the sentence set forth in paragraph 1.E.1
with active links or immediate access to the full terms of the
Project Gutenberg™ License.

1.E.6. You may convert to and distribute this work in any binary,
compressed, marked up, nonproprietary or proprietary form,
including any word processing or hypertext form. However, if
you provide access to or distribute copies of a Project
Gutenberg™ work in a format other than “Plain Vanilla ASCII” or
other format used in the official version posted on the official
Project Gutenberg™ website (www.gutenberg.org), you must, at
no additional cost, fee or expense to the user, provide a copy, a
means of exporting a copy, or a means of obtaining a copy upon
request, of the work in its original “Plain Vanilla ASCII” or other
form. Any alternate format must include the full Project
Gutenberg™ License as specified in paragraph 1.E.1.

1.E.7. Do not charge a fee for access to, viewing, displaying,


performing, copying or distributing any Project Gutenberg™
works unless you comply with paragraph 1.E.8 or 1.E.9.

1.E.8. You may charge a reasonable fee for copies of or


providing access to or distributing Project Gutenberg™
electronic works provided that:

• You pay a royalty fee of 20% of the gross profits you derive from
the use of Project Gutenberg™ works calculated using the
method you already use to calculate your applicable taxes. The
fee is owed to the owner of the Project Gutenberg™ trademark,
but he has agreed to donate royalties under this paragraph to
the Project Gutenberg Literary Archive Foundation. Royalty
payments must be paid within 60 days following each date on
which you prepare (or are legally required to prepare) your
periodic tax returns. Royalty payments should be clearly marked
as such and sent to the Project Gutenberg Literary Archive
Foundation at the address specified in Section 4, “Information
about donations to the Project Gutenberg Literary Archive
Foundation.”
• You provide a full refund of any money paid by a user who
notifies you in writing (or by e-mail) within 30 days of receipt that
s/he does not agree to the terms of the full Project Gutenberg™
License. You must require such a user to return or destroy all
copies of the works possessed in a physical medium and
discontinue all use of and all access to other copies of Project
Gutenberg™ works.

• You provide, in accordance with paragraph 1.F.3, a full refund of


any money paid for a work or a replacement copy, if a defect in
the electronic work is discovered and reported to you within 90
days of receipt of the work.

• You comply with all other terms of this agreement for free
distribution of Project Gutenberg™ works.

1.E.9. If you wish to charge a fee or distribute a Project


Gutenberg™ electronic work or group of works on different
terms than are set forth in this agreement, you must obtain
permission in writing from the Project Gutenberg Literary
Archive Foundation, the manager of the Project Gutenberg™
trademark. Contact the Foundation as set forth in Section 3
below.

1.F.

1.F.1. Project Gutenberg volunteers and employees expend


considerable effort to identify, do copyright research on,
transcribe and proofread works not protected by U.S. copyright
law in creating the Project Gutenberg™ collection. Despite
these efforts, Project Gutenberg™ electronic works, and the
medium on which they may be stored, may contain “Defects,”
such as, but not limited to, incomplete, inaccurate or corrupt
data, transcription errors, a copyright or other intellectual
property infringement, a defective or damaged disk or other
medium, a computer virus, or computer codes that damage or
cannot be read by your equipment.
1.F.2. LIMITED WARRANTY, DISCLAIMER OF DAMAGES -
Except for the “Right of Replacement or Refund” described in
paragraph 1.F.3, the Project Gutenberg Literary Archive
Foundation, the owner of the Project Gutenberg™ trademark,
and any other party distributing a Project Gutenberg™ electronic
work under this agreement, disclaim all liability to you for
damages, costs and expenses, including legal fees. YOU
AGREE THAT YOU HAVE NO REMEDIES FOR NEGLIGENCE,
STRICT LIABILITY, BREACH OF WARRANTY OR BREACH
OF CONTRACT EXCEPT THOSE PROVIDED IN PARAGRAPH
1.F.3. YOU AGREE THAT THE FOUNDATION, THE
TRADEMARK OWNER, AND ANY DISTRIBUTOR UNDER
THIS AGREEMENT WILL NOT BE LIABLE TO YOU FOR
ACTUAL, DIRECT, INDIRECT, CONSEQUENTIAL, PUNITIVE
OR INCIDENTAL DAMAGES EVEN IF YOU GIVE NOTICE OF
THE POSSIBILITY OF SUCH DAMAGE.

1.F.3. LIMITED RIGHT OF REPLACEMENT OR REFUND - If


you discover a defect in this electronic work within 90 days of
receiving it, you can receive a refund of the money (if any) you
paid for it by sending a written explanation to the person you
received the work from. If you received the work on a physical
medium, you must return the medium with your written
explanation. The person or entity that provided you with the
defective work may elect to provide a replacement copy in lieu
of a refund. If you received the work electronically, the person or
entity providing it to you may choose to give you a second
opportunity to receive the work electronically in lieu of a refund.
If the second copy is also defective, you may demand a refund
in writing without further opportunities to fix the problem.

1.F.4. Except for the limited right of replacement or refund set


forth in paragraph 1.F.3, this work is provided to you ‘AS-IS’,
WITH NO OTHER WARRANTIES OF ANY KIND, EXPRESS
OR IMPLIED, INCLUDING BUT NOT LIMITED TO
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR
ANY PURPOSE.
1.F.5. Some states do not allow disclaimers of certain implied
warranties or the exclusion or limitation of certain types of
damages. If any disclaimer or limitation set forth in this
agreement violates the law of the state applicable to this
agreement, the agreement shall be interpreted to make the
maximum disclaimer or limitation permitted by the applicable
state law. The invalidity or unenforceability of any provision of
this agreement shall not void the remaining provisions.

1.F.6. INDEMNITY - You agree to indemnify and hold the


Foundation, the trademark owner, any agent or employee of the
Foundation, anyone providing copies of Project Gutenberg™
electronic works in accordance with this agreement, and any
volunteers associated with the production, promotion and
distribution of Project Gutenberg™ electronic works, harmless
from all liability, costs and expenses, including legal fees, that
arise directly or indirectly from any of the following which you do
or cause to occur: (a) distribution of this or any Project
Gutenberg™ work, (b) alteration, modification, or additions or
deletions to any Project Gutenberg™ work, and (c) any Defect
you cause.

Section 2. Information about the Mission of Project


Gutenberg™

Project Gutenberg™ is synonymous with the free distribution of


electronic works in formats readable by the widest variety of
computers including obsolete, old, middle-aged and new
computers. It exists because of the efforts of hundreds of
volunteers and donations from people in all walks of life.

Volunteers and financial support to provide volunteers with the


assistance they need are critical to reaching Project
Gutenberg™’s goals and ensuring that the Project Gutenberg™
collection will remain freely available for generations to come. In
2001, the Project Gutenberg Literary Archive Foundation was
created to provide a secure and permanent future for Project
Gutenberg™ and future generations. To learn more about the
Project Gutenberg Literary Archive Foundation and how your
efforts and donations can help, see Sections 3 and 4 and the
Foundation information page at www.gutenberg.org.

Section 3. Information about the Project Gutenberg Literary


Archive Foundation

The Project Gutenberg Literary Archive Foundation is a non-


profit 501(c)(3) educational corporation organized under the
laws of the state of Mississippi and granted tax exempt status by
the Internal Revenue Service. The Foundation’s EIN or federal
tax identification number is 64-6221541. Contributions to the
Project Gutenberg Literary Archive Foundation are tax
deductible to the full extent permitted by U.S. federal laws and
your state’s laws.

The Foundation’s business office is located at 809 North 1500


West, Salt Lake City, UT 84116, (801) 596-1887. Email contact
links and up to date contact information can be found at the
Foundation’s website and official page at
www.gutenberg.org/contact

Section 4. Information about Donations to the Project


Gutenberg Literary Archive Foundation

Project Gutenberg™ depends upon and cannot survive without


widespread public support and donations to carry out its mission
of increasing the number of public domain and licensed works
that can be freely distributed in machine-readable form
accessible by the widest array of equipment including outdated
equipment. Many small donations ($1 to $5,000) are particularly
important to maintaining tax exempt status with the IRS.

The Foundation is committed to complying with the laws


regulating charities and charitable donations in all 50 states of
the United States. Compliance requirements are not uniform
and it takes a considerable effort, much paperwork and many
fees to meet and keep up with these requirements. We do not
solicit donations in locations where we have not received written
confirmation of compliance. To SEND DONATIONS or
determine the status of compliance for any particular state visit
www.gutenberg.org/donate.

While we cannot and do not solicit contributions from states


where we have not met the solicitation requirements, we know
of no prohibition against accepting unsolicited donations from
donors in such states who approach us with offers to donate.

International donations are gratefully accepted, but we cannot


make any statements concerning tax treatment of donations
received from outside the United States. U.S. laws alone swamp
our small staff.

Please check the Project Gutenberg web pages for current


donation methods and addresses. Donations are accepted in a
number of other ways including checks, online payments and
credit card donations. To donate, please visit:
www.gutenberg.org/donate.

Section 5. General Information About Project Gutenberg™


electronic works

Professor Michael S. Hart was the originator of the Project


Gutenberg™ concept of a library of electronic works that could
be freely shared with anyone. For forty years, he produced and
distributed Project Gutenberg™ eBooks with only a loose
network of volunteer support.

Project Gutenberg™ eBooks are often created from several


printed editions, all of which are confirmed as not protected by
copyright in the U.S. unless a copyright notice is included. Thus,
we do not necessarily keep eBooks in compliance with any
particular paper edition.

Most people start at our website which has the main PG search
facility: www.gutenberg.org.
This website includes information about Project Gutenberg™,
including how to make donations to the Project Gutenberg
Literary Archive Foundation, how to help produce our new
eBooks, and how to subscribe to our email newsletter to hear
about new eBooks.

You might also like