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TEST BANK FOR MATERNAL CHILD NURSING CARE 6TH EDITION UPDATE BY PERRY

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The Test Bank for Maternal Child Nursing Care, 6th Edition by Perry, updated is a valuable resource for nursing students and professionals studying maternal and child nursing care. This test bank provides a comprehensive set of questions and answers designed to reinforce the concepts covered in the textbook, offering students the opportunity to test their knowledge and prepare effectively for exams and clinical practice. Key Features of the Test Bank Comprehensive Coverage of Maternal and Child Nursing Topics: The test bank aligns with the 6th edition of the Maternal Child Nursing Care textbook, covering a wide range of critical topics including: Prenatal Care: Assessment of pregnancy, common complications, and maternal care during pregnancy. Labor and Birth: Stages of labor, pain management, labor interventions, and complications during birth. Postpartum Care: Maternal recovery after childbirth, common postpartum complications, and breastfeeding. Newborn Care: Newborn assessment, care in the first hours of life, and dealing with newborn complications. Pediatric Nursing: Care of children from infancy through adolescence, including developmental milestones and common childhood illnesses. Family-Centered Care: Understanding the importance of the family unit in maternal and pediatric nursing care. Cultural Competency: Providing care that respects cultural differences in family and healthcare practices. Variety of Question Types: The test bank features a broad range of question types to help students master the material and prepare for a variety of exam formats: Multiple-Choice Questions (MCQs): These questions test knowledge and understanding of key maternal and child nursing concepts. True/False Questions: These are designed to test factual knowledge and common misconceptions. Fill-in-the-Blank: Tests recall of critical terms, definitions, and nursing procedures. Matching Questions: These questions help students match definitions, conditions, and interventions with appropriate nursing care. Case Study and Scenario-Based Questions: Real-world clinical scenarios that challenge students to apply their knowledge in practical situations. Answer Key with Rationales: Each question is followed by an answer key and a detailed explanation of the rationale. This helps students understand why certain answers are correct and the concepts behind them, reinforcing the material covered in the textbook. Focus on Nursing Interventions: The test bank emphasizes the application of nursing interventions for both maternal and pediatric care. It covers important aspects such as: Assessing vital signs and health status. Educating patients and families about health promotion and disease prevention. Managing complications during pregnancy, labor, birth, and postpartum. Administering medications to mothers and children, including dosages and safe practices. Clinical Relevance: The questions focus on realistic clinical situations, helping students think critically and prepare for the challenges they may face in practice. The case studies and scenario-based questions promote the development of decision-making skills and clinical judgment. Sample Practice Questions from the Test Bank Question 1: Prenatal Care Which of the following is an important part of prenatal care during the first trimester? A) Assessing fetal heart tones. B) Teaching the patient about labor and delivery. C) Providing screenings for gestational diabetes. D) Ensuring the patient’s immunizations are up-to-date. Answer: D) Ensuring the patient’s immunizations are up-to-date. Rationale: During the first trimester, one of the important aspects of prenatal care is ensuring that the patient’s immunizations are up-to-date, including vaccines for rubella, influenza, and hepatitis B. While assessments of fetal heart tones and screenings for gestational diabetes are important, they typically occur later in pregnancy. Question 2: Labor and Birth Which of the following is an appropriate nursing intervention during the second stage of labor? A) Encourage deep breathing to prevent pushing before full dilation. B) Position the mother in a semi-sitting position to encourage gravity-assisted birth. C) Monitor for signs of infection and administer antibiotics. D) Administer pain medications as prescribed to reduce anxiety. Answer: B) Position the mother in a semi-sitting position to encourage gravity-assisted birth. Rationale: During the second stage of labor, positioning the mother in a semi-sitting or squatting position can help utilize gravity to assist in the descent and delivery of the baby. Breathing techniques are typically emphasized during the first stage, while antibiotics are administered during labor if there is a risk of infection. Question 3: Postpartum Care A postpartum mother is experiencing difficulty breastfeeding. Which of the following interventions should the nurse prioritize? A) Assessing the baby’s latch and positioning during breastfeeding. B) Suggesting the use of formula feeding to supplement. C) Administering pain medication to the mother to alleviate discomfort. D) Scheduling an appointment with a lactation consultant. Answer: A) Assessing the baby’s latch and positioning during breastfeeding. Rationale: Difficulty breastfeeding is often related to poor latch and positioning. The nurse should first assess the baby’s latch and provide education on proper positioning to ensure effective breastfeeding. If issues persist, a lactation consultant can be helpful, but addressing latch issues should be the first step. Question 4: Pediatric Nursing A 5-year-old child with a fever of 102°F is brought to the clinic. What is the most appropriate action by the nurse? A) Administer an antipyretic to reduce fever and alleviate discomfort. B) Encourage the child to drink fluids and rest. C) Immediately order blood cultures to rule out infection. D) Assess the child’s vaccination history for possible causes of fever. Answer: A) Administer an antipyretic to reduce fever and alleviate discomfort. Rationale: For a child with a fever, an antipyretic (e.g., acetaminophen or ibuprofen) is typically administered to reduce fever and improve comfort. Encouraging hydration and rest is important, but administering medication to address the fever is the priority. Blood cultures and vaccination history can be considered if the fever persists or other symptoms appear. Question 5: Family-Centered Care Which of the following is the best approach to providing family-centered care to a mother and her newborn? A) Provide care to the infant only, with minimal involvement of the parents. B) Ensure that the parents are actively involved in the newborn’s care and decision-making. C) Limit the parent’s presence in the room to avoid overwhelming them. D) Focus on the medical care of the newborn without involving the parents in discussions. Answer: B) Ensure that the parents are actively involved in the newborn’s care and decision-making. Rationale: Family-centered care emphasizes the involvement of the family in the care process. Encouraging active participation by the parents in caring for their newborn fosters bonding and supports the family unit. Parents should be included in decision-making and education about infant care. Why Students Should Use This Test Bank Comprehensive Coverage: This test bank covers a wide range of topics in maternal and child nursing, ensuring that students are well-prepared for exams and clinical practice. Variety of Question Types: With multiple-choice questions, case studies, and short-answer questions, students can practice different formats that they may encounter in exams or clinical settings. Evidence-Based Practice: The questions in the test bank are grounded in evidence-based practices, which reflect current trends and standards in maternal and pediatric nursing care. Answer Key with Rationales: The detailed rationales provided for each answer help students understand the "why" behind each correct response, reinforcing their understanding of important nursing concepts. Practical Application: Case studies and scenario-based questions help students apply theoretical knowledge to real-life situations, enhancing their critical thinking and clinical reasoning skills. How to Use the Test Bank Effectively Review Course Material First: Begin by reading the relevant chapters in the textbook to familiarize yourself with the content. Then, use the test bank to reinforce your understanding and identify areas that need more attention. Focus on Rationales: When answering questions, review the rationale behind each answer to deepen your understanding of the material. Don’t just memorize answers—focus on the explanations to strengthen your knowledge. Use as a Self-Assessment Tool: Take practice exams regularly to assess your progress and identify areas that require further study. Apply Knowledge to Real-World Scenarios: Case studies and clinical scenarios are designed to simulate real-world nursing situations. Use these questions to practice your clinical decision-making skills. Conclusion The Test Bank for Maternal Child Nursing Care, 6th Edition by Perry is a vital study tool for nursing students, providing comprehensive coverage of maternal and pediatric nursing concepts. With a variety of question types, detailed rationales, and practical case studies, it helps students prepare for exams and clinical practice. By using this test bank, students can enhance their understanding of nursing interventions, improve critical thinking skills, and feel more confident in their ability to provide excellent care to mothers, infants, and children.

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TEST BANK FOR

MATERNAL CHILD NURSING
CARE 6TH EDITION BY PERRY




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Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 1



Table of Contents
Table of Contents 1
Chapter 01: 21st Century Maternity Nursing 3
Chapter 02: Community Care: The Family and Culture 17
Chapter 03: Assessment and Health Promotion 27
Chapter 04: Reproductive System Concerns 44
Chapter 05: Infertility, Contraception, and Abortion 65
Chapter 06: Genetics, Conception, and Fetal Development 83
Chapter 07: Anatomy and Physiology of Pregnancy 99
Chapter 08: Nursing Care of the Family During Pregnancy 114
Chapter 09: Maternal and Fetal Nutrition 131
Chapter 10: Assessment of High Risk Pregnancy 148
Chapter 11: High Risk Perinatal Care: Preexisting Conditions 162
Chapter 12: High Risk Perinatal Care: Gestational Conditions 182
Chapter 13: Labor and Birth Processes 204
Chapter 14: Pain Management 217
Chapter 15: Fetal Assessment During Labor 234
Chapter 16: Nursing Care of the Family During Labor and Birth 252
Chapter 17: Labor and Birth Complications 276
Chapter 18: Maternal Physiologic Changes 293
Chapter 19: Nursing Care of the Family During the Postpartum Period 307
Chapter 20: Transition to Parenthood 321
Chapter 21: Postpartum Complications 336
Chapter 22: Physiologic and Behavioral Adaptations of the Newborn 354
Chapter 23: Nursing Care of the Newborn and Family 373
Chapter 24: Newborn Nutrition and Feeding 385
Chapter 25: The High Risk Newborn 402
Chapter 26: 21st Century Pediatric Nursing 426
Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion
433
Chapter 28: Developmental and Genetic Influences on Child Health Promotion 441
Chapter 29: Communication, History, and Physical Assessment 456
Chapter 30: Pain Assessment and Management in Children 476
Chapter 31: The Infant and Family 487
Chapter 32: The Toddler and Family 509
Chapter 33: The Preschooler and Family 527
Chapter 34: The School-Age Child and Family 541
Chapter 35: The Adolescent and Family 557
Chapter 36: Impact of Chronic Illness, Disability, and End-of-Life Care for the Child and
Family 578
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family 595
Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization 614
Chapter 39: Pediatric Variations of Nursing Interventions 626
Chapter 40: Respiratory Dysfunction 648
Chapter 41: Gastrointestinal Dysfunction 666
Chapter 42: Cardiovascular Dysfunction 688
Chapter 43: Hematologic and Immunologic Dysfunction 713
Chapter 44: Cancer 736
Chapter 45: Genitourinary Dysfunction 758
Chapter 46: Cerebral Dysfunction 774
Chapter 47: Endocrine Dysfunction 795
Chapter 48: Musculoskeletal or Articular Dysfunction 811


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Chapter 49: Neuromuscular or Muscular Dysfunction 827




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Chapter 01: 21st Century Maternity Nursing
MULTIPLE CHOICE

1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently
reported maternal medical risk factors is:

a. Diabetes mellitus. c. Chronic hypertension.


b. Mitral valve prolapse (MVP). d. Anemia.


ANS: A

The most frequently reported maternal medical risk factors are diabetes and hypertension associated with
pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that indicate
MVP is among the most frequently reported maternal risk factors. Hypertension associated with pregnancy,
not chronic hypertension, is one of the most frequently reported maternal medical risk factors. Although
anemia is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk factors in
pregnancy.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 6

OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity

2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both
teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is
an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?

a. Situation, baseline assessment, response


b. Situation, background, assessment, recommendation


c. Subjective background, assessment, recommendation


d. Situation, background, anticipated recommendation


ANS: B

The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for
communication among health care providers. Failure to communicate is one of the major reasons for errors in
health care. The SBAR technique has the potential to serve as a means to reduce errors.

PTS: 1 DIF: Cognitive Level: Comprehension REF: 14

OBJ: Nursing Process: Assessment, Planning

MSC: Client Needs: Safe and Effective Care Environment

3. The role of the professional nurse caring for childbearing families has evolved to emphasize:

a. Providing care to patients directly at the bedside.




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