Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion Chapter 1-50 Complete Chapter 01: 21st Century Maternity Nursing Perry: Maternal Child Nursing Care, 7th Edition

Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J.
Hockenberry, Mary Catherine Cashion Chapter 1-50 Complete
Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
MULTIPLErCHOICE

1. Whenrprovidingrcarerforrarpregnantrwoman,rthernursershouldrberawarerthatronerofrthermostrfreq
uentlyrreportedrmaternalrmedicalrriskrfactorsris
a. diabetesrmellitus.
b. mitralrvalverprolapser(MVP).
c. chronicrhypertension.
d. anemia.
ANS:r A
Thermostrfrequentlyrreportedrmaternalrmedicalrriskrfactorsrarerdiabetesrandrhypertensionrassocia
tedrwithrpregnancy.rBothrofrtheserconditionsrarerassociatedrwithrmaternalrobesity.rThererarernorst
udiesrthatrindicaterMVPrisramongrthermostrfrequentlyrreportedrmaternalrriskrfactors.rHypertensi
onrassociatedrwithrpregnancy,rnotrchronicrhypertension,risronerofrthermostrfrequentlyrreportedrma
ternalrmedicalrriskrfactors.rAlthoughranemiarisrarconcernrinrpregnancy,ritrisrnotronerofrthermostrfre
quentlyrreportedrmaternalrmedicalrriskrfactorsrinrpregnancy.

DIF: CognitiverLevel:rKnowledge
OBJ:rNursingrProcess:rAssessmentrMSC:r ClientrNeeds:rPhysiologicrInteg
rity

2. Torensureroptimalroutcomesrforrtherpatient,rthercontemporaryrmaternityrnursermustrincorporater
bothrteamworkrandrcommunicationrwithrcliniciansrintorcarerdelivery.rTherSBARrtechniquerofrco
mmunicationrisranreasy-to-
rememberrmechanismrforrcommunication.rWhichrofrtherfollowingrcorrectlyrdefinesrthisracrony
m?
a. Situation,rbaselinerassessment,rresponse
b. Situation,rbackground,rassessment,rrecommendation
c. Subjectiverbackground,rassessment,rrecommendation
d. Situation,rbackground,ranticipatedrrecommendation
ANS:r B
Thersituation,rbackground,rassessment,rrecommendationr(SBAR)rtechniquerprovidesrarspecificrf
rameworkrforrcommunicationramongrhealthrcarerproviders.rFailurertorcommunicaterisronerofrther
majorrreasonsrforrerrorsrinrhealthrcare.rTherSBARrtechniquerhasrtherpotentialrtorserverasrarmeansrt
orreducererrors.

DIF: CognitiverLevel:rComprehension
OBJ:rNursingrProcess:rAssessmentr|rNursingrProcess:rPlanningrMSC:r
ClientrNeeds:rSaferandrEffectiverCarerEnvironment

3. Therrolerofrtherprofessionalrnursercaringrforrchildbearingrfamiliesrhasrevolvedrtoremphasize
a. providingrcarertorpatientsrdirectlyratrtherbedside.
b. primarilyrhospitalrcarerofr maternityrpatients.
c. practicerusingranrevidence-basedrapproach.
d. planningrpatientrcarertorcoverrlongerrhospitalrstays.
ANS:r C
Professionalrnursesrarerpartrofrtherteamrofrhealthrcarerprovidersrwhorcollaborativelyrcarerforrpati
entsrthroughoutrtherchildbearingrcycle.rProvidingrcarertorpatientsrdirectlyratrtherbedsiderisronerofrt
hernurse‘srtasks;rhowever,ritrdoesrnotrencompassrtherconceptrofrtherevolvedrprofessionalrnurse.rT
hroughoutrtherprenatalrperiod,rnursesrcarerforrwomenrinrclinicsrandrphysician‘srofficesrandrteachr
classesrtorhelprfamiliesrpreparerforrchildbirth.rNursesralsorcarerforrchildbearingrfamiliesrinrbirthi
ngrcentersrandrinrtherhome.rNursesrhaverbeenrcriticallyrimportantrinrdevelopingrstrategiesrtorimpr
overtherwell-beingrofrwomenrandrtheirrinfantsrand

, haverledrthereffortsrtorimplementrclinicalrpracticerguidelinesrusingranrevidence-
basedrapproach.rMaternityrpatientsrhaverexperiencedrardecreased,rratherrthanranrincreased,rlength
rofrstayroverrtherpastrtwordecades.




DIF: CognitiverLevel:rComprehension
OBJ:rNursingrProcess:rImplementationrMSC:r ClientrNeeds:rSaferandrEffectiv
erCarerEnvironment

4. Ar23-year-oldrAfrican-
Americanrwomanrisrpregnantrwithrherrfirstrchild.rBasedronrtherstatisticsrforrinfantrmortalit
y,rwhichrplanrisrmostrimportantrforrthernursertorimplement?
a. Performrarnutritionrassessment.
b. Referrtherwomanrtorarsocialrworker.
c. Advisertherwomanrtorseeranrobstetrician,rnotrarmidwife.
d. Explainrtortherwomanrtherimportancerofrkeepingrherrprenatalrcarerappointments.
ANS:r D
Consistentrprenatalrcarerisrtherbestrmethodrofrpreventingrorrcontrollingrriskrfactorsrassociatedrwit
hrinfantrmortality.rNutritionalrstatusrisranrimportantrmodifiablerriskrfactor,rbutrarnutritionrassess
mentrisrnotrthermostrimportantractionrarnursershouldrtakerinrthisrsituation.rTherpatientrmayrneedras
sistancerfromrarsocialrworkerratrsomertimerduringrherrpregnancy,rbutrarreferralrtorarsocialrworkerris
rnotrthermostrimportantraspectrthernursershouldraddressratrthisrtime.rIfrtherwomanrhasridentifiabler

high-
riskrproblems,rherrhealthrcarermayrneedrtorberprovidedrbyrarphysician.rHowever,ritrcannotrberassu
medrthatrallrAfrican-
Americanrwomenrhaverhighrriskrissues.rInraddition,radvisingrtherwomanrtorseeranrobstetricianrisrn
otrthermostrimportantraspectronrwhichrthernursershouldrfocusratrthisrtime,randritrisrnotrappropriaterf
orrarnursertoradviserorrmanagerthertyperofrcarerarpatientrisrtorreceive.

DIF: CognitiverLevel:rApplication
OBJ:rNursingrProcess:rPlanningrMSC:r ClientrNeeds:rHealthrPromotio
nrandrMaintenance

5. Duringrarprenatalrintakerinterview,rthernurserisrinrtherprocessrofrobtainingranrinitialrassessmentro
frar21-year-oldrHispanicrpatientrwithrlimitedrEnglishrproficiency.r Itrisrimportantrforrthernurserto
a. usermaternityrjargonrinrorderrforrtherpatientrtorbecomerfamiliarrwithrtheserterms.
b. speakrquicklyrandrefficientlyrtorexpediterthervisit.
c. providertherpatientrwithrhandouts.
d. assessrwhetherrtherpatientrunderstandsrtherdiscussion.
ANS:r D
Nursesrcontributertorhealthrliteracyrbyrusingrsimple,rcommonrwords;ravoidingrjargon;randrevalua
tingrwhetherrtherpatientrunderstandsrtherdiscussion.rSpeakingrslowlyrandrclearlyrandrfocusingronr
whatrisrimportantrincreaserunderstanding.rMostrpatientreducationrmaterialsrarerwrittenratrtoorhighr
arlevelrforrtheraverageradultrandrmayrnotrberusefulrforrarpatientrwithrlimitedrEnglishrproficiency.
DIF: CognitiverLevel:rApplication
OBJ:rNursingrProcess:rEvaluationrMSC:r ClientrNeeds:rHealthrPromotion
randrMaintenance




6. Whenrmanagingrhealthrcarerforrpregnantrwomenratrarprenatalrclinic,rthernursershouldrrec
ognizerthatrthermostrsignificantrbarrierrtoraccessrtorcarerisrtherpregnantrwoman‘s
a. age.
b. minorityrstatus.
c. educationalrlevel.
d. inabilityrtorpay.
ANS:r D
Thermostrsignificantrbarrierrtorhealthrcareraccessrisrtherinabilityrtorpayrforrservices;rthisrisrcom
poundedrbyrtherfactrthatrmanyrphysiciansrrefusertorcarerforrwomenrwhorcannotrpay.rAlthough
radolescentrpregnantrpatientsrstatisticallyrreceiverlessrprenatalrcare, ragerisrnotrthe

, mostrsignificantrbarrier.rSignificantrdisparitiesrinrmorbidityrandrmortalityrratesrexistrforrminorityr
women;rhowever,rminorityrstatusrisrnotrthermostrsignificantrbarrierrtoraccessrofrcare.rDisparitiesrin
reducationalrlevelrarerassociatedrwithrmorbidityrandrmortalityrrates;rhowever,reducationalrlevelri

srnotrthermostrsignificantrbarrierrtoraccessrofrcare.

DIF: CognitiverLevel:rKnowledge
OBJ:rNursingrProcess:rAssessmentrMSC:r ClientrNeeds:rSaferandrEffectiv
erCarerEnvironment

7. Whenrthernurserisrunsureraboutrhowrtorperformrarpatientrcarerprocedure,rtherbestractionrwou
ldrberto
a. askranotherrnurse.
b. discussrtherprocedurerwithrtherpatient‘srphysician.
c. lookruprtherprocedurerinrarnursingrtextbook.
d. consultrtheragency‘srprocedurermanualrandrfollowrtherguidelinesrforrtherpr
ocedure.
ANS:r D
Itrisralwaysrbestrtorfollowrtheragency‘srpoliciesrandrproceduresrmanualrwhenrseekingrinformatio
nronrcorrectrpatientrprocedures.rTheserpoliciesrshouldrreflectrthercurrentrstandardsrofrcarerandrsta
terguidelines.rEachrnurserisrresponsiblerforrherrownrpractice.rRelyingronranotherrnursermayrnotral
waysrbersaferpractice.rEachrnurserisrobligatedrtorfollowrtherstandardsrofrcarerforrsaferpatientrcarerd
elivery.rPhysiciansrarerresponsiblerforrtheirrownrpatientrcareractivity.rNursesrmayrfollowrsaferord
ersrfromrphysicians,rbutrtheyrareralsorresponsiblerforrtheractivitiesrthatrtheyrasrnursesrarertorcarryr
out.rInformationrprovidedrinrarnursingrtextbookrisrbasicrinformationrforrgeneralrknowledge.rFurt
hermore,rtherinformationrinrartextbookrmayrnotrreflectrthercurrentrstandardrofrcarerorrindividualrst
aterorrhospitalrpolicies.

DIF: CognitiverLevel:rApplication
OBJ:rNursingrProcess:rImplementationrMSC:r ClientrNeeds:rPhysiologicrInteg
rity

8. Fromrthernurse‘srperspective,rwhatrmeasurershouldrbertherfocusrofrtherhealthrcarersystemrtorredu
certherraterofrinfantrmortalityrfurther?
a. Implementingrprogramsrtorensurerwomen‘srearlyrparticipationrinrongoingrprenatalrca
re
b. Increasingrtherlengthrofrstayrinrarhospitalrafterrvaginalrbirthrfromr2rtor3rdays
c. Expandingrthernumberrofrneonatalrintensivercarerunitsr(NICUs)
d. Mandatingrthatrallrpregnantrwomenrreceivercarerfromranrobstetrician

ANS:r A
Earlyrprenatalrcarerallowsrforrearlyrdiagnosisrandrappropriaterinterventionsrtorreducertherraterofri
nfantrmortality.rAnrincreasedrlengthrofrstayrhasrbeenrshownrtorfosterrimprovedrself-
carerandrparentalreducation.rHowever,ritrdoesrnotrpreventrtherincidencerofrleadingrcausesrofrinfan
trmortalityrrates,rsuchrasrlowrbirthrweight.rEarlyrpreventionrandrdiagnosisrreducertherraterofrinfan
trmortality.rNICUsrofferrcarertorhigh-
riskrinfantsrafterrtheyrarerborn.rExpandingrthernumberrofrNICUsrwouldrofferrbetterraccessrforrhig
h-
riskrcare,rbutrthisrfactorrisrnotrtherprimaryrfocusrforrfurtherrreductionrofrinfantrmortalityrrates.rAr
mandaterthatrallrpregnantrwomenrreceiverobstetricrcarerwouldrbernearlyrimpossiblertorenforce.rF
urthermore,rcertifiedrnurse-
midwivesr(CNMs)rhaverdemonstratedrreliable,rsafercarerforrpregnantrwomen.

DIF: CognitiverLevel:rComprehension
OBJ:rNursingrProcess:rImplementationrMSC:r ClientrNeeds:rHealthrPromotion
randrMaintenance




9. Alternativerandr complementaryrtherapies
a. replacerconventionalrWesternrmodalitiesrofrtreatment.

, b. arerusedrbyronlyrarsmallrnumberrofrAmericanr adults.
c. recognizerthervaluerofrpatients‘rinputrintortheirrhealthrcare.
d. focusrprimarilyronrtherdiseaseranrindividualrisrexperiencing.