Test .Bank .For .Maternal .Child .Nursing .Care, .5th .Edition .by .Perry, .Shannon .E., .Hockenberry
,Item .Bank: . Perry .Maternal .Child .Nursing .Care .5th .edition
Objective: . . CH .01: .21st .Century .Maternity .Nursing
1. Question .Name: .0001 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
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.
B. . Mitral .valve .prolapse .(MVP).
C. . Chronic .hypertension.
D. . Anemia.
Correct .Answer: . A
.Explanation/Rationale:
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.
2. Question .Name: .0002 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
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
Correct .Answer: . B
.Explanation/Rationale:
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.
3. Question .Name: .0003 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
The .role .of .the .professional .nurse .caring .for .childbearing .families .has .evolved .to .emphasize:
A. Providing .care .to .patients .directly .at .the .bedside.
B. Primarily .hospital .care .of .maternity .patients.
* C. . Practice .using .an .evidence-based .approach.
D. . Planning .patient .care .to .cover .longer .hospital .stays.
Correct .Answer: . C
.Explanation/Rationale:
ANS: . C
Professional .nurses .are .part .of .the .team .of .health .care .providers .who .collaboratively .care .for
.patients .throughout .the .childbearing .cycle. .Providing .care .to .patients .directly .at .the .bedside
.is .one .of .the .nurse‟s .tasks; .however, .it .does .not .encompass .the .concept .of .the .evolved
.professional .nurse. .Throughout .the .prenatal .period, .nurses .care .for .women .in .clinics .and
.physician‟s .offices .and .teach .classes .to .help .families .prepare .for .childbirth. .Nurses .also .care
.for .childbearing .families .in .birthing .centers .and .in .the .home. .Nurses .have .been .critically
.important .in .developing .strategies .to .improve .the .well-being .of .women .and .their .infants .and
.have .led .the .efforts .to .implement .clinical .practice .guidelines .using .an .evidence-based
.approach. .Maternity .patients .have .experienced .a .decreased, .rather .than .an .increased, .length
.of .stay .over .the .past .2 .decades.
4. Question .Name: .0004 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
A .23-year-old .African-American .woman .is .pregnant .with .her .first .child. .Based .on .the .statistics .for
.infant .mortality, .which .plan .is .most .important .for .the .nurse .to .implement?
A. Perform .a .nutrition .assessment.
B. Refer .the .woman .to .a .social .worker.
C. Advise .the .woman .to .see .an .obstetrician, .not .a .midwife.
* D. . Explain .to .the .woman .the .importance .of .keeping .her .prenatal .care .appointments.
Correct .Answer: . D
, Explanation/Rationale:
ANS: . D
Consistent .prenatal .care .is .the .best .method .of .preventing .or .controlling .risk .factors .associated
.with .infant .mortality. .Nutritional .status .is .an .important .modifiable .risk .factor, .but .a .nutrition
.assessment .is .not .the .most .important .action .a .nurse .should .take .in .this .situation. .The .patient
.may .need .assistance .from .a .social .worker .at .some .time .during .her .pregnancy, .but .a .referral .to
.a .social .worker .is .not .the .most .important .aspect .the .nurse .should .address .at .this .time. .If .the
.woman .has .identifiable .high-risk .problems, .her .health .care .may .need .to .be .provided .by .a
.physician.
However, .it .cannot .be .assumed .that .all .African-American .women .have .high-risk .issues. .In
.addition, .advising .the .woman .to .see .an .obstetrician .is .not .the .most .important .aspect .on .which
.the .nurse .should .focus .at .this .time, .and .it .is .not .appropriate .for .a .nurse .to .advise .or .manage
.the .type .of .care .a .patient .is .to .receive.
5. Question .Name: .0005 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
During .a .prenatal .intake .interview, .the .nurse .is .in .the .process .of .obtaining .an .initial .assessment
.of .a .21-year-old .Hispanic .patient .with .limited .English .proficiency. .It .is .important .for .the
.nurse .to:
A. Use .maternity .jargon .in .order .for .the .patient .to .become .familiar .with .these .terms.
B. Speak .quickly .and .efficiently .to .expedite .the .visit.
C. Provide .the .patient .with .handouts.
* D. . Assess .whether .the .patient .understands .the .discussion.
Correct .Answer: . D
.Explanation/Rationale:
ANS: . D
Nurses .contribute .to .health .literacy .by .using .simple, .common .words; .avoiding .jargon; .and
.evaluating .whether .the .patient .understands .the .discussion. .Speaking .slowly .and .clearly .and
.focusing .on .what .is .important .increase .understanding. .Most .patient .education .materials .are
.written .at .too .high .a .level .for .the .average .adult .and .may .not .be .useful .for .a .client .with
.limited .English .proficiency.
6. Question .Name: .0006 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
When .managing .health .care .for .pregnant .women .at .a .prenatal .clinic, .the .nurse .should .recognize
.that .the .most .significant .barrier .to .access .to .care .is .the .pregnant .woman‟s:
A. Age.
,Item .Bank: . Perry .Maternal .Child .Nursing .Care .5th .edition
Objective: . . CH .01: .21st .Century .Maternity .Nursing
1. Question .Name: .0001 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
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.
B. . Mitral .valve .prolapse .(MVP).
C. . Chronic .hypertension.
D. . Anemia.
Correct .Answer: . A
.Explanation/Rationale:
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.
2. Question .Name: .0002 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
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
Correct .Answer: . B
.Explanation/Rationale:
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.
3. Question .Name: .0003 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
The .role .of .the .professional .nurse .caring .for .childbearing .families .has .evolved .to .emphasize:
A. Providing .care .to .patients .directly .at .the .bedside.
B. Primarily .hospital .care .of .maternity .patients.
* C. . Practice .using .an .evidence-based .approach.
D. . Planning .patient .care .to .cover .longer .hospital .stays.
Correct .Answer: . C
.Explanation/Rationale:
ANS: . C
Professional .nurses .are .part .of .the .team .of .health .care .providers .who .collaboratively .care .for
.patients .throughout .the .childbearing .cycle. .Providing .care .to .patients .directly .at .the .bedside
.is .one .of .the .nurse‟s .tasks; .however, .it .does .not .encompass .the .concept .of .the .evolved
.professional .nurse. .Throughout .the .prenatal .period, .nurses .care .for .women .in .clinics .and
.physician‟s .offices .and .teach .classes .to .help .families .prepare .for .childbirth. .Nurses .also .care
.for .childbearing .families .in .birthing .centers .and .in .the .home. .Nurses .have .been .critically
.important .in .developing .strategies .to .improve .the .well-being .of .women .and .their .infants .and
.have .led .the .efforts .to .implement .clinical .practice .guidelines .using .an .evidence-based
.approach. .Maternity .patients .have .experienced .a .decreased, .rather .than .an .increased, .length
.of .stay .over .the .past .2 .decades.
4. Question .Name: .0004 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
A .23-year-old .African-American .woman .is .pregnant .with .her .first .child. .Based .on .the .statistics .for
.infant .mortality, .which .plan .is .most .important .for .the .nurse .to .implement?
A. Perform .a .nutrition .assessment.
B. Refer .the .woman .to .a .social .worker.
C. Advise .the .woman .to .see .an .obstetrician, .not .a .midwife.
* D. . Explain .to .the .woman .the .importance .of .keeping .her .prenatal .care .appointments.
Correct .Answer: . D
, Explanation/Rationale:
ANS: . D
Consistent .prenatal .care .is .the .best .method .of .preventing .or .controlling .risk .factors .associated
.with .infant .mortality. .Nutritional .status .is .an .important .modifiable .risk .factor, .but .a .nutrition
.assessment .is .not .the .most .important .action .a .nurse .should .take .in .this .situation. .The .patient
.may .need .assistance .from .a .social .worker .at .some .time .during .her .pregnancy, .but .a .referral .to
.a .social .worker .is .not .the .most .important .aspect .the .nurse .should .address .at .this .time. .If .the
.woman .has .identifiable .high-risk .problems, .her .health .care .may .need .to .be .provided .by .a
.physician.
However, .it .cannot .be .assumed .that .all .African-American .women .have .high-risk .issues. .In
.addition, .advising .the .woman .to .see .an .obstetrician .is .not .the .most .important .aspect .on .which
.the .nurse .should .focus .at .this .time, .and .it .is .not .appropriate .for .a .nurse .to .advise .or .manage
.the .type .of .care .a .patient .is .to .receive.
5. Question .Name: .0005 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
During .a .prenatal .intake .interview, .the .nurse .is .in .the .process .of .obtaining .an .initial .assessment
.of .a .21-year-old .Hispanic .patient .with .limited .English .proficiency. .It .is .important .for .the
.nurse .to:
A. Use .maternity .jargon .in .order .for .the .patient .to .become .familiar .with .these .terms.
B. Speak .quickly .and .efficiently .to .expedite .the .visit.
C. Provide .the .patient .with .handouts.
* D. . Assess .whether .the .patient .understands .the .discussion.
Correct .Answer: . D
.Explanation/Rationale:
ANS: . D
Nurses .contribute .to .health .literacy .by .using .simple, .common .words; .avoiding .jargon; .and
.evaluating .whether .the .patient .understands .the .discussion. .Speaking .slowly .and .clearly .and
.focusing .on .what .is .important .increase .understanding. .Most .patient .education .materials .are
.written .at .too .high .a .level .for .the .average .adult .and .may .not .be .useful .for .a .client .with
.limited .English .proficiency.
6. Question .Name: .0006 Type: .MC Objective: .CH .01: .21st .Century .Maternity .Nursing Item .Bank: .Perry
.Maternal .Child .Nursing .Care .5th .edition
When .managing .health .care .for .pregnant .women .at .a .prenatal .clinic, .the .nurse .should .recognize
.that .the .most .significant .barrier .to .access .to .care .is .the .pregnant .woman‟s:
A. Age.
