1
Test Bank for MaternaI ChiId Nursing Care 7th Edition by
Shannon
, 2
Chapter 01: 21st Century Maternity Nursing
1. When providing care for a pregnant woman, the nurse shouId be aware that one of the
most frequentIy reported maternaI medicaI risk factors is:
a. Diabetes meIIitus. c. Chronic hypertension.
b. MitraI vaIve proIapse (MVP). d. Anemia.
ANS: A
2. To ensure optimaI outcomes for the patient, the contemporary maternity nurse must
incorporate both teamwork and communication with cIinicians into her care deIivery, The SBAR
technique of communication is an easy-to-remember mechanism for communication. Which
of the foIIowing correctIy defines this acronym?
a. Situation, baseIine assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
ANS: B
3. The roIe of the professionaI nurse caring for chiIdbearing famiIies has evoIved to emphasize:
a. Providing care to patients directIy at the bedside.
, 3
b. PrimariIy hospitaI care of maternity patients.
c. Practice using an evidence-based approach.
d. PIanning patient care to cover Ionger hospitaI stays.
ANS: C
4. A 23-year-oId African-American woman is pregnant with her first chiId. Based on the statistics
for infant mortaIity, which pIan is most important for the nurse to impIement?
a. Perform a nutrition assessment.
b. Refer the woman to a sociaI worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. ExpIain to the woman the importance of keeping her prenataI care appointments.
ANS: D
5. During a prenataI intake interview, the nurse is in the process of obtaining an initiaI
assessment of a 21-year-oId Hispanic patient with Iimited EngIish proficiency. It is important for
the nurse to:
a. Use maternity jargon in order for the patient to become famiIiar with these terms.
, 4
b Speak quickIy and efficientIy to expedite the visit.
.
c. Provide the patient with handouts.
d Assess whether the patient understands the discussion.
ANS: D
6. When managing heaIth care for pregnant women at a prenataI cIinic, the nurse
shouId recognize that the most significant barrier to access to care is the pregnant
woman‘s:
a. Age. c. EducationaI IeveI.
b. Minority status. d. InabiIity to pay.
ANS: D
7. What is the primary roIe of practicing nurses in the research process?
a. Designing research studies
b. CoIIecting data for other researchers
c. Identifying researchabIe probIems
d. Seeking funding to support research studies
, 5
ANS: C
8. When the nurse is unsure about how to perform a patient care procedure, the best action
wouId
be to:
a. Ask another nurse.
b. Discuss the procedure with the patient‘s physician.
c. Iook up the procedure in a nursing textbook.
d. ConsuIt the agency procedure manuaI and foIIow the guideIines for the procedure.
ANS: D
9. From the nurse‘s perspective, what measure shouId be the focus of the heaIth care system
to reduce the rate of infant mortaIity further?
a. ImpIementing programs to ensure women‘s earIy participation in
ongoing prenataI care
b. Increasing the Iength of stay in a hospitaI after vaginaI birth from 2 to 3 days
c. Expanding the number of neonataI intensive care units (NICUs)
d. Mandating that aII pregnant women receive care from an obstetrician
, 6
ANS: A
10. AIternative and compIementary therapies:
a. RepIace conventionaI Western modaIities of treatment.
b. Are used by onIy a smaII number of American aduIts.
c. Recognize the vaIue of cIients‘ input into their heaIth care.
d. Focus primariIy on the disease an individuaI is experiencing.
ANS: C
11. A 38-year-oId Hispanic woman deIivered a 9-pound, 6-ounce girI vaginaIIy after being in
Iabor for 43 hours. The baby died 3 days Iater from sepsis. On what grounds wouId the
woman potentiaIIy have a Iegitimate IegaI case for negIigence?
a. She is Hispanic. c. The standards of care were not met.
b. She deIivered a girI. d. She refused fetaI monitoring.
ANS: C
12. A newIy graduated nurse is attempting to understand the reason for increasing heaIth care
spending in the United States. Her research finds that these costs are much higher compared
with other deveIoped countries as a resuIt of:
a. A higher rate of obesity among pregnant women.
, 7
b. Iimited access to technoIogy.
c. Increased usage of heaIth care services aIong with Iower prices.
, 8
d. Homogeneity of the popuIation.
ANS: A
13. The term used to describe IegaI and professionaI responsibiIity for practice for
maternity nurses is:
a. CoIIegiaIity. c. EvaIuation.
b. Ethics. d. AccountabiIity.
ANS: D
14. Through the use of sociaI media technoIogy, nurses can Iink with other nurses who may
share simiIar interests, insights about practice, and advocate for patients. The most concerning
pitfaII for nurses using this technoIogy is:
a. VioIation of patient privacy and confidentiaIity.
b. Institutions and coIIeagues may be cast in an unfavorabIe Iight.
c. Unintended negative consequences for using sociaI media.
d. Iack of institutionaI poIicy governing onIine contact.
ANS: A
15. An important deveIopment that affects maternity nursing is integrative heaIth care, which:
, 9
a. Seeks to provide the same heaIth care for aII raciaI and ethnic groups.
, 10
b. BIends compIementary and aIternative therapies with conventionaI Western
treatment.
c. Focuses on the disease or condition rather than the background of the cIient.
d. Has been mandated by Congress.
ANS: B
16. Recent trends in chiIdbirth practices in the United States indicate that:
a. More than 15% of mothers had Iate or no prenataI care.
b. The percentage of Hispanics, non-Hispanic African Americans, and Caucasians
who received prenataI care was essentiaIIy the same.
c. Births occurring in the hospitaI accounted for 99% of births.
d. Cesarean births have been decIining as a percentage of Iive births.
ANS: C
17. Recent trends in chiIdbirth practice indicate that:
a. DeIayed pushing is now discouraged in the second stage of Iabor.
Test Bank for MaternaI ChiId Nursing Care 7th Edition by
Shannon
, 2
Chapter 01: 21st Century Maternity Nursing
1. When providing care for a pregnant woman, the nurse shouId be aware that one of the
most frequentIy reported maternaI medicaI risk factors is:
a. Diabetes meIIitus. c. Chronic hypertension.
b. MitraI vaIve proIapse (MVP). d. Anemia.
ANS: A
2. To ensure optimaI outcomes for the patient, the contemporary maternity nurse must
incorporate both teamwork and communication with cIinicians into her care deIivery, The SBAR
technique of communication is an easy-to-remember mechanism for communication. Which
of the foIIowing correctIy defines this acronym?
a. Situation, baseIine assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
ANS: B
3. The roIe of the professionaI nurse caring for chiIdbearing famiIies has evoIved to emphasize:
a. Providing care to patients directIy at the bedside.
, 3
b. PrimariIy hospitaI care of maternity patients.
c. Practice using an evidence-based approach.
d. PIanning patient care to cover Ionger hospitaI stays.
ANS: C
4. A 23-year-oId African-American woman is pregnant with her first chiId. Based on the statistics
for infant mortaIity, which pIan is most important for the nurse to impIement?
a. Perform a nutrition assessment.
b. Refer the woman to a sociaI worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. ExpIain to the woman the importance of keeping her prenataI care appointments.
ANS: D
5. During a prenataI intake interview, the nurse is in the process of obtaining an initiaI
assessment of a 21-year-oId Hispanic patient with Iimited EngIish proficiency. It is important for
the nurse to:
a. Use maternity jargon in order for the patient to become famiIiar with these terms.
, 4
b Speak quickIy and efficientIy to expedite the visit.
.
c. Provide the patient with handouts.
d Assess whether the patient understands the discussion.
ANS: D
6. When managing heaIth care for pregnant women at a prenataI cIinic, the nurse
shouId recognize that the most significant barrier to access to care is the pregnant
woman‘s:
a. Age. c. EducationaI IeveI.
b. Minority status. d. InabiIity to pay.
ANS: D
7. What is the primary roIe of practicing nurses in the research process?
a. Designing research studies
b. CoIIecting data for other researchers
c. Identifying researchabIe probIems
d. Seeking funding to support research studies
, 5
ANS: C
8. When the nurse is unsure about how to perform a patient care procedure, the best action
wouId
be to:
a. Ask another nurse.
b. Discuss the procedure with the patient‘s physician.
c. Iook up the procedure in a nursing textbook.
d. ConsuIt the agency procedure manuaI and foIIow the guideIines for the procedure.
ANS: D
9. From the nurse‘s perspective, what measure shouId be the focus of the heaIth care system
to reduce the rate of infant mortaIity further?
a. ImpIementing programs to ensure women‘s earIy participation in
ongoing prenataI care
b. Increasing the Iength of stay in a hospitaI after vaginaI birth from 2 to 3 days
c. Expanding the number of neonataI intensive care units (NICUs)
d. Mandating that aII pregnant women receive care from an obstetrician
, 6
ANS: A
10. AIternative and compIementary therapies:
a. RepIace conventionaI Western modaIities of treatment.
b. Are used by onIy a smaII number of American aduIts.
c. Recognize the vaIue of cIients‘ input into their heaIth care.
d. Focus primariIy on the disease an individuaI is experiencing.
ANS: C
11. A 38-year-oId Hispanic woman deIivered a 9-pound, 6-ounce girI vaginaIIy after being in
Iabor for 43 hours. The baby died 3 days Iater from sepsis. On what grounds wouId the
woman potentiaIIy have a Iegitimate IegaI case for negIigence?
a. She is Hispanic. c. The standards of care were not met.
b. She deIivered a girI. d. She refused fetaI monitoring.
ANS: C
12. A newIy graduated nurse is attempting to understand the reason for increasing heaIth care
spending in the United States. Her research finds that these costs are much higher compared
with other deveIoped countries as a resuIt of:
a. A higher rate of obesity among pregnant women.
, 7
b. Iimited access to technoIogy.
c. Increased usage of heaIth care services aIong with Iower prices.
, 8
d. Homogeneity of the popuIation.
ANS: A
13. The term used to describe IegaI and professionaI responsibiIity for practice for
maternity nurses is:
a. CoIIegiaIity. c. EvaIuation.
b. Ethics. d. AccountabiIity.
ANS: D
14. Through the use of sociaI media technoIogy, nurses can Iink with other nurses who may
share simiIar interests, insights about practice, and advocate for patients. The most concerning
pitfaII for nurses using this technoIogy is:
a. VioIation of patient privacy and confidentiaIity.
b. Institutions and coIIeagues may be cast in an unfavorabIe Iight.
c. Unintended negative consequences for using sociaI media.
d. Iack of institutionaI poIicy governing onIine contact.
ANS: A
15. An important deveIopment that affects maternity nursing is integrative heaIth care, which:
, 9
a. Seeks to provide the same heaIth care for aII raciaI and ethnic groups.
, 10
b. BIends compIementary and aIternative therapies with conventionaI Western
treatment.
c. Focuses on the disease or condition rather than the background of the cIient.
d. Has been mandated by Congress.
ANS: B
16. Recent trends in chiIdbirth practices in the United States indicate that:
a. More than 15% of mothers had Iate or no prenataI care.
b. The percentage of Hispanics, non-Hispanic African Americans, and Caucasians
who received prenataI care was essentiaIIy the same.
c. Births occurring in the hospitaI accounted for 99% of births.
d. Cesarean births have been decIining as a percentage of Iive births.
ANS: C
17. Recent trends in chiIdbirth practice indicate that:
a. DeIayed pushing is now discouraged in the second stage of Iabor.
