Test Bank for Maternal Child Nursing Care 7th Edition by Perry,
Hockenberry, Cashion, Alden, Olshansky, and Lowdermild
, Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
MULTIPLE CHOICE
1. When caring for a pregnant patient, the nurse practitioner should recognize that one of the most commonly
identified maternal medical conditions is:
a. Diabetes mellitus
b. Mitral valve prolapse (MVP)
c. Chronic hypertension
d. Anemia
✔✔ Correct Answer: A
Diabetes and pregnancy-related hypertension are frequently reported medical concerns, often linked to maternal
obesity. MVP is not commonly listed among top maternal risk factors. It's the hypertension associated with
pregnancy, not chronic hypertension, that's often noted. Although anemia can pose issues, it is not one of the most
commonly reported conditions during pregnancy.
2. To promote the best outcomes, maternity nurses must utilize teamwork and effective communication. What does
SBAR stand for?
a. Situation, baseline assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
✔✔ Correct Answer: B
SBAR—Situation, Background, Assessment, Recommendation—is a structured communication method that
enhances clarity and reduces errors in health care settings.
3. The evolving role of the professional maternity nurse now emphasizes:
a. Direct bedside care for patients
b. Primary care of maternity clients in hospitals
c. Use of evidence-based practices
d. Planning for longer hospital stays
✔✔ Correct Answer: C
Nurses now contribute to maternity care through research-backed approaches, extending their support beyond
hospital walls into clinics, birthing centers, and homes. Hospital stays have generally shortened, not lengthened.
,4. A 23-year-old African-American first-time mother is pregnant. What should the nurse prioritize to reduce infant
mortality risks?
a. Conduct a nutrition evaluation
b. Refer her to social services
c. Recommend obstetric care over midwifery
d. Stress the need for attending prenatal appointments
✔✔ Correct Answer: D
Regular prenatal care is the most effective strategy to manage risks associated with infant mortality. While nutrition
and social support are relevant, they are secondary to consistent prenatal visits.
5. While interviewing a 21-year-old Hispanic client with limited English skills during her prenatal intake, the nurse
should primarily:
a. Use specialized medical terms to build familiarity
b. Speak quickly to save time
c. Give printed materials
d. Confirm the client’s understanding
✔✔ Correct Answer: D
Ensuring comprehension is vital. Nurses should use plain language and assess the client’s understanding to support
health literacy.
6. The biggest obstacle pregnant women face in accessing care is usually:
a. Age
b. Belonging to a minority group
c. Education level
d. Financial constraints
✔✔ Correct Answer: D
Inability to pay remains the most significant barrier, further complicated when providers decline care for those
without insurance.
7. If a nurse practitioner is unsure how to carry out a specific procedure, what is the most appropriate action?
a. Ask a fellow nurse
b. Talk to the physician
, c. Refer to a textbook
d. Review and follow the facility’s procedure manual
✔✔ Correct Answer: D
The facility’s procedure manual contains updated, policy-aligned guidance for safely performing clinical tasks,
ensuring compliance with current standards.
8. To further reduce infant mortality rates, which nursing-led initiative should the healthcare system prioritize?
a. Promote early and consistent prenatal care
b. Extend hospital stay post-delivery
c. Build more NICUs
d. Require obstetrician-led care for all pregnancies
✔✔ Correct Answer: A
Early prenatal care enables timely interventions, greatly influencing infant health. While NICUs and extended stays
help, prevention through early care is most impactful.
9. Regarding alternative and complementary health therapies, it’s true that they:
a. Are substitutes for mainstream treatments
b. Are not widely used
c. Respect the patient’s role in decision-making
d. Focus on the disease itself
✔✔ Correct Answer: C
These therapies value patient participation and holistic care, complementing conventional approaches, and are
increasingly popular in the U.S.
10. A Hispanic woman gives birth after a prolonged labor, and her baby dies of sepsis days later. She might have
grounds for a negligence lawsuit if:
a. Her ethnicity was Hispanic
b. She had a female child
c. Care standards were not upheld
d. She declined fetal monitoring
✔✔ Correct Answer: C
Legal claims of negligence are valid when standard care guidelines are not met. Race or gender are not legal bases,
and refusal of treatment must be informed and documented.
Hockenberry, Cashion, Alden, Olshansky, and Lowdermild
, Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
MULTIPLE CHOICE
1. When caring for a pregnant patient, the nurse practitioner should recognize that one of the most commonly
identified maternal medical conditions is:
a. Diabetes mellitus
b. Mitral valve prolapse (MVP)
c. Chronic hypertension
d. Anemia
✔✔ Correct Answer: A
Diabetes and pregnancy-related hypertension are frequently reported medical concerns, often linked to maternal
obesity. MVP is not commonly listed among top maternal risk factors. It's the hypertension associated with
pregnancy, not chronic hypertension, that's often noted. Although anemia can pose issues, it is not one of the most
commonly reported conditions during pregnancy.
2. To promote the best outcomes, maternity nurses must utilize teamwork and effective communication. What does
SBAR stand for?
a. Situation, baseline assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
✔✔ Correct Answer: B
SBAR—Situation, Background, Assessment, Recommendation—is a structured communication method that
enhances clarity and reduces errors in health care settings.
3. The evolving role of the professional maternity nurse now emphasizes:
a. Direct bedside care for patients
b. Primary care of maternity clients in hospitals
c. Use of evidence-based practices
d. Planning for longer hospital stays
✔✔ Correct Answer: C
Nurses now contribute to maternity care through research-backed approaches, extending their support beyond
hospital walls into clinics, birthing centers, and homes. Hospital stays have generally shortened, not lengthened.
,4. A 23-year-old African-American first-time mother is pregnant. What should the nurse prioritize to reduce infant
mortality risks?
a. Conduct a nutrition evaluation
b. Refer her to social services
c. Recommend obstetric care over midwifery
d. Stress the need for attending prenatal appointments
✔✔ Correct Answer: D
Regular prenatal care is the most effective strategy to manage risks associated with infant mortality. While nutrition
and social support are relevant, they are secondary to consistent prenatal visits.
5. While interviewing a 21-year-old Hispanic client with limited English skills during her prenatal intake, the nurse
should primarily:
a. Use specialized medical terms to build familiarity
b. Speak quickly to save time
c. Give printed materials
d. Confirm the client’s understanding
✔✔ Correct Answer: D
Ensuring comprehension is vital. Nurses should use plain language and assess the client’s understanding to support
health literacy.
6. The biggest obstacle pregnant women face in accessing care is usually:
a. Age
b. Belonging to a minority group
c. Education level
d. Financial constraints
✔✔ Correct Answer: D
Inability to pay remains the most significant barrier, further complicated when providers decline care for those
without insurance.
7. If a nurse practitioner is unsure how to carry out a specific procedure, what is the most appropriate action?
a. Ask a fellow nurse
b. Talk to the physician
, c. Refer to a textbook
d. Review and follow the facility’s procedure manual
✔✔ Correct Answer: D
The facility’s procedure manual contains updated, policy-aligned guidance for safely performing clinical tasks,
ensuring compliance with current standards.
8. To further reduce infant mortality rates, which nursing-led initiative should the healthcare system prioritize?
a. Promote early and consistent prenatal care
b. Extend hospital stay post-delivery
c. Build more NICUs
d. Require obstetrician-led care for all pregnancies
✔✔ Correct Answer: A
Early prenatal care enables timely interventions, greatly influencing infant health. While NICUs and extended stays
help, prevention through early care is most impactful.
9. Regarding alternative and complementary health therapies, it’s true that they:
a. Are substitutes for mainstream treatments
b. Are not widely used
c. Respect the patient’s role in decision-making
d. Focus on the disease itself
✔✔ Correct Answer: C
These therapies value patient participation and holistic care, complementing conventional approaches, and are
increasingly popular in the U.S.
10. A Hispanic woman gives birth after a prolonged labor, and her baby dies of sepsis days later. She might have
grounds for a negligence lawsuit if:
a. Her ethnicity was Hispanic
b. She had a female child
c. Care standards were not upheld
d. She declined fetal monitoring
✔✔ Correct Answer: C
Legal claims of negligence are valid when standard care guidelines are not met. Race or gender are not legal bases,
and refusal of treatment must be informed and documented.
