TEST BANK FOR
,Table of Contents
Chapter 01: 21st Century Maternity Nursing ..................................................................... 4
Chapter 02: The Family, Culture, And Home Care ......................................................... 18
Chapter 03: Assessment And Health Promotion ............................................................ 27
Chapter 04: Reproductive System Concerns ...................................................................45
Chapter 05: Infertility, Contraception, And Abortion .................................................. 69
Chapter 06: Genetics, Conception, And Fetal Development....................................... 88
Chapter 07: Anatomy And Physiology Of Pregnancy ................................................... 106
Chapter 08: Nursing Care Of The Family During Pregnancy ..................................... 124
Chapter 09: Maternal And Fetal Nutrition .................................................................... 143
Chapter 10: Assessment Of High-Risk Pregnancy ........................................................ 162
Chapter 11: High-Risk Perinatal Care: Preexisting Conditions ...................................177
Chapter 12: High-Risk Perinatal Care: Gestational Conditions ................................. 198
Chapter 13: Labor And Birth Processes ........................................................................... 223
Chapter 14: Maximizing Comfort For The Laboring Woman .................................... 240
Chapter 15: Fetal Assessment During Labor ................................................................. 260
Chapter 16: Nursing Care Of The Family During Labor And Birth ............................ 281
Chapter 17: Labor And Birth Complications ..................................................................306
Chapter 18: Postpartum Physiologic Changes............................................................... 323
Chapter 19: Nursing Care Of The Family During The Postpartum Period ...............340
Chapter 20: Transition To Parenthood .......................................................................... 353
Chapter 21: Postpartum Complications.......................................................................... 372
Chapter 22: Physiologic And Behavioral Adaptations Of The Newborn ..................388
Chapter 23: Nursing Care Of The Newborn And Family ............................................... 411
Chapter 24: Newborn Nutrition And Feeding ............................................................... 425
Chapter 25: The High-Risk Newborn ..............................................................................443
Chapter 26: 21st Century Pediatric Nursing .................................................................. 470
Chapter 27: Social, Cultural, Religious And Family Influences On Child Health
Promotion........................................................................................................................... 478
Chapter 28: Developmental And Genetic Influences On Child Health Promotion
.............................................................................................................................................. 484
Chapter 29: Communication And Physical Assessment Of The Child And Family 501
,Chapter 30: Pain Assessment And Management In Children .................................... 524
Chapter 31: The Infant And Family .................................................................................. 535
Chapter 32: The Toddler And Family .............................................................................. 558
Chapter 33: The Preschooler And Family ....................................................................... 578
Chapter 34: The School-Age Child And Family.............................................................. 592
Chapter 35: Health Promotion Of The Adolescent And Family ................................. 610
Chapter 36: Impact Of Chronic Illness, Disability, Or End-Of-Life Care On The
Child And Family ............................................................................................................... 629
Chapter 37: Impact Of Cognitive Or Sensory Impairment On The Child And Family
.............................................................................................................................................. 648
Chapter 38: Family-Centered Care Of The Child During Illness And Hospitalization
.............................................................................................................................................. 668
Chapter 39: Pediatric Nursing Interventions And Skills .............................................683
Chapter 40: The Child With Respiratory Dysfunction ................................................ 705
Chapter 41: The Child With Gastrointestinal Dysfunction ......................................... 724
Chapter 42: The Child With Cardiovascular Dysfunction .......................................... 744
Chapter 43: The Child With Hematologic Or Immunologic Dysfunction ............... 774
Chapter 44: The Child With Cancer................................................................................. 792
Chapter 45: The Child With Genitourinary Dysfunction ........................................... 804
Chapter 46: The Child With Cerebral Dysfunction ..................................................... 824
Chapter 47: The Child With Endocrine Dysfunction .................................................. 848
Chapter 48: The Child With Musculoskeletal Or Articular Dysfunction ................ 869
Chapter 49: The Child With Neuromuscular Or Muscular Dysfunction ................. 886
Chapter 50: The Child With Integumentary Dysfunction .......................................... 898
,Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
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.
B. Mitral Valve Prolapse (MVP).
C. Chronic Hypertension.
D. Anemia.
CORRECT ANSWER: 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.
DIF: Cognitive Level: Knowledge
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 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
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.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment | Nursing Process: 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.
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
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
Developdinowgnslotardaetdebgyi:Ensimtoa1i|Mghpimroirevsewtahrneimwa@Elgl
m-Baiel.Icnomg Of Women And The Wiranitntofaenartns $A1n.2d36 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 Two Decades.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Implementation
,MSC: Client Needs: Safe And Effective Care Environment
4. 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
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.
DIF: Cognitive Level: Application
OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion And Maintenance
5. 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
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 Patient With Limited English
Proficiency.
DIF: Cognitive Level: Application
OBJ: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion And Maintenance
6. 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.
B. Minority Status.
C. Educational Level.
D. Inability To Pay.
CORRECT ANSWER: D
The Most Significant Barrier To Health Care Access Is The Inability To Pay For
Services; This Is Compounded By The Fact That Many Physicians Refuse To Care
For Women Who Cannot Pay. Although Adolescent PREGNANT Patients
Statistically Receive Less Prenatal Care, Age Is Not The
Most Significant Barrier. Significant Disparities In Morbidity And Mortality Rates
Exist For Minority Women; However, Minority Status Is Not The Most Significant
Barrier To Access Of Care. Disparities In Educational Level Are Associated With
Morbidity And Mortality Rates; However, Educational Level Is Not The Most
Significant Barrier To Access Of Care.
DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment
,MSC: Client Needs: Safe And Effective Care Environment
7. When The Nurse Is Unsure About How To Perform A Patient Care Procedure, The Best
Action Would Be To
A. Ask Another Nurse.
B. Discuss The Procedure With The Patient‘S Physician.
C. Look Up The Procedure In A Nursing Textbook.
D. Consult The Agency‘S Procedure Manual And Follow The Guidelines For The
Procedure.
CORRECT ANSWER: D
It Is Always Best To Follow The Agency‘S Policies And Procedures Manual When
Seeking Information On Correct Patient Procedures. These Policies Should Reflect
The Current Standards Of Care And State Guidelines. Each Nurse Is Responsible
For Her Own Practice. Relying On Another Nurse May Not Always Be Safe Practice.
Each Nurse Is Obligated To Follow The Standards Of Care For Safe Patient Care
Delivery. Physicians Are Responsible For Their Own Patient Care Activity. Nurses
May Follow Safe Orders From Physicians, But They Are Also Responsible For The
Activities That They As Nurses Are To Carry Out. Information Provided In A
Nursing Textbook Is Basic Information For General Knowledge. Furthermore, The
Information In A Textbook May Not Reflect The Current Standard Of Care Or
Individual State Or Hospital Policies.
DIF: Cognitive Level: Application
OBJ: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity
8. From The Nurse‘S Perspective, What Measure Should Be The Focus Of The Health Care
System To Reduce The Rate Of Infant Mortality Further?
A. Implementing Programs To Ensure Women‘S Early Participation In Ongoing
Prenatal Care
B. Increasing The Length Of Stay In A Hospital After Vaginal Birth From 2 To 3 Days
C. Expanding The Number Of Neonatal Intensive Care Units (Nicus)
D. Mandating That All PREGNANT Women Receive Care From An Obstetrician
,CORRECT ANSWER: A
Early Prenatal Care Allows For Early Diagnosis And Appropriate Interventions To
Reduce The Rate Of Infant Mortality. An Increased Length Of Stay Has Been Shown
To Foster Improved Self-Care And Parental Education. However, It Does Not
Prevent The Incidence Of Leading Causes Of Infant Mortality Rates, Such As Low
Birth Weight. Early Prevention And Diagnosis Reduce The Rate Of Infant
Mortality. Nicus Offer Care To High-Risk Infants After They Are Born. Expanding
The Number Of Nicus Would Offer Better Access For High-Risk Care, But This
Factor Is Not The Primary Focus For Further Reduction Of Infant Mortality Rates.
A Mandate That All PREGNANT Women Receive Obstetric Care Would Be Nearly
Impossible To Enforce. Furthermore, Certified Nurse-Midwives (Cnms) Have
Demonstrated Reliable, Safe Care For PREGNANT Women.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion And Maintenance
9. Alternative And Complementary Therapies
A. Replace Conventional Western Modalities Of Treatment.
B. Are Used By Only A Small Number Of American Adults.
C. Recognize The Value Of Patients‘ Input Into Their Health Care.
D. Focus Primarily On The Disease An Individual Is Experiencing.
CORRECT ANSWER: C
Many Popular Alternative Healing Modalities Offer Human-Centered Care Based
On Philosophies That Recognize The Value Of The Patient‘S Input And Honor The
Individual‘S Beliefs, Values, And Desires. Alternative And Complementary
Therapies Are Part Of An Integrative Approach To Health Care. An Increasing
Number Of American Adults Are Seeking Alternative And Complementary Health
Care Options. Alternative Healing Modalities Offer A Holistic Approach To Health,
Focusing On The Whole Person, Not Just The Disease.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity
, 10. A 38-Year-Old Hispanic Woman Delivered A 9-Pound, 6-Ounce Girl Vaginally After
Being In Labor For 43 Hours. The Baby Died 3 Days Later From Sepsis. On What Grounds
Would The Woman Potentially Have A Legitimate Legal Case For Negligence?
A. She Is Hispanic.
B. She Delivered A Girl.
C. The Standards Of Care Were Not Met.
D. She Refused Fetal Monitoring.
CORRECT ANSWER: C
Not Meeting The Standards Of Care Is A Legitimate Factor For A Case Of
Negligence. The Patient‘S Race Is Not A Factor For A Case Of Negligence. The
Infant‘S Gender Is Not A Factor For A Case Of Negligence. Although Fetal
Monitoring Is The Standard Of Care, The Patient Has The Right To Refuse
Treatment. This Refusal Is Not A Case For Negligence; However, Informed Consent
Should Be Properly Obtained, And The Patient Should Sign An Against Medical
Advice Form For Refusal Of Any Treatment That Is Within The Standard Of Care.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion And Maintenance
11. A Newly Graduated Nurse Is Attempting To Understand The Reason For Increasing
Health Care Spending In The United States. Her Research Finds That These Costs Are
Much Higher Compared With Other Developed Countries As A Result Of
A. A Higher Rate Of Obesity Among PREGNANT Women.
B. Limited Access To Technology.
C. Increased Usage Of Health Care Services Along With Lower Prices.
D. Homogeneity Of The Population.
CORRECT ANSWER: A
Health Care Is One Of The Fastest Growing Sectors Of The U.S. Economy.
Currently, 17.7% Of The Gross Domestic Product Is Spent On Health Care. Higher
Spending In The United States Compared With 12 Other Industrialized Countries Is
,Table of Contents
Chapter 01: 21st Century Maternity Nursing ..................................................................... 4
Chapter 02: The Family, Culture, And Home Care ......................................................... 18
Chapter 03: Assessment And Health Promotion ............................................................ 27
Chapter 04: Reproductive System Concerns ...................................................................45
Chapter 05: Infertility, Contraception, And Abortion .................................................. 69
Chapter 06: Genetics, Conception, And Fetal Development....................................... 88
Chapter 07: Anatomy And Physiology Of Pregnancy ................................................... 106
Chapter 08: Nursing Care Of The Family During Pregnancy ..................................... 124
Chapter 09: Maternal And Fetal Nutrition .................................................................... 143
Chapter 10: Assessment Of High-Risk Pregnancy ........................................................ 162
Chapter 11: High-Risk Perinatal Care: Preexisting Conditions ...................................177
Chapter 12: High-Risk Perinatal Care: Gestational Conditions ................................. 198
Chapter 13: Labor And Birth Processes ........................................................................... 223
Chapter 14: Maximizing Comfort For The Laboring Woman .................................... 240
Chapter 15: Fetal Assessment During Labor ................................................................. 260
Chapter 16: Nursing Care Of The Family During Labor And Birth ............................ 281
Chapter 17: Labor And Birth Complications ..................................................................306
Chapter 18: Postpartum Physiologic Changes............................................................... 323
Chapter 19: Nursing Care Of The Family During The Postpartum Period ...............340
Chapter 20: Transition To Parenthood .......................................................................... 353
Chapter 21: Postpartum Complications.......................................................................... 372
Chapter 22: Physiologic And Behavioral Adaptations Of The Newborn ..................388
Chapter 23: Nursing Care Of The Newborn And Family ............................................... 411
Chapter 24: Newborn Nutrition And Feeding ............................................................... 425
Chapter 25: The High-Risk Newborn ..............................................................................443
Chapter 26: 21st Century Pediatric Nursing .................................................................. 470
Chapter 27: Social, Cultural, Religious And Family Influences On Child Health
Promotion........................................................................................................................... 478
Chapter 28: Developmental And Genetic Influences On Child Health Promotion
.............................................................................................................................................. 484
Chapter 29: Communication And Physical Assessment Of The Child And Family 501
,Chapter 30: Pain Assessment And Management In Children .................................... 524
Chapter 31: The Infant And Family .................................................................................. 535
Chapter 32: The Toddler And Family .............................................................................. 558
Chapter 33: The Preschooler And Family ....................................................................... 578
Chapter 34: The School-Age Child And Family.............................................................. 592
Chapter 35: Health Promotion Of The Adolescent And Family ................................. 610
Chapter 36: Impact Of Chronic Illness, Disability, Or End-Of-Life Care On The
Child And Family ............................................................................................................... 629
Chapter 37: Impact Of Cognitive Or Sensory Impairment On The Child And Family
.............................................................................................................................................. 648
Chapter 38: Family-Centered Care Of The Child During Illness And Hospitalization
.............................................................................................................................................. 668
Chapter 39: Pediatric Nursing Interventions And Skills .............................................683
Chapter 40: The Child With Respiratory Dysfunction ................................................ 705
Chapter 41: The Child With Gastrointestinal Dysfunction ......................................... 724
Chapter 42: The Child With Cardiovascular Dysfunction .......................................... 744
Chapter 43: The Child With Hematologic Or Immunologic Dysfunction ............... 774
Chapter 44: The Child With Cancer................................................................................. 792
Chapter 45: The Child With Genitourinary Dysfunction ........................................... 804
Chapter 46: The Child With Cerebral Dysfunction ..................................................... 824
Chapter 47: The Child With Endocrine Dysfunction .................................................. 848
Chapter 48: The Child With Musculoskeletal Or Articular Dysfunction ................ 869
Chapter 49: The Child With Neuromuscular Or Muscular Dysfunction ................. 886
Chapter 50: The Child With Integumentary Dysfunction .......................................... 898
,Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
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.
B. Mitral Valve Prolapse (MVP).
C. Chronic Hypertension.
D. Anemia.
CORRECT ANSWER: 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.
DIF: Cognitive Level: Knowledge
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 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
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.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment | Nursing Process: 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.
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
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
Developdinowgnslotardaetdebgyi:Ensimtoa1i|Mghpimroirevsewtahrneimwa@Elgl
m-Baiel.Icnomg Of Women And The Wiranitntofaenartns $A1n.2d36 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 Two Decades.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Implementation
,MSC: Client Needs: Safe And Effective Care Environment
4. 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
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.
DIF: Cognitive Level: Application
OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion And Maintenance
5. 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
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 Patient With Limited English
Proficiency.
DIF: Cognitive Level: Application
OBJ: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion And Maintenance
6. 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.
B. Minority Status.
C. Educational Level.
D. Inability To Pay.
CORRECT ANSWER: D
The Most Significant Barrier To Health Care Access Is The Inability To Pay For
Services; This Is Compounded By The Fact That Many Physicians Refuse To Care
For Women Who Cannot Pay. Although Adolescent PREGNANT Patients
Statistically Receive Less Prenatal Care, Age Is Not The
Most Significant Barrier. Significant Disparities In Morbidity And Mortality Rates
Exist For Minority Women; However, Minority Status Is Not The Most Significant
Barrier To Access Of Care. Disparities In Educational Level Are Associated With
Morbidity And Mortality Rates; However, Educational Level Is Not The Most
Significant Barrier To Access Of Care.
DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment
,MSC: Client Needs: Safe And Effective Care Environment
7. When The Nurse Is Unsure About How To Perform A Patient Care Procedure, The Best
Action Would Be To
A. Ask Another Nurse.
B. Discuss The Procedure With The Patient‘S Physician.
C. Look Up The Procedure In A Nursing Textbook.
D. Consult The Agency‘S Procedure Manual And Follow The Guidelines For The
Procedure.
CORRECT ANSWER: D
It Is Always Best To Follow The Agency‘S Policies And Procedures Manual When
Seeking Information On Correct Patient Procedures. These Policies Should Reflect
The Current Standards Of Care And State Guidelines. Each Nurse Is Responsible
For Her Own Practice. Relying On Another Nurse May Not Always Be Safe Practice.
Each Nurse Is Obligated To Follow The Standards Of Care For Safe Patient Care
Delivery. Physicians Are Responsible For Their Own Patient Care Activity. Nurses
May Follow Safe Orders From Physicians, But They Are Also Responsible For The
Activities That They As Nurses Are To Carry Out. Information Provided In A
Nursing Textbook Is Basic Information For General Knowledge. Furthermore, The
Information In A Textbook May Not Reflect The Current Standard Of Care Or
Individual State Or Hospital Policies.
DIF: Cognitive Level: Application
OBJ: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity
8. From The Nurse‘S Perspective, What Measure Should Be The Focus Of The Health Care
System To Reduce The Rate Of Infant Mortality Further?
A. Implementing Programs To Ensure Women‘S Early Participation In Ongoing
Prenatal Care
B. Increasing The Length Of Stay In A Hospital After Vaginal Birth From 2 To 3 Days
C. Expanding The Number Of Neonatal Intensive Care Units (Nicus)
D. Mandating That All PREGNANT Women Receive Care From An Obstetrician
,CORRECT ANSWER: A
Early Prenatal Care Allows For Early Diagnosis And Appropriate Interventions To
Reduce The Rate Of Infant Mortality. An Increased Length Of Stay Has Been Shown
To Foster Improved Self-Care And Parental Education. However, It Does Not
Prevent The Incidence Of Leading Causes Of Infant Mortality Rates, Such As Low
Birth Weight. Early Prevention And Diagnosis Reduce The Rate Of Infant
Mortality. Nicus Offer Care To High-Risk Infants After They Are Born. Expanding
The Number Of Nicus Would Offer Better Access For High-Risk Care, But This
Factor Is Not The Primary Focus For Further Reduction Of Infant Mortality Rates.
A Mandate That All PREGNANT Women Receive Obstetric Care Would Be Nearly
Impossible To Enforce. Furthermore, Certified Nurse-Midwives (Cnms) Have
Demonstrated Reliable, Safe Care For PREGNANT Women.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion And Maintenance
9. Alternative And Complementary Therapies
A. Replace Conventional Western Modalities Of Treatment.
B. Are Used By Only A Small Number Of American Adults.
C. Recognize The Value Of Patients‘ Input Into Their Health Care.
D. Focus Primarily On The Disease An Individual Is Experiencing.
CORRECT ANSWER: C
Many Popular Alternative Healing Modalities Offer Human-Centered Care Based
On Philosophies That Recognize The Value Of The Patient‘S Input And Honor The
Individual‘S Beliefs, Values, And Desires. Alternative And Complementary
Therapies Are Part Of An Integrative Approach To Health Care. An Increasing
Number Of American Adults Are Seeking Alternative And Complementary Health
Care Options. Alternative Healing Modalities Offer A Holistic Approach To Health,
Focusing On The Whole Person, Not Just The Disease.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity
, 10. A 38-Year-Old Hispanic Woman Delivered A 9-Pound, 6-Ounce Girl Vaginally After
Being In Labor For 43 Hours. The Baby Died 3 Days Later From Sepsis. On What Grounds
Would The Woman Potentially Have A Legitimate Legal Case For Negligence?
A. She Is Hispanic.
B. She Delivered A Girl.
C. The Standards Of Care Were Not Met.
D. She Refused Fetal Monitoring.
CORRECT ANSWER: C
Not Meeting The Standards Of Care Is A Legitimate Factor For A Case Of
Negligence. The Patient‘S Race Is Not A Factor For A Case Of Negligence. The
Infant‘S Gender Is Not A Factor For A Case Of Negligence. Although Fetal
Monitoring Is The Standard Of Care, The Patient Has The Right To Refuse
Treatment. This Refusal Is Not A Case For Negligence; However, Informed Consent
Should Be Properly Obtained, And The Patient Should Sign An Against Medical
Advice Form For Refusal Of Any Treatment That Is Within The Standard Of Care.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion And Maintenance
11. A Newly Graduated Nurse Is Attempting To Understand The Reason For Increasing
Health Care Spending In The United States. Her Research Finds That These Costs Are
Much Higher Compared With Other Developed Countries As A Result Of
A. A Higher Rate Of Obesity Among PREGNANT Women.
B. Limited Access To Technology.
C. Increased Usage Of Health Care Services Along With Lower Prices.
D. Homogeneity Of The Population.
CORRECT ANSWER: A
Health Care Is One Of The Fastest Growing Sectors Of The U.S. Economy.
Currently, 17.7% Of The Gross Domestic Product Is Spent On Health Care. Higher
Spending In The United States Compared With 12 Other Industrialized Countries Is
