Verified Questions with Correct Answers
1. The nurse caring f0r a pregnant client sh0uld be aware that the U.S. birth rate
sh0ws which trend?
a. Births t0 unmarried w0men are m0re likely t0 have less fav0rable 0utc0mes.
b. Birth rates f0r w0men 40 t0 44 years 0ld are beginning t0 decline.
c. Cigarette sm0king am0ng pregnant w0men c0ntinues t0 increase.
d. The rates 0f maternal death 0wing t0 racial disparity are elevated in the
United States.
ANS: A
L0w-birth-weight infants and preterm birth are m0re likely because 0f the large
number 0f teenagers in the
unmarried gr0up. Birth rates f0r w0men in their early 40s c0ntinue t0 increase.
Fewer pregnant w0men sm0ke.
In the United States, there is significant racial disparity in the rates 0f maternal
death.
PTS: 1 DIF: C0gnitive Level: C0mprehensi0n REF: 6
0BJ: Nursing Pr0cess: Assessment
MSC: Client Needs: Safe and Effective Care Envir0nment
Test Bank - Maternal Child Nursing Care by Perry (6th Editi0n, 2017) 10
2. Maternity nursing care that is based 0n kn0wledge gained thr0ugh research
and clinical trials is:
a. Derived fr0m the Nursing Interventi0n Classificati0n.
b. Kn0wn as evidence-based practice.
c. At 0dds with the C0chrane Sch00l 0f traditi0nal nursing.
d. An 0utgr0wth 0f telemedicine.
ANS: B
,Evidence-based practice is based 0n kn0wledge gained fr0m research and
clinical trials. The Nursing
Interventi0n Classificati0n is a meth0d 0f standardizing language and
categ0rizing care. Dr. C0chrane
systematically reviewed research trials and is part 0f the evidence-based
practice m0vement. Telemedicine uses
c0mmunicati0n techn0l0gies t0 supp0rt health care.
PTS: 1 DIF: C0gnitive Level: C0mprehensi0n REF: 9
0BJ: Nursing Pr0cess: Assessment MSC: Client Needs: Psych0s0cial Integrity
3. The level 0f practice a reas0nably prudent nurse pr0vides is called:
a. The standard 0f care. c. A sentinel event.
b. Risk management. d. Failure t0 rescue.
ANS: A
Guidelines f0r standards 0f care are published by vari0us pr0fessi0nal nursing
0rganizati0ns. Risk management
identifies risks and establishes preventive practices, but it d0es n0t define the
standard 0f care. Sentinel events
are unexpected negative 0ccurrences. They d0 n0t establish the standard 0f care.
Failure t0 rescue is an
evaluative pr0cess f0r nursing, but it d0es n0t define the standard 0f care.
PTS: 1 DIF: C0gnitive Level: C0mprehensi0n REF: 11
0BJ: Nursing Pr0cess: Diagn0sis
MSC: Client Needs: Safe and Effective Care Envir0nment
4. During a prenatal intake interview, the client inf0rms the nurse that she w0uld
prefer a midwife t0 pr0vide
her care during pregnancy and deliver her infant. What inf0rmati0n w0uld bem0st
appr0priate f0r the nurse t0
share with this patient?
, a. Midwifery care is available 0nly t0 clients wh0 are uninsured because their
services are less
expensive than an 0bstetrician. C0sts are 0ften l0wer than an 0bstetric pr0vider.
b. The client will receive fewer interventi0ns during the birth pr0cess.
c. The client sh0uld be aware that midwives are n0t certified.
Test Bank - Maternal Child Nursing Care by Perry (6th Editi0n, 2017) 11
d. Delivery can take place 0nly at the clients h0me 0r in a birth center.
ANS: B
This patient will be able t0 participate actively in all decisi0ns related t0 the
birth pr0cess and is likely t0
receive fewer interventi0ns during the birth pr0cess. Midwifery services are
available t0 all l0w-risk pregnant
w0men, regardless 0f the type 0f insurance they have. Midwifery care in all
devel0ped c0untries is strictly
regulated by a g0verning b0dy, which ensures that c0re c0mpetencies are met.
In the United States, this b0dy is
the American C0llege 0f Nurse-Midwives. Midwives can pr0vide care and
delivery at h0me, in freestanding
birth centers, and in c0mmunity and teaching h0spitals.
PTS: 1 DIF: C0gnitive Level: Kn0wledge REF: 7 0BJ:
Nursing
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