ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
______________________________________________________________________
_____________________
Test Bank for Maternal Child Nursing Care,
7th Edition
By Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion
ISBN: 9780323776714
MULTIPLE CHOICE QUESTIONS
1.
When caring for a pregnant woman, the nurse should recognize that one of the most commonly
reported maternal medical risk factors is:
a. Diabetes mellitus
b. Mitral valve prolapse (MVP)
c. Chronic hypertension
d. Anemia
Correct Answer: A — Diabetes mellitus
Rationale:
Diabetes mellitus and pregnancy-related hypertension are among the most frequently reported
maternal medical risk factors. Both conditions are strongly associated with maternal obesity.
There is no evidence indicating that mitral valve prolapse is a leading maternal risk factor.
Chronic hypertension differs from pregnancy-induced hypertension, which is more commonly
reported. Although anemia is a concern during pregnancy, it is not one of the most frequently
documented maternal medical risk factors.
Cognitive Level: Knowledge
Nursing Process: Assessment
Client Needs: Physiologic Integrity
2.
To promote optimal patient outcomes, contemporary maternity nurses integrate teamwork and
effective communication into care delivery. The SBAR communication framework stands for:
ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
,ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
______________________________________________________________________
_____________________
a. Situation, baseline assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
Correct Answer: B — Situation, Background, Assessment, Recommendation
Rationale:
The SBAR method (Situation, Background, Assessment, Recommendation) provides a structured
communication framework for healthcare professionals. Ineffective communication is a major
contributor to medical errors. Implementing SBAR enhances clarity, promotes patient safety, and
supports coordinated team-based care.
Cognitive Level: Comprehension
Nursing Process: Assessment, Planning
Client Needs: Safe and Effective Care Environment
3.
The evolving role of the professional nurse caring for childbearing families emphasizes:
a. Direct bedside patient care
b. Primarily hospital-based maternity care
c. Evidence-based practice
d. Planning for extended hospital stays
Correct Answer: C — Evidence-based practice
Rationale:
Modern maternity nursing focuses on collaborative, evidence-based care throughout the
childbearing cycle. While bedside care remains essential, the expanded professional role includes
outpatient services, education, community-based care, and quality improvement initiatives.
Hospital stays for maternity patients have decreased over the past two decades, making extended
hospitalization planning less relevant.
Cognitive Level: Comprehension
Nursing Process: Implementation
Client Needs: Safe and Effective Care Environment
4.
A 23-year-old African-American woman is pregnant with her first child. Considering infant
mortality statistics, which nursing action is most important?
ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
,ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
______________________________________________________________________
_____________________
a. Conduct a nutrition assessment
b. Refer the patient to a social worker
c. Recommend care by an obstetrician rather than a midwife
d. Stress the importance of maintaining prenatal appointments
Correct Answer: D — Emphasize consistent prenatal care
Rationale:
Regular prenatal care is the most effective intervention for preventing or managing risk factors
linked to infant mortality. Although nutrition and social services may be important, consistent
prenatal visits are foundational for early detection and intervention. It is inappropriate to assume
risk level based solely on race or to direct the patient toward a specific provider type without
clinical indication.
Cognitive Level: Application
Nursing Process: Planning
Client Needs: Health Promotion and Maintenance
5.
During a prenatal intake assessment of a 21-year-old Hispanic patient with limited English
proficiency, the nurse should:
a. Use medical terminology to increase familiarity
b. Speak quickly to reduce appointment length
c. Provide written handouts only
d. Verify the patient’s understanding of the discussion
Correct Answer: D — Assess comprehension
Rationale:
Nurses promote health literacy by using plain language, avoiding jargon, speaking clearly, and
confirming understanding. Simply providing written materials may not be effective, particularly
when language barriers exist. Ensuring comprehension is essential to safe and effective care.
Cognitive Level: Application
Nursing Process: Evaluation
Client Needs: Health Promotion and Maintenance
6.
In a prenatal clinic setting, the nurse should recognize that the most significant barrier to
healthcare access for pregnant women is:
ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
,ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
______________________________________________________________________
_____________________
a. Age
b. Minority status
c. Educational level
d. Inability to pay
Correct Answer: D — Inability to pay
Rationale:
Financial limitations represent the primary barrier to accessing healthcare services. This issue is
compounded when providers decline care for uninsured or underinsured patients. While age,
minority status, and educational disparities influence outcomes, inability to pay remains the most
significant obstacle to care access.
Cognitive Level: Knowledge
Nursing Process: Assessment
Client Needs: Safe and Effective Care Environment
7.
If a nurse is uncertain about how to perform a patient care procedure, the most appropriate action
is to:
a. Ask another nurse
b. Consult the patient’s physician
c. Review a nursing textbook
d. Refer to the agency’s procedure manual and follow established guidelines
Correct Answer: D — Consult the agency’s procedure manual
Rationale:
The safest and most professionally appropriate action is to consult the agency’s official
procedure manual to ensure adherence to current institutional policies and evidence-based
standards. While colleagues and textbooks may provide guidance, institutional protocols take
precedence in clinical practice.
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)
ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
______________________________________________________________________
_____________________
Test Bank for Maternal Child Nursing Care,
7th Edition
By Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion
ISBN: 9780323776714
MULTIPLE CHOICE QUESTIONS
1.
When caring for a pregnant woman, the nurse should recognize that one of the most commonly
reported maternal medical risk factors is:
a. Diabetes mellitus
b. Mitral valve prolapse (MVP)
c. Chronic hypertension
d. Anemia
Correct Answer: A — Diabetes mellitus
Rationale:
Diabetes mellitus and pregnancy-related hypertension are among the most frequently reported
maternal medical risk factors. Both conditions are strongly associated with maternal obesity.
There is no evidence indicating that mitral valve prolapse is a leading maternal risk factor.
Chronic hypertension differs from pregnancy-induced hypertension, which is more commonly
reported. Although anemia is a concern during pregnancy, it is not one of the most frequently
documented maternal medical risk factors.
Cognitive Level: Knowledge
Nursing Process: Assessment
Client Needs: Physiologic Integrity
2.
To promote optimal patient outcomes, contemporary maternity nurses integrate teamwork and
effective communication into care delivery. The SBAR communication framework stands for:
ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
,ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
______________________________________________________________________
_____________________
a. Situation, baseline assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
Correct Answer: B — Situation, Background, Assessment, Recommendation
Rationale:
The SBAR method (Situation, Background, Assessment, Recommendation) provides a structured
communication framework for healthcare professionals. Ineffective communication is a major
contributor to medical errors. Implementing SBAR enhances clarity, promotes patient safety, and
supports coordinated team-based care.
Cognitive Level: Comprehension
Nursing Process: Assessment, Planning
Client Needs: Safe and Effective Care Environment
3.
The evolving role of the professional nurse caring for childbearing families emphasizes:
a. Direct bedside patient care
b. Primarily hospital-based maternity care
c. Evidence-based practice
d. Planning for extended hospital stays
Correct Answer: C — Evidence-based practice
Rationale:
Modern maternity nursing focuses on collaborative, evidence-based care throughout the
childbearing cycle. While bedside care remains essential, the expanded professional role includes
outpatient services, education, community-based care, and quality improvement initiatives.
Hospital stays for maternity patients have decreased over the past two decades, making extended
hospitalization planning less relevant.
Cognitive Level: Comprehension
Nursing Process: Implementation
Client Needs: Safe and Effective Care Environment
4.
A 23-year-old African-American woman is pregnant with her first child. Considering infant
mortality statistics, which nursing action is most important?
ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
,ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
______________________________________________________________________
_____________________
a. Conduct a nutrition assessment
b. Refer the patient to a social worker
c. Recommend care by an obstetrician rather than a midwife
d. Stress the importance of maintaining prenatal appointments
Correct Answer: D — Emphasize consistent prenatal care
Rationale:
Regular prenatal care is the most effective intervention for preventing or managing risk factors
linked to infant mortality. Although nutrition and social services may be important, consistent
prenatal visits are foundational for early detection and intervention. It is inappropriate to assume
risk level based solely on race or to direct the patient toward a specific provider type without
clinical indication.
Cognitive Level: Application
Nursing Process: Planning
Client Needs: Health Promotion and Maintenance
5.
During a prenatal intake assessment of a 21-year-old Hispanic patient with limited English
proficiency, the nurse should:
a. Use medical terminology to increase familiarity
b. Speak quickly to reduce appointment length
c. Provide written handouts only
d. Verify the patient’s understanding of the discussion
Correct Answer: D — Assess comprehension
Rationale:
Nurses promote health literacy by using plain language, avoiding jargon, speaking clearly, and
confirming understanding. Simply providing written materials may not be effective, particularly
when language barriers exist. Ensuring comprehension is essential to safe and effective care.
Cognitive Level: Application
Nursing Process: Evaluation
Client Needs: Health Promotion and Maintenance
6.
In a prenatal clinic setting, the nurse should recognize that the most significant barrier to
healthcare access for pregnant women is:
ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
,ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
______________________________________________________________________
_____________________
a. Age
b. Minority status
c. Educational level
d. Inability to pay
Correct Answer: D — Inability to pay
Rationale:
Financial limitations represent the primary barrier to accessing healthcare services. This issue is
compounded when providers decline care for uninsured or underinsured patients. While age,
minority status, and educational disparities influence outcomes, inability to pay remains the most
significant obstacle to care access.
Cognitive Level: Knowledge
Nursing Process: Assessment
Client Needs: Safe and Effective Care Environment
7.
If a nurse is uncertain about how to perform a patient care procedure, the most appropriate action
is to:
a. Ask another nurse
b. Consult the patient’s physician
c. Review a nursing textbook
d. Refer to the agency’s procedure manual and follow established guidelines
Correct Answer: D — Consult the agency’s procedure manual
Rationale:
The safest and most professionally appropriate action is to consult the agency’s official
procedure manual to ensure adherence to current institutional policies and evidence-based
standards. While colleagues and textbooks may provide guidance, institutional protocols take
precedence in clinical practice.
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)
ernal
:05:22Child
AMPerry_
10/6/2026,
Nursing
Maternal
Care,
4:05:22
7th
Child
AMPerry_
Edition.tb.pdf)(#UUNDS*(HN
Nursing Maternal
Care, 7th
Child
Edition.tb.pdf)(#UUNDS*(HN
Nursing
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Care, 7th Edition.tb.pdf)(#UUNDS*(HN
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
(*OIUJE(**&EHUH(*&OIUEH*&E*&YE(E*E*(*EII&UPerry_
Maternal Child Nursing
Maternal
Care, 7th
Child
Edition.tb.pdf
Nursing Maternal
Care, 7th
ChE
