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TEST BANK FOR MATERNAL CHILD NURSING CARE 7TH EDITION BY SHANNON E. PERRY

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TEST BANK FOR MATERNAL CHILD NURSING CARE 7TH EDITION BY SHANNON E. PERRY 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. ANS: 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 ANS: 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. ANS: 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 developing strategies to improve the well-being of women and their infants and 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. ANS: 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. ANS: 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. ANS: 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

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TEST BANK FOR MATERNAL
CHILD NURSING CARE 7TH
EDITION BY SHANNON E. PERRY

,Chapter 01: 21st Century Maternity Nursing Perr
q q q q q q

y: Maternal Child Nursing Care, 7th Edition
q q q q q q




MULTIPLEqCHOICE

1. Whenqprovidingqcareqforqaqpregnantqwoman,qtheqnurseqshouldqbeqawareqthatqoneqofqtheqmostqfr
equentlyqreportedqmaternalqmedicalqriskqfactorsqis
a. diabetesqmellitus.
b. mitralqvalveqprolapseq(MVP).
c. chronicqhypertension.
d. anemia.
ANS:q A
Theqmostqfrequentlyqreportedqmaternalqmedicalqriskqfactorsqareqdiabetesqandqhypertensionqassoc
iatedqwithqpregnancy.qBothqofqtheseqconditionsqareqassociatedqwithqmaternalqobesity.qThereqareq
noqstudiesqthatqindicateqMVPqisqamongqtheqmostqfrequentlyqreportedqmaternalqriskqfactors.qHype
rtensionqassociatedqwithqpregnancy,qnotqchronicqhypertension,qisqoneqofqtheqmostqfrequentlyqrep
ortedqmaternalqmedicalqriskqfactors.qAlthoughqanemiaqisqaqconcernqinqpregnancy,qitqisqnotqoneqofqt
heqmostqfrequentlyqreportedqmaternalqmedicalqriskqfactorsqinqpregnancy.

DIF: CognitiveqLevel:qKnowledge
OBJ:qNursingqProcess:qAssessmentqMSC:q ClientqNeeds:qPhysiologicqInte
grity

2. Toqensureqoptimalqoutcomesqforqtheqpatient,qtheqcontemporaryqmaternityqnurseqmustqincorpora
teqbothqteamworkqandqcommunicationqwithqcliniciansqintoqcareqdelivery.qTheqSBARqtechniqueq
ofqcommunicationqisqanqeasy-to-
rememberqmechanismqforqcommunication.qWhichqofqtheqfollowingqcorrectlyqdefinesqthisqacron
ym?
a. Situation,qbaselineqassessment,qresponse
b. Situation,qbackground,qassessment,qrecommendation
c. Subjectiveqbackground,qassessment,qrecommendation
d. Situation,qbackground,qanticipatedqrecommendation
ANS:q B
Theqsituation,qbackground,qassessment,qrecommendationq(SBAR)qtechniqueqprovidesqaqspecifi
cqframeworkqforqcommunicationqamongqhealthqcareqproviders.qFailureqtoqcommunicateqisqoneqo
fqtheqmajorqreasonsqforqerrorsqinqhealthqcare.qTheqSBARqtechniqueqhasqtheqpotentialqtoqserveqasqa
qmeansqtoqreduceqerrors.




DIF: CognitiveqLevel:qComprehension
OBJ:qNursingqProcess:qAssessmentq|qNursingqProcess:qPlanningq
MSC:q ClientqNeeds:qSafeqandqEffectiveqCareqEnvironment

3. Theqroleqofqtheqprofessionalqnurseqcaringqforqchildbearingqfamiliesqhasqevolvedqtoqemphasize
a. providingqcareqtoqpatientsqdirectlyqatqtheqbedside.
b. primarilyqhospitalqcareqofqmaternityqpatients.
c. practicequsingqanqevidence-basedqapproach.
d. planningqpatientqcareqtoqcoverqlongerqhospitalqstays.

ANS:q C
Professionalqnursesqareqpartqofqtheqteamqofqhealthqcareqprovidersqwhoqcollaborativelyqcareqforqpa
tientsqthroughoutqtheqchildbearingqcycle.qProvidingqcareqtoqpatientsqdirectlyqatqtheqbedsideqisqone
qofqtheqnurse‘sqtasks;qhowever,qitqdoesqnotqencompassqtheqconceptqofqtheqevolvedqprofessionalqn

urse.qThroughoutqtheqprenatalqperiod,qnursesqcareqforqwomenqinqclinicsqandqphysician‘sqofficesq
andqteachqclassesqtoqhelpqfamiliesqprepareqforqchildbirth.qNursesqalsoqcareqforqchildbearingqfamil
iesqinqbirthingqcentersqandqinqtheqhome.qNursesqhaveqbeenqcriticallyqimportantqinqdevelopingqstra
tegiesqtoqimproveqtheqwell-beingqofqwomenqandqtheirqinfantsqand

, haveqledqtheqeffortsqtoqimplementqclinicalqpracticeqguidelinesqusingqanqevidence-
basedqapproach.qMaternityqpatientsqhaveqexperiencedqaqdecreased,qratherqthanqanqincreased,qlen
gthqofqstayqoverqtheqpastqtwoqdecades.

DIF: CognitiveqLevel:qComprehension
OBJ:qNursingqProcess:qImplementationqMSC:q ClientqNeeds:qSafeqandqEffecti
veqCareqEnvironment

4. Aq23-year-oldqAfrican-
Americanqwomanqisqpregnantqwithqherqfirstqchild.qBasedqonqtheqstatisticsqforqinfantqmort
ality,qwhichqplanqisqmostqimportantqforqtheqnurseqtoqimplement?
a. Performqaqnutritionqassessment.
b. Referqtheqwomanqtoqaqsocialqworker.
c. Adviseqtheqwomanqtoqseeqanqobstetrician,qnotqaqmidwife.
d. Explainqtoqtheqwomanqtheqimportanceqofqkeepingqherqprenatalqcareqappointments.
ANS:q D
Consistentqprenatalqcareqisqtheqbestqmethodqofqpreventingqorqcontrollingqriskqfactorsqassociatedq
withqinfantqmortality.qNutritionalqstatusqisqanqimportantqmodifiableqriskqfactor,qbutqaqnutritionqas
sessmentqisqnotqtheqmostqimportantqactionqaqnurseqshouldqtakeqinqthisqsituation.qTheqpatientqmayq
needqassistanceqfromqaqsocialqworkerqatqsomeqtimeqduringqherqpregnancy,qbutqaqreferralqtoqaqsoci
alqworkerqisqnotqtheqmostqimportantqaspectqtheqnurseqshouldqaddressqatqthisqtime.qIfqtheqwomanqh
asqidentifiableqhigh-
riskqproblems,qherqhealthqcareqmayqneedqtoqbeqprovidedqbyqaqphysician.qHowever,qitqcannotqbeqa
ssumedqthatqallqAfrican-
Americanqwomenqhaveqhighqriskqissues.qInqaddition,qadvisingqtheqwomanqtoqseeqanqobstetricianq
isqnotqtheqmostqimportantqaspectqonqwhichqtheqnurseqshouldqfocusqatqthisqtime,qandqitqisqnotqappro
priateqforqaqnurseqtoqadviseqorqmanageqtheqtypeqofqcareqaqpatientqisqtoqreceive.

DIF: CognitiveqLevel:qApplication
OBJ:qNursingqProcess:qPlanningqMSC:q ClientqNeeds:qHealthqPromoti
onqandqMaintenance

5. Duringqaqprenatalqintakeqinterview,qtheqnurseqisqinqtheqprocessqofqobtainingqanqinitialqassessmen
tqofqaq21-year-
oldqHispanicqpatientqwithqlimitedqEnglishqproficiency.qItqisqimportantqforqtheqnurseqto
a. useqmaternityqjargonqinqorderqforqtheqpatientqtoqbecomeqfamiliarqwithqtheseqterms.
b. speakqquicklyqandqefficientlyqtoqexpediteqtheqvisit.
c. provideqtheqpatientqwithqhandouts.
d. assessqwhetherqtheqpatientqunderstandsqtheqdiscussion.
ANS:q D
Nursesqcontributeqtoqhealthqliteracyqbyqusingqsimple,qcommonqwords;qavoidingqjargon;qandqe
valuatingqwhetherqtheqpatientqunderstandsqtheqdiscussion.qSpeakingqslowlyqandqclearlyqandqfo
cusingqonqwhatqisqimportantqincreasequnderstanding.qMostqpatientqeducationqmaterialsqareqwri
ttenqatqtooqhighqaqlevelqforqtheqaverageqadultqandqmayqnotqbequsefulqforqaqpatientqwithqlimitedq
Englishqproficiency.
DIF: CognitiveqLevel:qApplication
OBJ:qNursingqProcess:qEvaluationqMSC:q ClientqNeeds:qHealthqPromoti
onqandqMaintenance

6. Whenqmanagingqhealthqcareqforqpregnantqwomenqatqaqprenatalqclinic,qtheqnurseqshouldqr
ecognizeqthatqtheqmostqsignificantqbarrierqtoqaccessqtoqcareqisqtheqpregnantqwoman‘s
a. age.
b. minorityqstatus.
c. educationalqlevel.
d. inabilityqtoqpay.
ANS:q D
Theqmostqsignificantqbarrierqtoqhealthqcareqaccessqisqtheqinabilityqtoqpayqforqservices;qthisqisqcomp

, oundedqbyqtheqfactqthatqmanyqphysiciansqrefuseqtoqcareqforqwomenqwhoqcannotqpay.qAlthoughqad
olescentqpregnantqpatientsqstatisticallyqreceiveqlessqprenatalqcare,qageqisqnotqthe

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