TEST BANK FOR
MATERNAL CHILD NURSING CARE 7TH EDITION
BY SHANNON E. PERRY, MARILYN J. HOCKENBERRY, | WITH VERIFIED
ANSWERS TO ALL CHAPTER
,Table of Contents
Chapter 01: 21st Century Maternity Nursing ........................................................................................... 4
Chapter 02: Community Care: The Family And Culture .......................................................................... 25
Chapter 03: Assessment And Health Promotion .................................................................................... 42
Chapter 04: Reproductive System Concerns .......................................................................................... 70
Chapter 05: Infertility, Contraception, And Abortion ........................................................................... 106
Chapter 06: Genetics, Conception, And Fetal Development ................................................................ 135
Chapter 07: Anatomy And Physiology Of Pregnancy ............................................................................ 162
Chapter 08: Nursing Care Of The Family During Pregnancy ................................................................. 187
Chapter 09: Maternal And Fetal Nutrition ............................................................................................ 216
Chapter 10: Assessment Of High Risk Pregnancy ................................................................................. 243
Chapter 11: High Risk Perinatal Care: Preexisting Conditions .............................................................. 265
Chapter 12: High Risk Perinatal Care: Gestational Conditions ............................................................. 299
Chapter 13: Labor And Birth Processes ................................................................................................ 334
Chapter 14: Pain Management ............................................................................................................. 356
Chapter 15: Fetal Assessment During Labor ......................................................................................... 385
Chapter 16: Nursing Care Of The Family During Labor And Birth ......................................................... 415
Chapter 17: Labor And Birth Complications ......................................................................................... 454
Chapter 18: Maternal Physiologic Changes .......................................................................................... 481
Chapter 19: Nursing Care Of The Family During The Postpartum Period............................................. 504
Chapter 20: Transition To Parenthood ................................................................................................. 527
Chapter 21: Postpartum Complications ................................................................................................ 552
Chapter 22: Physiologic And Behavioral Adaptations Of The Newborn ............................................... 583
Chapter 23: Nursing Care Of The Newborn And Family ....................................................................... 615
Chapter 24: Newborn Nutrition And Feeding ....................................................................................... 635
Chapter 25: The High Risk Newborn ..................................................................................................... 664
Chapter 26: 21st Century Pediatric Nursing ......................................................................................... 705
Chapter 27: Family, Social, Cultural, And Religious Influences On Child Health Promotion ................ 715
Chapter 28: Developmental And Genetic Influences On Child Health Promotion ............................... 728
Chapter 29: Communication, History, And Physical Assessment ......................................................... 752
,Chapter 30: Pain Assessment And Management In Children ............................................................... 784
Chapter 31: The Infant And Family ....................................................................................................... 801
Chapter 32: The Toddler And Family .................................................................................................... 838
Chapter 33: The Preschooler And Family................................................... Error! Bookmark not defined.
Chapter 34: The School-Age Child And Family ........................................... Error! Bookmark not defined.
Chapter 35: The Adolescent And Family .................................................... Error! Bookmark not defined.
Chapter 36: Impact Of Chronic Illness, Disability, And End-Of-Life Care For The Child And Family . Error!
Bookmark not defined.
Chapter 37: Impact Of Cognitive Or Sensory Impairment On The Child And Family Error! Bookmark not
defined.
Chapter 38: Family-Centered Care Of The Child During Illness And Hospitalization Error! Bookmark not
defined.
Chapter 39: Pediatric Variations Of Nursing Interventions ....................... Error! Bookmark not defined.
Chapter 40: Respiratory Dysfunction ......................................................... Error! Bookmark not defined.
Chapter 41: Gastrointestinal Dysfunction ................................................. Error! Bookmark not defined.
Chapter 42: Cardiovascular Dysfunction.................................................... Error! Bookmark not defined.
Chapter 43: Hematologic And Immunologic Dysfunction ......................... Error! Bookmark not defined.
Chapter 44: Cancer .................................................................................... Error! Bookmark not defined.
Chapter 45: Genitourinary Dysfunction ..................................................... Error! Bookmark not defined.
Chapter 46: Cerebral Dysfunction.............................................................. Error! Bookmark not defined.
Chapter 47: Endocrine Dysfunction ........................................................... Error! Bookmark not defined.
Chapter 48: Musculoskeletal Or Articular Dysfunction ............................. Error! Bookmark not defined.
Chapter 49: Neuromuscular Or Muscular Dysfunction ............................. Error! Bookmark not defined.
Chapter 50: The Child With A Musculoskeletal Alteration ........................ Error! Bookmark not defined.
Chapter 51: The Child With An Endocrine Or Metabolic Alteration .......... Error! Bookmark not defined.
Chapter 52: The Child With A Neurologic Alteration ................................. Error! Bookmark not defined.
Chapter 53: Psychosocial Problems In Children And Families ................... Error! Bookmark not defined.
Chapter 54: The Child With An Intellectual Disability Or Developmental Disability Error! Bookmark not
defined.
Chapter 55: The Child With A Sensory Alteration ..................................... Error! Bookmark not defined.
,Chapter 01: 21st Century Maternity Nursing
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.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
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 Her 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 14 OBJ: Nursing Process: Assessment, 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 NURSEs Tasks; However, It Does Not Encompass The Concept Of The Evolved Professional
NURSE. Throughout The Prenatal Period, NURSEs Care For Women In Clinics And Physicians 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 2 Decades.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
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 Client With Limited English Proficiency.
PTS: 1 DIF: Cognitive Level: Application REF: 5
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
A. Age. C. Educational Level.
B. Minority Status.D. Inability To Pay.
ANS:D
MATERNAL CHILD NURSING CARE 7TH EDITION
BY SHANNON E. PERRY, MARILYN J. HOCKENBERRY, | WITH VERIFIED
ANSWERS TO ALL CHAPTER
,Table of Contents
Chapter 01: 21st Century Maternity Nursing ........................................................................................... 4
Chapter 02: Community Care: The Family And Culture .......................................................................... 25
Chapter 03: Assessment And Health Promotion .................................................................................... 42
Chapter 04: Reproductive System Concerns .......................................................................................... 70
Chapter 05: Infertility, Contraception, And Abortion ........................................................................... 106
Chapter 06: Genetics, Conception, And Fetal Development ................................................................ 135
Chapter 07: Anatomy And Physiology Of Pregnancy ............................................................................ 162
Chapter 08: Nursing Care Of The Family During Pregnancy ................................................................. 187
Chapter 09: Maternal And Fetal Nutrition ............................................................................................ 216
Chapter 10: Assessment Of High Risk Pregnancy ................................................................................. 243
Chapter 11: High Risk Perinatal Care: Preexisting Conditions .............................................................. 265
Chapter 12: High Risk Perinatal Care: Gestational Conditions ............................................................. 299
Chapter 13: Labor And Birth Processes ................................................................................................ 334
Chapter 14: Pain Management ............................................................................................................. 356
Chapter 15: Fetal Assessment During Labor ......................................................................................... 385
Chapter 16: Nursing Care Of The Family During Labor And Birth ......................................................... 415
Chapter 17: Labor And Birth Complications ......................................................................................... 454
Chapter 18: Maternal Physiologic Changes .......................................................................................... 481
Chapter 19: Nursing Care Of The Family During The Postpartum Period............................................. 504
Chapter 20: Transition To Parenthood ................................................................................................. 527
Chapter 21: Postpartum Complications ................................................................................................ 552
Chapter 22: Physiologic And Behavioral Adaptations Of The Newborn ............................................... 583
Chapter 23: Nursing Care Of The Newborn And Family ....................................................................... 615
Chapter 24: Newborn Nutrition And Feeding ....................................................................................... 635
Chapter 25: The High Risk Newborn ..................................................................................................... 664
Chapter 26: 21st Century Pediatric Nursing ......................................................................................... 705
Chapter 27: Family, Social, Cultural, And Religious Influences On Child Health Promotion ................ 715
Chapter 28: Developmental And Genetic Influences On Child Health Promotion ............................... 728
Chapter 29: Communication, History, And Physical Assessment ......................................................... 752
,Chapter 30: Pain Assessment And Management In Children ............................................................... 784
Chapter 31: The Infant And Family ....................................................................................................... 801
Chapter 32: The Toddler And Family .................................................................................................... 838
Chapter 33: The Preschooler And Family................................................... Error! Bookmark not defined.
Chapter 34: The School-Age Child And Family ........................................... Error! Bookmark not defined.
Chapter 35: The Adolescent And Family .................................................... Error! Bookmark not defined.
Chapter 36: Impact Of Chronic Illness, Disability, And End-Of-Life Care For The Child And Family . Error!
Bookmark not defined.
Chapter 37: Impact Of Cognitive Or Sensory Impairment On The Child And Family Error! Bookmark not
defined.
Chapter 38: Family-Centered Care Of The Child During Illness And Hospitalization Error! Bookmark not
defined.
Chapter 39: Pediatric Variations Of Nursing Interventions ....................... Error! Bookmark not defined.
Chapter 40: Respiratory Dysfunction ......................................................... Error! Bookmark not defined.
Chapter 41: Gastrointestinal Dysfunction ................................................. Error! Bookmark not defined.
Chapter 42: Cardiovascular Dysfunction.................................................... Error! Bookmark not defined.
Chapter 43: Hematologic And Immunologic Dysfunction ......................... Error! Bookmark not defined.
Chapter 44: Cancer .................................................................................... Error! Bookmark not defined.
Chapter 45: Genitourinary Dysfunction ..................................................... Error! Bookmark not defined.
Chapter 46: Cerebral Dysfunction.............................................................. Error! Bookmark not defined.
Chapter 47: Endocrine Dysfunction ........................................................... Error! Bookmark not defined.
Chapter 48: Musculoskeletal Or Articular Dysfunction ............................. Error! Bookmark not defined.
Chapter 49: Neuromuscular Or Muscular Dysfunction ............................. Error! Bookmark not defined.
Chapter 50: The Child With A Musculoskeletal Alteration ........................ Error! Bookmark not defined.
Chapter 51: The Child With An Endocrine Or Metabolic Alteration .......... Error! Bookmark not defined.
Chapter 52: The Child With A Neurologic Alteration ................................. Error! Bookmark not defined.
Chapter 53: Psychosocial Problems In Children And Families ................... Error! Bookmark not defined.
Chapter 54: The Child With An Intellectual Disability Or Developmental Disability Error! Bookmark not
defined.
Chapter 55: The Child With A Sensory Alteration ..................................... Error! Bookmark not defined.
,Chapter 01: 21st Century Maternity Nursing
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.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
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 Her 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 14 OBJ: Nursing Process: Assessment, 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 NURSEs Tasks; However, It Does Not Encompass The Concept Of The Evolved Professional
NURSE. Throughout The Prenatal Period, NURSEs Care For Women In Clinics And Physicians 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 2 Decades.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
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 Client With Limited English Proficiency.
PTS: 1 DIF: Cognitive Level: Application REF: 5
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
A. Age. C. Educational Level.
B. Minority Status.D. Inability To Pay.
ANS:D
