Test Bank For Maternal Child Nursing Care, 5th Edition by Perry, Shannon E., Hockenberry
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,Item Bank: Perry Maternal Child Nursing Care 5th edition
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Objective: CH 01: 21st Century Maternity Nursing
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1. Question Name: 0001 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing
s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
When providing care for a pregnant woman, the nurse should be aware that one of the most
s s s s s s s s s s s s s s s s
frequently reported maternal medical risk factors is:
s s s s s s s
* A. Diabetes mellitus.
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B. Mitral valve prolapse (MVP).
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C. Chronic hypertension.
s s
D. Anemia. s
Correct Answer: A s s
Explanation/Rationale:
s
ANS: A s
The most frequently reported maternal medical risk factors are diabetes and hypertension
s s s s s s s s s s s
associated with pregnancy. Both of these conditions are associated with maternal obesity. There
s s s s s s s s s s s s s
are no studies that indicate MVP is among the most frequently reported maternal risk factors.
s s s s s s s s s s s s s s s
Hypertension associated with pregnancy, not chronic hypertension, is one of the most frequently
s s s s s s s s s s s s
reported maternal medical risk factors. Although anemia is a concern in pregnancy, it is not one
s s s s s s s s s s s s s s s s
of the most frequently reported maternal medical risk factors in pregnancy.
s s s s s s s s s s s
2. Question Name: 0002 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing
s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
s s s s s s s s s s s s
both teamwork and communication with clinicians into her care delivery, The SBAR technique of
s s s s s s s s s s s s s s
communication is an easy-to-remember mechanism for communication. Which of the following
s s s s s s s s s s s
correctly defines this acronym?
s s s s
A. Situation, baseline assessment, response s s s
* B. Situation, background, assessment, recommendation
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C. Subjective background, assessment, recommendation s s s
D. Situation, background, anticipated recommendation s s s
Correct Answer: B s s
Explanation/Rationale:
s
ANS: B s
, The situation, background, assessment, recommendation (SBAR) technique provides a specific
s s s s s s s s s
framework for communication among health care providers. Failure to communicate is one of the
s s s s s s s s s s s s s s
major reasons for errors in health care. The SBAR technique has the potential to serve as a means
s s s s s s s s s s s s s s s s s s
to reduce errors.
s s s
3. Question Name: 0003 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing
s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
The role of the professional nurse caring for childbearing families has evolved to emphasize:
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A. Providing care to patients directly at the bedside. s s s s s s s
B. Primarily hospital care of maternity patients. s s s s s
* C. Practice using an evidence-based approach.
s s s s s
D. Planning patient care to cover longer hospital stays.
s s s s s s s s
Correct Answer: C s s
Explanation/Rationale:
s
ANS: C s
Professional nurses are part of the team of health care providers who collaboratively care for
s s s s s s s s s s s s s s
patients throughout the childbearing cycle. Providing care to patients directly at the bedside is
s s s s s s s s s s s s s s
one of the nurse‟s tasks; however, it does not encompass the concept of the evolved professional
s s s s s s s s s s s s s s s s
nurse. Throughout the prenatal period, nurses care for women in clinics and physician‟s offices
s s s s s s s s s s s s s s
and teach classes to help families prepare for childbirth. Nurses also care for childbearing
s s s s s s s s s s s s s s
families in birthing centers and in the home. Nurses have been critically important in developing
s s s s s s s s s s s s s s s
strategies to improve the well-being of women and their infants and have led the efforts to
s s s s s s s s s s s s s s s s
implement clinical practice guidelines using an evidence-based approach. Maternity patients
s s s s s s s s s s
have experienced a decreased, rather than an increased, length of stay over the past 2 decades.
s s s s s s s s s s s s s s s s
4. Question Name: 0004 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing
s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant
s s s s s s s s s s s s s s s
mortality, which plan is most important for the nurse to implement?
s s s s s s s s s s s
A. Perform a nutrition assessment. s s s
B. Refer the woman to a social worker.
s s s s s s
C. Advise the woman to see an obstetrician, not a midwife.
s s s s s s s s s
* D. Explain to the woman the importance of keeping her prenatal care appointments.
s s s s s s s s s s s s
Correct Answer: D s s
, Explanation/Rationale:
ANS: D s
Consistent prenatal care is the best method of preventing or controlling risk factors associated
s s s s s s s s s s s s s
with infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition
s s s s s s s s s s s s s s
assessment is not the most important action a nurse should take in this situation. The patient may
s s s s s s s s s s s s s s s s s
need assistance from a social worker at some time during her pregnancy, but a referral to a social
s s s s s s s s s s s s s s s s s s
worker is not the most important aspect the nurse should address at this time. If the woman has
s s s s s s s s s s s s s s s s s s
identifiable high-risk problems, her health care may need to be provided by a physician.
s s s s s s s s s s s s s s
However, it cannot be assumed that all African-American women have high-risk issues. In
s s s s s s s s s s s s
addition, advising the woman to see an obstetrician is not the most important aspect on which the
s s s s s s s s s s s s s s s s s
nurse should focus at this time, and it is not appropriate for a nurse to advise or manage the type of
s s s s s s s s s s s s s s s s s s s s s
care a patient is to receive.
s s s s s s
5. Question Name: 0005 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a
s s s s s s s s s s s s s s s s s
21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to:
s s s s s s s s s s s s s s
A. Use maternity jargon in order for the patient to become familiar with these terms.
s s s s s s s s s s s s s
B. Speak quickly and efficiently to expedite the visit.
s s s s s s s
C. Provide the patient with handouts. s s s s
* D. Assess whether the patient understands the discussion.
s s s s s s s
Correct Answer: D s s
Explanation/Rationale:
s
ANS: D s
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and
s s s s s s s s s s s s
evaluating whether the patient understands the discussion. Speaking slowly and clearly and
s s s s s s s s s s s s
focusing on what is important increase understanding. Most patient education materials are
s s s s s s s s s s s s
written at too high a level for the average adult and may not be useful for a client with limited
s s s s s s s s s s s s s s s s s s s s
English proficiency.
s s
6. Question Name: 0006 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that
s s s s s s s s s s s s s s s
the most significant barrier to access to care is the pregnant woman‟s:
s s s s s s s s s s s s
A. Age.
s s s s s s s s s s s s s
,Item Bank: Perry Maternal Child Nursing Care 5th edition
s s s s s s s s
Objective: CH 01: 21st Century Maternity Nursing
s s s s s s s
1. Question Name: 0001 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing
s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
When providing care for a pregnant woman, the nurse should be aware that one of the most
s s s s s s s s s s s s s s s s
frequently reported maternal medical risk factors is:
s s s s s s s
* A. Diabetes mellitus.
s s
B. Mitral valve prolapse (MVP).
s s s s
C. Chronic hypertension.
s s
D. Anemia. s
Correct Answer: A s s
Explanation/Rationale:
s
ANS: A s
The most frequently reported maternal medical risk factors are diabetes and hypertension
s s s s s s s s s s s
associated with pregnancy. Both of these conditions are associated with maternal obesity. There
s s s s s s s s s s s s s
are no studies that indicate MVP is among the most frequently reported maternal risk factors.
s s s s s s s s s s s s s s s
Hypertension associated with pregnancy, not chronic hypertension, is one of the most frequently
s s s s s s s s s s s s
reported maternal medical risk factors. Although anemia is a concern in pregnancy, it is not one
s s s s s s s s s s s s s s s s
of the most frequently reported maternal medical risk factors in pregnancy.
s s s s s s s s s s s
2. Question Name: 0002 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing
s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
s s s s s s s s s s s s
both teamwork and communication with clinicians into her care delivery, The SBAR technique of
s s s s s s s s s s s s s s
communication is an easy-to-remember mechanism for communication. Which of the following
s s s s s s s s s s s
correctly defines this acronym?
s s s s
A. Situation, baseline assessment, response s s s
* B. Situation, background, assessment, recommendation
s s s s
C. Subjective background, assessment, recommendation s s s
D. Situation, background, anticipated recommendation s s s
Correct Answer: B s s
Explanation/Rationale:
s
ANS: B s
, The situation, background, assessment, recommendation (SBAR) technique provides a specific
s s s s s s s s s
framework for communication among health care providers. Failure to communicate is one of the
s s s s s s s s s s s s s s
major reasons for errors in health care. The SBAR technique has the potential to serve as a means
s s s s s s s s s s s s s s s s s s
to reduce errors.
s s s
3. Question Name: 0003 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing
s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
The role of the professional nurse caring for childbearing families has evolved to emphasize:
s s s s s s s s s s s s s
A. Providing care to patients directly at the bedside. s s s s s s s
B. Primarily hospital care of maternity patients. s s s s s
* C. Practice using an evidence-based approach.
s s s s s
D. Planning patient care to cover longer hospital stays.
s s s s s s s s
Correct Answer: C s s
Explanation/Rationale:
s
ANS: C s
Professional nurses are part of the team of health care providers who collaboratively care for
s s s s s s s s s s s s s s
patients throughout the childbearing cycle. Providing care to patients directly at the bedside is
s s s s s s s s s s s s s s
one of the nurse‟s tasks; however, it does not encompass the concept of the evolved professional
s s s s s s s s s s s s s s s s
nurse. Throughout the prenatal period, nurses care for women in clinics and physician‟s offices
s s s s s s s s s s s s s s
and teach classes to help families prepare for childbirth. Nurses also care for childbearing
s s s s s s s s s s s s s s
families in birthing centers and in the home. Nurses have been critically important in developing
s s s s s s s s s s s s s s s
strategies to improve the well-being of women and their infants and have led the efforts to
s s s s s s s s s s s s s s s s
implement clinical practice guidelines using an evidence-based approach. Maternity patients
s s s s s s s s s s
have experienced a decreased, rather than an increased, length of stay over the past 2 decades.
s s s s s s s s s s s s s s s s
4. Question Name: 0004 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing
s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant
s s s s s s s s s s s s s s s
mortality, which plan is most important for the nurse to implement?
s s s s s s s s s s s
A. Perform a nutrition assessment. s s s
B. Refer the woman to a social worker.
s s s s s s
C. Advise the woman to see an obstetrician, not a midwife.
s s s s s s s s s
* D. Explain to the woman the importance of keeping her prenatal care appointments.
s s s s s s s s s s s s
Correct Answer: D s s
, Explanation/Rationale:
ANS: D s
Consistent prenatal care is the best method of preventing or controlling risk factors associated
s s s s s s s s s s s s s
with infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition
s s s s s s s s s s s s s s
assessment is not the most important action a nurse should take in this situation. The patient may
s s s s s s s s s s s s s s s s s
need assistance from a social worker at some time during her pregnancy, but a referral to a social
s s s s s s s s s s s s s s s s s s
worker is not the most important aspect the nurse should address at this time. If the woman has
s s s s s s s s s s s s s s s s s s
identifiable high-risk problems, her health care may need to be provided by a physician.
s s s s s s s s s s s s s s
However, it cannot be assumed that all African-American women have high-risk issues. In
s s s s s s s s s s s s
addition, advising the woman to see an obstetrician is not the most important aspect on which the
s s s s s s s s s s s s s s s s s
nurse should focus at this time, and it is not appropriate for a nurse to advise or manage the type of
s s s s s s s s s s s s s s s s s s s s s
care a patient is to receive.
s s s s s s
5. Question Name: 0005 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a
s s s s s s s s s s s s s s s s s
21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to:
s s s s s s s s s s s s s s
A. Use maternity jargon in order for the patient to become familiar with these terms.
s s s s s s s s s s s s s
B. Speak quickly and efficiently to expedite the visit.
s s s s s s s
C. Provide the patient with handouts. s s s s
* D. Assess whether the patient understands the discussion.
s s s s s s s
Correct Answer: D s s
Explanation/Rationale:
s
ANS: D s
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and
s s s s s s s s s s s s
evaluating whether the patient understands the discussion. Speaking slowly and clearly and
s s s s s s s s s s s s
focusing on what is important increase understanding. Most patient education materials are
s s s s s s s s s s s s
written at too high a level for the average adult and may not be useful for a client with limited
s s s s s s s s s s s s s s s s s s s s
English proficiency.
s s
6. Question Name: 0006 Type: MC
s s s Objective: CH 01: 21st Century Maternity Nursing s s s s s s Item Bank: Perry Maternal
s s s
Child Nursing Care 5th edition
s s s s s
When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that
s s s s s s s s s s s s s s s
the most significant barrier to access to care is the pregnant woman‟s:
s s s s s s s s s s s s
A. Age.
