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