Test Bank for Maternal Child Nursing Care
7th Edition – Shannon E. Perry | Complete &
Verified 2025
----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.
, -----ANSWER-----: 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 clinici-----
ANSWER----- 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
-----ANSWER-----: 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 me-----ANSWER----- 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.
-----ANSWER-----: 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.
-----ANSWER-----: D
Consistent prenatal care is the best method of preventing or controlling risk
factors associated with infant mortality. Nutritional status is an important mo-----
DIF-----iable 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.
-----ANSWER-----: 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.
-----ANSWER-----: D
The most significant barrier to health care access is the inability to pay for
services; this is compounded by the fact that many physici-----ANSWER-----
refuse to care for women who cannot pay. Although adolescent pregnant patients
statistically receive less prenatal care, age is not the most significant barrier.
Significant disparities in morbidity and mortality rates exist for minority women;
however, minority status is not the most significant barrier to access of care.
Disparities in educational level are associated with morbidity and mortality
rates; however, educational level is not the most significant barrier to access of
care.
-----DIF-----: Cognitive Level: Knowledge OBJ: Nursing
Process: Assessment MSC: Client Needs: Safe and Effective Care
Environment
7. When the nurse is unsure about how to perform a patient care procedure, the
best action would be to
a. ask another nurse.
7th Edition – Shannon E. Perry | Complete &
Verified 2025
----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.
, -----ANSWER-----: 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 clinici-----
ANSWER----- 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
-----ANSWER-----: 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 me-----ANSWER----- 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.
-----ANSWER-----: 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.
-----ANSWER-----: D
Consistent prenatal care is the best method of preventing or controlling risk
factors associated with infant mortality. Nutritional status is an important mo-----
DIF-----iable 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.
-----ANSWER-----: 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.
-----ANSWER-----: D
The most significant barrier to health care access is the inability to pay for
services; this is compounded by the fact that many physici-----ANSWER-----
refuse to care for women who cannot pay. Although adolescent pregnant patients
statistically receive less prenatal care, age is not the most significant barrier.
Significant disparities in morbidity and mortality rates exist for minority women;
however, minority status is not the most significant barrier to access of care.
Disparities in educational level are associated with morbidity and mortality
rates; however, educational level is not the most significant barrier to access of
care.
-----DIF-----: Cognitive Level: Knowledge OBJ: Nursing
Process: Assessment MSC: Client Needs: Safe and Effective Care
Environment
7. When the nurse is unsure about how to perform a patient care procedure, the
best action would be to
a. ask another nurse.
