Test!Bank!For!Maternal!Child!Nursing!Care,!5th!Edition!by!Perry,!Shannon!E.,!Hockenberry
,Item!Bank:! Perry!Maternal!Child!Nursing!Care!5th!edition
Objective:! ! CH!01:!21st!Century!Maternity!Nursing
1. Question!Name:!0001 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
When!providing!care!for!a!pregnant!woman,!the!nurse!should!be!aware!that!one!of!the!most!frequently!r
eported!maternal!medical!risk!factors!is:
* A.! Diabetes!mellitus.
B.! Mitral!valve!prolapse!(MVP).
C.! Chronic!hypertension.
D.! Anemia.
Correct!Answer:! A!Explanation/Ra
tionale:
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!t
hat!indicate!MVP!is!among!the!most!frequently!reported!maternal!risk!factors.
Hypertension!associated!with!pregnancy,!not!chronic!hypertension,!is!one!of!the!most!frequently!rep
orted!maternal!medical!risk!factors.!Although!anemia!is!a!concern!in!pregnancy,!it!is!not!one!of!the!m
ost!frequently!reported!maternal!medical!risk!factors!in!pregnancy.
2. Question!Name:!0002 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
To!ensure!optimal!outcomes!for!the!patient,!the!contemporary!maternity!nurse!must!incorporate!both!t
eamwork!and!communication!with!clinicians!into!her!care!delivery,!The!SBAR!technique!of!communi
cation!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
Correct!Answer:! B!Explanation/Ra
tionale:
ANS:! B
, The!situation,!background,!assessment,!recommendation!(SBAR)!technique!provides!a!specific!fra
mework!for!communication!among!health!care!providers.!Failure!to!communicate!is!one!of!the!majo
r!reasons!for!errors!in!health!care.!The!SBAR!technique!has!the!potential!to!serve!as!a!means!to!reduc
e!errors.
3. Question!Name:!0003 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
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.
Correct!Answer:! C!Explanation/Ra
tionale:
ANS:! C
Professional!nurses!are!part!of!the!team!of!health!care!providers!who!collaboratively!care!for!patient
s!throughout!the!childbearing!cycle.!Providing!care!to!patients!directly!at!the!bedside!is!one!of!the!nu
rse’s!tasks;!however,!it!does!not!encompass!the!concept!of!the!evolved!professional!nurse.!Througho
ut!the!prenatal!period,!nurses!care!for!women!in!clinics!and!physician’s!offices!and!teach!classes!to!h
elp!families!prepare!for!childbirth.!Nurses!also!care!for!childbearing!families!in!birthing!centers!and!i
n!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!u
sing!an!evidence-
based!approach.!Maternity!patients!have!experienced!a!decreased,!rather!than!an!increased,!length!o
f!stay!over!the!past!2!decades.
4. Question!Name:!0004 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
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.
Correct!Answer:! D
, Explanation/Rationale:
ANS:! D
Consistent!prenatal!care!is!the!best!method!of!preventing!or!controlling!risk!factors!associated!with!i
nfant!mortality.!Nutritional!status!is!an!important!modifiable!risk!factor,!but!a!nutrition!assessment!i
s!not!the!most!important!action!a!nurse!should!take!in!this!situation.!The!patient!may!need!assistance!f
rom!a!social!worker!at!some!time!during!her!pregnancy,!but!a!referral!to!a!social!worker!is!not!the!mos
t!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!t
ype!of!care!a!patient!is!to!receive.
5. Question!Name:!0005 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
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.
Correct!Answer:! D!Explanation/Ra
tionale:
ANS:! D
Nurses!contribute!to!health!literacy!by!using!simple,!common!words;!avoiding!jargon;!and!evaluatin
g!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!f
or!the!average!adult!and!may!not!be!useful!for!a!client!with!limited!English!proficiency.
6. Question!Name:!0006 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
When!managing!health!care!for!pregnant!women!at!a!prenatal!clinic,!the!nurse!should!recognize!that!th
e!most!significant!barrier!to!access!to!care!is!the!pregnant!woman’s:
A. Age.
,Item!Bank:! Perry!Maternal!Child!Nursing!Care!5th!edition
Objective:! ! CH!01:!21st!Century!Maternity!Nursing
1. Question!Name:!0001 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
When!providing!care!for!a!pregnant!woman,!the!nurse!should!be!aware!that!one!of!the!most!frequently!r
eported!maternal!medical!risk!factors!is:
* A.! Diabetes!mellitus.
B.! Mitral!valve!prolapse!(MVP).
C.! Chronic!hypertension.
D.! Anemia.
Correct!Answer:! A!Explanation/Ra
tionale:
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!t
hat!indicate!MVP!is!among!the!most!frequently!reported!maternal!risk!factors.
Hypertension!associated!with!pregnancy,!not!chronic!hypertension,!is!one!of!the!most!frequently!rep
orted!maternal!medical!risk!factors.!Although!anemia!is!a!concern!in!pregnancy,!it!is!not!one!of!the!m
ost!frequently!reported!maternal!medical!risk!factors!in!pregnancy.
2. Question!Name:!0002 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
To!ensure!optimal!outcomes!for!the!patient,!the!contemporary!maternity!nurse!must!incorporate!both!t
eamwork!and!communication!with!clinicians!into!her!care!delivery,!The!SBAR!technique!of!communi
cation!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
Correct!Answer:! B!Explanation/Ra
tionale:
ANS:! B
, The!situation,!background,!assessment,!recommendation!(SBAR)!technique!provides!a!specific!fra
mework!for!communication!among!health!care!providers.!Failure!to!communicate!is!one!of!the!majo
r!reasons!for!errors!in!health!care.!The!SBAR!technique!has!the!potential!to!serve!as!a!means!to!reduc
e!errors.
3. Question!Name:!0003 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
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.
Correct!Answer:! C!Explanation/Ra
tionale:
ANS:! C
Professional!nurses!are!part!of!the!team!of!health!care!providers!who!collaboratively!care!for!patient
s!throughout!the!childbearing!cycle.!Providing!care!to!patients!directly!at!the!bedside!is!one!of!the!nu
rse’s!tasks;!however,!it!does!not!encompass!the!concept!of!the!evolved!professional!nurse.!Througho
ut!the!prenatal!period,!nurses!care!for!women!in!clinics!and!physician’s!offices!and!teach!classes!to!h
elp!families!prepare!for!childbirth.!Nurses!also!care!for!childbearing!families!in!birthing!centers!and!i
n!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!u
sing!an!evidence-
based!approach.!Maternity!patients!have!experienced!a!decreased,!rather!than!an!increased,!length!o
f!stay!over!the!past!2!decades.
4. Question!Name:!0004 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
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.
Correct!Answer:! D
, Explanation/Rationale:
ANS:! D
Consistent!prenatal!care!is!the!best!method!of!preventing!or!controlling!risk!factors!associated!with!i
nfant!mortality.!Nutritional!status!is!an!important!modifiable!risk!factor,!but!a!nutrition!assessment!i
s!not!the!most!important!action!a!nurse!should!take!in!this!situation.!The!patient!may!need!assistance!f
rom!a!social!worker!at!some!time!during!her!pregnancy,!but!a!referral!to!a!social!worker!is!not!the!mos
t!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!t
ype!of!care!a!patient!is!to!receive.
5. Question!Name:!0005 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
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.
Correct!Answer:! D!Explanation/Ra
tionale:
ANS:! D
Nurses!contribute!to!health!literacy!by!using!simple,!common!words;!avoiding!jargon;!and!evaluatin
g!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!f
or!the!average!adult!and!may!not!be!useful!for!a!client!with!limited!English!proficiency.
6. Question!Name:!0006 Type:!MC Objective:!CH!01:!21st!Century!Maternity!Nursing
Item!Bank:!Perry!Maternal!Child!Nursing!Care!5th!edition
When!managing!health!care!for!pregnant!women!at!a!prenatal!clinic,!the!nurse!should!recognize!that!th
e!most!significant!barrier!to!access!to!care!is!the!pregnant!woman’s:
A. Age.
