nursing
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 reported maternal medical risk factors is:
* A. Diabetes mellitus.
B. Mitral valve prolapse (MVP).
C. Chronic hypertension.
D. Anemia.
Correct Answer: A
Explanation/Rationale:
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.
___________________________________________________________________________________________________
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 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
Correct Answer: B
Explanation/Rationale:
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.
___________________________________________________________________________________________________
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/Rationale:
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 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 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 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.
___________________________________________________________________________________________________
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/Rationale:
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.
___________________________________________________________________________________________________
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 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.
Correct Answer: D
Explanation/Rationale:
ANS: D
The most significant barrier to health care access is the inability to pay for services; this is
compounded by the fact that many physicians refuse to care for women who cannot pay.
Although adolescent pregnant clients 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.
___________________________________________________________________________________________________
7. Question Name: 0007 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
Child Nursing Care 5th edition
What is the primary role of practicing nurses in the research process?
A. Designing research studies
B. Collecting data for other researchers
* C. Identifying researchable problems
D. Seeking funding to support research studies
Correct Answer: C
Explanation/Rationale:
ANS: C
When problems are identified, research can be conducted properly. Research of health care issues
leads to evidence-based practice guidelines. Designing research studies is only one factor of the
research process. Data collection is one factor of research. Financial support is necessary to
conduct research, but it is not the primary role of the nurse in the research process.
___________________________________________________________________________________________________
8. Question Name: 0008 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
Child Nursing Care 5th edition
When the nurse is unsure about how to perform a patient care procedure, the best action would be
to:
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 reported maternal medical risk factors is:
* A. Diabetes mellitus.
B. Mitral valve prolapse (MVP).
C. Chronic hypertension.
D. Anemia.
Correct Answer: A
Explanation/Rationale:
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.
___________________________________________________________________________________________________
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 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
Correct Answer: B
Explanation/Rationale:
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.
___________________________________________________________________________________________________
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/Rationale:
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 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 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 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.
___________________________________________________________________________________________________
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/Rationale:
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.
___________________________________________________________________________________________________
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 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.
Correct Answer: D
Explanation/Rationale:
ANS: D
The most significant barrier to health care access is the inability to pay for services; this is
compounded by the fact that many physicians refuse to care for women who cannot pay.
Although adolescent pregnant clients 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.
___________________________________________________________________________________________________
7. Question Name: 0007 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
Child Nursing Care 5th edition
What is the primary role of practicing nurses in the research process?
A. Designing research studies
B. Collecting data for other researchers
* C. Identifying researchable problems
D. Seeking funding to support research studies
Correct Answer: C
Explanation/Rationale:
ANS: C
When problems are identified, research can be conducted properly. Research of health care issues
leads to evidence-based practice guidelines. Designing research studies is only one factor of the
research process. Data collection is one factor of research. Financial support is necessary to
conduct research, but it is not the primary role of the nurse in the research process.
___________________________________________________________________________________________________
8. Question Name: 0008 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
Child Nursing Care 5th edition
When the nurse is unsure about how to perform a patient care procedure, the best action would be
to:
