TEST BANK FOR MATERNAL
CHILD NURSING CARE.
Chapter 01: 21st Century Maternity
Nursing Perry: Maternal Child Nursing
Care, 6th Edition
MULTIPLE
CHOICE
• 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.
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.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
• 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 communicat ioNnUiRs SaI nN GeaTsBy. C- tO
o-Mremember 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
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.
PTS: 1 DIF: Cognitive Level:
Comprehension OBJ: Nursing Process: Assessment,
Planning
MSC: Client Needs: Safe and Effective Care Environment
• 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.
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 two decades.
PTS: 1 DIF: Cognitive Level:
Comprehension OBJ: Nursing Process:
Implementation
MSC: Client Needs: Safe and Effective Care Environment
• 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.
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
so cia lNwUoRrSkIeNrGaTt Bs .oCmO eMt ime 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.
PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process:
Planning MSC: Client Needs: Health Promotion and Maintenance
• 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.
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 patient with limited English proficiency.
PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process:
Evaluation MSC: Client Needs: Health Promotion and Maintenance
• 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.
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 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.
PTS: 1 DIF: Cognitive Level:
Knowledge OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• When the nurse is unsure about how to perform a patient care procedure, the best
action would be to:
A. ask another nurse.
B. discuss the procedure with theNpUaRtiSeInNtG
'sTpBh.CyO
siM
cian.
C. look up the procedure in a nursing textbook.
D. consult the agency's procedure manual and follow the guidelines for the
procedure.
ANS: D
It is always best to follow the agency's policies and procedures manual when seeking
information on correct patient procedures. These policies should reflect the current
standards of care and state guidelines. Each nurse is responsible for her own practice.
Relying on another nurse may not always be safe practice. Each nurse is obligated to
follow the standards of care for safe patient care delivery. Physicians are responsible
for their own patient care activity. Nurses may follow safe orders from physicians, but
they are also responsible for the activities that they as nurses are to carry out.
Information provided in a nursing textbook is basic information for general knowledge.
Furthermore, the information in a textbook may not reflect the current standard of care
or individual state or hospital policies.
PTS: 1 DIF: Cognitive Level: Application
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
• From the nurse's perspective, what measure should be the focus of the health care system
to
reduce the rate of infant mortality further?
A. Implementing programs to ensure women's early participation in ongoing prenatal
B. care.
C. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days.
D. Expanding the number of neonatal intensive care units (NICUs).
E. Mandating that all pregnant women receive care from an obstetrician.
ANS: A
Early prenatal care allows for early diagnosis and appropriate interventions to reduce
the rate of infant mortality. An increased length of stay has been shown to foster
improved self-care and parental education. However, it does not prevent the incidence
of leading causes of infant mortality rates, such as low birth weight. Early prevention
and diagnosis reduce the rate of infant mortality. NICUs offer care to high risk infants
after they are born. Expanding the number of NICUs would offer better access for
CHILD NURSING CARE.
Chapter 01: 21st Century Maternity
Nursing Perry: Maternal Child Nursing
Care, 6th Edition
MULTIPLE
CHOICE
• 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.
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.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
• 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 communicat ioNnUiRs SaI nN GeaTsBy. C- tO
o-Mremember 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
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.
PTS: 1 DIF: Cognitive Level:
Comprehension OBJ: Nursing Process: Assessment,
Planning
MSC: Client Needs: Safe and Effective Care Environment
• 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.
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 two decades.
PTS: 1 DIF: Cognitive Level:
Comprehension OBJ: Nursing Process:
Implementation
MSC: Client Needs: Safe and Effective Care Environment
• 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.
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
so cia lNwUoRrSkIeNrGaTt Bs .oCmO eMt ime 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.
PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process:
Planning MSC: Client Needs: Health Promotion and Maintenance
• 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.
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 patient with limited English proficiency.
PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process:
Evaluation MSC: Client Needs: Health Promotion and Maintenance
• 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.
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 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.
PTS: 1 DIF: Cognitive Level:
Knowledge OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• When the nurse is unsure about how to perform a patient care procedure, the best
action would be to:
A. ask another nurse.
B. discuss the procedure with theNpUaRtiSeInNtG
'sTpBh.CyO
siM
cian.
C. look up the procedure in a nursing textbook.
D. consult the agency's procedure manual and follow the guidelines for the
procedure.
ANS: D
It is always best to follow the agency's policies and procedures manual when seeking
information on correct patient procedures. These policies should reflect the current
standards of care and state guidelines. Each nurse is responsible for her own practice.
Relying on another nurse may not always be safe practice. Each nurse is obligated to
follow the standards of care for safe patient care delivery. Physicians are responsible
for their own patient care activity. Nurses may follow safe orders from physicians, but
they are also responsible for the activities that they as nurses are to carry out.
Information provided in a nursing textbook is basic information for general knowledge.
Furthermore, the information in a textbook may not reflect the current standard of care
or individual state or hospital policies.
PTS: 1 DIF: Cognitive Level: Application
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
• From the nurse's perspective, what measure should be the focus of the health care system
to
reduce the rate of infant mortality further?
A. Implementing programs to ensure women's early participation in ongoing prenatal
B. care.
C. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days.
D. Expanding the number of neonatal intensive care units (NICUs).
E. Mandating that all pregnant women receive care from an obstetrician.
ANS: A
Early prenatal care allows for early diagnosis and appropriate interventions to reduce
the rate of infant mortality. An increased length of stay has been shown to foster
improved self-care and parental education. However, it does not prevent the incidence
of leading causes of infant mortality rates, such as low birth weight. Early prevention
and diagnosis reduce the rate of infant mortality. NICUs offer care to high risk infants
after they are born. Expanding the number of NICUs would offer better access for
