TEST BANK FOR
G
Maternal Child Nursing Care, 5th Edition
Table of Contents
N
Chapter 1: 21st Century Maternity Nursing
Chapter 2: Community Care: The Family and Culture
Chapter 3: Assessment and Health Promotion
I
Chapter 4: Reproductive System Concerns
Chapter 5: Infertility, Contraception, and Abortion
S
Chapter 6: Genetics, Conception, and Fetal Development
Chapter 7: Anatomy and Physiology of Pregnancy
Chapter 8: Nursing Care of the Family During Pregnancy
R
Chapter 9: Maternal and Fetal Nutrition
Chapter 10: Assessment of High Risk Pregnancy
Chapter 11: High Risk Perinatal Care: Preexisting Conditions
Chapter 12: High Risk Perinatal Care: Gestational Conditions
U
Chapter 13: Labor and Birth Processes
Chapter 14: Pain Management
Chapter 15: Fetal Assessment During Labor N
Chapter 16: Nursing Care of the Family During Labor and Birth
Chapter 17: Labor and Birth Complications
Chapter 18: Maternal Physiologic Changes
Chapter 19: Nursing Care of the Family during the Postpartum Period
Chapter 20: Transition to Parenthood
Chapter 21: Postpartum Complications
L
Chapter 6 NEWBORN
Chapter 22: Physiologic Adaptations of the Newborn
Chapter 23: Nursing Care of the Newborn and Family
A
Chapter 24: Newborn Nutrition and Feeding C
Chapter 25: The High Risk Newborn
Chapter 26: 21st Century Pediatric Nursing
Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion
Chapter 28: Developmental and Genetic Influences on Child Health Promotion
I
Chapter 29: Communication, History, and Physical Assessment D
Chapter 30: Pain Assessment and Management
Chapter 31: The Infant and Family
Chapter 32: The Toddler and Family
Chapter 33: The Preschooler and Family
Chapter 34: The School-Age Child and Family
Chapter 35: The Adolescent and Family
E
Chapter 36: Chronic Illness, Disability, and End-of-Life Care
Chapter 37: Cognitive and Sensory Impairment
Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization
Chapter 39: Pediatric Variations of Nursing Interventions
Chapter 40: Respiratory Dysfunction
Chapter 41: Gastrointestinal Dysfunction
Chapter 42: Cardiovascular Dysfunction
Chapter 43: Hematologic and Immunologic Dysfunction
Chapter 44: Genitourinary Dysfunction
Chapter 45: Cerebral Dysfunction
Chapter 46: Endocrine Dysfunction
Chapter 47: Integumentary Dysfunction
Chapter 48: Musculoskeletal or Articular Dysfunction
,Item Bank: Perry Maternal Child Nursing Care 5th edition
Objective: CH 01: 21st Century Maternity Nursing
G 1. Question Name: 0001 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
N
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:
I
* A. Diabetes mellitus.
S
B. Mitral valve prolapse (MVP).
C. Chronic hypertension.
RD. Anemia.
Correct Answer: A
Explanation/Rationale:
ANS: A
U
The most frequently reported maternal medical risk factors are diabetes and hypertension
N
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
L
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.
A
2. Question Name: 0002 Type: MC
Child Nursing Care 5th edition
C
Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
I
both teamwork and communication with clinicians into her care delivery, The SBAR technique of
D
communication is an easy-to-remember mechanism for communication. Which of the following
correctly defines this acronym?
A. Situation, baseline assessment, response E
* 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
G 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.
IN
3. Question Name: 0003 Type: MC
S 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:
RA. 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.
U
Correct Answer: C
Explanation/Rationale:
ANS: C
N
Professional nurses are part of the team of health care providers who collaboratively care for
L
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
A
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
C
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.
I
4. Question Name: 0004 Type: MC Objective: CH 01: 21st Century Maternity Nursing
D
Item Bank: Perry Maternal
E
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
, G 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
N
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
I
identifiable high-risk problems, her health care may need to be provided by a physician.
S 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
R 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
Child Nursing Care 5th edition
U
Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
N
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.
L
B. Speak quickly and efficiently to expedite the visit.
C. Provide the patient with handouts. A
* D. Assess whether the patient understands the discussion.
Correct Answer: D C
Explanation/Rationale:
ANS: D
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and
I
evaluating whether the patient understands the discussion. Speaking slowly and clearly and
D
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.
E
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.
G
Maternal Child Nursing Care, 5th Edition
Table of Contents
N
Chapter 1: 21st Century Maternity Nursing
Chapter 2: Community Care: The Family and Culture
Chapter 3: Assessment and Health Promotion
I
Chapter 4: Reproductive System Concerns
Chapter 5: Infertility, Contraception, and Abortion
S
Chapter 6: Genetics, Conception, and Fetal Development
Chapter 7: Anatomy and Physiology of Pregnancy
Chapter 8: Nursing Care of the Family During Pregnancy
R
Chapter 9: Maternal and Fetal Nutrition
Chapter 10: Assessment of High Risk Pregnancy
Chapter 11: High Risk Perinatal Care: Preexisting Conditions
Chapter 12: High Risk Perinatal Care: Gestational Conditions
U
Chapter 13: Labor and Birth Processes
Chapter 14: Pain Management
Chapter 15: Fetal Assessment During Labor N
Chapter 16: Nursing Care of the Family During Labor and Birth
Chapter 17: Labor and Birth Complications
Chapter 18: Maternal Physiologic Changes
Chapter 19: Nursing Care of the Family during the Postpartum Period
Chapter 20: Transition to Parenthood
Chapter 21: Postpartum Complications
L
Chapter 6 NEWBORN
Chapter 22: Physiologic Adaptations of the Newborn
Chapter 23: Nursing Care of the Newborn and Family
A
Chapter 24: Newborn Nutrition and Feeding C
Chapter 25: The High Risk Newborn
Chapter 26: 21st Century Pediatric Nursing
Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion
Chapter 28: Developmental and Genetic Influences on Child Health Promotion
I
Chapter 29: Communication, History, and Physical Assessment D
Chapter 30: Pain Assessment and Management
Chapter 31: The Infant and Family
Chapter 32: The Toddler and Family
Chapter 33: The Preschooler and Family
Chapter 34: The School-Age Child and Family
Chapter 35: The Adolescent and Family
E
Chapter 36: Chronic Illness, Disability, and End-of-Life Care
Chapter 37: Cognitive and Sensory Impairment
Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization
Chapter 39: Pediatric Variations of Nursing Interventions
Chapter 40: Respiratory Dysfunction
Chapter 41: Gastrointestinal Dysfunction
Chapter 42: Cardiovascular Dysfunction
Chapter 43: Hematologic and Immunologic Dysfunction
Chapter 44: Genitourinary Dysfunction
Chapter 45: Cerebral Dysfunction
Chapter 46: Endocrine Dysfunction
Chapter 47: Integumentary Dysfunction
Chapter 48: Musculoskeletal or Articular Dysfunction
,Item Bank: Perry Maternal Child Nursing Care 5th edition
Objective: CH 01: 21st Century Maternity Nursing
G 1. Question Name: 0001 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
N
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:
I
* A. Diabetes mellitus.
S
B. Mitral valve prolapse (MVP).
C. Chronic hypertension.
RD. Anemia.
Correct Answer: A
Explanation/Rationale:
ANS: A
U
The most frequently reported maternal medical risk factors are diabetes and hypertension
N
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
L
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.
A
2. Question Name: 0002 Type: MC
Child Nursing Care 5th edition
C
Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
I
both teamwork and communication with clinicians into her care delivery, The SBAR technique of
D
communication is an easy-to-remember mechanism for communication. Which of the following
correctly defines this acronym?
A. Situation, baseline assessment, response E
* 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
G 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.
IN
3. Question Name: 0003 Type: MC
S 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:
RA. 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.
U
Correct Answer: C
Explanation/Rationale:
ANS: C
N
Professional nurses are part of the team of health care providers who collaboratively care for
L
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
A
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
C
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.
I
4. Question Name: 0004 Type: MC Objective: CH 01: 21st Century Maternity Nursing
D
Item Bank: Perry Maternal
E
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
, G 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
N
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
I
identifiable high-risk problems, her health care may need to be provided by a physician.
S 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
R 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
Child Nursing Care 5th edition
U
Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
N
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.
L
B. Speak quickly and efficiently to expedite the visit.
C. Provide the patient with handouts. A
* D. Assess whether the patient understands the discussion.
Correct Answer: D C
Explanation/Rationale:
ANS: D
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and
I
evaluating whether the patient understands the discussion. Speaking slowly and clearly and
D
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.
E
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.
