Test Bank For Maternal Child Nursing Care, 5thEdition by Perry,ShannonE.,Hockenberry

TestWBankWForWMaternalWChildWNursingWCare,W5thWEditionWbyWPerry,WShannonWE.,WHockenberry

,ItemWBank:W PerryWMaternalWChildWNursingWCareW5thWedition
Objective:W W CHW01:W21stWCenturyWMaternityWNursing



1. QuestionWName:W0001 Type:WMC Objective:WCHW01:W21stWCenturyWMaternityWNursing
ItemWBank:WPerryWMaternalWChildWNursingWCareW5thWedition
WhenWprovidingWcareWforWaWpregnantWwoman,WtheWnurseWshouldWbeWawareWthatWoneWofWtheWmostWf
requentlyWreportedWmaternalWmedicalWriskWfactorsWis:
* A.W DiabetesWmellitus.
B.W MitralWvalveWprolapseW(MVP).
C.W ChronicWhypertension.
D.W Anemia.

CorrectWAnswer:W AWExplanation/

Rationale:
ANS:W A
TheWmostWfrequentlyWreportedWmaternalWmedicalWriskWfactorsWareWdiabetesWandWhypertensionWas
sociatedWwithWpregnancy.WBothWofWtheseWconditionsWareWassociatedWwithWmaternalWobesity.WTher
eWareWnoWstudiesWthatWindicateWMVPWisWamongWtheWmostWfrequentlyWreportedWmaternalWriskWfact
ors.
HypertensionWassociatedWwithWpregnancy,WnotWchronicWhypertension,WisWoneWofWtheWmostWfreque
ntlyWreportedWmaternalWmedicalWriskWfactors.WAlthoughWanemiaWisWaWconcernWinWpregnancy,WitWi
sWnotWoneWofWtheWmostWfrequentlyWreportedWmaternalWmedicalWriskWfactorsWinWpregnancy.




2. QuestionWName:W0002 Type:WMC Objective:WCHW01:W21stWCenturyWMaternityWNursing
ItemWBank:WPerryWMaternalWChildWNursingWCareW5thWedition
ToWensureWoptimalWoutcomesWforWtheWpatient,WtheWcontemporaryWmaternityWnurseWmustWincorpora
teWbothWteamworkWandWcommunicationWwithWcliniciansWintoWherWcareWdelivery,WTheWSBARWtechni
queWofWcommunicationWisWanWeasy-to-
rememberWmechanismWforWcommunication.WWhichWofWtheWfollowingWcorrectlyWdefinesWthisWacron
ym?
A. Situation,WbaselineWassessment,Wresponse
* B.W Situation,Wbackground,Wassessment,Wrecommendation
C. SubjectiveWbackground,Wassessment,Wrecommendation
D. Situation,Wbackground,WanticipatedWrecommendation

CorrectWAnswer:W BWExplanation/

Rationale:
ANS:W B

, TheWsituation,Wbackground,Wassessment,WrecommendationW(SBAR)WtechniqueWprovidesWaWspecifi
cWframeworkWforWcommunicationWamongWhealthWcareWproviders.WFailureWtoWcommunicateWisWon
eWofWtheWmajorWreasonsWforWerrorsWinWhealthWcare.WTheWSBARWtechniqueWhasWtheWpotentialWtoWs
erveWasWaWmeansWtoWreduceWerrors.




3. QuestionWName:W0003 Type:WMC Objective:WCHW01:W21stWCenturyWMaternityWNursing
ItemWBank:WPerryWMaternalWChildWNursingWCareW5thWedition
TheWroleWofWtheWprofessionalWnurseWcaringWforWchildbearingWfamiliesWhasWevolvedWtoWemphasize:
A. ProvidingWcareWtoWpatientsWdirectlyWatWtheWbedside.
B. PrimarilyWhospitalWcareWofWmaternityWpatients.
* C.W PracticeWusingWanWevidence-basedWapproach.
D.W PlanningWpatientWcareWtoWcoverWlongerWhospitalWstays.

CorrectWAnswer:W CWExplanation/

Rationale:
ANS:W C
ProfessionalWnursesWareWpartWofWtheWteamWofWhealthWcareWprovidersWwhoWcollaborativelyWcareWf
orWpatientsWthroughoutWtheWchildbearingWcycle.WProvidingWcareWtoWpatientsWdirectlyWatWtheWbedsi
deWisWoneWofWtheWnurse’sWtasks;Whowever,WitWdoesWnotWencompassWtheWconceptWofWtheWevolvedWp
rofessionalWnurse.WThroughoutWtheWprenatalWperiod,WnursesWcareWforWwomenWinWclinicsWandWphy
sician’sWofficesWandWteachWclassesWtoWhelpWfamiliesWprepareWforWchildbirth.WNursesWalsoWcareWfo
rWchildbearingWfamiliesWinWbirthingWcentersWandWinWtheWhome.WNursesWhaveWbeenWcriticallyWimpo
rtantWinWdevelopingWstrategiesWtoWimproveWtheWwell-
beingWofWwomenWandWtheirWinfantsWandWhaveWledWtheWeffortsWtoWimplementWclinicalWpracticeWgu
idelinesWusingWanWevidence-
basedWapproach.WMaternityWpatientsWhaveWexperiencedWaWdecreased,WratherWthanWanWincreased,Wl
engthWofWstayWoverWtheWpastW2Wdecades.




4. QuestionWName:W0004 Type:WMC Objective:WCHW01:W21stWCenturyWMaternityWNursing
ItemWBank:WPerryWMaternalWChildWNursingWCareW5thWedition
AW23-year-oldWAfrican-
AmericanWwomanWisWpregnantWwithWherWfirstWchild.WBasedWonWtheWstatisticsWforWinfantWmortality,Wwhic
hWplanWisWmostWimportantWforWtheWnurseWtoWimplement?
A. PerformWaWnutritionWassessment.
B. ReferWtheWwomanWtoWaWsocialWworker.
C. AdviseWtheWwomanWtoWseeWanWobstetrician,WnotWaWmidwife.
* D.W ExplainWtoWtheWwomanWtheWimportanceWofWkeepingWherWprenatalWcareWappointments.

CorrectWAnswer:W D

, Explanation/Rationale:
ANS:W D
ConsistentWprenatalWcareWisWtheWbestWmethodWofWpreventingWorWcontrollingWriskWfactorsWassociat
edWwithWinfantWmortality.WNutritionalWstatusWisWanWimportantWmodifiableWriskWfactor,WbutWaWnutri
tionWassessmentWisWnotWtheWmostWimportantWactionWaWnurseWshouldWtakeWinWthisWsituation.WTheWp
atientWmayWneedWassistanceWfromWaWsocialWworkerWatWsomeWtimeWduringWherWpregnancy,WbutWaWr
eferralWtoWaWsocialWworkerWisWnotWtheWmostWimportantWaspectWtheWnurseWshouldWaddressWatWthisWt
ime.WIfWtheWwomanWhasWidentifiableWhigh-
riskWproblems,WherWhealthWcareWmayWneedWtoWbeWprovidedWbyWaWphysician.
However,WitWcannotWbeWassumedWthatWallWAfrican-AmericanWwomenWhaveWhigh-
riskWissues.WInWaddition,WadvisingWtheWwomanWtoWseeWanWobstetricianWisWnotWtheWmostWimportantW
aspectWonWwhichWtheWnurseWshouldWfocusWatWthisWtime,WandWitWisWnotWappropriateWforWaWnurseWtoW
adviseWorWmanageWtheWtypeWofWcareWaWpatientWisWtoWreceive.



5. QuestionWName:W0005 Type:WMC Objective:WCHW01:W21stWCenturyWMaternityWNursing
ItemWBank:WPerryWMaternalWChildWNursingWCareW5thWedition
DuringWaWprenatalWintakeWinterview,WtheWnurseWisWinWtheWprocessWofWobtainingWanWinitialWassessm
entWofWaW21-year-
oldWHispanicWpatientWwithWlimitedWEnglishWproficiency.WItWisWimportantWforWtheWnurseWto:
A. UseWmaternityWjargonWinWorderWforWtheWpatientWtoWbecomeWfamiliarWwithWtheseWterms.
B. SpeakWquicklyWandWefficientlyWtoWexpediteWtheWvisit.
C. ProvideWtheWpatientWwithWhandouts.
* D.W AssessWwhetherWtheWpatientWunderstandsWtheWdiscussion.

CorrectWAnswer:W DWExplanation/

Rationale:
ANS:W D
NursesWcontributeWtoWhealthWliteracyWbyWusingWsimple,WcommonWwords;WavoidingWjargon;WandWe
valuatingWwhetherWtheWpatientWunderstandsWtheWdiscussion.WSpeakingWslowlyWandWclearlyWandWf
ocusingWonWwhatWisWimportantWincreaseWunderstanding.WMostWpatientWeducationWmaterialsWareW
writtenWatWtooWhighWaWlevelWforWtheWaverageWadultWandWmayWnotWbeWusefulWforWaWclientWwithWlim
itedWEnglishWproficiency.




6. QuestionWName:W0006 Type:WMC Objective:WCHW01:W21stWCenturyWMaternityWNursing
ItemWBank:WPerryWMaternalWChildWNursingWCareW5thWedition
WhenWmanagingWhealthWcareWforWpregnantWwomenWatWaWprenatalWclinic,WtheWnurseWshouldWrecogni
zeWthatWtheWmostWsignificantWbarrierWtoWaccessWtoWcareWisWtheWpregnantWwoman’s:
A. Age.