1A A TestABankA-
MaternalAChildANursingACareAbyAPerryA(6thAEdition,A2017)
A
Table of Contents
A A
TableA ofA Contents 1
ChapterA 01:A 21stA CenturyAMaternityA Nursing 3
ChapterA02:ACommunityACare:ATheAFamilyAandACulture 17
AChapterA03:AAssessmentAandAHealthAPromotionAChapt 27
erA04:AReproductiveASystemAConcerns 44
ChapterA05:AInfertility,A Contraception,A andA AbortionAChapt 65
erA06:AGenetics,AConception,AandAFetalADevelopmentAChap 83
terA07:AAnatomyAandAPhysiologyAofAPregnancyAChapterA08: 99
ANursingACareAofAtheAFamilyADuringAPregnancyAChapterA09: 114
AMaternalAandAFetalANutrition 131
ChapterA 10:AAssessmentA ofA HighARiskAPregnancy 148
ChapterA11:AHighARiskAPerinatalACare:APreexistingAConditionsA 162
ChapterA12:AHighARiskAPerinatalACare:AGestationalAConditions 182
AChapterA13:ALaborAandABirthAProcesses 204
ChapterA 14:A PainA Management 217
ChapterA 15:AFetalA AssessmentA DuringALabor 234
ChapterA16:ANursingACareAofAtheAFamilyADuringALaborAandABirthAChapt 252
erA17:ALaborAandABirthAComplications 276
ChapterA 18:A MaternalA PhysiologicA Changes 293
ChapterA19:ANursingACareAofAtheAFamilyADuringAtheAPostpartumAPeriod 307
AChapterA20:ATransitionAtoAParenthood 321
ChapterA 21:A PostpartumA Complications 336
ChapterA22:APhysiologicAandABehavioralAAdaptationsAofAtheANewbornA 354
ChapterA23:ANursingACareAofAtheANewbornAandAFamily 373
ChapterA24:ANewbornANutritionAandAFeeding 385
AChapterA25:ATheAHighARiskANewbornAChapt 402
erA26:A21stACenturyAPediatricANursing 426
ChapterA 27:AFamily,A Social,A Cultural,A andAReligiousA InfluencesA onA ChildAHealthA Promotio
n 433
441
ChapterA28:ADevelopmentalAandAGeneticAInfluencesAonAChildAHealthAPromotionAChapt 456
erA29:ACommunication,AHistory,AandAPhysicalAAssessment 476
ChapterA30:APainAAssessmentAandAManagementAinAChildrenAChapt 487
erA31:ATheAInfantAandAFamily 509
ChapterA32:ATheAToddlerAandAFamilyAChapt 527
erA33:ATheAPreschoolerAandAFamily 541
ChapterA34:ATheASchool- 557
AgeAChildAandAFamilyAChapterA35:ATheAAdolescentAan
dAFamily 578
ChapterA36:AImpactAofAChronicAIllness,ADisability,AandAEnd-of- 595
LifeACareAforAtheAChildAandAFamily 614
ChapterA37:AImpactAofACognitiveAorASensoryAImpairmentAonAtheAChildAandAFamilyACha 626
pterA38:AFamily- 648
CenteredACareAofAtheAChildADuringAIllnessAandAHospitalizationAChapterA39:APediatricAV 666
ariationsAofANursingAInterventions 688
ChapterA40:ARespiratoryADysfunctionAChapt 713
erA41:AGastrointestinalADysfunctionAChapterA 736
42:ACardiovascularADysfunction 758
ChapterA43:AHematologicAandAImmunologicADysfunctionACh 774
apterA44:ACancer 795
ChapterA45:AGenitourinaryADysfunctionAC 811
hapterA46:ACerebralADysfunctionAChapter
A47:AEndocrineADysfunction
ChapterA 48:AMusculoskeletalA orA ArticularA Dysfunction
, 2A A TestABankA-
MaternalAChildANursingACareAbyAPerryA(6thAEdition,A2017)
A
ChapterA 49:A NeuromuscularA orA MuscularA Dysfunction 827
, 3A A TestABankA-
MaternalAChildANursingACareAbyAPerryA(6thAEdition,A2017)
A
Chapter 01: 21st Century Maternity Nursing
A A A A A
MULTIPLEA CHOICE
1. WhenAprovidingAcareAforAaApregnantAwoman,AtheAnurseAshouldAbeAawareAthatAoneAofAtheAmostAfrequent
lyAreportedAmaternalAmedicalAriskAfactorsAis:
a. DiabetesA mellitus. c. ChronicA hypertension.
b. MitralA valveA prolapseA (MVP). d. Anemia.
ANS:A A
TheA mostA frequentlyA reportedA maternalA medicalA riskA factorsAareA diabetesA andA hypertensionA associatedA wit
hApregnancy.A BothA ofA theseAconditionsA areAassociatedA withA maternalAobesity.A ThereA areAnoA studiesA thatA indi
cateAMVPA isA amongA theA mostA frequentlyA reportedA maternalA riskA factors.A HypertensionA associatedA withA pre
gnancy,AnotA chronicA hypertension,A isA oneA ofA theA mostA frequentlyA reportedA maternalA medicalA riskA factors.A
AlthoughAanemiaA isAaAconcernAinApregnancy,A itAisAnotAoneAofAtheAmostAfrequentlyAreportedAmaternalAmedicalAri
skAfactorsAinApregnancy.
PTS:A 1ADIF:A CognitiveA Level:A KnowledgeA REF:A 6
OBJ:A NursingA Process:A AssessmentA MSC:A ClientANeeds:A PhysiologicA Integrity
2. ToA ensureA optimalA outcomesAforA theA patient,A theA contemporaryA maternityA nurseA mustA incorporateA bothAt
eamworkAandAcommunicationA withAcliniciansAintoA herAcareAdelivery,ATheASBARAtechniqueAofAcommunicationA i
sAanA easy-to-
rememberA mechanismAforA communication.A WhichA ofA theAfollowingAcorrectlyAdefinesAthisAacronym?
a. Situation,A baselineA assessment,A response
b. Situation,A background,A assessment,A recommendation
c. SubjectiveA background,A assessment,A recommendation
d. Situation,A background,A anticipatedA recommendation
ANS:A B
TheAsituation,Abackground,Aassessment,ArecommendationA(SBAR)AtechniqueAprovidesAaAspecificAframeworkAfor
AcommunicationAamongAhealthAcareAproviders.AFailureAtoAcommunicateAisAoneAofAtheAmajorAreasonsAforAerrorsAi
nAhealthA care.A TheASBARA techniqueA hasAtheApotentialAtoA serveA asA aA meansA toA reduceA errors.
PTS:A1ADIF:ACognitiveALevel:AComprehensionAREF:A1
4AOBJ:ANursingAProcess:AAssessment,APlanning
MSC:AClientANeeds:ASafeA andA EffectiveA CareA Environment
3. TheAroleA ofA theAprofessionalAnurseAcaringA forAchildbearingA familiesA hasA evolvedA toA emphasize:
a. ProvidingA careA toA patientsAdirectlyA atAtheAbedside.
, 4A A TestABankA-
AMaternalAChildANursingACareAbyAPerryA(6thAEdition,A2017)
b. PrimarilyA hospitalAcareAofA maternityApatients.
c. PracticeAusingA anA evidence-basedA approach.
d. PlanningApatientA careAtoA coverA longerA hospitalA stays.
ANS:A C
ProfessionalA nursesAareA partA ofA theA teamA ofA healthA careA providersA whoA collaborativelyA careA forA patientsAth
roughoutAtheAchildbearingAcycle.A ProvidingAcareAtoApatientsAdirectlyAatAtheAbedsideA isAoneAofAtheAnursesAtasks;A
however,A itAdoesAnotAencompassAtheAconceptAofAtheAevolvedAprofessionalAnurse.AThroughoutAtheAprenatalAperio
d,AnursesA careA forA womenA inA clinicsA andA physiciansA officesA andA teachA classesA toA helpA familiesA prepareA fo
rAchildbirth.A NursesAalsoA careA forA childbearingAfamiliesA inA birthingA centersA andA inA theA home.A NursesAhaveA
beenAcriticallyAimportantAinAdevelopingAstrategiesAtoAimproveAtheAwell-
beingAofAwomenAandAtheirAinfantsAandAhaveAledAtheAeffortsAtoAimplementAclinicalApracticeAguidelinesAusingAanAe
vidence-
basedAapproach.AMaternityApatientsAhaveAexperiencedA aAdecreased,A ratherAthanA anA increased,A lengthAofA stayAo
verA theA pastA 2Adecades.
PTS:A1ADIF:ACognitiveALevel:AComprehensionAREF:A1
OBJ:ANursingAProcess:AImplementation
A
MSC:AClientANeeds:ASafeA andA EffectiveA CareA Environment
4. AA23-year-oldAAfrican-
AmericanAwomanAisApregnantAwithAherAfirstAchild.ABasedAonAtheAstatisticsAforAinfantAmortality,A whichA planA
isA mostA importantA forA theA nurseA toA implement?
a. PerformAaA nutritionA assessment.
b. ReferAtheAwomanA toAaA socialAworker.
c. AdviseA theA womanAtoA seeAanA obstetrician,A notAaA midwife.
d. ExplainAtoAtheA womanA theA importanceA ofA keepingAherA prenatalA careA appointments.
ANS:A D
ConsistentA prenatalAcareA isA theAbestA methodA ofA preventingA orA controllingA riskA factorsA associatedA withA infa
ntAmortality.ANutritionalAstatusAisAanAimportantAmodifiableAriskAfactor,A butAaAnutritionAassessmentAisAnotAtheAmo
stAimportantAactionAaAnurseAshouldAtakeAinAthisAsituation.ATheApatientAmayAneedAassistanceAfromAaAsocialAworke
rAatAsomeA timeA duringA herA pregnancy,A butA aA referralA toA aA socialA workerA isA notA theA mostA importantA aspectA th
eA nurseAshouldAaddressAatAthisAtime.A IfAtheAwomanAhasAidentifiableAhigh-
riskAproblems,AherAhealthAcareAmayAneedAtoAbeAprovidedA byA aA physician.A However,A itA cannotA beA assumedA th
atA allA African-AmericanA womenA haveA high-
riskAissues.A InA addition,A advisingA theA womanA toA seeAanA obstetricianA isA notAtheA mostA importantA aspectA onA wh
ichA theAnurseA shouldA focusA atA thisA time,A andA itA isAnotAappropriateAforA aA nurseAtoA adviseA orA manageA theA type
AofA careAaApatientAisAtoAreceive.
PTS:A1A DIF:A CognitiveA Level:A ComprehensionA REF:A 6
OBJ:A NursingAProcess:APlanningA MSC:A ClientANeeds:A HealthA PromotionA andA Maintenance
5. DuringAaAprenatalAintakeA interview,AtheAnurseAisAinAtheAprocessAofAobtainingAanAinitialAassessmentAofAaA21-
year-AoldAHispanicA patientA withA limitedA EnglishA proficiency.A ItA isA importantA forA theA nurseA to:
MaternalAChildANursingACareAbyAPerryA(6thAEdition,A2017)
A
Table of Contents
A A
TableA ofA Contents 1
ChapterA 01:A 21stA CenturyAMaternityA Nursing 3
ChapterA02:ACommunityACare:ATheAFamilyAandACulture 17
AChapterA03:AAssessmentAandAHealthAPromotionAChapt 27
erA04:AReproductiveASystemAConcerns 44
ChapterA05:AInfertility,A Contraception,A andA AbortionAChapt 65
erA06:AGenetics,AConception,AandAFetalADevelopmentAChap 83
terA07:AAnatomyAandAPhysiologyAofAPregnancyAChapterA08: 99
ANursingACareAofAtheAFamilyADuringAPregnancyAChapterA09: 114
AMaternalAandAFetalANutrition 131
ChapterA 10:AAssessmentA ofA HighARiskAPregnancy 148
ChapterA11:AHighARiskAPerinatalACare:APreexistingAConditionsA 162
ChapterA12:AHighARiskAPerinatalACare:AGestationalAConditions 182
AChapterA13:ALaborAandABirthAProcesses 204
ChapterA 14:A PainA Management 217
ChapterA 15:AFetalA AssessmentA DuringALabor 234
ChapterA16:ANursingACareAofAtheAFamilyADuringALaborAandABirthAChapt 252
erA17:ALaborAandABirthAComplications 276
ChapterA 18:A MaternalA PhysiologicA Changes 293
ChapterA19:ANursingACareAofAtheAFamilyADuringAtheAPostpartumAPeriod 307
AChapterA20:ATransitionAtoAParenthood 321
ChapterA 21:A PostpartumA Complications 336
ChapterA22:APhysiologicAandABehavioralAAdaptationsAofAtheANewbornA 354
ChapterA23:ANursingACareAofAtheANewbornAandAFamily 373
ChapterA24:ANewbornANutritionAandAFeeding 385
AChapterA25:ATheAHighARiskANewbornAChapt 402
erA26:A21stACenturyAPediatricANursing 426
ChapterA 27:AFamily,A Social,A Cultural,A andAReligiousA InfluencesA onA ChildAHealthA Promotio
n 433
441
ChapterA28:ADevelopmentalAandAGeneticAInfluencesAonAChildAHealthAPromotionAChapt 456
erA29:ACommunication,AHistory,AandAPhysicalAAssessment 476
ChapterA30:APainAAssessmentAandAManagementAinAChildrenAChapt 487
erA31:ATheAInfantAandAFamily 509
ChapterA32:ATheAToddlerAandAFamilyAChapt 527
erA33:ATheAPreschoolerAandAFamily 541
ChapterA34:ATheASchool- 557
AgeAChildAandAFamilyAChapterA35:ATheAAdolescentAan
dAFamily 578
ChapterA36:AImpactAofAChronicAIllness,ADisability,AandAEnd-of- 595
LifeACareAforAtheAChildAandAFamily 614
ChapterA37:AImpactAofACognitiveAorASensoryAImpairmentAonAtheAChildAandAFamilyACha 626
pterA38:AFamily- 648
CenteredACareAofAtheAChildADuringAIllnessAandAHospitalizationAChapterA39:APediatricAV 666
ariationsAofANursingAInterventions 688
ChapterA40:ARespiratoryADysfunctionAChapt 713
erA41:AGastrointestinalADysfunctionAChapterA 736
42:ACardiovascularADysfunction 758
ChapterA43:AHematologicAandAImmunologicADysfunctionACh 774
apterA44:ACancer 795
ChapterA45:AGenitourinaryADysfunctionAC 811
hapterA46:ACerebralADysfunctionAChapter
A47:AEndocrineADysfunction
ChapterA 48:AMusculoskeletalA orA ArticularA Dysfunction
, 2A A TestABankA-
MaternalAChildANursingACareAbyAPerryA(6thAEdition,A2017)
A
ChapterA 49:A NeuromuscularA orA MuscularA Dysfunction 827
, 3A A TestABankA-
MaternalAChildANursingACareAbyAPerryA(6thAEdition,A2017)
A
Chapter 01: 21st Century Maternity Nursing
A A A A A
MULTIPLEA CHOICE
1. WhenAprovidingAcareAforAaApregnantAwoman,AtheAnurseAshouldAbeAawareAthatAoneAofAtheAmostAfrequent
lyAreportedAmaternalAmedicalAriskAfactorsAis:
a. DiabetesA mellitus. c. ChronicA hypertension.
b. MitralA valveA prolapseA (MVP). d. Anemia.
ANS:A A
TheA mostA frequentlyA reportedA maternalA medicalA riskA factorsAareA diabetesA andA hypertensionA associatedA wit
hApregnancy.A BothA ofA theseAconditionsA areAassociatedA withA maternalAobesity.A ThereA areAnoA studiesA thatA indi
cateAMVPA isA amongA theA mostA frequentlyA reportedA maternalA riskA factors.A HypertensionA associatedA withA pre
gnancy,AnotA chronicA hypertension,A isA oneA ofA theA mostA frequentlyA reportedA maternalA medicalA riskA factors.A
AlthoughAanemiaA isAaAconcernAinApregnancy,A itAisAnotAoneAofAtheAmostAfrequentlyAreportedAmaternalAmedicalAri
skAfactorsAinApregnancy.
PTS:A 1ADIF:A CognitiveA Level:A KnowledgeA REF:A 6
OBJ:A NursingA Process:A AssessmentA MSC:A ClientANeeds:A PhysiologicA Integrity
2. ToA ensureA optimalA outcomesAforA theA patient,A theA contemporaryA maternityA nurseA mustA incorporateA bothAt
eamworkAandAcommunicationA withAcliniciansAintoA herAcareAdelivery,ATheASBARAtechniqueAofAcommunicationA i
sAanA easy-to-
rememberA mechanismAforA communication.A WhichA ofA theAfollowingAcorrectlyAdefinesAthisAacronym?
a. Situation,A baselineA assessment,A response
b. Situation,A background,A assessment,A recommendation
c. SubjectiveA background,A assessment,A recommendation
d. Situation,A background,A anticipatedA recommendation
ANS:A B
TheAsituation,Abackground,Aassessment,ArecommendationA(SBAR)AtechniqueAprovidesAaAspecificAframeworkAfor
AcommunicationAamongAhealthAcareAproviders.AFailureAtoAcommunicateAisAoneAofAtheAmajorAreasonsAforAerrorsAi
nAhealthA care.A TheASBARA techniqueA hasAtheApotentialAtoA serveA asA aA meansA toA reduceA errors.
PTS:A1ADIF:ACognitiveALevel:AComprehensionAREF:A1
4AOBJ:ANursingAProcess:AAssessment,APlanning
MSC:AClientANeeds:ASafeA andA EffectiveA CareA Environment
3. TheAroleA ofA theAprofessionalAnurseAcaringA forAchildbearingA familiesA hasA evolvedA toA emphasize:
a. ProvidingA careA toA patientsAdirectlyA atAtheAbedside.
, 4A A TestABankA-
AMaternalAChildANursingACareAbyAPerryA(6thAEdition,A2017)
b. PrimarilyA hospitalAcareAofA maternityApatients.
c. PracticeAusingA anA evidence-basedA approach.
d. PlanningApatientA careAtoA coverA longerA hospitalA stays.
ANS:A C
ProfessionalA nursesAareA partA ofA theA teamA ofA healthA careA providersA whoA collaborativelyA careA forA patientsAth
roughoutAtheAchildbearingAcycle.A ProvidingAcareAtoApatientsAdirectlyAatAtheAbedsideA isAoneAofAtheAnursesAtasks;A
however,A itAdoesAnotAencompassAtheAconceptAofAtheAevolvedAprofessionalAnurse.AThroughoutAtheAprenatalAperio
d,AnursesA careA forA womenA inA clinicsA andA physiciansA officesA andA teachA classesA toA helpA familiesA prepareA fo
rAchildbirth.A NursesAalsoA careA forA childbearingAfamiliesA inA birthingA centersA andA inA theA home.A NursesAhaveA
beenAcriticallyAimportantAinAdevelopingAstrategiesAtoAimproveAtheAwell-
beingAofAwomenAandAtheirAinfantsAandAhaveAledAtheAeffortsAtoAimplementAclinicalApracticeAguidelinesAusingAanAe
vidence-
basedAapproach.AMaternityApatientsAhaveAexperiencedA aAdecreased,A ratherAthanA anA increased,A lengthAofA stayAo
verA theA pastA 2Adecades.
PTS:A1ADIF:ACognitiveALevel:AComprehensionAREF:A1
OBJ:ANursingAProcess:AImplementation
A
MSC:AClientANeeds:ASafeA andA EffectiveA CareA Environment
4. AA23-year-oldAAfrican-
AmericanAwomanAisApregnantAwithAherAfirstAchild.ABasedAonAtheAstatisticsAforAinfantAmortality,A whichA planA
isA mostA importantA forA theA nurseA toA implement?
a. PerformAaA nutritionA assessment.
b. ReferAtheAwomanA toAaA socialAworker.
c. AdviseA theA womanAtoA seeAanA obstetrician,A notAaA midwife.
d. ExplainAtoAtheA womanA theA importanceA ofA keepingAherA prenatalA careA appointments.
ANS:A D
ConsistentA prenatalAcareA isA theAbestA methodA ofA preventingA orA controllingA riskA factorsA associatedA withA infa
ntAmortality.ANutritionalAstatusAisAanAimportantAmodifiableAriskAfactor,A butAaAnutritionAassessmentAisAnotAtheAmo
stAimportantAactionAaAnurseAshouldAtakeAinAthisAsituation.ATheApatientAmayAneedAassistanceAfromAaAsocialAworke
rAatAsomeA timeA duringA herA pregnancy,A butA aA referralA toA aA socialA workerA isA notA theA mostA importantA aspectA th
eA nurseAshouldAaddressAatAthisAtime.A IfAtheAwomanAhasAidentifiableAhigh-
riskAproblems,AherAhealthAcareAmayAneedAtoAbeAprovidedA byA aA physician.A However,A itA cannotA beA assumedA th
atA allA African-AmericanA womenA haveA high-
riskAissues.A InA addition,A advisingA theA womanA toA seeAanA obstetricianA isA notAtheA mostA importantA aspectA onA wh
ichA theAnurseA shouldA focusA atA thisA time,A andA itA isAnotAappropriateAforA aA nurseAtoA adviseA orA manageA theA type
AofA careAaApatientAisAtoAreceive.
PTS:A1A DIF:A CognitiveA Level:A ComprehensionA REF:A 6
OBJ:A NursingAProcess:APlanningA MSC:A ClientANeeds:A HealthA PromotionA andA Maintenance
5. DuringAaAprenatalAintakeA interview,AtheAnurseAisAinAtheAprocessAofAobtainingAanAinitialAassessmentAofAaA21-
year-AoldAHispanicA patientA withA limitedA EnglishA proficiency.A ItA isA importantA forA theA nurseA to:
