Maternal Child Nursing Care
6th Edition by Perry
Test Bank
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Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 1
Table of Contents
Table of Contents
1
Chapter 01: 21st Century Maternity Nursing
Chapter 02: Community Care: The Family and
CultureChapter 03: Assessment and Health
Promotion Chapter 04: Reproductive System
Concerns
Chapter 05: Infertility, Contraception, and Abortion
Chapter 06: Genetics, Conception, and Fetal
DevelopmentChapter 07: Anatomy and Physiology of
Pregnancy Chapter 08: Nursing Care of the Family
During Pregnancy Chapter 09: 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 Chapter 13: Labor and Birth
Processes
Chapter 14: Pain Management
Chapter 15: Fetal Assessment During Labor
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
PeriodChapter 20: Transition to Parenthood
Chapter 21: Postpartum Complications
Chapter 22: Physiologic and Behavioral Adaptations of the
NewbornChapter 23: Nursing Care of the Newborn and Family
Chapter 24: Newborn Nutrition and
FeedingChapter 25: The High Risk
Newborn Chapter 26: 21st Century
Pediatric Nursing
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17
27
44
65
83
99
114
131
148
162
182
204
217
234
252
276
293
307
321
336
354
373
385
402
426
Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion
433
Chapter 28: Developmental and Genetic Influences on Child Health Promotion Ch
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apter 29: Communication, History, and Physical Assessment
Chapter 30: Pain Assessment and Management in Children
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
Chapter 36: Impact of Chronic Illness, Disability, and End-of-Life Care for the Child
andFamily
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family
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: Cancer
Chapter 45: Genitourinary Dysfunction
Chapter 46: Cerebral Dysfunction
Chapter 47: Endocrine Dysfunction
Chapter 48: Musculoskeletal or Articular Dysfunction
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456
476
487
509
527
541
557
578
595
614
626
648
666
688
713
736
758
774
795
811
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Chapter 49: Neuromuscular or Muscular Dysfunction 827
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Chapter 01: 21st Century Maternity Nursing
MULTIPLE CHOICE
1. When providing care for a pregnant woman, the nurse should be aware that one
of the most frequentlyreported maternal medical risk factors is:
a. Diabetes mellitus. c. Chronic hypertension.
b. Mitral valve prolapse (MVP). 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 inpregnancy.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
2. 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 isan 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
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d. Situation, background, anticipated
recommendationANS: 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 REF: 14OBJ: Nursing
Process: Assessment, Planning
MSC: Client Needs: Safe and Effective Care Environment
3. The role of the professional nurse caring for childbearing families has evolved to
emphasize:
a. Providing care to patients directly at the bedside.
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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 nurses tasks; however, it does not encompass the concept of the
evolved professional nurse. Throughout the prenatal period, nurses care for women in
clinics and physicians 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 haveexperienced a
decreased, rather than an increased, length of stay over the past 2 decades.
PTS: 1 DIF: Cognitive Level:
Comprehension REF: 1OBJ: Nursing
Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
4. A 23-year-old African-American woman is pregnant with her first child. Based on
the statistics for infantmortality, 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.
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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 social worker atsome time
during her pregnancy, but a referral to a social worker is not the most important
aspect the nurseshould 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
thenurse 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: Comprehension REF: 6
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
5. 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:
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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 increaseunderstanding. Most patient
education materials are written at too high a level for the average adult and maynot be
useful for a client with limited English proficiency.
PTS: 1 DIF: Cognitive Level: Application REF: 5
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and
Maintenance
6. When managing health care for pregnant women at a prenatal clinic, the nurse
should recognize that themost significant barrier to access to care is the pregnant
womans:
a. Age. c. Educational level.
b. Minority status. 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 thefact that many physicians refuse to care for women who cannot pay.
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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 significantbarrier 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 REF: 5OBJ: Nursing
Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
7. 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
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