NURSING 100 MATERNAL CHILDNURSING CARE 6TH EDITION PERRY TEST BANK CHAPTER 1-49 100% CORRECT
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NURSING 100 MATERNAL CHILDNURSING CARE 6TH EDITION PERRY TEST BANK CHAPTER 1-49
Chapter 01: 21st Century Maternity Nursing Perry: Maternal Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. When providing care for a pregnant woman, the nurse should be aware that one of the most freq...
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NURSING 100 MATERNAL CHILDNURSING CARE 6TH EDITION
PERRY TEST BANK CHAPTER 1-49
Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 6th
Edition
MULTIPLE
CHOICE
1. 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.
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 communicatioNnUiRsSaInNGeaTsBy.C-tOo-
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.
, 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.
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
NURSINGTB.COM
, 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 ofstay over the past
two decades.
PTS: 1 DIF: Cognitive Level:
Comprehension OBJ: 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 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 socialNwUoRrSkIeNrGaTt Bs.oCm
OeMtime 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: ApplicationOBJ: 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
NURSINGTB.COM
, 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.
NURSINGTB.COM
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