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MATERNAL CHILD NURSING CARE 7TH EDITION
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, Table of content
Chapter 1. 21st-century maternity nursing
Chapter 2. The family, culture, and home care
Chapter 3. Assessment and health promotion
Chapter 4. Reproductive system concerns
Chapter 5. Infertility, contraception, and abortion
Chapter 6. Genetics, conception, and fetal development
Chapter 7. Anatomy and physiology of pregnancy
Chapter 8. Nursing care of the family during pregnancy
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
Chapter 13. Labor and birth processes
Chapter 14. Maximizing comfort for the laboring woman
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. Postpartum physiologic changes
Chapter 19. Nursing care of the family during the postpartum period
Chapter 20. Transition to parenthood
Chapter 21. Postpartum complications
Chapter 22. Physiologic and behavioral adaptations of the newborn
Chapter 23. Nursing care of the newborn and family
Chapter 24. Newborn nutrition and feeding
Chapter 25. The high-risk newborn
Chapter 26. 21st-century pediatric nursing
Chapter 27. Social, cultural, religious, and family influences on child health promotion
Chapter 28. Developmental and genetic influences on child health promotion
Chapter 29. Communication and physical assessment of the child and family
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. Health promotion of the adolescent and family
Chapter 36. Impact of chronic illness, disability, or end-of-life care on the child and family
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 nursing interventions and skills
Chapter 40. The child with respiratory dysfunction
Chapter 41. The child with gastrointestinal dysfunction
Chapter 42. The child with cardiovascular dysfunction
Chapter 43. The child with hematologic or immunologic dysfunction
Chapter 44. The child with cancer
Chapter 45. The child with genitourinary dysfunction
Chapter 46. The child with cerebral dysfunction
Chapter 47. The child with endocrine dysfunction
Chapter 48. The child with musculoskeletal or articular dysfunction
Chapter 49. The child with neuromuscular or muscular dysfunction
Chapter 50. The child with integumentary dysfunction
,Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
MULTIPLE CHOICE
1. When Providing Care For A Pregnant Woman, The
Nurse Should Be Aware That One Of The Most
Frequently Reportedmaternal Medical Risk Factors Is
a. Diabetes Mellitus.
b. Mitral Valve Prolapse (MVP).
c. Chronic Hypertension.
d. Anemia.
ANSWER: 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.
DIF: Cognitive Level: Knowledge OBJ: NURSING Process:
Assessmentmsc: 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 Care Delivery. The
SBAR Technique Of Communication Is An 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
d. Situation, Background, Anticipated Recommendation
ANSWER: 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.
DIF: Cognitive Level: Comprehension
OBJ: NURSING Process: Assessment | NURSING Process:
Planningmsc: 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.
ANSWER: 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 Isone 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 Developdinowgnlsotardaetdebgyi:Ensimtoa1 i|Mghpimroirevsewtahrneimw
a@Elglm-Baiel. Icnomg Of
Women
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 Two Decades.
DIF: Cognitive Level: Comprehension OBJ: NURSING Process:
Implementationmsc: 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.
ANSWER: 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 At Some Time
During Her Pregnancy, But A Referral Toa 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 Aspecton 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.
DIF: Cognitive Level: Application OBJ: NURSING Process:
Planningmsc: 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
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.
ANSWER: 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 Andfocusing On What Is Important Increase Understanding. Most
Patient Education Materials Arewritten At Too High A Level For The Average Adult And
May Not Be Useful For A Patient With Limited English Proficiency.
DIF: Cognitive Level: Application OBJ: NURSING Process:
Evaluationmsc: Client Needs: Health Promotion And Maintenance
6. When Managing Health Care For Pregnant Women At A Prenatal Clinic, The
NURSE Shouldrecognize That The Most Significant Barrier To Access To Care
Is The Pregnant Woman‘S
a. Age.
b. Minority Status.
c. Educational Level.
d. Inability To Pay.
, ANSWER: D
The Most Significant Barrier To Health Care Access Is The Inability To Pay For Services; This Is
Compounded By The Fact That Many Physicians Refuse To Care For Women Who Cannot Pay.
Although Adolescent Pregnant Patients 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 Significant Barrier 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.
DIF: Cognitive Level: Knowledge OBJ: NURSING Process:
Assessmentmsc: Client Needs: Safe And Effective Care Environment
7. When The NURSE Is Unsure About How To Perform A Patient Care Procedure,
The Best Actionwould Be To
a. Ask Another NURSE.
b. Discuss The Procedure With The Patient‘S Physician.
c. Look Up The Procedure In A NURSING Textbook.
d. Consult The Agency‘S Procedure Manual And Follow The Guidelines
For The Procedure.
ANSWER: D
It Is Always Best To Follow The Agency‘S Policies And Procedures Manual When Seeking
Information On Correct Patient Procedures. These Policies Should Reflect The Current
Standards Of Care And State Guidelines. Each NURSE Is Responsible For Her Own
Practice. Relying On Another NURSE May Not Always Be Safe Practice. Each NURSE Is
Obligated To Follow The Standardsof Care For Safe Patient Care Delivery. Physicians Are
Responsible For Their Own Patient Care Activity. Nurses May Follow Safe Orders From
Physicians, But They Are Also Responsible For The Activities That They As Nurses Are To
Carry Out. Information Provided In A NURSING Textbook Is Basic Information For
General Knowledge. Furthermore, The Information In A Textbook May Notreflect The
Current Standard Of Care Or Individual State Or Hospital Policies.
DIF: Cognitive Level: Application OBJ: NURSING Process:
Implementationmsc: Client Needs: Physiologic Integrity
8. From The NURSE‘S Perspective, What Measure Should Be The Focus Of The Health Care
System Toreduce The Rate Of Infant Mortality Further?
a. Implementing Programs To Ensure Women‘S Early Participation In Ongoing
Prenatal Care
b. Increasing The Length Of Stay In A Hospital After Vaginal Birth From 2 To 3 Days
c. Expanding The Number Of Neonatal Intensive Care Units (Nicus)
d. Mandating That All Pregnant Women Receive Care From An Obstetrician
ANSWER: A
Early Prenatal Care Allows For Early Diagnosis And Appropriate Interventions To Reduce
The Rate Of Infant Mortality. An Increased Length Of Stay Has Been Shown To Foster
Improved Self-Care And Parental Education. However, It Does Not Prevent The Incidence
Of Leading Causes Of Infant Mortality Rates, Such As Low Birth Weight. Early Prevention
And Diagnosis Reduce The Rate Of Infant Mortality. Nicus Offer Care To High-Risk Infants
After They Are Born. Expanding The Number Of Nicus Would Offer Better Access For
High-Risk Care, But This Factor Is Not The Primary Focus For Further Reduction Of Infant
Mortality Rates. A Mandate That All Pregnant Women Receive Obstetric Care Would Be
Nearly Impossible To Enforce. Furthermore, Certified NURSE-Midwives (Cnms) Have
Demonstrated Reliable, Safe Care For Pregnant Women.
DIF: Cognitive Level: Comprehension OBJ: NURSING Process:
Implementationmsc: Client Needs: Health Promotion And Maintenance
9. Alternative And Complementary Therapies
a. Replace Conventional Western Modalities Of Treatment.
, b. Are Used By Only A Small Number Of American Adults.
c. Recognize The Value Of Patients‘ Input Into Their Health Care.
d. Focus Primarily On The Disease An Individual Is Experiencing.
ANSWER: C
Many Popular Alternative Healing Modalities Offer Human-Centered Care Based On
Philosophies That Recognize The Value Of The Patient‘S Input And Honor The Individual‘S
Beliefs, Values, And Desires. Alternative And Complementary Therapies Are Part Of An
Integrative Approach To Health Care. An Increasing Number Of American Adults Are
Seeking Alternative And Complementary Health Care Options. Alternative Healing
Modalities Offer A Holistic Approach To Health, Focusing On The Whole Person, Not Just
The Disease.
DIF: Cognitive Level: Comprehension OBJ: NURSING Process:
Planningmsc: Client Needs: Physiologic Integrity
10. A 38-Year-Old Hispanic Woman Delivered A 9-Pound, 6-Ounce Girl Vaginally After
Being In Labor For 43 Hours. The Baby Died 3 Days Later From Sepsis. On What
Grounds Would The Woman Potentially Have A Legitimate Legal Case For Negligence?
a. She Is Hispanic.
b. She Delivered A Girl.
c. The Standards Of Care Were Not Met.
d. She Refused Fetal Monitoring.
ANSWER: C
Not Meeting The Standards Of Care Is A Legitimate Factor For A Case Of Negligence. The
Patient‘S Race Is Not A Factor For A Case Of Negligence. The Infant‘S Gender Is Not A
Factor For A Case Of Negligence. Although Fetal Monitoring Is The Standard Of Care, The
Patient Has The Right To Refuse Treatment. This Refusal Is Not A Case For Negligence;
However, Informed Consent Should Be Properly Obtained, And The Patient Should Sign An
Against Medical Advice Form For Refusal Of Any Treatment That Is Within The Standard Of
Care.
DIF: Cognitive Level: Comprehension OBJ: NURSING Process:
Planningmsc: Client Needs: Health Promotion And Maintenance
11. A Newly Graduated NURSE Is Attempting To Understand The Reason For Increasing
Health Care Spending In The United States. Her Research Finds That These Costs Are
Much Higher Comparedwith Other Developed Countries As A Result Of
a. A Higher Rate Of Obesity Among Pregnant Women.
b. Limited Access To Technology.
c. Increased Usage Of Health Care Services Along With Lower Prices.
d. Homogeneity Of The Population.
ANSWER: A
Health Care Is One Of The Fastest Growing Sectors Of The U.S. Economy. Currently, 17.7%
Of The Gross Domestic Product Is Spent On Health Care. Higher Spending In The United
States Compared With 12 Other Industrialized Countries Is Related To Higher Prices And
Readily Accessible Technology Along With Greater Obesity Rates Among Women. More
Than One Third Of Women In The United States Are Obese. Of The U.S. Population, 8.5% Is
Uninsured And Has Limited Access To Health Care. Maternal Morbidity And Mortality Are
Directly Related To Racial Disparities.
DIF: Cognitive Level: Analysis OBJ: NURSING Process:
Planningmsc: Client Needs: Safe And Effective Care Environment
12. The Term Used To Describe Legal And Professional Responsibility For Practice For
Maternity Nurses Is
a. Collegiality.
b. Ethics.
c. Evaluation.
d. Accountability.
, ANSWER: D
Accountability Refers To Legal And Professional Responsibility For Practice. Collegiality Refers To
A Working Relationship With One‘S Colleagues. Ethics Refers To A Code To Guide
Practice. Evaluation Refers To Examination Of The Effectiveness Of Interventions In Relation
To Expected Outcomes.
DIF: Cognitive Level: Understanding OBJ: NURSING Process:
Evaluationmsc: Client Needs: Health Promotion And Maintenance
13. Through The Use Of Social Media Technology, Nurses Can Link With Other Nurses Who
May Sharesimilar Interests, Insights About Practice, And Advocate For Patients. The Most
Concerning Pitfall For Nurses Using This Technology Is
a. Violation Of Patient Privacy And Confidentiality.
b. Institutions And Colleagues May Be Cast In An Unfavorable Light.
c. Unintended Negative Consequences For Using Social Media.
d. Lack Of Institutional Policy Governing Online Contact.
ANSWER: A
The Most Significant Pitfall For Nurses Using This Technology Is The Violation Of Patient
Privacy And Confidentiality. Furthermore, Institutions And Colleagues Can Be Cast In
Unfavorable Lights With Negative Consequences For Those Posting Information.
NURSING Students Have Been Expelled From School And Nurses Have Been Fired Or
Reprimanded By Their Board Of NURSING Forinjudicious Posts. The American Nurses
Association Has Published Six Principles For Social Networking And Nurses. All
Institutions Should Have Policies Guiding The Use Of Social Media, And Nurses Should Be
Familiar With These Guidelines.
DIF: Cognitive Level: Analysis OBJ: NURSING Process:
Implementationmsc: Client Needs: Safe And Effective Care Environment
14. An Important Development That Affects Maternity NURSING Is Integrative Health Care, Which
a. Seeks To Provide The Same Health Care For All Racial And Ethnic Groups.
b. Blends Complementary And Alternative Therapies With Conventional
Western Treatment.
c. Focuses On The Disease Or Condition Rather Than The Background Of The Patient.
d. Has Been Mandated By Congress.
ANSWER: B
Integrative Health Care Tries To Mix The Old With The New At The Discretion Of The
Patient And Health Care Providers. Integrative Health Care Is A Blending Of New And
Traditional Practices. Integrative Health Care Focuses On The Whole Person, Not Just The
Disease Or Condition. U.S. Law Supports Complementary And Alternative Therapies But
Does Not Mandate Them.
DIF: Cognitive Level: Understanding OBJ: NURSING Process:
Implementationmsc: Client Needs: Health Promotion And Maintenance
15. The NURSE Caring For A Pregnant Patient Should Be Aware That The U.S. Birth Rate
Shows Whichtrend?
a. Births To Unmarried Women Are More Likely To Have Less Favorable Outcomes.
b. Birth Rates For Women 40 To 44 Years Old Are Beginning To Decline.
c. Cigarette Smoking Among Pregnant Women Continues To Increase.
d. The Rates Of Maternal Death Owing To Racial Disparity Are Elevated In The
United States.
ANSWER: A
Low-Birth-Weight Infants And Preterm Birth Are More Likely Because Of The Large
Number Of Teenagers In The Unmarried Group. Birth Rates For Women In Their Early 40s
Continue To Increase. Fewer Pregnant Women Smoke. In The United States, There Is
Significant Racial Disparity In The Rates Of Maternal Death.
, DIF: Cognitive Level: Comprehension OBJ: NURSING Process:
Assessmentmsc: Client Needs: Safe And Effective Care Environment
16. Maternity NURSING Care That Is Based On Knowledge Gained Through Research And
Clinical Trialsis
a. Derived From The NURSING Intervention Classification.
b. Known As Evidence-Based Practice.
c. At Odds With The Cochrane School Of Traditional NURSING.
d. An Outgrowth Of Telemedicine.
ANSWER: B
Evidence-Based Practice Is Based On Knowledge Gained From Research And Clinical
Trials. The NURSING Intervention Classification Is A Method Of Standardizing Language
And Categorizing Care. Dr. Cochrane Systematically Reviewed Research Trials And Is Part
Of The Evidence-Based Practice Movement. Telemedicine Uses Communication
Technologies To Support Health Care.
DIF: Cognitive Level: Comprehension OBJ: NURSING Process:
Assessmentmsc: Client Needs: Psychosocial Integrity
17. The Level Of Practice A Reasonably Prudent NURSE Provides Is Called
a. The Standard Of Care.
b. Risk Management.
c. A Sentinel Event.
d. Failure To Rescue.
ANSWER: A
Guidelines For Standards Of Care Are Published By Various Professional NURSING
Organizations. Risk Management Identifies Risks And Establishes Preventive Practices, But It
Does Not Define The Standard Of Care. Sentinel Events Are Unexpected Negative
Occurrences. They Do Not Establish The Standard Of Care. Failure To Rescue Is An
Evaluative Process For NURSING, But It Doesnot Define The Standard Of Care.
DIF: Cognitive Level: Comprehension OBJ: NURSING Process:
Diagnosismsc: Client Needs: Safe And Effective Care Environment
18. While Obtaining A Detailed History From A Woman Who Has Recently Emigrated From
Somalia, The NURSE Realizes That The Patient Has Undergone Female Genital Mutilation
(FGM). The NURSE‘Sbest Response To This Patient Is
a. ―This Is A Very Abnormal Practice And Rarely Seen In The United States.‖
b. ―Do You Know Who Performed This So That It Can Be Reported To The Authorities?‖
c. ―We Will Be Able To Restore Your Circumcision Fully After Delivery.‖
d. ―The Extent Of Your Circumcision Will Affect The Potential For Complications.‖
ANSWER: D
―The Extent Of Your Circumcision Will Affect The Potential For Complications‖ Is The
Most Appropriate Response. The Patient May Experience Pain, Bleeding, Scarring, Or
Infection And May Require Surgery Before Childbirth. With The Growing Number Of
Immigrants From Countries Where FGM Is Practiced, Nurses Will Increasingly Encounter
Women Who Have Undergone The Procedure. Although This Practice Is Not Prevalent In
The United States, It Is Very Common In Many African And Middle Eastern Countries For
Religious Reasons. Responding With, ―This Is A Very Abnormal Practice And Rarely Seen
In The United States‖ Is Culturally Insensitive. The Infibulation May Have Occurred During
Infancy Or Childhood. The Patient Will Have Little To No Recollection Of The Event. She
Would Have Considered This To Be A Normal Milestone During Her Growth And
Development. The International Council Of Nurses Has Spoken Out Against This Procedure
As Harmful To A Woman‘S Health.
DIF: Cognitive Level: Application OBJ: NURSING Process:
Planningmsc: Client Needs: Safe And Effective Care Environment
, 19. To Ensure Patient Safety, The Practicing NURSE Must Have Knowledge Of The Current
Joint Commission‘S ―Do Not Use‖ List Of Abbreviations. Which Of The Following Is
Acceptable For Use?
a. Q.O.D. Or Q.O.D.
b. MSO4 Or Mgso4
c. International Unit
d. Lack Of A Leading Zero
ANSWER: C
The Abbreviations ―I.U.‖ And ―I.U.‖ Are No Longer Acceptable Because They Could Be Misread As
―I.V.‖ Or The Number ―10.‖ The Abbreviation ―Q.O.D. Or Q.O.D.‖ Should Be Written Out As
―Every Other Day.‖ The Period After The ―Q‖ Could Be Mistaken For An ―I‖; The ―O‖ Could
Also Be Mistaken For An ―I.‖ With MSO4 Or Mgso4, It Is Too Easy To Confuse One
Medication For Another. These Medications Are Used For Very Different Purposes And
Could Put A Patient At Risk For An Adverse Outcome. They Should Be Written As
Morphine Sulfate And Magnesium Sulfate. The Decimal Point Should Never Be Missed
Before A Number To Avoid Confusion (I.E., 0.4 Rather Than .4).
DIF: Cognitive Level: Application OBJ: NURSING Process:
Assessmentmsc: Client Needs: Psychosocial Integrity
20. Healthy People 2030 Has Established National Health Priorities That Focus On A
Number Of Maternal-Child Health Indicators. Nurses Are Assuming Greater Roles In
Assessing Family Healthand Providing Care Across The Perinatal Continuum. Therefore,
It Is Important For The NURSE To Be Aware That Significant Progress Has Been Made
In
a. The Reduction Of Fetal Deaths And Use Of Prenatal Care.
b. Low Birth Weight And Preterm Birth.
c. Elimination Of Health Disparities Based On Race.
d. Infant Mortality And The Prevention Of Birth Defects.
ANSWER: A
Trends In Maternal Child Health Indicate That Progress Has Been Made In Relation To
Reduced Infant And Fetal Deaths And Increased Prenatal Care. Notable Gaps Remain In The
Rates Of Low Birth Weight And Preterm Births. According To The March Of Dimes,
Persistent Disparities Still Exist Between African-Americans And Non-Hispanic Caucasians.
Many Of These Negative Outcomes Are Preventable Through Access To Prenatal Care And
The Use Of Preventive Health Practices. This Demonstrates The Need For Comprehensive
Community-Based Care For All Mothers, Infants, And Families.
DIF: Cognitive Level: Knowledge OBJ: NURSING Process:
Implementationmsc: Client Needs: Safe And Effective Care Environment
MULTIPLE RESPONSE
1. Which Interventions Would Help Alleviate The Problems Associated With Access To
Health Care For Maternity Patients? (Select All That Apply.)
a. Provide Transportation To Prenatal Visits.
b. Provide Child Care So That A Pregnant Woman May Keep Prenatal Visits.
c. Mandate That Physicians Make House Calls.
d. Provide Low-Cost Or No-Cost Health Care Insurance.
e. Provide Job Training.
ANSWER: A, B, D
Lack Of Transportation To Visits, Lack Of Child Care, And Lack Of Affordable Health
Insurance Are Prohibitive Factors Associated With Lack Of Prenatal Care. House Calls Are
Not A Cost-Effective Approach To Health Care. Although Job Training May Result In
Employment And Income, The
, Likelihood Of Significant Changes During The Time Frame Of The Pregnancy Is Remote.
DIF: Cognitive Level: Implementation OBJ: NURSING Process:
Planningmsc: Client Needs: Health Promotion And Maintenance
MATCHING
Medical Errors Are A Leading Cause Of Death In The United States. The National Quality
Forum Has Recommended Numerous Safe Practices That NURSING Can Promote To Reduce
Errors. Match Each Safe Practice With The Correct Statement.
a. Ask The Patient To ―Teach Back.‖
b. Comply With CDC Guidelines.
c. Ensure That Information Is Documented In A Timely Manner.
d. Promote Interventions That Will Reduce Patient Risk.
e. Reduce Exposure To Radiation.
1. Hand Hygiene
2. Informed Consent
3. Culture Measurement, Feedback, And Intervention
4. Pediatric Imaging
5. Patient Care Information
1. ANSWER: B DIF: Cognitive Level: Application
OBJ: NURSING Process: Implementation
MSC: Client Needs: Safe And Effective Care Environment
NOT: The National Quality Forum Updated Its Publication Safe Practices For Better Healthcare In
2010, Outlining 24 Safe Practices That Should Be Used In All Health Care Settings To Reduce The
Risk Of Harm From The Environment Of Care, Processes, And Systems. These Are Only A Few Of
The Recommended Practices; However, Nurses Should Be Familiar With These Guidelines.
2. ANSWER: A DIF: Cognitive Level: Application
OBJ: NURSING Process: Implementation
MSC: Client Needs: Safe And Effective Care Environment
NOT: The National Quality Forum Updated Its Publication Safe Practices For Better Healthcare In
2010, Outlining 24 Safe Practices That Should Be Used In All Health Care Settings To Reduce The
Risk Of Harm From The Environment Of Care, Processes, And Systems. These Are Only A Few Of
The Recommended Practices; However, Nurses Should Be Familiar With These Guidelines.
3. ANSWER: D DIF: Cognitive Level: Application
OBJ: NURSING Process: Implementation
MSC: Client Needs: Safe And Effective Care Environment
NOT: The National Quality Forum Updated Its Publication Safe Practices For Better Healthcare In
2010, Outlining 24 Safe Practices That Should Be Used In All Health Care Settings To Reduce The
Risk Of Harm From The Environment Of Care, Processes, And Systems. These Are Only A Few Of
The Recommended Practices; However, Nurses Should Be Familiar With These Guidelines.
4. ANSWER: E DIF: Cognitive Level: Application
OBJ: NURSING Process: Implementation
MSC: Client Needs: Safe And Effective Care Environment
NOT: The National Quality Forum Updated Its Publication Safe Practices For Better Healthcare In
2010, Outlining 24 Safe Practices That Should Be Used In All Health Care Settings To Reduce The
Risk Of Harm From The Environment Of Care, Processes, And Systems. These Are Only A Few Of
The Recommended Practices; However, Nurses Should Be Familiar With These Guidelines.
5. ANSWER: C DIF: Cognitive Level: Application
OBJ: NURSING Process: Implementation
MSC: Client Needs: Safe And Effective Care Environment
NOT: The National Quality Forum Updated Its Publication Safe Practices For Better Healthcare In
2010, Outlining 24 Safe Practices That Should Be Used In All Health Care Settings To Reduce The
Risk Of
