test bank for maternal child nursing care7th
editionby shannon e. perry, marilyn j. hockenberry,
mary catherine cashion chapter 1-50 complete
questions and complete solutions a graded
Chapter 01: 21st Century Maternity Nursing
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Perry: Maternal Child Nursing Care, 7th Edition
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1. When providing care for a pregnant woman, the nurse should be aware that one of the
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mostfrequently reported maternal medical risk factors is
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a. diabetes mellitus. ML
b. mitral valve prolapse (MVP). ML ML ML
c. chronic hypertension. ML
d. anemia.
ANS: A M L
The most frequently reported maternal medical risk factors are diabetes and hypertension
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associated with pregnancy. Both of these conditions are associated with maternal obesity.
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There are no studies that indicate MVP is among the most frequently reported maternal risk
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factors. Hypertension associated with pregnancy, not chronic hypertension, is one of the
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mostfrequently reported maternal medical risk factors. Although anemia is a concern in
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pregnancy,it is not one of the most frequently reported maternal medical risk factors in
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pregnancy.
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DIF: Cognitive Level: Knowledge OBJ: Nursing Process: ML ML ML ML
AssessmentMSC: Client Needs: Physiologic Integrity
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2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must
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incorporate both teamwork and communication with clinicians into care delivery. The
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SBARtechnique of communication is an easy-to-remember mechanism for
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communication. Whichof the following correctly defines this acronym?
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a. Situation, baseline assessment, response ML ML ML
b. Situation, background, assessment, recommendation ML ML ML
c. Subjective background, assessment, recommendation ML ML ML
d. Situation, background, anticipated recommendation ML ML ML
ANS: B M L
The situation, background, assessment, recommendation (SBAR) technique provides a
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specific framework for communication among health care providers. Failure to
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communicateis one of the major reasons for errors in health care. The SBAR technique has
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the potential toserve as a means to reduce errors.
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, DIF: Cognitive Level: Comprehension ML ML
OBJ: Nursing Process: Assessment | Nursing Process:
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PlanningMSC: Client Needs: Safe and Effective Care
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Environment
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3. The role of the professional nurse caring for childbearing families has evolved to emphasize
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a. providing care to patients directly at the bedside. ML ML ML ML ML ML ML
b. primarily hospital care of maternity patients. ML ML ML ML ML
c. practice using an evidence-based approach. ML ML ML ML
d. planning patient care to cover longer hospital stays.
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ANS: C M L
Professional nurses are part of the team of health care providers who collaboratively care
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for patients throughout the childbearing cycle. Providing care to patients directly at the
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bedside isone of the nurse‘s tasks; however, it does not encompass the concept of the
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evolved professional nurse. Throughout the prenatal period, nurses care for women in
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clinics and physician‘s offices and teach classes to help families prepare for childbirth.
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Nurses also care for childbearing families in birthing centers and in the home. Nurses have
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been critically important in developing strategies to improve the well-being of women and
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their infants and
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, have led the efforts to implement clinical practice guidelines using an evidence-based
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approach. Maternity patients have experienced a decreased, rather than an increased, length
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ofstay over the past two decades.
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DIF: Cognitive Level: Comprehension OBJ: Nursing Process: ML ML ML ML
ImplementationMSC: Client Needs: Safe and Effective Care Environment
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4. A 23-year-old African-American woman is pregnant with her first child. Based on
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thestatistics for infant mortality, which plan is most important for the nurse to
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implement?
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a. Perform a nutrition assessment. ML ML ML
b. Refer the woman to a social worker. ML ML ML ML ML ML
c. Advise the woman to see an obstetrician, not a midwife. ML ML ML ML ML ML ML ML ML
d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D M L
Consistent prenatal care is the best method of preventing or controlling risk factors
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associatedwith infant mortality. Nutritional status is an important modifiable risk factor, but
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a nutrition assessment is not the most important action a nurse should take in this situation.
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The patient may need assistance from a social worker at some time during her pregnancy,
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but a referral toa social worker is not the most important aspect the nurse should address at
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this time. If the woman has identifiable high-risk problems, her health care may need to be
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provided by a physician. However, it cannot be assumed that all African-American women
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have high risk issues. In addition, advising the woman to see an obstetrician is not the most
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important aspecton which the nurse should focus at this time, and it is not appropriate for a
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nurse to advise or manage the type of care a patient is to receive.
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DIF: Cognitive Level: Application OBJ: Nursing Process: ML ML ML ML
PlanningMSC: Client Needs: Health Promotion and Maintenance
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5. During a prenatal intake interview, the nurse is in the process of obtaining an initial
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assessment of a 21-year-old Hispanic patient with limited English proficiency. It is
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importantfor the nurse to
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a. use maternity jargon in order for the patient to become familiar with these terms.
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b. speak quickly and efficiently to expedite the visit.
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c. provide the patient with handouts. ML ML ML ML
d. assess whether the patient understands the discussion.ML ML ML ML ML ML
ANS: D M L
Nurses contribute to health literacy by using simple, common words; avoiding jargon;
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andevaluating whether the patient understands the discussion. Speaking slowly and clearly
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andfocusing on what is important increase understanding. Most patient education materials
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arewritten at too high a level for the average adult and may not be useful for a patient with
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limited English proficiency.
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DIF: Cognitive Level: Application OBJ: Nursing Process: ML ML ML ML
EvaluationMSC: Client Needs: Health Promotion and Maintenance
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6. When managing health care for pregnant women at a prenatal clinic, the nurse
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shouldrecognize that the most significant barrier to access to care is the pregnant
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woman‘s
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a. age.
b. minority status. M
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c. educational level. ML
d. inabilityto pay. M
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ANS: D M L
The most significant barrier to health care access is the inability to pay for services; this
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iscompounded by the fact that many physicians refuse to care for women who cannot
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, pay. Although adolescent pregnant patients statistically receive less prenatal care, age is
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not the
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