ATI PN MATERNITY PROCTORED EXAM (Detail Solutions and Resource for the test)

ATI PN MATERNITY PROCTORED EXAM (Detail Solutions and Resource for the test) 1. The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend? 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. ANS: 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 6 OBJ: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 10 2. Maternity nursing care that is based on knowledge gained through research and clinical trials is: 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. ANS: 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 9 OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 3. The level of practice a reasonably prudent nurse provides is called: a. The standard of care. c. A sentinel event. b. Risk management. d. Failure to rescue. ANS: 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 does not define the standard of care. PTS: 1 DIF: Cognitive Level: Comprehension REF: 11 OBJ: Nursing Process: Diagnosis MSC: Client Needs: Safe and Effective Care Environment 4. During a prenatal intake interview, the client informs the nurse that she would prefer a midwife to provide her care during pregnancy and deliver her infant. What information would be most appropriate for the nurse to share with this patient? a. Midwifery care is available only to clients who are uninsured because their services are less expensive than an obstetrician. Costs are often lower than an obstetric provider. b. The client will receive fewer interventions during the birth process. c. The client should be aware that midwives are not certified. Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 11 d. Delivery can take place only at the clients home or in a birth center. ANS: B This patient will be able to participate actively in all decisions related to the birth process and is likely to receive fewer interventions during the birth process. Midwifery services are available to all low-risk pregnant women, regardless of the type of insurance they have. Midwifery care in all developed countries is strictly regulated by a governing body, which ensures that core competencies are met. In the United States, this body is the American College of Nurse-Midwives. Midwives can provide care and delivery at home, in freestanding birth centers, and in community and teaching hospitals. PTS: 1 DIF: Cognitive Level: Knowledge REF: 7 OBJ: Nursing