TEST BANK MATERNAL CHILD NURSING CARE, 6TH EDITION, SHANNON PERRY (9780323549387)

Table of Contents 1 Chapter 01: 21st Century Maternity Nursing Chapter 02: Community Care: The Family and Culture Chapter 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 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: Family, Social, Cultural, and Religious Influences on Child Health Promotion Chapter 28: Developmental and Genetic Influences on Child Health Promotion Chapter 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 HospitalizationChapter 39: Pediatric Variations of Nursing Interventions Chapter 40: Respiratory Dysfunction Chapter 41: Gastrointestinal DysfunctionChapter 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 3 17 27 44 65 83 99 114 131 148 162 182 204 217 234 252 276 293 307 321 336 354 373 385 402 426 433 441 456 476 487 509 527 541 557 578 595 614 626 648 666 688 713 736 758 774 795 811 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 frequently reported 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 in pregnancy. 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 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 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 14 OBJ: 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. 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 have experienced a decreased, rather than an increased, length of stay over the past 2 decades. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1 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 social worker at some time 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: 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-yearold 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. 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 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 the most 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 the fact that many physicians refuse to care for women who cannot pay. 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 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. PTS: 1 DIF: Cognitive Level: Knowledge REF: 5 OBJ: 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 ANS: C When problems are identified, research can be conducted properly. Research of health care issues leads to evidence-based practice guidelines. Designing research studies is only one factor of the research process. Data collection is one factor of research. Financial support is necessary to conduct research, but it is not the primary role of the nurse in the research process. PTS: 1 DIF: Cognitive Level: Comprehension REF: 9 OBJ: Nursing Process: Diagnosis, Evaluation MSC: Client Needs: Safe and Effective Care Environment 8. When the nurse is unsure about how to perform a patient care procedure, the best action would be to: a. Ask another nurse. b. Discuss the procedure with the patients physician. c. Look up the procedure in a nursing textbook. d. Consult the agency procedure manual and follow the guidelines for the procedure. ANS: D It is always best to follow the agencys 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 standards of care for safe client care delivery. Physicians are responsible for their own client 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 not reflect the current standard of care or individual state or hospital policies. PTS: 1 DIF: Cognitive Level: Comprehension REF: 11 OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity 9. From the nurses perspective, what measure should be the focus of the health care system to reduce the rate of infant mortality further? a. Implementing programs to ensure womens 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 ANS: 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 10 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 10. 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 clients input into their health care. d. Focus primarily on the disease an individual is experiencing. ANS: C Many popular alternative healing modalities offer human-centered care based on philosophies that recognize the value of the patients input and honor the individuals 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 an holistic approach to health, focusing on the whole person, not just the disease. PTS: 1 DIF: Cognitive Level: Comprehension REF: 4 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity 11. 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. c. The standards of care were not met.