Maternal Child Nursing Care, 7th Edition
Perry: Maternal Child Nursing Care, 7th Edition
, Maternal Child Nursing Care, 7th Edition
Test Bank For Maternal Child
Nursing Care, 7th Edition by
Shannon E. Perry, Marilyn J.
Hockenberry, Mary Catherine
Cashion| 9780323776714
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.
CORRECT ANSWERS: 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 OBJECTIVE: 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 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
CORRECT ANSWERS: B
The situation, background, assessment, recommendation (SBAR) technique provides a specific
framework for communication among health care providers. Failure to communicate is one of
, Maternal Child Nursing Care, 7th Edition
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
OBJECTIVE: Nursing Process: Assessment | Nursing Process: 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.
CORRECT ANSWERS: 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 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
approach. Maternity patients have experienced a decreased, rather than an increased, length of
stay over the past two decades.
DIF: Cognitive Level: Comprehension OBJECTIVE: 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.
CORRECT ANSWERS: 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.
DIF: Cognitive Level: Application OBJECTIVE: Nursing Process: Planning MSC: Client
Needs: Health Promotion and Maintenance
, Maternal Child Nursing Care, 7th Edition
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.
CORRECT ANSWERS: 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.
DIF: Cognitive Level: Application OBJECTIVE: 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 woman‘s
a. age.
b. minority status.
c. educational level.
d. inability to pay.
CORRECT ANSWERS: 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
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 OBJECTIVE: Nursing Process: Assessment MSC: Client
Needs: Safe and Effective Care Environment
7. 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 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.
CORRECT ANSWERS: 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 standards of care
for safe patient care delivery. Physicians are responsible for their own patient care activity.
