Maternal Child Nursing Care, 5e 5th Edition by
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Perry RN PhD FAAN, Shannon E., Hockenberry
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PhD RN PNP-BC (2013) Test Bank 5th Edition
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,Item Bank: Perry Maternal Child Nursing Care 5th edition
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Objective: CH 01: 21st Century Maternity Nursing
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1. Question Name: 0001 Type: MC
oo oo oo Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
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Child Nursing Care 5th edition
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When providing care for a pregnant woman, the nurse should be aware that one of the most
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frequently reported maternal medical risk factors is:
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* A. Diabetes mellitus.
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B. Mitral valve prolapse (MVP).
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C. Chronic hypertension.
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D. Anemia. o o
Correct Answer: oo o o A
oo Explanation/Rationale:
ANS: A o o
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. There
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are no studies that indicate MVP is among the most frequently reported maternal risk factors.
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Hypertension associated with pregnancy, not chronic hypertension, is one of the most frequently
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reported maternal medical risk factors. Although anemia is a concern in pregnancy, it is not
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one of the most frequently reported maternal medical risk factors in pregnancy.
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2. Question Name: 0002 Type: MC
oo oo oo Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
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Child Nursing Care 5th edition
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To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
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both teamwork and communication with clinicians into her care delivery, The SBAR technique of
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communication is an easy-to-remember mechanism for communication. Which of the following
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correctly defines this acronym?
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A. Situation, baseline assessment, response oo oo oo
* B. Situation, background, assessment, recommendation
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C. Subjective background, assessment, recommendation oo oo oo
D. Situation, background, anticipated recommendation oo oo oo
Correct Answer: B oo o o
oo Explanation/Rationale:
ANS: o o B
, The situation, background, assessment, recommendation (SBAR) technique provides a specific
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framework for communication among health care providers. Failure to communicate is one of
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the major reasons for errors in health care. The SBAR technique has the potential to serve as
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a means to reduce errors.
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3. Question Name: 0003 Type: MC
oo oo oo Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
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Child Nursing Care 5th edition
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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. oo oo oo oo oo oo oo
B. Primarily hospital care of maternity patients. oo oo oo oo oo
* C. Practice using an evidence-based approach.
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D. Planning patient care to cover longer hospital stays.
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Correct Answer: oo o o C
oo Explanation/Rationale:
ANS: C o o
Professional nurses are part of the team of health care providers who collaboratively care for
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patients throughout the childbearing cycle. Providing care to patients directly at the bedside is
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one of the nurse‟s tasks; however, it does not encompass the concept of the evolved
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professional nurse. Throughout the prenatal period, nurses care for women in clinics and
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physician‟s offices and teach classes to help families prepare for childbirth. Nurses also care
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for childbearing families in birthing centers and in the home. Nurses have been critically
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important in developing strategies to improve the well-being of women and 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 of
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stay over the past 2 decades.
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4. Question Name: 0004 Type: MC
oo oo oo Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
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Child Nursing Care 5th edition
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A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for
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infant mortality, which plan is most important for the nurse to implement?
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A. Perform a nutrition assessment. oo oo oo
B. Refer the woman to a social worker. oo oo oo oo oo oo
C. Advise the woman to see an obstetrician, not a midwife.
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* D. Explain to the woman the importance of keeping her prenatal care appointments.
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Correct Answer: oo o o D
, Explanation/Rationale:
ANS: D o o
Consistent prenatal care is the best method of preventing or controlling risk factors associated
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with infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition
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assessment is not the most important action a nurse should take in this situation. The patient
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may need assistance from a social worker at some time during her pregnancy, but a referral to a
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social worker is not the most important aspect the nurse should address at this time. If the
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woman has identifiable high-risk problems, her health care may need to be provided by a
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physician.
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However, it cannot be assumed that all African-American women have high-risk issues. In
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addition, advising the woman to see an obstetrician is not the most important aspect on which
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the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage
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the type of care a patient is to receive.
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5. Question Name: 0005 Type: MC
oo oo oo Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
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Child Nursing Care 5th edition
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During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment
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of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse
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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. oo oo oo oo
* D. Assess whether the patient understands the discussion.
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Correct Answer: D oo o o
oo Explanation/Rationale:
ANS: D o o
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and
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evaluating whether the patient understands the discussion. Speaking slowly and clearly and
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focusing on what is important increase understanding. Most patient education materials are
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written at too high a level for the average adult and may not be useful for a client with limited
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English proficiency.
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6. Question Name: 0006 Type: MC
oo oo oo Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry Maternal
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Child Nursing Care 5th edition
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When managing health care for pregnant women at a prenatal clinic, the nurse should recognize
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that the most significant barrier to access to care is the pregnant woman‟s:
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A. Age.
