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Maternal Child Nursing
Care 7th Edition Test Bank
By Shannon E. Perry, Marilyn J. Hockenberry, Mary
Catherine Cashion
Table of Contents
Chapter 01: 21st Century Maternity Nursing Perry: Maternal Child
Nursing Care, 7th Edition ……………………………………………………………………………………………………………… 2
Chapter 02: The Family, Culture, and Home CarePerry: Maternal Child Nursing Care, 7th Edition ……………. 11
Chapter 03: Assessment and Health Promotion Perry: Maternal Child Nursing Care, 7th Edition……………… 17
Chapter 04: Reproductive System Concerns Perry: Maternal Child Nursing Care, 7th Edition…………………… 28
Chapter 05: Infertility, Contraception, and AbortionPerry: Maternal Child Nursing Care, 7th Edition……….. 43
Chapter 06: Genetics, Conception, and Fetal DevelopmentPerry: Maternal Child Nursing Care, 7th Edition . 55
Chapter 07: Anatomy and Physiology of PregnancyPerry: Maternal Child Nursing Care, 7th Edition………… 66
Chapter 08: Nursing Care of the Family During PregnancyPerry: Maternal Child Nursing Care, 7th Edition.. 77
Chapter 09: Maternal and Fetal Nutrition ……………………………………………………………………………………… 89
Chapter 10: Assessment of High-Risk PregnancyPerry: Maternal Child Nursing Care, 7th Edition…………… 100
Chapter 11: High-Risk Perinatal Care: Preexisting ConditionsPerry: Maternal Child Nursing Care, 7th Edition
…………………………………………………………………………………………………………………………………………….. 109
Chapter 12: High-Risk Perinatal Care: Gestational ConditionsPerry: Maternal Child Nursing Care, 7th Edition
…………………………………………………………………………………………………………………………………………….. 122
Chapter 13: Labor and Birth Processes…………………………………………………………………………………………. 138
Chapter 14: Maximizing Comfort for the Laboring WomanPerry: Maternal Child Nursing Care, 7th Edition148
Chapter 15: Fetal Assessment During Labor Perry: Maternal Child Nursing Care, 7th Edition ………………… 160
Chapter 16: Nursing Care of the Family During Labor and BirthPerry: Maternal Child Nursing Care, 7th
Edition …………………………………………………………………………………………………………………………………… 172
Chapter 17: Labor and Birth Complications Perry: Maternal Child Nursing Care, 7th Edition …………………. 187
Chapter 18: Postpartum Physiologic Changes Perry: Maternal Child Nursing Care, 7th Edition ……………… 198
Chapter 19: Nursing Care of the Family During the Postpartum PeriodPerry: Maternal Child Nursing Care,
7th Edition ……………………………………………………………………………………………………………………………… 208
Chapter 20: Transition to Parenthood …………………………………………………………………………………………. 216
Chapter 21: Postpartum Complications ……………………………………………………………………………………….. 227
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Chapter 22: Physiologic and Behavioral Adaptations of the NewbornPerry: Maternal Child Nursing Care, 7th
Edition …………………………………………………………………………………………………………………………………… 237
Chapter 23: Nursing Care of the Newborn and FamilyPerry: Maternal Child Nursing Care, 7th Edition …… 251
Chapter 24: Newborn Nutrition and Feeding Perry: Maternal Child Nursing Care, 7th Edition……………….. 259
Chapter 25: The High-Risk Newborn ……………………………………………………………………………………………. 270
Chapter 26: 21st Century Pediatric Nursing Perry: Maternal Child Nursing Care, 7th Edition…………………. 286
Chapter 27: Social, Cultural, Religious and Family Influences on Child HealthPromotion ………………………. 291
Chapter 28: Developmental and Genetic Influences on Child Health PromotionPerry: Maternal Child Nursing
Care, 7th Edition ……………………………………………………………………………………………………………………… 295
Chapter 29: Communication and Physical Assessment of the Child and FamilyPerry: Maternal Child Nursing
Care, 7th Edition ……………………………………………………………………………………………………………………… 306
Chapter 30: Pain Assessment and Management in ChildrenPerry: Maternal Child Nursing Care, 7th Edition
…………………………………………………………………………………………………………………………………………….. 319
Chapter 31: The Infant and Family………………………………………………………………………………………………. 325
Chapter 32: The Toddler and Family ……………………………………………………………………………………………. 339
Chapter 33: The Preschooler and Family………………………………………………………………………………………. 351
Chapter 34: The School-Age Child and Family Perry: Maternal Child Nursing Care, 7th Edition………………. 360
Chapter 35: Health Promotion of the Adolescent and FamilyPerry: Maternal Child Nursing Care, 7th Edition
…………………………………………………………………………………………………………………………………………….. 372
Chapter 36: Impact of Chronic Illness, Disability, or End-of-Life Care on the Child andFamily ………………… 384
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and FamilyPerry: Maternal Child
Nursing Care, 7th Edition ………………………………………………………………………………………………………….. 395
Chapter 38: Family-Centered Care of the Child During Illness and HospitalizationPerry: Maternal Child
Nursing Care, 7th Edition ………………………………………………………………………………………………………….. 408
Chapter 39: Pediatric Nursing Interventions and SkillsPerry: Maternal Child Nursing Care, 7th Edition…… 417
Chapter 40: The Child With Respiratory DysfunctionPerry: Maternal Child Nursing Care, 7th Edition……… 431
Chapter 41: The Child With Gastrointestinal DysfunctionPerry: Maternal Child Nursing Care, 7th Edition.. 443
Chapter 42: The Child With Cardiovascular DysfunctionPerry: Maternal Child Nursing Care, 7th Edition…. 455
Chapter 43: The Child With Hematologic or Immunologic DysfunctionPerry: Maternal Child Nursing Care, 7th
Edition …………………………………………………………………………………………………………………………………… 474
Chapter 44: The Child With Cancer ……………………………………………………………………………………………… 486
Chapter 45: The Child With Genitourinary DysfunctionPerry: Maternal Child Nursing Care, 7th Edition ….. 493
Chapter 46: The Child With Cerebral DysfunctionPerry: Maternal Child Nursing Care, 7th Edition………….. 506
Chapter 47: The Child With Endocrine DysfunctionPerry: Maternal Child Nursing Care, 7th Edition ……….. 521
Chapter 48: The Child With Musculoskeletal or Articular DysfunctionPerry: Maternal Child Nursing Care, 7th
Edition …………………………………………………………………………………………………………………………………… 534
Chapter 49: The Child With Neuromuscular or Muscular DysfunctionPerry: Maternal Child Nursing Care, 7th
Edition …………………………………………………………………………………………………………………………………… 545
Chapter 50: The Child With Integumentary DysfunctionPerry: Maternal Child Nursing Care, 7th Edition … 553
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Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
MULTIPLE CHOICE
- 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.
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.
DIF: Cognitive Level: Knowledge OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity - 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
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.
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment | Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment - 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 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
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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 two decades.
DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
- 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.
DIF: Cognitive Level: Application OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance - 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.
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 patient with
limited English proficiency.
DIF: Cognitive Level: Application OBJ: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance - 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.
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 patients statistically receive less prenatal care, age is not the