{"id":118692,"date":"2023-09-05T20:15:25","date_gmt":"2023-09-05T20:15:25","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118692"},"modified":"2023-09-05T20:15:28","modified_gmt":"2023-09-05T20:15:28","slug":"test-bank-for-maternal-child-nursing-care-7th-edition-by-shannon-e-perry-marilyn-j-hockenberry-mary-catherine-cashion-chapter-1-50-complete","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/05\/test-bank-for-maternal-child-nursing-care-7th-edition-by-shannon-e-perry-marilyn-j-hockenberry-mary-catherine-cashion-chapter-1-50-complete\/","title":{"rendered":"Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion Chapter 1-50 Complete"},"content":{"rendered":"\n

Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  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.
    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<\/li>\n\n\n\n
  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
    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<\/li>\n\n\n\n
  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 nurse\u2018s 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\u2018s 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<\/li>\n<\/ol>\n\n\n\n

    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<\/p>\n\n\n\n

      \n
    1. 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<\/li>\n\n\n\n
    2. 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<\/li>\n\n\n\n
    3. 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\u2018s
      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<\/li>\n<\/ol>\n\n\n\n

      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.
      DIF: Cognitive Level: Knowledge OBJ: Nursing Process: Assessment
      MSC: Client Needs: Safe and Effective Care Environment<\/p>\n\n\n\n

        \n
      1. 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\u2018s physician.
        c. look up the procedure in a nursing textbook.
        d. consult the agency\u2018s procedure manual and follow the guidelines for the
        procedure.
        ANS: D
        It is always best to follow the agency\u2018s 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. 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.
        DIF: Cognitive Level: Application OBJ: Nursing Process: Implementation
        MSC: Client Needs: Physiologic Integrity<\/li>\n\n\n\n
      2. From the nurse\u2018s 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 women\u2018s 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.
        DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Implementation
        MSC: Client Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
      3. 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 patients\u2018 input into their health care.
        d. focus primarily on the disease an individual is experiencing.<\/li>\n<\/ol>\n\n\n\n

        ANS: C
        Many popular alternative healing modalities offer human-centered care based on philosophies
        that recognize the value of the patient\u2018s input and honor the individual\u2018s 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 a holistic approach to health, focusing
        on the whole person, not just the disease.
        DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
        MSC: Client Needs: Physiologic Integrity<\/p>\n\n\n\n

          \n
        1. 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.
          b. She delivered a girl.
          c. The standards of care were not met.
          d. She refused fetal monitoring.
          ANS: C
          Not meeting the standards of care is a legitimate factor for a case of negligence. The patient\u2018s
          race is not a factor for a case of negligence. The infant\u2018s gender is not a factor for a case of
          negligence. Although fetal monitoring is the standard of care, the patient has the right to
          refuse treatment. This refusal is not a case for negligence; however, informed consent should
          be properly obtained, and the patient should sign an against medical advice form for refusal of
          any treatment that is within the standard of care.
          DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
          MSC: Client Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
        2. A newly graduated nurse is attempting to understand the reason for increasing health care
          spending in the United States. Her research finds that these costs are much higher compared
          with other developed countries as a result of
          a. a higher rate of obesity among pregnant women.
          b. limited access to technology.
          c. increased usage of health care services along with lower prices.
          d. homogeneity of the population.
          ANS: A
          Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.7% of the
          gross domestic product is spent on health care. Higher spending in the United States compared
          with 12 other industrialized countries is related to higher prices and readily accessible
          technology along with greater obesity rates among women. More than one third of women in
          the United States are obese. Of the U.S. population, 8.5% is uninsured and has limited access
          to health care. Maternal morbidity and mortality are directly related to racial disparities.
          DIF: Cognitive Level: Analysis OBJ: Nursing Process: Planning
          MSC: Client Needs: Safe and Effective Care Environment<\/li>\n\n\n\n
        3. The term used to describe legal and professional responsibility for practice for maternity
          nurses is
          a. collegiality.
          b. ethics.
          c. evaluation.
          d. accountability.
          ANS: D
          Accountability refers to legal and professional responsibility for practice. Collegiality refers to<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          Chapter 01: 21st Century Maternity NursingPerry: Maternal Child Nursing Care, 7th EditionMULTIPLE CHOICE have led the efforts to implement clinical practice guidelines using an evidence-basedapproach. Maternity patients have experienced a decreased, rather than an increased, length ofstay over the past two decades.DIF: Cognitive Level: Comprehension OBJ: Nursing Process: ImplementationMSC: Client Needs: Safe and Effective Care […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118692","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118692","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118692"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118692\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118692"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118692"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118692"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}