Test Bank 1-2
Perry: Maternal Child Nursing Care, 4th Edition
Chapter 1: Contemporary Maternity Nursing
Test Bank
MULTIPLE CHOICE
1. When providing
... [Show More] care for the 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 is one of the most frequently
reported maternal medical risk factors, not chronic hypertension. 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: 8
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Assessment
2. Managed care has gained in popularity. The nurse should understand that this rise in
popularity is most often guided by which consideration?
a. Concern for the quality of care c. Greater access to physicians
b. Means of controlling costs of care d. Allowance for early discharge
ANS: B
Health care is among the fastest growing sectors of the U.S. economy. Managed care was
developed as a direct result of escalating health care costs. Although quality control is
important, it does not have any bearing on the rise in popularity of managed care.
Managed care tends to have a gatekeeper effect, which actually may limit access to
physicians, especially specialists. Although early discharge originally was part of the
managed care plan to reduce hospital expenditures, this practice has created a need for
additional care in the home.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
OBJ: Client Needs: Safe and Effective Care Environment
TOP: Nursing Process: Assessment
3. The role of the professional nurse has evolved to emphasize:
a. Providing care to clients directly at the bedside.
b. Planning client care to cover longer hospital stays.
c. Leading the activities of a team of interdisciplinary health care providers. [Show Less]