Details of TEST BANK PERRY MATERNAL CHILD NURSING CARE 5TH EDITIONItem Bank: Perry Maternal Child Nursing Care 5th edition Objective: CH 01: 21st Century
... [Show More] Maternity Nursing
1. Question Name: 0001 Century Maternity Nursing
Type: MC Objective: CH 01: 21st Item Bank: Perry Maternal Child Nursing Care 5th edition
When providing care for a pregnant woman, the nurse should be aware that one of the most frequently reported maternal medical risk factors is:
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A. Diabetes mellitus. B. Mitral valve prolapse (MVP). C. Chronic hypertension. D. Anemia.
Correct Answer: A
Explanation/Rationale: 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.
2. Question Name: 0002 Century Maternity Nursing
Type: MC Objective: CH 01: 21st Item Bank: Perry Maternal Child Nursing Care 5th edition
To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both teamwork and communication with clinicians into her 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
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B. Situation, background, assessment, recommendation C. Subjective background, assessment, recommendation D. Situation, background, anticipated recommendation
Correct Answer: B
Explanation/Rationale: 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
1 | P a g ethe major reasons for errors in health care. The SBAR technique has the potential to serve as a
means to reduce errors.
3. Question Name: 0003
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
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.
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C. Practice using an evidence-based approach.
D. Planning patient care to cover longer hospital stays.
Correct Answer: C
Explanation/Rationale:
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 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 2 decades.
4. Question Name: 0004
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
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.
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D. Explain to the woman the importance of keeping her prenatal care appointments.
Correct Answer: D
Explanation/Rationale:
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated
2 | P a g ewith 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.
5. Question Name: 0005
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
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.
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D. Assess whether the patient understands the discussion.
Correct Answer: D
Explanation/Rationale:
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 client with limited
English proficiency.
6. Question Name: 0006
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
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.
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D. Inability to pay.
Correct Answer: D
3 | P a g eExplanation/Rationale:
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 clients statistically receive less prenatal care, age is not the 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.
7. Question Name: 0007
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
What is the primary role of practicing nurses in the research process?
A. Designing research studies
B. Collecting data for other researchers
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C. Identifying researchable problems
D. Seeking funding to support research studies
Correct Answer: C
Explanation/Rationale:
ANS: C
When problems are identified, research can be conducted properly. Research of health care issues
leads to evidence-based practice guidelines. Designing research studies is only one factor of the
research process. Data collection is one factor of research. Financial support is necessary to
conduct research, but it is not the primary role of the nurse in the research process.
8. Question Name: 0008
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
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.
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D. Consult the agency procedure manual and follow the guidelines for the procedure.
Correct Answer: D
4 | P a g eExplanation/Rationale:
ANS: 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 client
care delivery. Physicians are responsible for their own client 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.
9. Question Name: 0009
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
From the nurse’s perspective, what measure should be the focus of the health care system to reduce
the rate of infant mortality further?
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A. Implementing programs to ensure women’s 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
Correct Answer: A
Explanation/Rationale:
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.
10. Question Name: 0010
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
Alternative and complementary therapies:
A. Replace conventional Western modalities of treatment.
5 | P a g eB. Are used by only a small number of American adults.
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C. Recognize the value of clients’ input into their health care.
D. Focus primarily on the disease an individual is experiencing.
Correct Answer: C
Explanation/Rationale:
ANS: C
Many popular alternative healing modalities offer human-centered care based on philosophies
that recognize the value of the patient’s input and honor the individual’s 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 an holistic approach to health, focusing on the
whole person, not just the disease.
11. Question Name: 0011
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
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.
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C. The standards of care were not met.
D. She refused fetal monitoring.
Correct Answer: C
Explanation/Rationale:
ANS: C
Not meeting the standards of care is a legitimate factor for a case of negligence. The client’s race is
not a factor for a case of negligence. The infant’s gender is not a factor for a case of negligence.
Although fetal monitoring is the standard of care, the client has the right to refuse treatment.
This refusal is not a case for negligence; however, informed consent should be
properly obtained, and the client should sign an against medical advice form for refusal of any
treatment that is within the standard of care.
12. Question Name: 0012
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
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:
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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.
Correct Answer: A
Explanation/Rationale:
ANS: A
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% 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, 16% is uninsured and has limited access to
health care. Maternal morbidity and mortality are directly related to racial disparities.
13. Question Name: 0013
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
The term used to describe legal and professional responsibility for practice for maternity nurses is:
A. Collegiality.
B. Ethics.
C. Evaluation.
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D. Accountability.
Correct Answer: D
Explanation/Rationale:
ANS:
D
Accountability refers to legal and professional responsibility for practice. Collegiality refers to a
working relationship with one’s colleagues. Ethics refers to a code to guide practice. Evaluation
refers to examination of the effectiveness of interventions in relation to expected outcomes.
14. Question Name: 0014
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
Through the use of social media technology, nurses can link with other nurses who may share
similar interests, insights about practice, and advocate for patients. The most concerning pitfall for
nurses using this technology is:
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A. Violation of patient privacy and confidentiality.
B. Institutions and colleagues may be cast in an unfavorable light.
C. Unintended negative consequences for using social media.
D. Lack of institutional policy governing online contact.
7 | P a g eCorrect Answer: A
Explanation/Rationale:
ANS: A
The most significant pitfall for nurses using this technology is the violation of patient privacy and
confidentiality. Furthermore, institutions and colleagues can be cast in unfavorable lights with
negative consequences for those posting information. Nursing students have been expelled from
school and nurses have been fired or reprimanded by their Board of Nursing for injudicious posts.
The American Nurses Association has published six principles for social networking and nurses.
All institutions should have policies guiding the use of social media, and nurses should be familiar
with these guidelines.
15. Question Name: 0015
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
An important development that affects maternity nursing is integrative health care, which:
A. Seeks to provide the same health care for all racial and ethnic groups.
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B. Blends complementary and alternative therapies with conventional Western treatment.
C. Focuses on the disease or condition rather than the background of the client.
D. Has been mandated by Congress.
Correct Answer: B
Explanation/Rationale:
ANS: B
Integrative health care tries to mix the old with the new at the discretion of the client and
health care providers. Integrative health care is a blending of new and traditional practices.
Integrative health care focuses on the whole person, not just the disease or condition. U.S. law
supports complementary and alternative therapies but does not mandate them.
16. Question Name: 0016
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
Recent trends in childbirth practices in the United States indicate that:
A. More than 15% of mothers had late or no prenatal care.
B. The percentage of Hispanics, non-Hispanic African Americans, and Caucasians who received
prenatal care was essentially the same.
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C. Births occurring in the hospital accounted for 99% of births.
D. Cesarean births have been declining as a percentage of live births.
Correct Answer: C
8 | P a g eExplanation/Rationale:
ANS: C
Almost all births occur within the hospital setting. Only 5.2% of Caucasians mothers had either
late care or no care. There are disparities in the receipt of prenatal care by ethnicity: 12.2% of
Hispanic women and 11.8% of non-Hispanic black women received either late or no prenatal
care. The percentage of cesarean births is increasing.
17. Question Name: 0017
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
Recent trends in childbirth practice indicate that:
A. Delayed pushing is now discouraged in the second stage of labor.
B. Episiotomy rates are increasing.
C. Midwives perform more episiotomies than physicians.
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D. Newborn infants remain with the mother and are encouraged to breastfeed.
Correct Answer: D
Explanation/Rationale:
ANS: D
Breastfeeding is encouraged for newborns immediately after birth. Delayed pushing is
encouraged for several reasons. Episiotomy rates are declining. Midwives perform fewer
episiotomies than physicians.
18. Question Name: 0018
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend?
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A. Births to unmarried women are more likely to have less favorable outcomes.
B. Birth rates for women 40 to 44 years old are beginning to decline.
C. Cigarette smoking among pregnant women continues to increase.
D. The rates of maternal death owing to racial disparity are elevated in the United States.
Correct Answer: A
Explanation/Rationale:
ANS: A
Low-birth-weight infants and preterm birth are more likely because of the large number of
teenagers in the unmarried group. Birth rates for women in their early 40s continue to
increase. Fewer pregnant women smoke. In the United States, there is significant racial disparity
in the rates of maternal death.
9 | P a g e19. Question Name: 0019
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
Maternity nursing care that is based on knowledge gained through research and clinical trials is:
A. Derived from the Nursing Intervention Classification.
*
B. Known as evidence-based practice.
C. At odds with the Cochrane School of traditional nursing.
D. An outgrowth of telemedicine.
Correct Answer: B
Explanation/Rationale:
ANS: B
Evidence-based practice is based on knowledge gained from research and clinical trials. The
Nursing Intervention Classification is a method of standardizing language and categorizing care. Dr.
Cochrane systematically reviewed research trials and is part of the evidence-based practice
movement. Telemedicine uses communication technologies to support health care.
20. Question Name: 0020
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
The level of practice a reasonably prudent nurse provides is called:
*
A. The standard of care.
B. Risk management.
C. A sentinel event.
D. Failure to rescue.
Correct Answer: A
Explanation/Rationale:
ANS: A
Guidelines for standards of care are published by various professional nursing organizations.
Risk management identifies risks and establishes preventive practices, but it does not define the
standard of care. Sentinel events are unexpected negative occurrences. They do not establish the
standard of care. Failure to rescue is an evaluative process for nursing, but it does not define the
standard of care.
21. Question Name: 0021
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
During a prenatal intake interview, the client informs the nurse that she would prefer a midwife to
10 | P a g eprovide her care during pregnancy and deliver her infant. What information would be most
appropriate for the nurse to share with this patient?
A. Midwifery care is available only to clients who are uninsured because their services are less
expensive than an obstetrician. Costs are often lower than an obstetric provider.
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B. The client will receive fewer interventions during the birth process.
C. The client should be aware that midwives are not certified.
D. Delivery can take place only at the client’s home or in a birth center.
Correct Answer: B
Explanation/Rationale:
ANS: B
This patient will be able to participate actively in all decisions related to the birth process and is
likely to receive fewer interventions during the birth process. Midwifery services are available to
all low-risk pregnant women, regardless of the type of insurance they have. Midwifery care in all
developed countries is strictly regulated by a governing body, which ensures that core
competencies are met. In the United States, this body is the American College of Nurse- Midwives.
Midwives can provide care and delivery at home, in freestanding birth centers, and in community
and teaching hospitals.
22. Question Name: 0022
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
While obtaining a detailed history from a woman who has recently emigrated from Somalia, the nurse
realizes that the client has undergone female genital mutilation (FGM). The nurse’s best response to
this patient is:
A. “This is a very abnormal practice and rarely seen in the United States.”
B. “Do you know who performed this so that it can be reported to the authorities?”
C. “We will be able to restore your circumcision fully after delivery.”
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D. “The extent of your circumcision will affect the potential for complications.”
Correct Answer: D
Explanation/Rationale:
ANS: D
“The extent of your circumcision will affect the potential for complications” is the most
appropriate response. The patient may experience pain, bleeding, scarring, or infection and may
require surgery before childbirth. With the growing number of immigrants from countries where
FGM is practiced, nurses will increasingly encounter women who have undergone the procedure.
Although this practice is not prevalent in the United States, it is very common in many African
and Middle Eastern countries for religious reasons. Responding with, “This is a very abnormal
practice and rarely seen in the United States” is culturally insensitive. The infibulation may have
occurred during infancy or childhood. The client will have little to no recollection of the event.
She would have considered this to be a normal milestone during her growth and development.
11 | P a g eThe International Council of Nurses has spoken out against this procedure as harmful to a
woman’s health.
23. Question Name: 0023
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
To ensure patient safety, the practicing nurse must have knowledge of the current Joint
Commission’s “Do Not Use” list of abbreviations. Which of the following is acceptable for use?
A. q.o.d. or Q.O.D.
B. MSO4 or MgSO4
*
C. International Unit
D. Lack of a leading zero
Correct Answer: C
Explanation/Rationale:
ANS: C
The abbreviations “i.u.” and “I.U.” are no longer acceptable because they could be misread as “I.V.”
or the number “10.” The abbreviation “q.o.d. or Q.O.D.” should be written out as “every other day.”
The period after the “Q” could be mistaken for an “I”; the “o” could also be mistaken for an “i.”
With MSO4 or MgSO4, it is too easy to confuse one medication for another. These medications are
used for very different purposes and could put a client at risk for an adverse outcome. They should
be written as morphine sulfate and magnesium sulfate. The decimal point should never be missed
before a number to avoid confusion (i.e., 0.4 rather than .4).
24. Question Name: 0024
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
Healthy People 2020 has established national health priorities that focus on a number of maternal-
child health indicators. Nurses are assuming greater roles in assessing family health and providing
care across the perinatal continuum. Therefore it is important for the nurse to be aware that
significant progress has been made in:
*
A. The reduction of fetal deaths and use of prenatal care.
B. Low birth weight and preterm birth.
C. Elimination of health disparities based on race.
D. Infant mortality and the prevention of birth defects.
Correct Answer: A
Explanation/Rationale:
ANS: A
Trends in maternal child health indicate that progress has been made in relation to reduced
infant and fetal deaths and increased prenatal care. Notable gaps remain in the rates of low birth
12 | P a g eweight and preterm births. According to the March of Dimes, persistent disparities still exist
between African Americans and non-Hispanic Caucasians. Many of these negative outcomes are
preventable through access to prenatal care and the use of preventive health practices. This
demonstrates the need for comprehensive community-based care for all mothers, infants, and
families.
25. Question Name: 0025
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
*
*
*
Which interventions would help alleviate the problems associated with access to health care for
maternity patients (Select all that apply)?
A. Provide transportation to prenatal visits.
B. Provide childcare so that a pregnant woman may keep prenatal visits.
C. Mandate that physicians make house calls.
D. Provide low-cost or no-cost health care insurance.
E. Provide job training.
Correct Answer: ABD
Explanation/Rationale:
ANS: A, B, D
Lack of transportation to visits, lack of childcare, and lack of affordable health insurance are
prohibitive factors associated with lack of prenatal care. House calls are not a cost-effective
approach to health care. Although job training may result in employment and income, the
likelihood of significant changes during the time frame of the pregnancy is remote.
26. Question Name: 0026
Century Maternity Nursing
Type: MC
Objective: CH 01: 21st
Item Bank: Perry Maternal Child Nursing Care 5th edition
Which of the following statements indicate that the nurse is practicing appropriate family-centered
care techniques (Select all that apply)?
A. The nurse commands the mother to do as she is told.
*
*
B. The nurse allows time for the partner to ask questions.
C. The nurse allows the mother and father to make choices when possible.
D. The nurse informs the family about what is going to happen.
E. The nurse tells the patient’s sister, who is a nurse, that she cannot be in the room during the
delivery.
Correct Answer: BC
Explanation/Rationale:
ANS: B, C
Including the partner in the care process and allowing the couple to make choices are important
13 | P a g eelements of family-centered care. The nurse should never tell the mother what to do. Family-
centered care involves collaboration between the health care team and the client. Unless an
institutional policy limits the number of attendants at a delivery, the client should be allowed to
have whomever she wants present (except when the situation is an emergency and guests are
asked to leave).
Item Bank: Perry Maternal Child Nursing Care 5th edition
Objective: CH 02: Community Care: The Family and Culture
1. Question Name: 0001
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
A married couple lives in a single-family house with their newborn son and the husband’s daughter
from a previous marriage. On the basis of the information given, what family form best describes
this family?
*
A. Married-blended family
B. Extended family
C. Nuclear family
D. Same-sex family
Correct Answer: A
Explanation/Rationale:
ANS: A
Married-blended families are formed as the result of divorce and remarriage. Unrelated family
members join together to create a new household. Members of an extended family are kin, or
family members related by blood, such as grandparents, aunts, and uncles. A nuclear family is a
traditional family with male and female partners and the children resulting from that union. A
same-sex family is a family with homosexual partners who cohabit with or without children.
2. Question Name: 0002
Type: MC
02: Community Care: The Family and Culture
Perry Maternal Child Nursing Care 5th edition
In what form do families tend to be most socially vulnerable?
A. Married-blended family
B. Extended family
C. Nuclear family
*
D. Single-parent family
14 | P a g e
Objective: CH
Item Bank:Correct Answer: D
Explanation/Rationale:
ANS: D
The single-parent family tends to be vulnerable economically and socially, creating an unstable
and deprived environment for the growth potential of children. The married-blended family, the
extended family, and the nuclear family are not the most socially vulnerable.
3. Question Name: 0003
Type: MC
02: Community Care: The Family and Culture
Perry Maternal Child Nursing Care 5th edition
Health care functions carried out by families to meet their members’ needs include:
A. Developing family budgets.
B. Socializing children.
*
C. Meeting nutritional requirements.
D. Teaching family members about birth control.
Correct Answer: C
Explanation/Rationale:
ANS: C
Meeting nutritional requirements is a fundamental health promotion behavior. Although creating
a family budget may be helpful, it does not indicate that funds will be allotted to meet health
needs if money is scarce. Often families cannot afford preventive care and rely on emergency
departments for their health care needs. Socialization of children may be important, but it is not
directly related to the health care of individuals in a family unit. Birth control may be important, but
it is not a basic survival health care function.
Objective: CH
Item Bank:
4. Question Name: 0004
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
The nurse should be aware that the criteria used to make decisions and solve problems within
families are based primarily on family:
A. Rituals and customs.
*
B. Values and beliefs.
C. Boundaries and channels.
D. Socialization processes.
15 | P a g eCorrect Answer: B
Explanation/Rationale:
ANS: B
Values and beliefs are the most prevalent factors in the decision-making and problem-solving
techniques of families. Although culture may play a part in the decision-making process of a family,
ultimately values and beliefs dictate the course of action taken by family members.
Boundaries and channels affect the relationship between the family members and the health care
team, not the decisions within the family. Socialization processes may help families with
interactions with the community, but they are not the criteria used for decision making within the
family.
5. Question Name: 0005
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
Using the family stress theory as an intervention approach for working with families experiencing
parenting, the nurse can help the family change internal context factors. These include:
A. Biologic and genetic makeup.
B. Maturation of family members.
*
C. The family’s perception of the event.
D. The prevailing cultural beliefs of society.
Correct Answer: C
Explanation/Rationale:
ANS: C
The family stress theory is concerned with the family’s reaction to stressful events; internal
context factors include elements that a family can control such as psychologic defenses. It is not
concerned with biologic and genetic makeup, maturation of family members, or the prevailing
cultural beliefs of society.
6. Question Name: 0006
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
While working in the prenatal clinic, you care for a very diverse group of patients. When planning
interventions for these families, you realize that acceptance of the interventions will be most
influenced by:
A. Educational achievement.
B. Income level.
C. Subcultural group.
16 | P a g e*
D. Individual beliefs.
Correct Answer: D
Explanation/Rationale:
ANS: D
The patient’s beliefs are ultimately the key to acceptance of health care interventions. However,
these beliefs may be influenced by factors such as educational level, income level, and ethnic
background. Educational achievement, income level, and subcultural group all are important
factors. However, the nurse must understand that a woman’s concerns from her own point of
view will have the most influence on her compliance.
7. Question Name: 0007
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
The nurse’s care of a Hispanic family includes teaching about infant care. When developing a plan
of care, the nurse bases interventions on the knowledge that in traditional Hispanic families:
A. Breastfeeding is encouraged immediately after birth.
B. Male infants typically are circumcised.
*
C. The maternal grandmother participates in the care of the mother and her infant.
D. Special herbs mixed in water are used to stimulate the passage of meconium.
Correct Answer: C
Explanation/Rationale:
ANS: C
In Hispanic families, the expectant mother is influenced strongly by her mother or mother-in-law.
Breastfeeding often is delayed until the third postpartum day. Hispanic male infants usually are
not circumcised. Olive or castor oil may be given to stimulate the passage of meconium.
8. Question Name: 0008
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
The woman’s family members are present when the home care maternal-child nurse arrives for a
postpartum and newborn visit. What should the nurse do?
*
A. Observe the family members’ interactions with the newborn and one another.
B. Ask the woman to meet with her and the baby alone.
C. Do a brief assessment on all family members present.
D. Reschedule the visit for another time so that the mother and infant can be assessed privately.
Correct Answer: A
17 | P a g eExplanation/Rationale:
ANS: A
The nurse should introduce herself to the patient and the other family members present.
Family members in the home may be providing care and assistance to the mother and infant.
However, this care may not be based on sound health practices. Nurses should take the
opportunity to dispel myths while family members are present. The responsibility of the home
care maternal- child nurse is to provide care to the new postpartum mother and her infant, not
to all family members. The nurse can politely ask about the other people in the home and their
relationships with the woman. Unless an indication is given that the woman would prefer
privacy, the visit may continue.
9. Question Name: 0009
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
The nurse should be aware that during the childbearing experience an African-American woman is
most likely to:
A. Seek prenatal care early in her pregnancy.
B. Avoid self-treatment of pregnancy-related discomfort.
C. Request liver in the postpartum period to prevent anemia.
*
D. Arrive at the hospital in advanced labor.
Correct Answer: D
Explanation/Rationale:
ANS: D
African-American women often arrive at the hospital in far-advanced labor. These women may
view pregnancy as a state of wellness, which is often the reason for delay in seeking prenatal
care. African-American women practice many self-treatment options for various discomforts of
pregnancy, and they may request liver in the postpartum period, but this is based on a belief that
the liver has a high blood content.
10. Question Name: 0010
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
To provide competent care to an Asian-American family, the nurse should include which of the
following questions during the assessment interview?
*
A. “Do you prefer hot or cold beverages?”
B. “Do you want milk to drink?”
C. “Do you want music playing while you are in labor?”
D. “Do you have a name selected for the baby?”
18 | P a g eCorrect Answer: A
Explanation/Rationale:
ANS: A
Asian-Americans often prefer warm beverages. Milk usually is excluded from the diet of this
population. Asian-American women typically labor in a quiet atmosphere. Delaying naming the
child is common for Asian-American families.
11. Question Name: 0011
Type: MC
02: Community Care: The Family and Culture
Perry Maternal Child Nursing Care 5th edition
The patient’s family is important to the maternity nurse because:
A. They pay the bills.
B. The nurse will know which family member to avoid.
C. The nurse will know which mothers will really care for their children.
*
D. The family culture and structure will influence nursing care decisions.
Correct Answer: D
Explanation/Rationale:
ANS: D
Family structure and culture influence the health decisions of mothers.
Objective: CH
Item Bank:
12. Question Name: 0012
Type: MC
02: Community Care: The Family and Culture
Perry
Objective: CH
Item Bank:
Maternal Child Nursing Care 5th edition
A mother’s household consists of her husband, his mother, and another child. She is living in a(n):
*
A. Extended family.
B. Single-parent family.
C. Married-blended family.
D. Nuclear family.
Correct Answer: A
Explanation/Rationale:
ANS: A
An extended family includes blood relatives living with the nuclear family. Both parents and a
grandparent are living in this extended family. Single-parent families comprise an unmarried
biologic or adoptive parent who may or may not be living with other adults. Married-blended
19 | P a g erefers to families reconstructed after divorce. A nuclear family is where male and female partners
and their children live as an independent unit.
13. Question Name: 0013
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
A traditional family structure in which male and female partners and their children live as an
independent unit is known as a(n):
A. Extended family.
B. Binuclear family.
*
C. Nuclear family.
D. Blended family.
Correct Answer: C
Explanation/Rationale:
ANS: C
About two thirds of U.S. households meet the definition of a nuclear family. Extended families
include additional blood relatives other than the parents. A binuclear family involves two
households. A blended family is reconstructed after divorce and involves the merger of two
families.
14. Question Name: 0014
Type: MC
02: Community Care: The Family and Culture
Perry Maternal Child Nursing Care 5th edition
Which statement about family systems theory is inaccurate?
A. A family system is part of a larger suprasystem.
*
B. A family as a whole is equal to the sum of the individual members.
C. A change in one family member affects all family members.
D. The family is able to create a balance between change and stability.
Correct Answer: B
Explanation/Rationale:
ANS: B
A family as a whole is greater than the sum of its parts. The other statements are characteristics
of a system that states that a family is greater than the sum of its parts.
15. Question Name: 0015
20 | P a g e
Type: MC
Objective: CH
Objective: CH
Item Bank:02: Community Care: The Family and Culture
Item Bank:
Perry Maternal Child Nursing Care 5th edition
A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is
the:
*
A. Genogram.
B. Family values construct.
C. Life cycle model.
D. Human development wheel.
Correct Answer: A
Explanation/Rationale:
ANS: A
A genogram depicts the relationships of family members over generations.
16. Question Name: 0016
Type: MC
02: Community Care: The Family and Culture
Objective: CH
Item Bank:
Perry Maternal Child Nursing Care 5th edition
The process by which people retain some of their own culture while adopting the practices of the
dominant society is known as:
*
A. Acculturation.
B. Assimilation.
C. Ethnocentrism.
D. Cultural relativism.
Correct Answer: A
Explanation/Rationale:
ANS: A
Acculturation is the process by which people retain some of their own culture while adopting the
practices of the dominant society. This process takes place over the course of generations.
Assimilation is a loss of cultural identity. Acculturation describes the process by which people retain
some of their own culture while adopting the practices of the dominant society.
Ethnocentrism is the belief in the superiority of one’s own culture over the cultures of others.
Acculturation describes the process by which people retain some of their own culture while
adopting the practices of the dominant society. Cultural relativism recognizes the roles of
different cultures. Acculturation describes the process by which people retain some of their own
culture while adopting the practices of the dominant society.
17. Question Name: 0017
Type: MC
02: Community Care: The Family and Culture
21 | P a g e
Objective: CH
Item Bank:Perry Maternal Child Nursing Care 5th edition When attempting to communicate with a patient who speaks a different language, the nurse should: A. Respond promptly and positively to project authority. B. Never use a family member as an interpreter. C. Talk to the interpreter to avoid confusing the patient.
*
D. Provide as much privacy as possible. Correct Answer: D
Explanation/Rationale: ANS: D Providing privacy creates an atmosphere of respect and puts the patient at ease. The nurse should not rush to judgment and should make sure that he or she understands the patient’s message clearly. In crisis situations, the nurse may need to use a family member or neighbor as a translator. The nurse should talk directly to the patient to create an atmosphere of respect.
18. Question Name: 0018 Type: MC 02: Community Care: The Family and Culture
Objective: CH Item Bank:
Perry Maternal Child Nursing Care 5th edition In which culture is the father more likely to be expected to participate in the labor and delivery? A. Asian-American B. African-American
*
C. European-American D. Hispanic [Show Less]