(Test Bank) Maternal Child Nursing Care

Perry,Hockenberry,Cashion, 7

Nursing

Test Bank

7th Edition

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Test Bank for Maternal Child Nursing Care, The downloadable file consists of 836 pages, and the total size of the file is 6.63 MB. Purchase now only for highly discounted price.

Author(s): Perry, Hockenberry, Cashion

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Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion Table of Contents Table of Contents 1 Chapter 01: 21st Century Maternity Nursing Chapter 02: Community Care: The Family and Culture Chapter 03: Assessment and Health Promotion Chapter 04: Reproductive System Concerns Chapter 05: Infertility, Contraception, and Abortion Chapter 06: Genetics, Conception, and Fetal Development Chapter 07: Anatomy and Physiology of Pregnancy Chapter 08: Nursing Care of the Family During Pregnancy Chapter 09: Maternal and Fetal Nutriti on Chapter 10: Assessment of High Risk Pregnancy Chapter 11: High Risk Perinatal Care: Preexisting Conditions Chapter 12: High Risk Perinatal Care: Gestational Conditions Chapter 13: Labor and Birth Processes Chapter 14: Pain Management Chapter 15: Fetal Assessment During Labor Chapter 16: Nursing Care of the Family During Labor and Birth Chapter 17: Labor and Birth Complications Chapter 18: Maternal Physiologic Changes Chapter 19: Nursing Care of the Family During the Postpartum Period Chapter 20: Transition to Parenthood Chapter 21: Postpartum Complications Chapter 22: Physiologic and Behavioral Adaptations of the Newborn Chapter 23: Nursing Care of the Newborn and Family Chapter 24: Newborn Nutrition and Feeding Chapter 25: The High Risk Newborn Chapter 26: 21st Century Pediatric Nursing Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion Chapter 28: Developmental and Genetic Influences on Child Health Promotion Chapter 29: Communication, History, and Physical Assessment Chapter 30: Pain Assessment and Management in Children Chapter 31: The Infant and Family Chapter 32: The Toddler and Family Chapter 33: The Preschooler and Family Chapter 34: The School -Age Child and Family Chapter 35: The Adol escent and Family Chapter 36: Impact of Chronic Illness, Disability, and End-of-Life Care for the Child and Family Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family Chapter 38: Family -Centered Care of the Child During Illnes s and Hospitalization Chapter 39: Pediatric Variations of Nursing Interventions Chapter 40: Respiratory Dysfunction Chapter 41: Gastrointestinal Dysfunction Chapter 42: Cardiovascular Dysfunction Chapter 43: Hematologic and Immunologic Dysfunction Chapter 44: Cancer Chapter 45: Genitourinary Dysfunction Chapter 46: Cerebral Dysfunction Chapter 47: Endocrine Dysfunction Chapter 48: Musculoskeletal or Articular Dysfunction 3 17 27 44 65 83 99 114 131 148 162 182 204 217 234 252 276 293 307 321 336 354 373 385 402 426 433 441 456 476 487 509 527 541 557 578 595 614 626 648 666 688 713 736 758 774 795 811 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion Chapter 01: 21st Century Maternity Nursing MULTIPLE CHOICE 1. When providing care for a pregnant woman, the nurse shou ld 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 a nd 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 chroni c 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. PTS: 1 DIF: Cognitive Level: Knowled ge REF: 6 OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity 2. 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 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 14 OBJ: Nursing Process: Assessment, Planning MSC: Client Needs: Safe and Effective Care Environment 3. The role of the professional nurse caring for childbearing families has evolved to emphasize: a. Providing care to patients directly at the bedside. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion 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 nurses tasks; however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period, nurses care for women in clinics and physicians offices and teach classes to help families prepare for childbirt h. 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment 4. 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 r isk 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 advi se or manage the type of care a patient is to receive. PTS: 1 DIF: Cognitive Level: Comprehension REF: 6 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 5. 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: Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion 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 client with limited English proficiency. PTS: 1 DIF: Cognitive Level: Application REF: 5 OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance 6. 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 womans: a. Age. c. Educational level. b. Minority status. 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 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. PTS: 1 DIF: Cognitive Level: Knowledge REF: 5 OBJ: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment 7. What is the primary role of practicing nurses in the research process? a. Designing research studies b. Collecting data for other resea rchers c. Identifying researchable problems d. Seeking funding to support research studies Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion 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. PTS: 1 DIF: Cognitive Level: Comprehen sion REF: 9 OBJ: Nursing Process: Diagnosis, Evaluation MSC: Client Needs: Safe and Effective Care Environment 8. 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 patients physician. c. Look up the procedure in a nursing textbook. d. Consult the agency procedure manual and follow the guidelines for the procedure. ANS: D It is always best to follow the agencys policies and procedures manual when seeking infor mation 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. PTS: 1 DIF: Cognitive Level: Comprehensi on REF: 11 OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity 9. From the nurses 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 womens 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 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion 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 o ffer 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 10 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 10. 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 clients input into their health care. d. Focus primarily on the disease an individual is experiencing. ANS: C Many popular alternative healing modalities offer human -centered care based on philosophies that recognize the value of the patients input and honor the individuals beliefs, values, and desires. Alternative and complementary therapies are part of an integrative approac h 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 4 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity 11. 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 sepsi s. On what grounds would the woman potentially have a legitimate legal case for negligence? a. She is Hispanic. c. The standards of care were not met. b. She delivered a girl. d. She refused fetal monitoring. ANS: C Not meeting the standards of care is a legitimate factor for a case of negligence. The clients race is not a factor for a case of negligence. The infants 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 treatmen t. 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 12 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion 12. 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, 17.4% 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. PTS: 1 DIF: Cognitive Level: Analysis REF: 5 OBJ: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Environment 13. The term used to describe legal and professional responsibility for practice for maternity nurses is: a. Collegiality. c. Evaluation. b. Ethics. d. Accountability. ANS: D Accountability refers to legal and professional responsibility for practice. Collegiality refers to a working relationship with ones colleagues. Ethics refer s to a code to guide practice. Evaluation refers to examination of the effectiveness of interventions in relation to expected outcomes. PTS: 1 DIF: Cognitive Level: Evaluation REF: 12 OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance 14. 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: a. Violation of patient privacy and confidentiality. b. Institutions and colleagues may be cast in an unfavorable light. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion c. Unintended negative consequences for using social media. d. Lack of institutional policy governing online contact. ANS: A The most significant pitfal l 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 expe lled 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. PTS: 1 DIF: Cognitive Level: Analysis REF: 7 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment 15. An important development that affects maternit y nursing is integrative health care, which: a. Seeks to provide the same health care for all racial and ethnic groups. 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. 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. PTS: 1 DIF: Cognitive Level: Application REF: 4 OBJ: Nursing Process: Implementa tion MSC: Client Needs: Health Promotion and Maintenance 16. 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. c. Births occurring in the hospital accounted for 99% of births. d. Cesarean births have been declining as a percentage of live births. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion 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 c esarean births is increasing. PTS: 1 DIF: Cognitive Level: Knowledge REF: 7 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity 17. 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. d. Newborn infants remain with the mother and are encouraged to breastfeed. ANS: D Breastfeeding is encouraged for newborns immediately after birth. Delaye d pushing is encouraged for several reasons. Episiotomy rates are declining. Midwives perform fewer episiotomies than physicians. PTS: 1 DIF: Cognitive Level: Knowledge REF: 8 OBJ: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Envir onment 18. The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend? 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. Ciga rette smoking among pregnant women continues to increase. d. The rates of maternal death owing to racial disparity are elevated in the United States. ANS: A Low -birth -weight infants and preterm birth are more likely because of the large number of teenager s 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 6 OBJ: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion 19. 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. 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 use communication technologies to support health care. PTS: 1 DIF: Cognitive Level: Comprehension REF: 9 OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 20. The level of practice a reasonably prudent nurse provides is called: a. The standard of care. c. A sentinel event. b. Risk management. d. Failure to rescue. 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 nega tive 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 11 OBJ: Nursing Process: Diagnosis MSC: Client Needs: Safe and Effective Care Environment 21. During a prenatal intake interview, the client informs the nurse that she would prefer a midwife to provide 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. b. The client will receive fewer interventions during the birth process. c. The client should be aware that midwives are not certified. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion d. Delivery can take place only at the clients home or in a birth center. ANS: B This patient will be able to participate actively in all decisions related to the birt h 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 hosp itals. PTS: 1 DIF: Cognitive Level: Knowledge REF: 7 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment 22. 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 nurses 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. d. The extent of your circumcision will affect the potential for complications. ANS: D The extent of your circumcision will affect the potential for complications is the most appropriat e 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 undergon e 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 c ulturally 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. The International Council of Nurses has spoken out against this procedure as harmful to a womans health. PTS: 1 DIF: Cognitive Level: Comprehension REF: 8 OBJ: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Environment 23. To ensure patient safety, the practicing nurse must have knowledge of the current Joint Commissions Do Not Use list of abbreviations. Which of the following is acceptable for use? a. q.o.d. or Q.O.D. c. International Unit b. MSO 4 or MgSO 4 d. Lack of a leading zero Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion ANS: C The abbreviati ons 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 f or an i. With MSO 4 or MgSO 4, 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 sulfat e. The decimal point should never be missed before a number to avoid confusion (i.e., 0.4 rather than .4). PTS: 1 DIF: Cognitive Level: Analysis REF: 13 OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 24. Healthy People 2020 has e stablished 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. 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 weight and preterm births. According to the March of Dimes, pe rsistent 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 comprehensiv e community -based care for all mothers, infants, and families. PTS: 1 DIF: Cognitive Level: Knowledge REF: 3 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment MULTIPLE RESPONSE 25. 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. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion d. Provide low-cost or no-cost health care insurance. e. Provide job training. 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. PTS: 1 DIF: Cognitive Level: Implementation REF: 5 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 26. 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 patients sister, who is a nurse, that she cannot be in the room during the delivery. ANS: B, C Including the partner in the care process and allowing the couple to make choices are important elements of family -centered care. The nurse should never tell the mother what to d o. 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 situa tion is an emergency and guests are asked to leave). PTS: 1 DIF: Cognitive Level: Analysis REF: 8 OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity MATCHING Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. a. Ask the patient to teach back. b. Comply with CDC guidelines. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion c. Ensure that information is docu mented in a timely manner. d. Promote interventions that will reduce patient risk. e. Reduce exposure to radiation. 27. Hand hygiene 28. Informed consent 29. Culture measurement, feedback, and intervention 30. Pediatric imaging 31. Patient care information 27. ANS: B PTS: 1 DIF: Cognitive Level: Application REF: 5 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment NOT: The National Quality Forum updated its publication Safe Practices for Better Healthcare in 2010, outlining 24 safe pract ices that should be used in all health care settings to reduce the risk of harm from the environment of care, processes, and systems. These are only a few of the recommended practices; however, nurses should be familiar with these guidelines. 28. ANS: A PTS: 1 DIF: Cognitive Level: Application REF: 5 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment NOT: The National Quality Forum updated its publication Safe Practices for Better Healthcare in 2010, outlining 24 safe practices that should be used in all health care settings to reduce the risk of harm from the environment of care, processes, and systems. These are only a few of the recommended practices; however, nurses should be familiar with these guidelines. 29. ANS: D PTS: 1 DIF: Cognitive Level: Application REF: 5 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment NOT: The National Quality Forum updated its publication Safe Practices for Better Healthcare in 2010, outlining 24 safe practices that should be used in all health care settings to reduce the risk of harm from the environment of care, processes, and systems. These are only a few of the recommended practices; however, nurses should be familiar with these guidelines. 30. ANS: E PTS: 1 DIF: Cognitive Level: Application REF: 5 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment NOT: The National Quality Forum updated its publication Safe Practices for Better Healthcare in 2010, outlinin g 24 safe practices that should be used in all health care settings to reduce the risk of harm from the environment of care, processes, and systems. These are only a few of the recommended practices; however, nurses should be familiar with these guidelines . Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E. Perry, Marilyn J. Hockenberry, Mary Catherine Cashion 31. ANS: C PTS: 1 DIF: Cognitive Level: Application REF: 5 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment NOT: The National Quality Forum updated its publication Safe Practices for Better Healthcare in 2010, outlining 24 safe practices that should be used in all health care settings to reduce the risk of harm from the environment of care, processes, and systems. These are only a few of the recommended practices; however, nurses should be familiar with these guide lines. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: MedConnoisseur | kagerathomas49@gmail.com Distribution of this document is illegal