MATERNAL CHILD NURSING CARE TEST BANK 2024 EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A

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.
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:
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.
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 woman's:
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.
7. What is the primary role of practicing nurses in the research process?
a.
Designing research studies
b.
Collecting data for other researchers
c.
Identifying researchable problems
d.
Seeking funding to support research studies - <>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. 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