NUR 328 EXAM 1 UPDATED ACTUAL Questions and CORRECT
Answers
When providing care for a pregnant woman, the nurse ANS: A
should be aware that one of the most frequently The most frequently reported maternal medical risk factors
reported are diabetes and hypertension associated with pregnancy.
maternal medical risk factors is Both of these conditions are associated with maternal
a. diabetes mellitus. obesity. There are no studies that indicate MVP is among the
b. mitral valve prolapse (MVP). most frequently reported maternal risk factors. Hypertension
c. chronic hypertension. associated with pregnancy, not chronic hypertension, is one of the most
d. anemia. 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
To ensure optimal outcomes for the patient, the ANS: B
contemporary maternity nurse must The situation, background, assessment, recommendation (SBAR) technique
incorporate both teamwork and communication with provides a
clinicians into care delivery. The SBAR specific framework for communication among health care providers. Failure to
technique of communication is an easy-to-remember communicate
mechanism for communication. Which is one of the major reasons for errors in health care. The SBAR technique has the
of the following correctly defines this acronym? potential to
a. Situation, baseline assessment, response serve as a means to reduce errors.
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
,The role of the professional nurse caring for childbearing ANS: C
families has evolved to emphasize Professional nurses are part of the team of health care providers who
a. providing care to patients directly at the bedside. collaboratively care for
b. primarily hospital care of maternity patients. patients throughout the childbearing cycle. Providing care to patients directly at
c. practice using an evidence-based approach. the bedside is
d. planning patient care to cover longer hospital stays. 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 two decades.
A 23-year-old African-American woman is pregnant with ANS: D
her first child. Based on the Consistent prenatal care is the best method of preventing or controlling risk
statistics for infant mortality, which plan is most important factors associated
for the nurse to implement? with infant mortality. Nutritional status is an important modifiable risk factor, but a
a. Perform a nutrition assessment. nutrition
b. Refer the woman to a social worker. assessment is not the most important action a nurse should take in this situation.
c. Advise the woman to see an obstetrician, not a The patient
midwife. may need assistance from a social worker at some time during her pregnancy, but
d. Explain to the woman the importance of keeping her a referral to
prenatal care appointments. 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.
During a prenatal intake interview, the nurse is in the ANS: D
process of obtaining an initial Nurses contribute to health literacy by using simple, common words; avoiding
assessment of a 21-year-old Hispanic patient with limited jargon; and
English proficiency. It is important evaluating whether the patient understands the discussion. Speaking slowly and
for the nurse to clearly and
a. use maternity jargon in order for the patient to become focusing on what is important increase understanding. Most patient education
familiar with these terms. materials are
b. speak quickly and efficiently to expedite the visit. written at too high a level for the average adult and may not be useful for a
c. provide the patient with handouts. patient with
d. assess whether the patient understands the discussion limited English proficiency.
, When managing health care for pregnant women at a ANS: D
prenatal clinic, the nurse should The most significant barrier to health care access is the inability to pay for
recognize that the most significant barrier to access to services; this is
care is the pregnant woman's compounded by the fact that many physicians refuse to care for women who
a. age. cannot pay.
b. minority status. Although adolescent pregnant patients statistically receive less prenatal care, age
c. educational level. is not the most significant barrier. Significant disparities in morbidity and mortality
d. inability to pay 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.
When the nurse is unsure about how to perform a patient ANS: D
care procedure, the best action It is always best to follow the agency's policies and procedures manual when
would be to seeking
a. ask another nurse. information on correct patient procedures. These policies should reflect the
b. discuss the procedure with the patient's physician. current standards
c. look up the procedure in a nursing textbook. of care and state guidelines. Each nurse is responsible for her own practice.
d. consult the agency's procedure manual and follow the Relying on
guidelines for the another nurse may not always be safe practice. Each nurse is obligated to follow
procedure. 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.
From the nurse's perspective, what measure should be ANS: A
the focus of the health care system to Early prenatal care allows for early diagnosis and appropriate interventions to
reduce the rate of infant mortality further? reduce the rate
a. Implementing programs to ensure women's early of infant mortality. An increased length of stay has been shown to foster improved
participation in ongoing prenatal self-care
care and parental education. However, it does not prevent the incidence of leading
b. Increasing the length of stay in a hospital after vaginal causes of infant
birth from 2 to 3 days mortality rates, such as low birth weight. Early prevention and diagnosis reduce
c. Expanding the number of neonatal intensive care units the rate of
(NICUs) infant mortality. NICUs offer care to high-risk infants after they are born.
d. Mandating that all pregnant women receive care from Expanding the
an obstetrician 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.
Answers
When providing care for a pregnant woman, the nurse ANS: A
should be aware that one of the most frequently The most frequently reported maternal medical risk factors
reported are diabetes and hypertension associated with pregnancy.
maternal medical risk factors is Both of these conditions are associated with maternal
a. diabetes mellitus. obesity. There are no studies that indicate MVP is among the
b. mitral valve prolapse (MVP). most frequently reported maternal risk factors. Hypertension
c. chronic hypertension. associated with pregnancy, not chronic hypertension, is one of the most
d. anemia. 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
To ensure optimal outcomes for the patient, the ANS: B
contemporary maternity nurse must The situation, background, assessment, recommendation (SBAR) technique
incorporate both teamwork and communication with provides a
clinicians into care delivery. The SBAR specific framework for communication among health care providers. Failure to
technique of communication is an easy-to-remember communicate
mechanism for communication. Which is one of the major reasons for errors in health care. The SBAR technique has the
of the following correctly defines this acronym? potential to
a. Situation, baseline assessment, response serve as a means to reduce errors.
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
,The role of the professional nurse caring for childbearing ANS: C
families has evolved to emphasize Professional nurses are part of the team of health care providers who
a. providing care to patients directly at the bedside. collaboratively care for
b. primarily hospital care of maternity patients. patients throughout the childbearing cycle. Providing care to patients directly at
c. practice using an evidence-based approach. the bedside is
d. planning patient care to cover longer hospital stays. 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 two decades.
A 23-year-old African-American woman is pregnant with ANS: D
her first child. Based on the Consistent prenatal care is the best method of preventing or controlling risk
statistics for infant mortality, which plan is most important factors associated
for the nurse to implement? with infant mortality. Nutritional status is an important modifiable risk factor, but a
a. Perform a nutrition assessment. nutrition
b. Refer the woman to a social worker. assessment is not the most important action a nurse should take in this situation.
c. Advise the woman to see an obstetrician, not a The patient
midwife. may need assistance from a social worker at some time during her pregnancy, but
d. Explain to the woman the importance of keeping her a referral to
prenatal care appointments. 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.
During a prenatal intake interview, the nurse is in the ANS: D
process of obtaining an initial Nurses contribute to health literacy by using simple, common words; avoiding
assessment of a 21-year-old Hispanic patient with limited jargon; and
English proficiency. It is important evaluating whether the patient understands the discussion. Speaking slowly and
for the nurse to clearly and
a. use maternity jargon in order for the patient to become focusing on what is important increase understanding. Most patient education
familiar with these terms. materials are
b. speak quickly and efficiently to expedite the visit. written at too high a level for the average adult and may not be useful for a
c. provide the patient with handouts. patient with
d. assess whether the patient understands the discussion limited English proficiency.
, When managing health care for pregnant women at a ANS: D
prenatal clinic, the nurse should The most significant barrier to health care access is the inability to pay for
recognize that the most significant barrier to access to services; this is
care is the pregnant woman's compounded by the fact that many physicians refuse to care for women who
a. age. cannot pay.
b. minority status. Although adolescent pregnant patients statistically receive less prenatal care, age
c. educational level. is not the most significant barrier. Significant disparities in morbidity and mortality
d. inability to pay 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.
When the nurse is unsure about how to perform a patient ANS: D
care procedure, the best action It is always best to follow the agency's policies and procedures manual when
would be to seeking
a. ask another nurse. information on correct patient procedures. These policies should reflect the
b. discuss the procedure with the patient's physician. current standards
c. look up the procedure in a nursing textbook. of care and state guidelines. Each nurse is responsible for her own practice.
d. consult the agency's procedure manual and follow the Relying on
guidelines for the another nurse may not always be safe practice. Each nurse is obligated to follow
procedure. 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.
From the nurse's perspective, what measure should be ANS: A
the focus of the health care system to Early prenatal care allows for early diagnosis and appropriate interventions to
reduce the rate of infant mortality further? reduce the rate
a. Implementing programs to ensure women's early of infant mortality. An increased length of stay has been shown to foster improved
participation in ongoing prenatal self-care
care and parental education. However, it does not prevent the incidence of leading
b. Increasing the length of stay in a hospital after vaginal causes of infant
birth from 2 to 3 days mortality rates, such as low birth weight. Early prevention and diagnosis reduce
c. Expanding the number of neonatal intensive care units the rate of
(NICUs) infant mortality. NICUs offer care to high-risk infants after they are born.
d. Mandating that all pregnant women receive care from Expanding the
an obstetrician 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.
