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Exam (elaborations)

Maternal-Child Nursing Care 3rd Ed Test Bank | Questions and Study Guide

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Maternal-Child Nursing Care 3rd Ed Test Bank | Questions and Study Guide

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Maternal-Child Nursing Care 3rd
Ed Test Bank | Questions and
Study Guide

1. When providing care for a pregnant woman, the nurse should be
aware that one of the most frequently reported maternal medical
risk factors is:
a. Diabetes mellitus.
b. Mitral valve prolapse (MVP).
c. Chronic hypertension.
d. Anemia.
ANS: A
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
3. 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.

, c. Practice using an evidence-based approach.
d. Planning patient care to cover longer hospital stays.
ANS: C
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
5. 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
6. The term used to describe legal and professional responsibility for
practice for maternity nurses is:
a. Collegiality.
b. Ethics.
c. Evaluation.
d. Accountability.
ANS: D
7. 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.
c. Unintentionally revealing information that could be used in a
court of law.
d. The blurring of professional and personal boundaries.
ANS: A
8. When the nurse is unsure how to perform a patient care
procedure, the best action would be to:
a. Ask another nurse to perform the procedure.
b. Discuss the procedure with the patient's family.
c. Look up the procedure in a nursing textbook.
d. Consult the agency policy and procedure manual.
ANS: D
9. The nurse is providing care for a patient from a different culture.
Which action by the nurse indicates cultural competence?
a. Communicates effectively with the patient and family.
b. Recognizes that cultural differences exist.
c. Ignores cultural differences to avoid stereotyping.
d. Applies textbook knowledge of the patient's culture to care.
ANS: A
10. A maternity nurse should be aware that the current focus of
maternity care is on:
a. The traditional family unit.
b. Hospital births for the majority of women.
c. A quality family experience for each patient.
d. The separation of labor and delivery rooms.
ANS: C

, 11. What is the primary goal of a community-based nursing care
approach?
a. To provide care for individuals and families in their homes.
b. To reduce the cost of health care.
c. To promote, preserve, and maintain health.
d. To provide care to vulnerable populations.
ANS: C
12. Which nursing action best demonstrates the role of a patient
advocate?
a. Arranging a family-physician conference to clarify treatment
plans.
b. Encouraging treatment options based on personal beliefs and
values.
c. Giving contact information for governmental assistance
agencies.
d. Working on a political campaign to reduce poverty in the state.
ANS: A
13. A patient asks the nurse about the meaning of "evidence-
based practice." Which response by the nurse is most accurate?
a. "It is practice based on the latest research findings."
b. "It is practice that relies on tradition and expert opinion."
c. "It is practice that incorporates the patient's preferences and
values."
d. "It is practice that is guided by clinical guidelines and
protocols."
ANS: A
14. The nurse is caring for a postpartum patient who is
concerned about the cost of her hospital stay. The nurse explains
that the amount of payment and length of stay are determined
by:

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