Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
Med6C
, Hisley:6Maternal6Child6Nursing6Care62nd6Edition6Test6Bank6Chapter601:621st6Centur
y6Maternity6Nursing
MULTIPLE6CHOICE
1. When6providing6care6for6a6pregnant6woman,6the6nurse6should6be6aware6that6one6of6the6mos
t6frequently6reported6maternal6medical6risk6factors6is:
a. Diabetes6 mellitus. c. Chronic6 hypertension.
b. Mitral6valve6 prolapse6(MVP). d. Anemia.
ANS:6 A
The6most6frequently6reported6maternal6medical6risk6factors6are6diabetes6and6hypertension6associa
ted6with6pregnancy.6Both6of6these6conditions6are6associated6with6 maternal6obesity.6There6are6no6s
tudies6that6indicate6 MVP6 is6among6 the6 most6 frequently6reported6 maternal6risk6 factors.6Hyperte
nsion6 associated6 with6 pregnancy,6not6chronic6hypertension,6is6one6of6the6most6frequently6reporte
d6 maternal6 medical6risk6factors.6 Although6anemia6is6a6concern6in6pregnancy,6it6is6not6one6of6the6
most6frequently6reported6maternal6medical6risk6factors6in6pregnancy.
PTS:616DIF:6 Cognitive6 Level:6 Knowledge6 REF:6 6
OBJ:6 Nursing6 Process:6 Assessment6 MSC:6 Client6 Needs:6 Physiologic6 Integrity
2. To6ensure6optimal6outcomes6for6the6patient,6the6contemporary6maternity6nurse6 must6 incorporat
e6both6teamwork6and6communication6with6clinicians6into6her6care6delivery,6The6SBAR6technique6o
f6communication6is6an6easy-to-
remember6 mechanism6for6communication.6Which6of6the6following6correctly6defines6this6acronym?
a. Situation,6 baseline6 assessment,6 response
b. Situation,6 background,6 assessment,6 recommendation
c. Subjective6 background,6 assessment,6 recommendation
d. Situation,6background,6anticipated6recommen
dation6ANS:6B
The6situation,6background,6assessment,6recommendation6(SBAR)6technique6provides6a6specific6fra
mework6for6communication6among6health6care6providers.6Failure6to6communicate6is6one6of6the6maj
or6reasons6for6errors6in6health6care.6The6SBAR6technique6has6the6potential6to6serve6as6a6means6to6re
duce6errors.
PTS:616DIF:6Cognitive6Level:6Comprehension6R
EF:6146OBJ:6Nursing6Process:6Assessment,6Plan
ning
MSC:6 Client6 Needs:6 Safe6and6Effective6Care6 Environment
3. The6role6 of6the6 professional6 nurse6 caring6for6 childbearing6 families6 has6 evolved6to6emphasize:
Med6C
, a. Providing6care6to6patients6 directly6 at6the6 bedside.
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, b. Primarily6hospital6 care6of6 maternity6 patients.
c. Practice6using6an6 evidence-based6 approach.
d. Planning6patient6 care6to6cover6 longer6 hospital6stays.
ANS:6C
Professional6nurses6are6part6of6the6team6of6health6care6providers6 who6 collaboratively6care6 for6 pat
ients6throughout6the6childbearing6cycle.6Providing6care6to6patients6directly6at6the6bedside6is6one6o
f6the6nurses6tasks;6however,6it6does6not6encompass6the6concept6of6the6evolved6professional6nurse.6
Throughout6the6prenatal6period,6nurses6care6for6women6in6clinics6and6physicians6 offices6 and6teac
h6classes6to6 help6families6 prepare6 for6childbirth.6Nurses6also6care6for6childbearing6families6in6birt
hing6centers6and6in6the6home.6Nurses6have6been6critically6important6in6developing6strategies6to6i
mprove6the6well-
being6of6women6and6their6infants6and6have6led6the6efforts6to6implement6clinical6practice6guidelines
6using6an6evidence-
based6approach.6Maternity6patients6have6experienced6a6decreased,6rather6than6an6increased,6lengt
h6of6stay6over6the6past626decades.
PTS:616DIF:6Cognitive6Level:6Comprehension6R
EF:616OBJ:6Nursing6Process:6Implementation
MSC:6 Client6 Needs:6 Safe6and6Effective6Care6 Environment
4. A623-year-old6African-
American6woman6is6pregnant6with6her6first6child.6Based6on6the6statistics6for6infant6mortality,6w
hich6plan6is6most6important6for6the6nurse6to6implement?
a. Perform6a6 nutrition6 assessment.
b. Refer6 the6 woman6to6a6social6 worker.
c. Advise6the6 woman6to6see6an6obstetrician,6 not6a6 midwife.
d. Explain6to6the6 woman6the6importance6 of6 keeping6 her6 prenatal6care6appointments.
ANS:6D
Consistent6prenatal6care6is6the6best6method6of6preventing6or6controlling6risk6factors6associated6wi
th6infant6mortality.6Nutritional6status6is6an6important6modifiable6risk6factor,6but6a6nutrition6assess
ment6is6not6the6most6important6action6a6nurse6should6take6in6this6situation.6The6patient6may6need6
assistance6from6a6social6worker6at6some6time6 during6 her6 pregnancy,6 but6a6referral6 to6a6 social6 wor
ker6 is6not6 the6 most6important6aspect6 the6 nurse6should6address6at6this6time.6If6the6woman6has6iden
tifiable6high-
risk6problems,6her6health6care6may6need6to6be6provided6by6a6physician.6However,6it6cannot6be6assu
med6that6all6African-American6women6have6high-
risk6issues.6 In6addition,6advising6the6 woman6to6see6 an6obstetrician6 is6not6 the6 most6 important6 asp
ect6 on6 which6the6nurse6 should6focus6at6this6 time,6and6it6is6 not6appropriate6 for6a6nurse6 to6advise6 or
Med6C
Med6C
, Hisley:6Maternal6Child6Nursing6Care62nd6Edition6Test6Bank6Chapter601:621st6Centur
y6Maternity6Nursing
MULTIPLE6CHOICE
1. When6providing6care6for6a6pregnant6woman,6the6nurse6should6be6aware6that6one6of6the6mos
t6frequently6reported6maternal6medical6risk6factors6is:
a. Diabetes6 mellitus. c. Chronic6 hypertension.
b. Mitral6valve6 prolapse6(MVP). d. Anemia.
ANS:6 A
The6most6frequently6reported6maternal6medical6risk6factors6are6diabetes6and6hypertension6associa
ted6with6pregnancy.6Both6of6these6conditions6are6associated6with6 maternal6obesity.6There6are6no6s
tudies6that6indicate6 MVP6 is6among6 the6 most6 frequently6reported6 maternal6risk6 factors.6Hyperte
nsion6 associated6 with6 pregnancy,6not6chronic6hypertension,6is6one6of6the6most6frequently6reporte
d6 maternal6 medical6risk6factors.6 Although6anemia6is6a6concern6in6pregnancy,6it6is6not6one6of6the6
most6frequently6reported6maternal6medical6risk6factors6in6pregnancy.
PTS:616DIF:6 Cognitive6 Level:6 Knowledge6 REF:6 6
OBJ:6 Nursing6 Process:6 Assessment6 MSC:6 Client6 Needs:6 Physiologic6 Integrity
2. To6ensure6optimal6outcomes6for6the6patient,6the6contemporary6maternity6nurse6 must6 incorporat
e6both6teamwork6and6communication6with6clinicians6into6her6care6delivery,6The6SBAR6technique6o
f6communication6is6an6easy-to-
remember6 mechanism6for6communication.6Which6of6the6following6correctly6defines6this6acronym?
a. Situation,6 baseline6 assessment,6 response
b. Situation,6 background,6 assessment,6 recommendation
c. Subjective6 background,6 assessment,6 recommendation
d. Situation,6background,6anticipated6recommen
dation6ANS:6B
The6situation,6background,6assessment,6recommendation6(SBAR)6technique6provides6a6specific6fra
mework6for6communication6among6health6care6providers.6Failure6to6communicate6is6one6of6the6maj
or6reasons6for6errors6in6health6care.6The6SBAR6technique6has6the6potential6to6serve6as6a6means6to6re
duce6errors.
PTS:616DIF:6Cognitive6Level:6Comprehension6R
EF:6146OBJ:6Nursing6Process:6Assessment,6Plan
ning
MSC:6 Client6 Needs:6 Safe6and6Effective6Care6 Environment
3. The6role6 of6the6 professional6 nurse6 caring6for6 childbearing6 families6 has6 evolved6to6emphasize:
Med6C
, a. Providing6care6to6patients6 directly6 at6the6 bedside.
Med6C
, b. Primarily6hospital6 care6of6 maternity6 patients.
c. Practice6using6an6 evidence-based6 approach.
d. Planning6patient6 care6to6cover6 longer6 hospital6stays.
ANS:6C
Professional6nurses6are6part6of6the6team6of6health6care6providers6 who6 collaboratively6care6 for6 pat
ients6throughout6the6childbearing6cycle.6Providing6care6to6patients6directly6at6the6bedside6is6one6o
f6the6nurses6tasks;6however,6it6does6not6encompass6the6concept6of6the6evolved6professional6nurse.6
Throughout6the6prenatal6period,6nurses6care6for6women6in6clinics6and6physicians6 offices6 and6teac
h6classes6to6 help6families6 prepare6 for6childbirth.6Nurses6also6care6for6childbearing6families6in6birt
hing6centers6and6in6the6home.6Nurses6have6been6critically6important6in6developing6strategies6to6i
mprove6the6well-
being6of6women6and6their6infants6and6have6led6the6efforts6to6implement6clinical6practice6guidelines
6using6an6evidence-
based6approach.6Maternity6patients6have6experienced6a6decreased,6rather6than6an6increased,6lengt
h6of6stay6over6the6past626decades.
PTS:616DIF:6Cognitive6Level:6Comprehension6R
EF:616OBJ:6Nursing6Process:6Implementation
MSC:6 Client6 Needs:6 Safe6and6Effective6Care6 Environment
4. A623-year-old6African-
American6woman6is6pregnant6with6her6first6child.6Based6on6the6statistics6for6infant6mortality,6w
hich6plan6is6most6important6for6the6nurse6to6implement?
a. Perform6a6 nutrition6 assessment.
b. Refer6 the6 woman6to6a6social6 worker.
c. Advise6the6 woman6to6see6an6obstetrician,6 not6a6 midwife.
d. Explain6to6the6 woman6the6importance6 of6 keeping6 her6 prenatal6care6appointments.
ANS:6D
Consistent6prenatal6care6is6the6best6method6of6preventing6or6controlling6risk6factors6associated6wi
th6infant6mortality.6Nutritional6status6is6an6important6modifiable6risk6factor,6but6a6nutrition6assess
ment6is6not6the6most6important6action6a6nurse6should6take6in6this6situation.6The6patient6may6need6
assistance6from6a6social6worker6at6some6time6 during6 her6 pregnancy,6 but6a6referral6 to6a6 social6 wor
ker6 is6not6 the6 most6important6aspect6 the6 nurse6should6address6at6this6time.6If6the6woman6has6iden
tifiable6high-
risk6problems,6her6health6care6may6need6to6be6provided6by6a6physician.6However,6it6cannot6be6assu
med6that6all6African-American6women6have6high-
risk6issues.6 In6addition,6advising6the6 woman6to6see6 an6obstetrician6 is6not6 the6 most6 important6 asp
ect6 on6 which6the6nurse6 should6focus6at6this6 time,6and6it6is6 not6appropriate6 for6a6nurse6 to6advise6 or
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