T T T T T T T T T
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, Hisley: TMaternal TChild TNursing TCare T2nd TEdition TTest TBank TChapter T01: T21st
TCentury TMaternity TNursing
MULTIPLE T CHOICE
1. When Tproviding Tcare Tfor Ta Tpregnant Twoman, Tthe Tnurse Tshould Tbe Taware Tthat Tone
T of Tthe Tmost Tfrequently Treported Tmaternal Tmedical Trisk Tfactors Tis:
a. Diabetes T mellitus. c. Chronic T hypertension.
b. Mitral T valve T prolapse T(MVP). d. Anemia.
ANS: T A
The Tmost Tfrequently Treported Tmaternal Tmedical Trisk Tfactors Tare Tdiabetes Tand Thypertension
Tassociated Twith Tpregnancy. TBoth Tof Tthese Tconditions Tare Tassociated Twith T maternal
Tobesity. TThere Tare Tno Tstudies Tthat Tindicate T MVP T is Tamong T the T most T frequently
Treported T maternal Trisk T factors. THypertension T associated T with T pregnancy, Tnot Tchronic
Thypertension, Tis Tone Tof Tthe Tmost Tfrequently Treported T maternal T medical Trisk Tfactors.
T Although Tanemia Tis Ta Tconcern Tin Tpregnancy, Tit Tis Tnot Tone Tof Tthe Tmost Tfrequently
Treported Tmaternal Tmedical Trisk Tfactors Tin Tpregnancy.
PTS: T1 T DIF: T Cognitive T Level: T Knowledge TREF: T6
OBJ: T Nursing T Process: T Assessment T MSC: T Client T Needs: T Physiologic T Integrity
2. To Tensure Toptimal Toutcomes Tfor Tthe Tpatient, Tthe Tcontemporary Tmaternity Tnurse T must
Tincorporate Tboth Tteamwork Tand Tcommunication Twith Tclinicians Tinto Ther Tcare Tdelivery, TThe
TSBAR Ttechnique Tof Tcommunication Tis Tan Teasy-to-remember T mechanism Tfor
Tcommunication. TWhich Tof Tthe Tfollowing Tcorrectly Tdefines Tthis Tacronym?
a. Situation, T baseline T assessment, Tresponse
b. Situation, T background, T assessment, T recommendation
c. Subjective T background, T assessment, T recommendation
d. Situation, Tbackground, Tanticipated
T recommendation TANS: TB
The Tsituation, Tbackground, Tassessment, Trecommendation T(SBAR) Ttechnique Tprovides Ta
Tspecific Tframework Tfor Tcommunication Tamong Thealth Tcare Tproviders. TFailure Tto
Tcommunicate Tis Tone Tof Tthe Tmajor Treasons Tfor Terrors Tin Thealth Tcare. TThe TSBAR Ttechnique
Thas Tthe Tpotential Tto Tserve Tas Ta Tmeans Tto Treduce Terrors.
PTS: T1 TDIF: TCognitive TLevel:
T Comprehension TREF: T14 TOBJ: TNursing
T Process: TAssessment, TPlanning
MSC: T Client T Needs: T Safe Tand TEffective T Care T Environment
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, 3. The Trole T of Tthe T professional T nurse T caring Tfor T childbearing T families T has T evolved Tto Temphasize:
a. Providing Tcare Tto T patients T directly Tat Tthe T bedside.
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, b. Primarily Thospital T care Tof T maternity T patients.
c. Practice T using Tan T evidence-based T approach.
d. Planning Tpatient T care Tto Tcover T longer T hospital T stays.
ANS: TC
Professional Tnurses Tare Tpart Tof Tthe Tteam Tof Thealth Tcare Tproviders T who T collaboratively
Tcare T for T patients Tthroughout Tthe Tchildbearing Tcycle. TProviding Tcare Tto Tpatients Tdirectly
Tat Tthe Tbedside Tis Tone Tof Tthe Tnurses Ttasks; Thowever, Tit Tdoes Tnot Tencompass Tthe Tconcept
Tof Tthe Tevolved Tprofessional Tnurse. TThroughout Tthe Tprenatal Tperiod, Tnurses Tcare Tfor
Twomen Tin Tclinics Tand Tphysicians T offices T and Tteach Tclasses Tto T help Tfamilies T prepare T for
Tchildbirth. TNurses Talso Tcare Tfor Tchildbearing Tfamilies Tin Tbirthing Tcenters Tand Tin Tthe
Thome. TNurses Thave Tbeen Tcritically Timportant Tin Tdeveloping Tstrategies Tto Timprove Tthe
Twell-being Tof Twomen Tand Ttheir Tinfants Tand Thave Tled Tthe Tefforts Tto Timplement Tclinical
Tpractice Tguidelines Tusing Tan Tevidence-based Tapproach. TMaternity Tpatients Thave
Texperienced Ta Tdecreased, Trather Tthan Tan Tincreased, Tlength Tof Tstay Tover Tthe Tpast T2
Tdecades.
PTS: T1 TDIF: TCognitive TLevel:
T Comprehension TREF: T1 TOBJ: TNursing
T Process: TImplementation
MSC: T Client T Needs: T Safe Tand TEffective T Care T Environment
4. A T23-year-old TAfrican-American Twoman Tis Tpregnant Twith Ther Tfirst Tchild. TBased Ton
Tthe Tstatistics Tfor Tinfant Tmortality, Twhich Tplan Tis Tmost Timportant Tfor Tthe Tnurse Tto
Timplement?
a. Perform Ta T nutrition T assessment.
b. Refer T the T woman T to Ta Tsocial T worker.
c. Advise Tthe T woman Tto Tsee Tan Tobstetrician, T not Ta T midwife.
d. Explain Tto Tthe T woman Tthe T importance T of T keeping T her T prenatal T care T appointments.
ANS: TD
Consistent Tprenatal Tcare Tis Tthe Tbest Tmethod Tof Tpreventing Tor Tcontrolling Trisk Tfactors
Tassociated Twith Tinfant Tmortality. TNutritional Tstatus Tis Tan Timportant Tmodifiable Trisk Tfactor,
Tbut Ta Tnutrition Tassessment Tis Tnot Tthe Tmost Timportant Taction Ta Tnurse Tshould Ttake Tin Tthis
Tsituation. TThe Tpatient Tmay Tneed Tassistance Tfrom Ta Tsocial Tworker Tat Tsome Ttime T during
T her T pregnancy, T but Ta Treferral T to Ta T social T worker T is Tnot T the T most Timportant Taspect
T the T nurse Tshould Taddress Tat Tthis Ttime. TIf Tthe Twoman Thas Tidentifiable Thigh-risk Tproblems,
Ther Thealth Tcare Tmay Tneed Tto Tbe Tprovided Tby Ta Tphysician. THowever, Tit Tcannot Tbe
Tassumed Tthat Tall TAfrican-American Twomen Thave Thigh-risk Tissues. T In Taddition, Tadvising
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