MaternalChild Nursing Care2ndEdition Ward HisleyTestBank
b b b b b b b b b
Med C
b
, Hisley:MaternalChildNursingCare2ndEditionTestBank Chapter 01: 21st Century
b b b b b b b b b b b b
Maternity Nursing
b b
MULTIPLE CHOICE b
1. When providing care for a pregnant woman, the nurse should be aware that one of the most
b b b b b b b b b b b b b b b b
bfrequently reported maternal medical risk factors is: b b b b b b
a. Diabetes mellitus. b c. Chronic hypertension. b
b. Mitral valve prolapse (MVP). b b b d. Anemia.
ANS: A b
The most frequently reported maternal medical risk factors are diabetes and hypertension associated
b b b b b b b b b b b b
with pregnancy. Both of these conditions are associated with maternal obesity. There are no studies
b b b b b b b b b b b b b b b
that indicate MVP is among the most frequently reported maternal risk factors. Hypertension
b b b b b b b b b b b b b
associated with pregnancy, not chronic hypertension, is one of the most frequently reported
b b b b b b b b b b b b b
bmaternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the most
b b b b b b b b b b b b b b b b b
frequently reported maternal medical risk factors in pregnancy.
b b b b b b b b
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
b b b b b b b
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
b b b b b b b b
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
b b b b b b b b b b b b
bboth teamwork and communication with clinicians into her care delivery, The SBAR technique of
b b b b b b b b b b b b b
bcommunication is an easy-to-remember mechanism for communication. Which of the following b b b b b b b b b b
bcorrectly defines this acronym? b b b
a. Situation, baseline assessment, response b b b
b. Situation, background, assessment, recommendation b b b
c. Subjective background, assessment, recommendation b b b
d. Situation, background, anticipated b b
brecommendation ANS: B b b
The situation, background, assessment, recommendation (SBAR) technique provides a specific
b b b b b b b b b
framework for communication among health care providers. Failure to communicate is one of the major
b b b b b b b b b b b b b b b
reasons for errors in health care. The SBAR technique has the potential to serve as a means to reduce
b b b b b b b b b b b b b b b b b b b
errors.
b
PTS: 1 DIF: Cognitive Level: Comprehension
b b b b b
bREF: 14 OBJ: Nursing Process: Assessment,
b b b b b
bPlanning
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
b b b b b b b b b b b b b
Med C b
, a. Providing care to patients directly at the bedside.
b b b b b b b
Med C b
, b. Primarily hospital care of maternity patients. b b b b b
c. Practice using an evidence-based approach. b b b b
d. Planning patient care to cover longer hospital stays. b b b b b b b
ANS: C b
Professional nurses are part of the team of health care providers who collaboratively care for b b b b b b b b b b b b b b
bpatients throughout the childbearing cycle. Providing care to patients directly at the bedside is one of
b b b b b b b b b b b b b b b
the nurses tasks; however, it does not encompass the concept of the evolved professional nurse.
b b b b b b b b b b b b b b b
Throughout the prenatal period, nurses care for women in clinics and physicians offices and teach
b b b b b b b b b b b b b b b
classes to help families prepare for childbirth. Nurses also care for childbearing families in birthing
b b b b b b b b b b b b b b b
centers and in the home. Nurses have been critically important in developing strategies to improve the
b b b b b b b b b b b b b b b b
well-being of women and their infants and have led the efforts to implement clinical practice guidelines
b b b b b b b b b b b b b b b b
using an evidence-based approach. Maternity patients have experienced a decreased, rather than an
b b b b b b b b b b b b b
increased, length of stay over the past 2 decades.
b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Comprehension
b b b b b
bREF: 1 OBJ: Nursing Process: Implementation
b b b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b
4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for
b b b b b b b b b b b b b b
binfant mortality, which plan is most important for the nurse to implement?
b b b b b b b b b b b
a. Perform a nutrition assessment. b b b
b. Refer the woman to a social worker. b b b b b b
c. Advise the woman to see an obstetrician, not a midwife. b b b b b b b b b
d. Explain to the woman the importance of keeping her prenatal care appointments.
b b b b b b b b b b b
ANS: D b
Consistent prenatal care is the best method of preventing or controlling risk factors associated with
b b b b b b b b b b b b b b
infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is
b b b b b b b b b b b b b b b
not the most important action a nurse should take in this situation. The patient may need assistance
b b b b b b b b b b b b b b b b b
from a social worker at some time during her pregnancy, but a referral to a social worker is not the
b b b b b b b b b b b b b b b b b b b b
most important aspect the nurse should address at this time. If the woman has identifiable high-risk
b b b b b b b b b b b b b b b b
problems, her health care may need to be provided by a physician. However, it cannot be assumed that
b b b b b b b b b b b b b b b b b b
allAfrican-American women have high-risk issues. In addition, advising the woman to see an
b b b b b b b b b b b b b b
obstetrician is not the most important aspect on which the nurse should focus at this time, and it is
b b b b b b b b b b b b b b b b b b b
not appropriate for a nurse to advise or manage the type of care a patient is to receive.
b b b b b b b b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
b b b b b b b
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
Med C b
b b b b b b b b b
Med C
b
, Hisley:MaternalChildNursingCare2ndEditionTestBank Chapter 01: 21st Century
b b b b b b b b b b b b
Maternity Nursing
b b
MULTIPLE CHOICE b
1. When providing care for a pregnant woman, the nurse should be aware that one of the most
b b b b b b b b b b b b b b b b
bfrequently reported maternal medical risk factors is: b b b b b b
a. Diabetes mellitus. b c. Chronic hypertension. b
b. Mitral valve prolapse (MVP). b b b d. Anemia.
ANS: A b
The most frequently reported maternal medical risk factors are diabetes and hypertension associated
b b b b b b b b b b b b
with pregnancy. Both of these conditions are associated with maternal obesity. There are no studies
b b b b b b b b b b b b b b b
that indicate MVP is among the most frequently reported maternal risk factors. Hypertension
b b b b b b b b b b b b b
associated with pregnancy, not chronic hypertension, is one of the most frequently reported
b b b b b b b b b b b b b
bmaternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the most
b b b b b b b b b b b b b b b b b
frequently reported maternal medical risk factors in pregnancy.
b b b b b b b b
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
b b b b b b b
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
b b b b b b b b
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
b b b b b b b b b b b b
bboth teamwork and communication with clinicians into her care delivery, The SBAR technique of
b b b b b b b b b b b b b
bcommunication is an easy-to-remember mechanism for communication. Which of the following b b b b b b b b b b
bcorrectly defines this acronym? b b b
a. Situation, baseline assessment, response b b b
b. Situation, background, assessment, recommendation b b b
c. Subjective background, assessment, recommendation b b b
d. Situation, background, anticipated b b
brecommendation ANS: B b b
The situation, background, assessment, recommendation (SBAR) technique provides a specific
b b b b b b b b b
framework for communication among health care providers. Failure to communicate is one of the major
b b b b b b b b b b b b b b b
reasons for errors in health care. The SBAR technique has the potential to serve as a means to reduce
b b b b b b b b b b b b b b b b b b b
errors.
b
PTS: 1 DIF: Cognitive Level: Comprehension
b b b b b
bREF: 14 OBJ: Nursing Process: Assessment,
b b b b b
bPlanning
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
b b b b b b b b b b b b b
Med C b
, a. Providing care to patients directly at the bedside.
b b b b b b b
Med C b
, b. Primarily hospital care of maternity patients. b b b b b
c. Practice using an evidence-based approach. b b b b
d. Planning patient care to cover longer hospital stays. b b b b b b b
ANS: C b
Professional nurses are part of the team of health care providers who collaboratively care for b b b b b b b b b b b b b b
bpatients throughout the childbearing cycle. Providing care to patients directly at the bedside is one of
b b b b b b b b b b b b b b b
the nurses tasks; however, it does not encompass the concept of the evolved professional nurse.
b b b b b b b b b b b b b b b
Throughout the prenatal period, nurses care for women in clinics and physicians offices and teach
b b b b b b b b b b b b b b b
classes to help families prepare for childbirth. Nurses also care for childbearing families in birthing
b b b b b b b b b b b b b b b
centers and in the home. Nurses have been critically important in developing strategies to improve the
b b b b b b b b b b b b b b b b
well-being of women and their infants and have led the efforts to implement clinical practice guidelines
b b b b b b b b b b b b b b b b
using an evidence-based approach. Maternity patients have experienced a decreased, rather than an
b b b b b b b b b b b b b
increased, length of stay over the past 2 decades.
b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Comprehension
b b b b b
bREF: 1 OBJ: Nursing Process: Implementation
b b b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b
4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for
b b b b b b b b b b b b b b
binfant mortality, which plan is most important for the nurse to implement?
b b b b b b b b b b b
a. Perform a nutrition assessment. b b b
b. Refer the woman to a social worker. b b b b b b
c. Advise the woman to see an obstetrician, not a midwife. b b b b b b b b b
d. Explain to the woman the importance of keeping her prenatal care appointments.
b b b b b b b b b b b
ANS: D b
Consistent prenatal care is the best method of preventing or controlling risk factors associated with
b b b b b b b b b b b b b b
infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is
b b b b b b b b b b b b b b b
not the most important action a nurse should take in this situation. The patient may need assistance
b b b b b b b b b b b b b b b b b
from a social worker at some time during her pregnancy, but a referral to a social worker is not the
b b b b b b b b b b b b b b b b b b b b
most important aspect the nurse should address at this time. If the woman has identifiable high-risk
b b b b b b b b b b b b b b b b
problems, her health care may need to be provided by a physician. However, it cannot be assumed that
b b b b b b b b b b b b b b b b b b
allAfrican-American women have high-risk issues. In addition, advising the woman to see an
b b b b b b b b b b b b b b
obstetrician is not the most important aspect on which the nurse should focus at this time, and it is
b b b b b b b b b b b b b b b b b b b
not appropriate for a nurse to advise or manage the type of care a patient is to receive.
b b b b b b b b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
b b b b b b b
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
Med C b
