Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank

Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
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, Hisley: Maternal Child Nursing Care 2nd Edition Test Bank Chapter 01: 21st Century
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Maternity Nursing
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MULTIPLE CHOICE v




1. When providing care for a pregnant woman, the nurse should be aware that one of the most
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v frequently reported maternal medical risk factors is: v v v v v v




a. Diabetes mellitus. v c. Chronic hypertension. v




b. Mitral valve prolapse (MVP). v v v d. Anemia.


ANS: A v




The most frequently reported maternal medical risk factors are diabetes and hypertension
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associated with pregnancy. Both of these conditions are associated with maternal obesity. There
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are no studies that indicate MVP is among the most frequently reported maternal risk
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factors. Hypertension associated with pregnancy, not chronic hypertension, is one of the most
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frequently reported maternal medical risk factors. Although anemia is a concern in pregnancy,
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it is not one of the most frequently reported maternal medical risk factors in pregnancy.
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PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
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OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
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2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must
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v incorporate both teamwork and communication with clinicians into her care delivery, The SBAR
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v technique of communication is an easy-to-remember mechanism for communication. Which of the
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v following correctly defines this acronym? v v v v




a. Situation, baseline assessment, response v v v




b. Situation, background, assessment, recommendation v v v




c. Subjective background, assessment, recommendation v v v




d. Situation, background, anticipated v v




v recommendation ANS: B v v




The situation, background, assessment, recommendation (SBAR) technique provides a specific
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framework for communication among health care providers. Failure to communicate is one of the
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major reasons for errors in health care. The SBAR technique has the potential to serve as a means
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to reduce errors.
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PTS: 1 DIF: Cognitive Level: Comprehension
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v REF: 14 OBJ: Nursing Process: Assessment,
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v Planning

MSC: Client Needs: Safe and Effective Care Environment
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3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
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, a. Providing care to patients directly at the bedside.
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Med C v

, b. Primarily hospital care of maternity patients. v v v v v




c. Practice using an evidence-based approach. v v v v




d. Planning patient care to cover longer hospital stays. v v v v v v v




ANS: C v




Professional nurses are part of the team of health care providers who collaboratively care for
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vpatients throughout the childbearing cycle. Providing care to patients directly at the bedside is
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one of the nurses tasks; however, it does not encompass the concept of the evolved professional
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nurse. Throughout the prenatal period, nurses care for women in clinics and physicians offices
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vand teach classes to help families prepare for childbirth. Nurses also care for childbearing
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families in birthing centers and in the home. Nurses have been critically important in developing
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strategies to improve the well-being of women and their infants and have led the efforts to
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implement clinical practice guidelines using an evidence-based approach. Maternity patients have
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experienced a decreased, rather than an increased, length of stay over the past 2 decades.
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PTS: 1 DIF: Cognitive Level: Comprehension
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v REF: 1 OBJ: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment
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4. A 23-year-old African-American woman is pregnant with her first child. Based on the
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v statistics for infant mortality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. v v v




b. Refer the woman to a social worker. v v v v v v




c. Advise the woman to see an obstetrician, not a midwife.
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d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D v




Consistent prenatal care is the best method of preventing or controlling risk factors associated
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with infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition
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assessment is not the most important action a nurse should take in this situation. The patient may
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need assistance from a social worker at some time during her pregnancy, but a referral to a
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social worker is not the most important aspect the nurse should address at this time. If the
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woman has identifiable high-risk problems, her health care may need to be provided by a
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physician. However, it cannot be assumed that all African-American women have high-risk issues.
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In addition, advising the woman to see an obstetrician is not the most important aspect on
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which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
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manage the type of care a patient is to receive.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
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