Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
MedzC
, Hisley:zMaternalzChildzNursingzCarez2ndzEditionzTestzBankzChapterz01:z21stzCentur
yzMaternityzNursing
MULTIPLEzCHOICE
1. Whenzprovidingzcarezforzazpregnantzwoman,ztheznursezshouldzbezawarezthatzonezofzthezmostz
frequentlyzreportedzmaternalzmedicalzriskzfactorszis:
a. Diabetesz mellitus. c. Chronicz hypertension.
b. Mitralzvalvez prolapsez(MVP). d. Anemia.
ANS:z A
Thezmostzfrequentlyzreportedzmaternalzmedicalzriskzfactorszarezdiabeteszandzhypertensionzassociat
edzwithzpregnancy.zBothzofzthesezconditionszarezassociatedzwithz maternalzobesity.zTherezareznozstu
dieszthatzindicatez MVPz iszamongz thez mostz frequentlyzreportedz maternalzriskz factors.zHypertensi
onz associatedz withz pregnancy,znotzchroniczhypertension,ziszonezofzthezmostzfrequentlyzreportedz m
aternalz medicalzriskzfactors.z Althoughzanemiaziszazconcernzinzpregnancy,zitzisznotzonezofzthezmostzfr
equentlyzreportedzmaternalzmedicalzriskzfactorszinzpregnancy.
PTS:z1zDIF:z Cognitivez Level:zKnowledgezREF:z6
OBJ:zNursingz Process:z Assessmentz MSC:z Clientz Needs:z Physiologicz Integrity
2. Tozensurezoptimalzoutcomeszforzthezpatient,zthezcontemporaryzmaternityznursez mustz incorporate
bothzteamworkzandzcommunicationzwithzclinicianszintozherzcarezdelivery,zThezSBARztechniquezofzc
z
ommunicationziszanzeasy-to-
rememberz mechanismzforzcommunication.zWhichzofzthezfollowingzcorrectlyzdefineszthiszacronym?
a. Situation,z baselinez assessment,zresponse
b. Situation,z background,z assessment,z recommendation
c. Subjectivez background,z assessment,z recommendation
d. Situation,zbackground,zanticipatedzrecommen
dationzANS:zB
Thezsituation,zbackground,zassessment,zrecommendationz(SBAR)ztechniquezprovideszazspecificzfram
eworkzforzcommunicationzamongzhealthzcarezproviders.zFailureztozcommunicateziszonezofzthezmajorz
reasonszforzerrorszinzhealthzcare.zThezSBARztechniquezhaszthezpotentialztozservezaszazmeansztozreduc
ezerrors.
PTS:z1zDIF:zCognitivezLevel:zComprehensionzR
EF:z14zOBJ:zNursingzProcess:zAssessment,zPlan
ning
MSC:z Clientz Needs:z SafezandzEffectivez Carez Environment
3. Thezrolez ofzthez professionalz nursez caringzforz childbearingz familiesz hasz evolvedztozemphasize:
MedzC
, a. Providingzcareztozpatientsz directlyzatzthezbedside.
MedzC
, b. Primarilyzhospitalzcarezofz maternityz patients.
c. Practicezusingzanz evidence-basedzapproach.
d. Planningzpatientzcareztozcoverzlongerz hospitalzstays.
ANS:zC
Professionalznurseszarezpartzofzthezteamzofzhealthzcarezprovidersz whoz collaborativelyzcarez forz pati
entszthroughoutzthezchildbearingzcycle.zProvidingzcareztozpatientszdirectlyzatzthezbedsideziszonezofzt
heznursesztasks;zhowever,zitzdoesznotzencompasszthezconceptzofzthezevolvedzprofessionalznurse.zThr
oughoutzthezprenatalzperiod,znurseszcarezforzwomenzinzclinicszandzphysiciansz officesz andzteachzclas
sesztoz helpzfamiliesz preparez forzchildbirth.zNurseszalsozcarezforzchildbearingzfamilieszinzbirthingzce
nterszandzinzthezhome.zNurseszhavezbeenzcriticallyzimportantzinzdevelopingzstrategiesztozimprovezt
hezwell-
beingzofzwomenzandztheirzinfantszandzhavezledzthezeffortsztozimplementzclinicalzpracticezguidelinesz
usingzanzevidence-
basedzapproach.zMaternityzpatientszhavezexperiencedzazdecreased,zratherzthanzanzincreased,zlengthz
ofzstayzoverzthezpastz2zdecades.
PTS:z1zDIF:zCognitivezLevel:zComprehensionzR
EF:z1zOBJ:zNursingzProcess:zImplementation
MSC:z Clientz Needs:z SafezandzEffectivez Carez Environment
4. Az23-year-oldzAfrican-
Americanzwomanziszpregnantzwithzherzfirstzchild.zBasedzonzthezstatisticszforzinfantzmortality,zwhi
chzplanziszmostzimportantzforztheznurseztozimplement?
a. Performzaz nutritionzassessment.
b. Referzthez womanztozazsocialz worker.
c. Advisezthez womanztozseezanzobstetrician,z notzaz midwife.
d. Explainztozthez womanzthezimportancezofz keepingz herz prenatalzcarezappointments.
ANS:zD
Consistentzprenatalzcareziszthezbestzmethodzofzpreventingzorzcontrollingzriskzfactorszassociatedzwit
hzinfantzmortality.zNutritionalzstatusziszanzimportantzmodifiablezriskzfactor,zbutzaznutritionzassessm
entzisznotzthezmostzimportantzactionzaznursezshouldztakezinzthiszsituation.zThezpatientzmayzneedzassi
stancezfromzazsocialzworkerzatzsomeztimez duringz herz pregnancy,z butzazreferralz tozaz socialz workerz is
znotz thez mostzimportantzaspectz thez nursezshouldzaddresszatzthisztime.zIfzthezwomanzhaszidentifiablez
high-
riskzproblems,zherzhealthzcarezmayzneedztozbezprovidedzbyzazphysician.zHowever,zitzcannotzbezassum
edzthatzallzAfrican-Americanzwomenzhavezhigh-
riskzissues.z Inzaddition,zadvisingzthez womanztozseez anzobstetricianz isznotz thez mostz importantz aspe
ctz onz whichztheznursez shouldzfocuszatzthisz time,zandzitzisz notzappropriatez forzaznursez tozadvisez orz m
MedzC
MedzC
, Hisley:zMaternalzChildzNursingzCarez2ndzEditionzTestzBankzChapterz01:z21stzCentur
yzMaternityzNursing
MULTIPLEzCHOICE
1. Whenzprovidingzcarezforzazpregnantzwoman,ztheznursezshouldzbezawarezthatzonezofzthezmostz
frequentlyzreportedzmaternalzmedicalzriskzfactorszis:
a. Diabetesz mellitus. c. Chronicz hypertension.
b. Mitralzvalvez prolapsez(MVP). d. Anemia.
ANS:z A
Thezmostzfrequentlyzreportedzmaternalzmedicalzriskzfactorszarezdiabeteszandzhypertensionzassociat
edzwithzpregnancy.zBothzofzthesezconditionszarezassociatedzwithz maternalzobesity.zTherezareznozstu
dieszthatzindicatez MVPz iszamongz thez mostz frequentlyzreportedz maternalzriskz factors.zHypertensi
onz associatedz withz pregnancy,znotzchroniczhypertension,ziszonezofzthezmostzfrequentlyzreportedz m
aternalz medicalzriskzfactors.z Althoughzanemiaziszazconcernzinzpregnancy,zitzisznotzonezofzthezmostzfr
equentlyzreportedzmaternalzmedicalzriskzfactorszinzpregnancy.
PTS:z1zDIF:z Cognitivez Level:zKnowledgezREF:z6
OBJ:zNursingz Process:z Assessmentz MSC:z Clientz Needs:z Physiologicz Integrity
2. Tozensurezoptimalzoutcomeszforzthezpatient,zthezcontemporaryzmaternityznursez mustz incorporate
bothzteamworkzandzcommunicationzwithzclinicianszintozherzcarezdelivery,zThezSBARztechniquezofzc
z
ommunicationziszanzeasy-to-
rememberz mechanismzforzcommunication.zWhichzofzthezfollowingzcorrectlyzdefineszthiszacronym?
a. Situation,z baselinez assessment,zresponse
b. Situation,z background,z assessment,z recommendation
c. Subjectivez background,z assessment,z recommendation
d. Situation,zbackground,zanticipatedzrecommen
dationzANS:zB
Thezsituation,zbackground,zassessment,zrecommendationz(SBAR)ztechniquezprovideszazspecificzfram
eworkzforzcommunicationzamongzhealthzcarezproviders.zFailureztozcommunicateziszonezofzthezmajorz
reasonszforzerrorszinzhealthzcare.zThezSBARztechniquezhaszthezpotentialztozservezaszazmeansztozreduc
ezerrors.
PTS:z1zDIF:zCognitivezLevel:zComprehensionzR
EF:z14zOBJ:zNursingzProcess:zAssessment,zPlan
ning
MSC:z Clientz Needs:z SafezandzEffectivez Carez Environment
3. Thezrolez ofzthez professionalz nursez caringzforz childbearingz familiesz hasz evolvedztozemphasize:
MedzC
, a. Providingzcareztozpatientsz directlyzatzthezbedside.
MedzC
, b. Primarilyzhospitalzcarezofz maternityz patients.
c. Practicezusingzanz evidence-basedzapproach.
d. Planningzpatientzcareztozcoverzlongerz hospitalzstays.
ANS:zC
Professionalznurseszarezpartzofzthezteamzofzhealthzcarezprovidersz whoz collaborativelyzcarez forz pati
entszthroughoutzthezchildbearingzcycle.zProvidingzcareztozpatientszdirectlyzatzthezbedsideziszonezofzt
heznursesztasks;zhowever,zitzdoesznotzencompasszthezconceptzofzthezevolvedzprofessionalznurse.zThr
oughoutzthezprenatalzperiod,znurseszcarezforzwomenzinzclinicszandzphysiciansz officesz andzteachzclas
sesztoz helpzfamiliesz preparez forzchildbirth.zNurseszalsozcarezforzchildbearingzfamilieszinzbirthingzce
nterszandzinzthezhome.zNurseszhavezbeenzcriticallyzimportantzinzdevelopingzstrategiesztozimprovezt
hezwell-
beingzofzwomenzandztheirzinfantszandzhavezledzthezeffortsztozimplementzclinicalzpracticezguidelinesz
usingzanzevidence-
basedzapproach.zMaternityzpatientszhavezexperiencedzazdecreased,zratherzthanzanzincreased,zlengthz
ofzstayzoverzthezpastz2zdecades.
PTS:z1zDIF:zCognitivezLevel:zComprehensionzR
EF:z1zOBJ:zNursingzProcess:zImplementation
MSC:z Clientz Needs:z SafezandzEffectivez Carez Environment
4. Az23-year-oldzAfrican-
Americanzwomanziszpregnantzwithzherzfirstzchild.zBasedzonzthezstatisticszforzinfantzmortality,zwhi
chzplanziszmostzimportantzforztheznurseztozimplement?
a. Performzaz nutritionzassessment.
b. Referzthez womanztozazsocialz worker.
c. Advisezthez womanztozseezanzobstetrician,z notzaz midwife.
d. Explainztozthez womanzthezimportancezofz keepingz herz prenatalzcarezappointments.
ANS:zD
Consistentzprenatalzcareziszthezbestzmethodzofzpreventingzorzcontrollingzriskzfactorszassociatedzwit
hzinfantzmortality.zNutritionalzstatusziszanzimportantzmodifiablezriskzfactor,zbutzaznutritionzassessm
entzisznotzthezmostzimportantzactionzaznursezshouldztakezinzthiszsituation.zThezpatientzmayzneedzassi
stancezfromzazsocialzworkerzatzsomeztimez duringz herz pregnancy,z butzazreferralz tozaz socialz workerz is
znotz thez mostzimportantzaspectz thez nursezshouldzaddresszatzthisztime.zIfzthezwomanzhaszidentifiablez
high-
riskzproblems,zherzhealthzcarezmayzneedztozbezprovidedzbyzazphysician.zHowever,zitzcannotzbezassum
edzthatzallzAfrican-Americanzwomenzhavezhigh-
riskzissues.z Inzaddition,zadvisingzthez womanztozseez anzobstetricianz isznotz thez mostz importantz aspe
ctz onz whichztheznursez shouldzfocuszatzthisz time,zandzitzisz notzappropriatez forzaznursez tozadvisez orz m
MedzC
