Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
Med C
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, Hisley: Maternal Child Nursing Care 2nd Edition Test Bank Chapter 01: 21st Century
iy iy iy iy iy iy iy iy iy iy iy iy iy
Maternity Nursing iy
MULTIPLE CHOICE iy
1. When providing care for a pregnant woman, the nurse should be aware that one of the most
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy i
y frequently reported maternal medical risk factors is: iy iy iy iy iy iy
a. Diabetes mellitus. iy c. Chronic hypertension. iy
b. Mitral valve prolapse (MVP). iy iy iy d. Anemia.
ANS: A iy
The most frequently reported maternal medical risk factors are diabetes and hypertension associa
iy iy iy iy iy iy iy iy iy iy iy iy
ted with pregnancy. Both of these conditions are associated with maternal obesity. There are no s
iy iy iy iy iy iy iy iy iy i y iy iy iy iy iy
tudies that indicate MVP is among the most frequently reported maternal risk factors. Hyper
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tension associated with pregnancy, not chronic hypertension, is one of the most frequently repor
i y i y i y iy iy iy iy iy iy iy iy iy iy
ted maternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of th
i y i y iy iy i y iy iy iy iy iy iy iy iy iy iy iy iy
e most frequently reported maternal medical risk factors in pregnancy.
iy iy iy iy iy iy iy iy iy
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
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OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
iy iy iy iy iy iy iy iy
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorpora
iy iy iy iy iy iy iy iy iy iy i y i y
te both teamwork and communication with clinicians into her care delivery, The SBAR technique o
iy iy iy iy iy iy iy iy iy iy iy iy iy iy
f communication is an easy-to-
iy iy iy iy
remember mechanism for communication. Which of the following correctly defines this acronym?
i y iy iy iy iy iy iy iy iy iy iy
a. Situation, baseline assessment, response iy iy iy
b. Situation, background, assessment, recommendation
iy iy iy
c. Subjective background, assessment, recommendation iy iy iy
d. Situation, background, anticipated recommen iy iy iy
dation ANS: B iy iy
The situation, background, assessment, recommendation (SBAR) technique provides a specific fra
iy iy iy iy iy iy iy iy iy iy
mework for communication among health care providers. Failure to communicate is one of the maj
iy iy iy iy iy iy iy iy iy iy iy iy iy iy
or reasons for errors in health care. The SBAR technique has the potential to serve as a means to re
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
duce errors. iy
PTS: 1 DIF: Cognitive Level: Comprehension R
iy iy iy iy iy iy
EF: 14 OBJ: Nursing Process: Assessment, Plan
iy iy iy iy iy iy
ning
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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Med C iy
, a. Providing care to patients directly at the bedside.
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Med C iy
, b. Primarily hospital care of maternity patients. iy iy iy iy iy
c. Practice using an evidence-based approach. iy iy iy iy
d. Planning patient care to cover longer hospital stays. iy iy iy iy iy iy iy
ANS: C iy
Professional nurses are part of the team of health care providers who collaboratively care for pa
iy iy iy iy iy iy iy iy iy iy i y i y iy i y i y
tients throughout the childbearing cycle. Providing care to patients directly at the bedside is one o
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
f the nurses tasks; however, it does not encompass the concept of the evolved professional nurse. T
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
hroughout the prenatal period, nurses care for women in clinics and physicians offices and teach
iy iy iy iy iy iy iy iy iy iy iy i y i y iy iy
classes to help families prepare for childbirth. Nurses also care for childbearing families in birthi
iy i y iy i y i y iy iy iy iy iy iy iy iy iy
ng centers and in the home. Nurses have been critically important in developing strategies to impr
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ove the well- iy iy
being of women and their infants and have led the efforts to implement clinical practice guidelines
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
using an evidence- iy iy
based approach. Maternity patients have experienced a decreased, rather than an increased, length
iy iy iy iy iy iy iy iy iy iy iy iy
of stay over the past 2 decades.
iy iy iy iy iy iy iy
PTS: 1 DIF: Cognitive Level: Comprehension R
iy iy iy iy iy iy
EF: 1 OBJ: Nursing Process: Implementation
iy iy iy iy iy
MSC: Client Needs: Safe and Effective Care Environment
iy iy iy iy iy iy iy
4. A 23-year-old African- iy iy
American woman is pregnant with her first child. Based on the statistics for infant mortality, wh
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ich plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. iy iy iy
b. Refer the woman to a social worker. iy iy iy iy iy iy
c. Advise the woman to see an obstetrician, not a midwife.
iy iy iy iy iy iy iy iy iy
d. Explain to the woman the importance of keeping her prenatal care appointments.
iy iy iy iy iy iy iy iy iy iy iy
ANS: D iy
Consistent prenatal care is the best method of preventing or controlling risk factors associated wit
iy iy iy iy iy iy iy iy iy iy iy iy iy iy
h infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assess
iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ment is not the most important action a nurse should take in this situation. The patient may need a
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ssistance from a social worker at some time during her pregnancy, but a referral to a social wor
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ker is not the most important aspect the nurse should address at this time. If the woman has iden
i y iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
tifiable high- iy
risk problems, her health care may need to be provided by a physician. However, it cannot be assu
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
med that all African-American women have high-
iy iy iy iy iy iy
risk issues. In addition, advising the woman to see an obstetrician is not the most important as
iy iy iy iy iy iy iy iy iy iy i y iy iy i y iy iy
pect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
Med C iy
Med C
iy
, Hisley: Maternal Child Nursing Care 2nd Edition Test Bank Chapter 01: 21st Century
iy iy iy iy iy iy iy iy iy iy iy iy iy
Maternity Nursing iy
MULTIPLE CHOICE iy
1. When providing care for a pregnant woman, the nurse should be aware that one of the most
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy i
y frequently reported maternal medical risk factors is: iy iy iy iy iy iy
a. Diabetes mellitus. iy c. Chronic hypertension. iy
b. Mitral valve prolapse (MVP). iy iy iy d. Anemia.
ANS: A iy
The most frequently reported maternal medical risk factors are diabetes and hypertension associa
iy iy iy iy iy iy iy iy iy iy iy iy
ted with pregnancy. Both of these conditions are associated with maternal obesity. There are no s
iy iy iy iy iy iy iy iy iy i y iy iy iy iy iy
tudies that indicate MVP is among the most frequently reported maternal risk factors. Hyper
iy iy i y i y iy i y i y i y iy i y iy i y iy
tension associated with pregnancy, not chronic hypertension, is one of the most frequently repor
i y i y i y iy iy iy iy iy iy iy iy iy iy
ted maternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of th
i y i y iy iy i y iy iy iy iy iy iy iy iy iy iy iy iy
e most frequently reported maternal medical risk factors in pregnancy.
iy iy iy iy iy iy iy iy iy
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
iy iy iy iy iy iy iy
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
iy iy iy iy iy iy iy iy
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorpora
iy iy iy iy iy iy iy iy iy iy i y i y
te both teamwork and communication with clinicians into her care delivery, The SBAR technique o
iy iy iy iy iy iy iy iy iy iy iy iy iy iy
f communication is an easy-to-
iy iy iy iy
remember mechanism for communication. Which of the following correctly defines this acronym?
i y iy iy iy iy iy iy iy iy iy iy
a. Situation, baseline assessment, response iy iy iy
b. Situation, background, assessment, recommendation
iy iy iy
c. Subjective background, assessment, recommendation iy iy iy
d. Situation, background, anticipated recommen iy iy iy
dation ANS: B iy iy
The situation, background, assessment, recommendation (SBAR) technique provides a specific fra
iy iy iy iy iy iy iy iy iy iy
mework for communication among health care providers. Failure to communicate is one of the maj
iy iy iy iy iy iy iy iy iy iy iy iy iy iy
or reasons for errors in health care. The SBAR technique has the potential to serve as a means to re
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
duce errors. iy
PTS: 1 DIF: Cognitive Level: Comprehension R
iy iy iy iy iy iy
EF: 14 OBJ: Nursing Process: Assessment, Plan
iy iy iy iy iy iy
ning
MSC: Client Needs: Safe and Effective Care Environment
iy iy iy iy iy iy iy
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
iy iy iy iy iy iy iy iy iy iy iy iy iy
Med C iy
, a. Providing care to patients directly at the bedside.
iy iy iy iy iy iy iy
Med C iy
, b. Primarily hospital care of maternity patients. iy iy iy iy iy
c. Practice using an evidence-based approach. iy iy iy iy
d. Planning patient care to cover longer hospital stays. iy iy iy iy iy iy iy
ANS: C iy
Professional nurses are part of the team of health care providers who collaboratively care for pa
iy iy iy iy iy iy iy iy iy iy i y i y iy i y i y
tients throughout the childbearing cycle. Providing care to patients directly at the bedside is one o
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
f the nurses tasks; however, it does not encompass the concept of the evolved professional nurse. T
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
hroughout the prenatal period, nurses care for women in clinics and physicians offices and teach
iy iy iy iy iy iy iy iy iy iy iy i y i y iy iy
classes to help families prepare for childbirth. Nurses also care for childbearing families in birthi
iy i y iy i y i y iy iy iy iy iy iy iy iy iy
ng centers and in the home. Nurses have been critically important in developing strategies to impr
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ove the well- iy iy
being of women and their infants and have led the efforts to implement clinical practice guidelines
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
using an evidence- iy iy
based approach. Maternity patients have experienced a decreased, rather than an increased, length
iy iy iy iy iy iy iy iy iy iy iy iy
of stay over the past 2 decades.
iy iy iy iy iy iy iy
PTS: 1 DIF: Cognitive Level: Comprehension R
iy iy iy iy iy iy
EF: 1 OBJ: Nursing Process: Implementation
iy iy iy iy iy
MSC: Client Needs: Safe and Effective Care Environment
iy iy iy iy iy iy iy
4. A 23-year-old African- iy iy
American woman is pregnant with her first child. Based on the statistics for infant mortality, wh
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ich plan is most important for the nurse to implement?
iy iy iy iy iy iy iy iy iy
a. Perform a nutrition assessment. iy iy iy
b. Refer the woman to a social worker. iy iy iy iy iy iy
c. Advise the woman to see an obstetrician, not a midwife.
iy iy iy iy iy iy iy iy iy
d. Explain to the woman the importance of keeping her prenatal care appointments.
iy iy iy iy iy iy iy iy iy iy iy
ANS: D iy
Consistent prenatal care is the best method of preventing or controlling risk factors associated wit
iy iy iy iy iy iy iy iy iy iy iy iy iy iy
h infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assess
iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ment is not the most important action a nurse should take in this situation. The patient may need a
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ssistance from a social worker at some time during her pregnancy, but a referral to a social wor
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
ker is not the most important aspect the nurse should address at this time. If the woman has iden
i y iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
tifiable high- iy
risk problems, her health care may need to be provided by a physician. However, it cannot be assu
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
med that all African-American women have high-
iy iy iy iy iy iy
risk issues. In addition, advising the woman to see an obstetrician is not the most important as
iy iy iy iy iy iy iy iy iy iy i y iy iy i y iy iy
pect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise
iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy iy
Med C iy
