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, Hisley:RMaternalRChildRNursingRCareR2ndREditionRTestRBankRChapterR01:R21stRCent
uryRMaternityRNursing
MULTIPLERCHOICE
1. WhenRprovidingRcareRforRaRpregnantRwoman,RtheRnurseRshouldRbeRawareRthatRoneRofRtheR
mostRfrequentlyRreportedRmaternalRmedicalRriskRfactorsRis:
a. DiabetesR mellitus. c. ChronicRhypertension.
b. MitralRvalveR prolapseR(MVP). d. Anemia.
ANS:R A
TheRmostRfrequentlyRreportedRmaternalRmedicalRriskRfactorsRareRdiabetesRandRhypertensionRasso
ciatedRwithRpregnancy.RBothRofRtheseRconditionsRareRassociatedRwithR maternalRobesity.RThereRar
eRnoRstudiesRthatRindicateR MVPR isRamongR theR mostR frequentlyRreportedR maternalRriskR factors.R
HypertensionR associatedR withR pregnancy,RnotRchronicRhypertension,RisRoneRofRtheRmostRfrequen
tlyRreportedR maternalR medicalRriskRfactors.R AlthoughRanemiaRisRaRconcernRinRpregnancy,RitRisRn
otRoneRofRtheRmostRfrequentlyRreportedRmaternalRmedicalRriskRfactorsRinRpregnancy.
PTS:R1RDIF:R CognitiveR Level:RKnowledgeRREF:R6
OBJ:RNursingR Process:RAssessmentR MSC:R ClientR Needs:R PhysiologicR Integrity
2. ToRensureRoptimalRoutcomesRforRtheRpatient,RtheRcontemporaryRmaternityRnurseR mustR incorpo
rateRbothRteamworkRandRcommunicationRwithRcliniciansRintoRherRcareRdelivery,RTheRSBARRtechni
queRofRcommunicationRisRanReasy-to-
rememberR mechanismRforRcommunication.RWhichRofRtheRfollowingRcorrectlyRdefinesRthisRacrony
m?
a. Situation,R baselineR assessment,Rresponse
b. Situation,R background,R assessment,R recommendation
c. SubjectiveR background,R assessment,R recommendation
d. Situation,Rbackground,RanticipatedRrecomme
ndationRANS:RB
TheRsituation,Rbackground,Rassessment,RrecommendationR(SBAR)RtechniqueRprovidesRaRspecificRfr
ameworkRforRcommunicationRamongRhealthRcareRproviders.RFailureRtoRcommunicateRisRoneRofRtheR
majorRreasonsRforRerrorsRinRhealthRcare.RTheRSBARRtechniqueRhasRtheRpotentialRtoRserveRasRaRmea
nsRtoRreduceRerrors.
PTS:R1RDIF:RCognitiveRLevel:RComprehensionR
REF:R14ROBJ:RNursingRProcess:RAssessment,RPl
anning
MSC:R ClientR Needs:R SafeRandREffectiveR CareR Environment
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, 3. TheRroleRofRtheR professionalR nurseRcaringRforR childbearingRfamiliesR hasR evolvedRtoRemphasize:
a. ProvidingRcareRtoRpatientsR directlyRatRtheRbedside.
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, b. PrimarilyRhospitalRcareRofR maternityR patients.
c. PracticeRusingRanR evidence-basedRapproach.
d. PlanningRpatientRcareRtoRcoverRlongerR hospitalRstays.
ANS:RC
ProfessionalRnursesRareRpartRofRtheRteamRofRhealthRcareRprovidersR whoR collaborativelyRcareR forR
patientsRthroughoutRtheRchildbearingRcycle.RProvidingRcareRtoRpatientsRdirectlyRatRtheRbedsideRis
RoneRofRtheRnursesRtasks;Rhowever,RitRdoesRnotRencompassRtheRconceptRofRtheRevolvedRprofessiona
lRnurse.RThroughoutRtheRprenatalRperiod,RnursesRcareRforRwomenRinRclinicsRandRphysiciansR office
sR andRteachRclassesRtoR helpRfamiliesR prepareR forRchildbirth.RNursesRalsoRcareRforRchildbearingRfa
miliesRinRbirthingRcentersRandRinRtheRhome.RNursesRhaveRbeenRcriticallyRimportantRinRdeveloping
RstrategiesRtoRimproveRtheRwell-
beingRofRwomenRandRtheirRinfantsRandRhaveRledRtheReffortsRtoRimplementRclinicalRpracticeRguideli
nesRusingRanRevidence-
basedRapproach.RMaternityRpatientsRhaveRexperiencedRaRdecreased,RratherRthanRanRincreased,Rlen
gthRofRstayRoverRtheRpastR2Rdecades.
PTS:R1RDIF:RCognitiveRLevel:RComprehensionR
REF:R1ROBJ:RNursingRProcess:RImplementation
MSC:R ClientR Needs:R SafeRandREffectiveR CareR Environment
4. AR23-year-oldRAfrican-
AmericanRwomanRisRpregnantRwithRherRfirstRchild.RBasedRonRtheRstatisticsRforRinfantRmortality,
RwhichRplanRisRmostRimportantRforRtheRnurseRtoRimplement?
a. PerformRaR nutritionRassessment.
b. ReferRtheR womanRtoRaRsocialR worker.
c. AdviseRtheR womanRtoRseeRanRobstetrician,R notRaR midwife.
d. ExplainRtoRtheR womanRtheRimportanceRofR keepingR herR prenatalRcareRappointments.
ANS:RD
ConsistentRprenatalRcareRisRtheRbestRmethodRofRpreventingRorRcontrollingRriskRfactorsRassociatedR
withRinfantRmortality.RNutritionalRstatusRisRanRimportantRmodifiableRriskRfactor,RbutRaRnutritionRa
ssessmentRisRnotRtheRmostRimportantRactionRaRnurseRshouldRtakeRinRthisRsituation.RTheRpatientRm
ayRneedRassistanceRfromRaRsocialRworkerRatRsomeRtimeR duringR herR pregnancy,R butRaRreferralR toRa
R socialR workerR isRnotR theR mostRimportantRaspectR theR nurseRshouldRaddressRatRthisRtime.RIfRtheRw
omanRhasRidentifiableRhigh-
riskRproblems,RherRhealthRcareRmayRneedRtoRbeRprovidedRbyRaRphysician.RHowever,RitRcannotRbeRa
ssumedRthatRallRAfrican-AmericanRwomenRhaveRhigh-
riskRissues.R InRaddition,RadvisingRtheR womanRtoRseeR anRobstetricianR isRnotR theR mostR importantR
aspectR onR whichRtheRnurseR shouldRfocusRatRthisR time,RandRitRisR notRappropriateR forRaRnurseR toRad
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