Maternal-Child Nursing Care with The Women's Health Companion: Optimizing
Outcomes for Mothers, Children, and Families: Optimizing Outcomes for Mothers,
Children, and Families
Author: Susan L. Ward
2nd Edition
,Table of Contents
I. Foundations in Maternal, Family, and Child Care
1. Traditional and Community Nursing Care for Women, Families, and Children
2. Contemporary Issues in Women’s, Families’, and Children’s Health Care
3. The Evolving Family
4. Caring for Women, Families, and Children Across the Life Span
II. The Process of Human Reproduction
5. Reproductive Anatomy and Physiology
6. Human Sexuality and Fertility
7. Conception and Development of the Embryo and Fetus
III. The Prenatal Journey
8. Physiological and Psychosocial Changes During Pregnancy
9. The Prenatal Assessment
10. Promoting a Health Pregnancy
11. Caring for the Woman Experiencing Complications During Pregnancy
IV. The Birth Experience
12. The Process of Labor and Birth
13. Promoting Patient Comfort During Labor and Birth
14. Caring for the Woman Experiencing Complications During Labor and Birth
V. Care of the New Family
15. Caring for the Postpartal Woman and Her Family
16. Caring for the Woman Experiencing Complications During Postpartal Period
17. Physiological Transition of the Newborn
18. Caring for the Normal Newborn
19. Caring for the Newborn at Risk
VI. Caring for the Child and Family
20. Caring for the Developing Child
21. Caring for the Child in the Hospital, the Community and Across Care Settings
22. Caring for the Child with a Psychosocial or Cognitive Condition
VII. Ongoing Care of the Child in the Hospital and in the Community
23. Caring for the Child with a Respiratory Condition
24. Caring for the Child with a Gastrointestinal Condition
25. Caring for the Child with an Immunologic or Infectious Condition
26. Caring for the Child with a Cardiovascular Condition
27. Caring for the Child with an Endocrinologic or Metabolic Condition
28. Caring for the Child with a Neurological or Sensory Condition
29. Caring for the Child with a Musculoskeletal Condition
30. Caring for the Child with an Integumentary Condition
31. Caring for the Child with a Genitourinary Condition
32. Caring for the Child with a Hematological Condition
33. Caring for the Child with Cancer
34. Caring for the Child with a Chronic Condition or the Dying Child
35. Caring for the Critically Ill Child
,Chapter 01: 21st Century Maternity Nursing
Multiple Choice
1. When Providing Care For A Pregnant Woman, The Nurse Should Be Aware That One Of The Most
Frequently Reported Maternal Medical Risk Factors Is:
a. Diabetes Mellitus. C. Chronic Hypertension.
b. Mitral Valve Prolapse (Mvp). D. Anemia.
Ans: A
The Most Frequently Reported Maternal Medical Risk Factors Are Diabetes And Hypertension Associated
With Pregnancy. Both Of These Conditions Are Associated With Maternal Obesity. There Are No Studies
That Indicate Mvp Is Among The Most Frequently Reported Maternal Risk Factors. Hypertension
Associated With Pregnancy, Not Chronic Hypertension, Is One Of The Most Frequently Reported Maternal
Medical Risk Factors. Although Anemia Is A Concern In Pregnancy, It Is Not One Of The Most Frequently
Reported Maternal Medical Risk Factors In Pregnancy.
Pts: 1 Dif: Cognitive Level: Knowledge Ref: 6
Obj: Nursing Process: Assessment Msc: Client Needs: Physiologic Integrity
2. To Ensure Optimal Outcomes For The Patient, The Contemporary Maternity Nurse Must Incorporate
Both Teamwork And Communication With Clinicians Into Her Care Delivery, The Sbar Technique Of
Communication Is An Easy-To-Remember Mechanism For Communication. Which Of The Following
Correctly Defines This Acronym?
a. Situation, Baseline Assessment, Response
b. Situation, Background, Assessment, Recommendation
c. Subjective Background, Assessment, Recommendation
d. Situation, Background, Anticipated Recommendation
Ans: B
The Situation, Background, Assessment, Recommendation (Sbar) Technique Provides A Specific Framework
For Communication Among Health Care Providers. Failure To Communicate Is One Of The Major Reasons For
Errors In Health Care. The Sbar Technique Has The Potential To Serve As A Means To Reduce Errors.
Pts: 1 Dif: Cognitive Level: Comprehension Ref: 14
Obj: Nursing Process: Assessment, Planning
Msc: Client Needs: Safe And Effective Care Environment
3. The Role Of The Professional Nurse Caring For Childbearing Families Has Evolved To Emphasize:
a. Providing Care To Patients Directly At The Bedside.
, b. Primarily Hospital Care Of Maternity Patients.
c. Practice Using An Evidence-Based Approach.
d. Planning Patient Care To Cover Longer Hospital Stays.
Ans: C
Professional Nurses Are Part Of The Team Of Health Care Providers Who Collaboratively Care For
Patients Throughout The Childbearing Cycle. Providing Care To Patients Directly At The Bedside Is One Of The
Nurses Tasks; However, It Does Not Encompass The Concept Of The Evolved Professional Nurse. Throughout
The Prenatal Period, Nurses Care For Women In Clinics And Physicians Offices And Teach Classes To
Help Families Prepare For Childbirth. Nurses Also Care For Childbearing Families In Birthing Centers And
In The Home. Nurses Have Been Critically Important In Developing Strategies To Improve The Well-Being Of
Women And Their Infants And Have Led The Efforts To Implement Clinical Practice Guidelines Using An
Evidence-Based Approach. Maternity Patients Have Experienced A Decreased, Rather Than An Increased,
Length Of Stay Over The Past 2 Decades.
Pts: 1 Dif: Cognitive Level: Comprehension Ref: 1
Obj: Nursing Process: Implementation
Msc: Client Needs: Safe And Effective Care Environment
4. A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based On The Statistics For
Infant Mortality, Which Plan Is Most Important For The Nurse To Implement?
a. Perform A Nutrition Assessment.
b. Refer The Woman To A Social Worker.
c. Advise The Woman To See An Obstetrician, Not A Midwife.
d. Explain To The Woman The Importance Of Keeping Her Prenatal Care Appointments.
Ans: D
Consistent Prenatal Care Is The Best Method Of Preventing Or Controlling Risk Factors Associated With
Infant Mortality. Nutritional Status Is An Important Modifiable Risk Factor, But A Nutrition Assessment Is Not
The Most Important Action A Nurse Should Take In This Situation. The Patient May Need Assistance From A
Social Worker At Some Time During Her Pregnancy, But A Referral To A Social Worker Is Not The Most
Important Aspect The Nurse Should Address At This Time. If The Woman Has Identifiable High-Risk
Problems, Her Health Care May Need To Be Provided By A Physician. However, It Cannot Be Assumed
That All African-American Women Have High-Risk Issues. In Addition, Advising The Woman To See An
Obstetrician Is Not The Most Important Aspect On Which The Nurse Should Focus At This Time, And It Is
Not Appropriate For A Nurse To Advise Or Manage The Type Of Care A Patient Is To Receive.
Pts: 1 Dif: Cognitive Level: Comprehension Ref: 6
Obj: Nursing Process: Planning Msc: Client Needs: Health Promotion And Maintenance
5. During A Prenatal Intake Interview, The Nurse Is In The Process Of Obtaining An Initial Assessment Of A
21-Year- Old Hispanic Patient With Limited English Proficiency. It Is Important For The Nurse To: