Med C
uo
, Hisley: Maternal Child Nursing Care 2nd Edition Test Bank Chapter 01: 21st Century
uo uo uo uo uo uo uo uo uo uo uo uo uo
Maternity Nursing uo
MULTIPLE CHOICE uo
1. When providing care for a pregnant woman, the nurse should be aware that one of the most
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
frequently reported maternal medical risk factors is: uo uo uo uo uo uo
a. Diabetes mellitus. uo c. Chronic hypertension. uo
b. Mitral valve prolapse (MVP). uo uo uo d. Anemia.
ANS: A uo
The most frequently reported maternal medical risk factors are diabetes and hypertension associat
uo uo uo uo uo uo uo uo uo uo uo uo
ed with pregnancy. Both of these conditions are associated with maternal obesity. There are no stu
uo uo uo uo uo uo uo uo uo u o uo uo uo uo uo
dies that indicate MVP is among the most frequently reported maternal risk factors. Hyperten
uo uo u o u o uo u o u o u o uo u o uo u o uo
sion associated with pregnancy, not chronic hypertension, is one of the most frequently reported
u o u o u o uo uo uo uo uo uo uo uo uo uo u
omaternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the mos
u o uo uo u o uo uo uo uo uo uo uo uo uo uo uo uo uo
t frequently reported maternal medical risk factors in pregnancy.
uo uo uo uo uo uo uo uo
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
uo uo uo uo uo uo uo
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
uo uo uo uo uo uo u o uo
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporat
uo uo uo uo uo uo uo uo uo uo u o u o
e both teamwork and communication with clinicians into her care delivery, The SBAR technique of
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
communication is an easy-to- uo uo uo
remember mechanism for communication. Which of the following correctly defines this acronym?
u o uo uo uo uo uo uo uo uo uo uo
a. Situation, baseline assessment, response uo uo uo
b. Situation, background, assessment, recommendation uo uo uo
c. Subjective background, assessment, recommendation uo uo uo
d. Situation, background, anticipated recommen uo uo uo
dation ANS: B uo uo
The situation, background, assessment, recommendation (SBAR) technique provides a specific fram
uo uo uo uo uo uo uo uo uo uo
ework for communication among health care providers. Failure to communicate is one of the major r
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
easons for errors in health care. The SBAR technique has the potential to serve as a means to reduce
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
errors.
PTS: 1 DIF: Cognitive Level: Comprehension R
uo uo uo uo uo uo
EF: 14 OBJ: Nursing Process: Assessment, Plan
uo uo uo uo uo uo
ning
MSC: Client Needs: Safe and Effective Care Environment
uo uo uo uo uo uo uo
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
uo uo uo uo uo uo uo uo uo uo uo uo uo
Med C uo
, a. Providing care to patients directly at the bedside.
uo uo uo u o uo uo uo
Med C uo
, b. Primarily hospital care of maternity patients. uo uo uo uo uo
c. Practice using an evidence-based approach. uo uo uo uo
d. Planning patient care to cover longer hospital stays. uo uo uo uo uo uo uo
ANS: C uo
Professional nurses are part of the team of health care providers who collaboratively care for pat
uo uo uo uo uo uo uo uo uo uo u o u o uo u o u o
ients throughout the childbearing cycle. Providing care to patients directly at the bedside is one of t
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
he nurses tasks; however, it does not encompass the concept of the evolved professional nurse. Thr
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
oughout the prenatal period, nurses care for women in clinics and physicians offices and teach clas
uo uo uo uo uo uo uo uo uo uo uo u o u o uo uo
ses to help families prepare for childbirth. Nurses also care for childbearing families in birthing c
uo u o uo u o u o uo uo uo uo uo uo uo uo uo uo
enters and in the home. Nurses have been critically important in developing strategies to improve t
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
he well- uo
being of women and their infants and have led the efforts to implement clinical practice guidelines
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
using an evidence- uo uo
based approach. Maternity patients have experienced a decreased, rather than an increased, length
uo uo uo uo uo uo uo uo uo uo uo uo uo
of stay over the past 2 decades.
uo uo uo uo uo uo
PTS: 1 DIF: Cognitive Level: Comprehension R
uo uo uo uo uo uo
EF: 1 OBJ: Nursing Process: Implementation
uo uo uo uo uo
MSC: Client Needs: Safe and Effective Care Environment
uo uo uo uo uo uo uo
4. A 23-year-old African-
uo uo
American woman is pregnant with her first child. Based on the statistics for infant mortality, whi
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
ch plan is most important for the nurse to implement?
uo uo uo uo uo uo uo uo uo
a. Perform a nutrition assessment. uo uo uo
b. Refer the woman to a social worker. uo uo uo uo uo uo
c. Advise the woman to see an obstetrician, not a midwife. uo uo uo uo uo uo uo uo uo
d. Explain to the woman the importance of keeping her prenatal care appointments.
uo uo uo uo uo uo uo uo uo uo uo
ANS: D uo
Consistent prenatal care is the best method of preventing or controlling risk factors associated wit
uo uo uo uo uo uo uo uo uo uo uo uo uo uo
h infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessm
uo uo uo uo uo uo uo uo uo uo uo uo uo uo
ent is not the most important action a nurse should take in this situation. The patient may need assi
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
stance from a social worker at some time during her pregnancy, but a referral to a social worker
uo uo uo uo uo uo uo u o u o u o u o uo uo u o uo u o u o u o
is not the most important aspect the nurse should address at this time. If the woman has identifiab
uo u o u o uo uo u o u o uo uo uo uo uo uo uo uo uo uo
le high-
uo
risk problems, her health care may need to be provided by a physician. However, it cannot be assum
uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo uo
ed that all African-American women have high-
uo uo uo uo uo uo
risk issues. In addition, advising the woman to see an obstetrician is not the most important asp
uo u o uo uo uo u o uo uo u o uo u o uo u o u o u o u o
ect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
u o u o uo uo u o uo uo uo u o uo uo uo u o uo u o uo uo u o uo u o
Med C uo