Maternal Child Nursing Care – Ward & Hisley, 2nd Edition | Complete Test Bank

Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank




Med C
yr

, Hisley: Maternal Child Nursing Care 2nd EditionTest Bank Chapter 01: 21st Century
yr yr yr yr yr yr yr yr yr yr yr yr yr




Maternity Nursing yr




MULTIPLE CHOICE yr




1. When providing care for a pregnant woman, the nurse should be aware that one of the most f
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




requently reported maternal medical risk factors is: yr yr yr yr yr yr




a. Diabetes mellitus. yr c. Chronic hypertension. yr




b. Mitral valve prolapse (MVP). yr yr yr d. Anemia.


ANS: A yr




The most frequently reported maternal medical risk factors are diabetes and hypertension associate
yr yr yr yr yr yr yr yr yr yr yr yr




d with pregnancy. Both of these conditions are associated with maternal obesity. There are no stud
yr yr yr yr yr yr yr yr yr y r yr yr yr yr yr




ies that indicate MVP is among the most frequently reported maternal risk factors. Hypertensi
yr yr y r y r yr y r y r y r yr y r yr y r yr




on associated with pregnancy, not chronic hypertension, is one of the most frequently reported m
y r y r y r yr yr yr yr yr yr yr yr yr yr y r




aternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the most fr
y r yr yr y r yr yr yr yr yr yr yr yr yr yr yr yr yr yr




equently reported maternal medical risk factors in pregnancy.
yr yr yr yr yr yr yr




PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
yr yr yr yr yr yr yr




OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
yr yr yr yr yr yr yr yr




2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporat
yr yr yr yr yr yr yr yr yr yr y r y r




e both teamwork and communication with clinicians into her care delivery, The SBAR technique of c
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




ommunication is an easy-to- yr yr yr




remember mechanism for communication. Which of the following correctly defines this acronym?
y r yr yr yr yr yr yr yr yr yr yr




a. Situation, baseline assessment, response yr yr yr




b. Situation, background, assessment, recommendation yr yr yr




c. Subjective background, assessment, recommendation yr yr yr




d. Situation, background, anticipated recommen yr yr yr




dation ANS: B yr yr




The situation, background, assessment, recommendation (SBAR) technique provides a specific fram
yr yr yr yr yr yr yr yr yr yr




ework for communication among health care providers. Failure to communicate is one of the major r
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




easons for errors in health care. The SBAR technique has the potential to serve as a means to reduce e
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




rrors.

PTS: 1 DIF: Cognitive Level: Comprehension R
yr yr yr yr yr yr




EF: 14 OBJ: Nursing Process: Assessment, Plann
yr yr yr yr yr yr




ing

MSC: Client Needs: Safe and Effective Care Environment
yr yr yr yr yr yr yr




3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
yr yr yr yr yr yr yr yr yr yr yr yr yr




Med C yr

, a. Providing care to patients directly at the bedside.
yr yr yr yr yr yr yr




Med C yr

, b. Primarily hospital care of maternity patients. yr yr yr yr yr




c. Practice using an evidence-based approach. yr yr yr yr




d. Planning patient care to cover longer hospital stays. yr yr yr yr yr yr yr




ANS: C yr




Professional nurses are part of the team of health care providers who collaboratively care for pati yr yr yr yr yr yr yr yr yr yr y r y r yr y r y r




ents throughout the childbearing cycle. Providing care to patients directly at the bedside is one of th
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




e nurses tasks; however, it does not encompass the concept of the evolved professional nurse. Throu
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




ghout the prenatal period, nurses care for women in clinics and physicians offices and teach classes
yr yr yr yr yr yr yr yr yr yr yr y r y r yr yr




to help families prepare for childbirth. Nurses also care for childbearing families in birthing cente
yr y r yr y r y r yr yr yr yr yr yr yr yr yr yr




rs and in the home. Nurses have been critically important in developing strategies to improve the w
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




ell-
being of women and their infants and have led the efforts to implement clinical practice guidelines u
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




sing an evidence- yr yr




based approach. Maternity patients have experienced a decreased, rather than an increased, length
yr yr yr yr yr yr yr yr yr yr yr yr yr




of stay over the past 2 decades.
yr yr yr yr yr yr




PTS: 1 DIF: Cognitive Level: Comprehension R yr yr yr yr yr yr




EF: 1 OBJ: Nursing Process: Implementation
yr yr yr yr yr




MSC: Client Needs: Safe and Effective Care Environment
yr yr yr yr yr yr yr




4. A 23-year-old African- yr yr




American woman is pregnant with her first child. Based on the statistics for infant mortality, whic
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




h plan is most important for the nurse to implement?
yr yr yr yr yr yr yr yr yr




a. Perform a nutrition assessment. yr yr yr




b. Refer the woman to a social worker. yr yr yr yr yr yr




c. Advise the woman to see an obstetrician, not a midwife. yr yr yr yr yr yr yr yr yr




d. Explain to the woman the importance of keeping her prenatal care appointments.
yr yr yr yr yr yr yr yr yr yr yr




ANS: D yr




Consistent prenatal care is the best method of preventing or controlling risk factors associated with
yr yr yr yr yr yr yr yr yr yr yr yr yr yr y




infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessmen
r yr yr yr yr yr yr yr yr yr yr yr yr yr




t is not the most important action a nurse should take in this situation. The patient may need assista
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




nce from a social worker at some time during her pregnancy, but a referral to a social worker is n
yr yr yr yr yr yr yr y r y r y r y r yr yr y r yr y r y r y r yr




ot the most important aspect the nurse should address at this time. If the woman has identifiable hi
y r y r yr yr y r y r yr yr yr yr yr yr yr yr yr yr yr




gh-
risk problems, her health care may need to be provided by a physician. However, it cannot be assum
yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr yr




ed that all African-American women have high-
yr yr yr yr yr yr




risk issues. In addition, advising the woman to see an obstetrician is not the most important asp
yr y r yr yr yr y r yr yr y r yr y r yr y r y r y r y r




ect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
y r y r yr yr y r yr yr yr y r yr yr yr y r yr y r yr yr y r yr y r y r




Med C yr