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.
b. mitral valve prolapse (MVP).
c. chronic hypertension.
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
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 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
OBJ: Nursing Process: Assessment | Nursing Process: 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 nurse's
tasks; however, it does not encompass the concept of the evolved
professional nurse. Throughout the prenatal period, nurses care for
women in clinics and physician's 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 two decades.
PTS: 1
DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment