MATERNAL6CHILD6NURSING6CARE62ND6EDITION6WARD6HI
SLEY6TEST6BANK
Med6
C
, Hisley:6Maternal6Child6Nursing6Care62nd6Edition6Test6Bank6Chapter601:621st
6Century6Maternity6Nursing
MULTIPLE6CHOICE
1. When6providing6care6for6a6pregnant6woman,6the6nurse6should6be6aware6that6one6
of6the6most6frequently6reported6maternal6medical6risk6factors6is:
a. Diabetes6mellitus. c. Chronic6hypertension.
b. Mitral6valve6prolapse6(MVP). d. Anemia.
ANS:6A
The6most6frequently6reported6maternal6medical6risk6factors6are6diabetes6and6hypertensio
n6associated6with6pregnancy.6Both6of6these6conditions6are6associated6with6 maternal6obesi
ty.6There6are6no6studies6that6indicate6 MVP6 is6among6the6 most6 frequently6reported6 ma
ternal6risk6factors.6Hypertension6 associated6with6pregnancy,6not6chronic6hypertension,6is
6one6of6the6most6frequently6reported6 maternal6 medical6risk6factors.6 Although6anemia6is
6a6concern6in6pregnancy,6it6is6not6one6of6the6most6frequently6reported6maternal6medical
6risk6factors6in6pregnancy.
PTS:616DIF:6Cognitive6Level:6Knowledge6REF:66
OBJ:6Nursing6Process:6Assessment6MSC:6Client6Needs:6Physiologic6Integrity
2. To6ensure6optimal6outcomes6for6the6patient,6the6contemporary6maternity6nurse6 must6 i
ncorporate6both6teamwork6and6communication6with6clinicians6into6her6care6delivery,6The6
SBAR6technique6of6communication6is6an6easy-to-
remember6 mechanism6for6communication.6Which6of6the6following6correctly6defines6this6ac
ronym?
a. Situation,6baseline6assessment,6response
b. Situation,6background,6assessment,6recommendation
c. Subjective6background,6assessment,6recommendation
d. Situation,6background,6anticipated6recomm
endation6ANS:6B
The6situation,6background,6assessment,6recommendation6(SBAR)6technique6provides6a6speci
fic6framework6for6communication6among6health6care6providers.6Failure6to6communicate6is
6one6of6the6major6reasons6for6errors6in6health6care.6The6SBAR6technique6has6the6potenti
al6to6serve6as6a6means6to6reduce6errors.
PTS:616DIF:6Cognitive6Level:6Comprehensio
n6REF:6146OBJ:6Nursing6Process:6Assessme
nt,6Planning
MSC:6Client6Needs:6Safe6and6Effective6Care6Environment
Med6
C
, 3. The6role6of6the6professional6nurse6caring6for6childbearing6families6has6evolved6to6emphasize:
a. Providing6care6to6patients6directly6at6the6bedside.
Med6
C
, b. Primarily6hospital6care6of6maternity6patients.
c. Practice6using6an6evidence-based6approach.
d. Planning6patient6care6to6cover6longer6hospital6stays.
ANS:6C
Professional6nurses6are6part6of6the6team6of6health6care6providers6 who6 collaboratively6ca
re6 for6 patients6throughout6the6childbearing6cycle.6Providing6care6to6patients6directly6at6
the6bedside6is6one6of6the6nurses6tasks;6however,6it6does6not6encompass6the6concept6of6t
he6evolved6professional6nurse.6Throughout6the6prenatal6period,6nurses6care6for6women6in
6clinics6and6physicians6 offices6 and6teach6classes6to6 help6families6 prepare6 for6childbirth.6
Nurses6also6care6for6childbearing6families6in6birthing6centers6and6in6the6home.6Nurses6h
ave6been6critically6important6in6developing6strategies6to6improve6the6well-
being6of6women6and6their6infants6and6have6led6the6efforts6to6implement6clinical6practice
6guidelines6using6an6evidence-
based6approach.6Maternity6patients6have6experienced6a6decreased,6rather6than6an6increase
d,6length6of6stay6over6the6past626decades.
PTS:616DIF:6Cognitive6Level:6Comprehensio
n6REF:616OBJ:6Nursing6Process:6Implement
ation
MSC:6Client6Needs:6Safe6and6Effective6Care6Environment
4. A623-year-old6African-
American6woman6is6pregnant6with6her6first6child.6Based6on6the6statistics6for6infant6m
ortality,6which6plan6is6most6important6for6the6nurse6to6implement?
a. Perform6a6nutrition6assessment.
b. Refer6the6woman6to6a6social6worker.
c. Advise6the6woman6to6see6an6obstetrician,6not6a6midwife.
d. Explain6to6the6woman6the6importance6of6keeping6her6prenatal6care6appointments.
ANS:6D
Consistent6prenatal6care6is6the6best6method6of6preventing6or6controlling6risk6factors6ass
ociated6with6infant6mortality.6Nutritional6status6is6an6important6modifiable6risk6factor,6b
ut6a6nutrition6assessment6is6not6the6most6important6action6a6nurse6should6take6in6this6s
ituation.6The6patient6may6need6assistance6from6a6social6worker6at6some6time6during6her
6pregnancy,6but6a6referral6to6a6social6worker6is6not6the6most6important6aspect6the6nu
rse6should6address6at6this6time.6If6the6woman6has6identifiable6high-
risk6problems,6her6health6care6may6need6to6be6provided6by6a6physician.6However,6it6can
not6be6assumed6that6all6African-American6women6have6high-
Med6
C
SLEY6TEST6BANK
Med6
C
, Hisley:6Maternal6Child6Nursing6Care62nd6Edition6Test6Bank6Chapter601:621st
6Century6Maternity6Nursing
MULTIPLE6CHOICE
1. When6providing6care6for6a6pregnant6woman,6the6nurse6should6be6aware6that6one6
of6the6most6frequently6reported6maternal6medical6risk6factors6is:
a. Diabetes6mellitus. c. Chronic6hypertension.
b. Mitral6valve6prolapse6(MVP). d. Anemia.
ANS:6A
The6most6frequently6reported6maternal6medical6risk6factors6are6diabetes6and6hypertensio
n6associated6with6pregnancy.6Both6of6these6conditions6are6associated6with6 maternal6obesi
ty.6There6are6no6studies6that6indicate6 MVP6 is6among6the6 most6 frequently6reported6 ma
ternal6risk6factors.6Hypertension6 associated6with6pregnancy,6not6chronic6hypertension,6is
6one6of6the6most6frequently6reported6 maternal6 medical6risk6factors.6 Although6anemia6is
6a6concern6in6pregnancy,6it6is6not6one6of6the6most6frequently6reported6maternal6medical
6risk6factors6in6pregnancy.
PTS:616DIF:6Cognitive6Level:6Knowledge6REF:66
OBJ:6Nursing6Process:6Assessment6MSC:6Client6Needs:6Physiologic6Integrity
2. To6ensure6optimal6outcomes6for6the6patient,6the6contemporary6maternity6nurse6 must6 i
ncorporate6both6teamwork6and6communication6with6clinicians6into6her6care6delivery,6The6
SBAR6technique6of6communication6is6an6easy-to-
remember6 mechanism6for6communication.6Which6of6the6following6correctly6defines6this6ac
ronym?
a. Situation,6baseline6assessment,6response
b. Situation,6background,6assessment,6recommendation
c. Subjective6background,6assessment,6recommendation
d. Situation,6background,6anticipated6recomm
endation6ANS:6B
The6situation,6background,6assessment,6recommendation6(SBAR)6technique6provides6a6speci
fic6framework6for6communication6among6health6care6providers.6Failure6to6communicate6is
6one6of6the6major6reasons6for6errors6in6health6care.6The6SBAR6technique6has6the6potenti
al6to6serve6as6a6means6to6reduce6errors.
PTS:616DIF:6Cognitive6Level:6Comprehensio
n6REF:6146OBJ:6Nursing6Process:6Assessme
nt,6Planning
MSC:6Client6Needs:6Safe6and6Effective6Care6Environment
Med6
C
, 3. The6role6of6the6professional6nurse6caring6for6childbearing6families6has6evolved6to6emphasize:
a. Providing6care6to6patients6directly6at6the6bedside.
Med6
C
, b. Primarily6hospital6care6of6maternity6patients.
c. Practice6using6an6evidence-based6approach.
d. Planning6patient6care6to6cover6longer6hospital6stays.
ANS:6C
Professional6nurses6are6part6of6the6team6of6health6care6providers6 who6 collaboratively6ca
re6 for6 patients6throughout6the6childbearing6cycle.6Providing6care6to6patients6directly6at6
the6bedside6is6one6of6the6nurses6tasks;6however,6it6does6not6encompass6the6concept6of6t
he6evolved6professional6nurse.6Throughout6the6prenatal6period,6nurses6care6for6women6in
6clinics6and6physicians6 offices6 and6teach6classes6to6 help6families6 prepare6 for6childbirth.6
Nurses6also6care6for6childbearing6families6in6birthing6centers6and6in6the6home.6Nurses6h
ave6been6critically6important6in6developing6strategies6to6improve6the6well-
being6of6women6and6their6infants6and6have6led6the6efforts6to6implement6clinical6practice
6guidelines6using6an6evidence-
based6approach.6Maternity6patients6have6experienced6a6decreased,6rather6than6an6increase
d,6length6of6stay6over6the6past626decades.
PTS:616DIF:6Cognitive6Level:6Comprehensio
n6REF:616OBJ:6Nursing6Process:6Implement
ation
MSC:6Client6Needs:6Safe6and6Effective6Care6Environment
4. A623-year-old6African-
American6woman6is6pregnant6with6her6first6child.6Based6on6the6statistics6for6infant6m
ortality,6which6plan6is6most6important6for6the6nurse6to6implement?
a. Perform6a6nutrition6assessment.
b. Refer6the6woman6to6a6social6worker.
c. Advise6the6woman6to6see6an6obstetrician,6not6a6midwife.
d. Explain6to6the6woman6the6importance6of6keeping6her6prenatal6care6appointments.
ANS:6D
Consistent6prenatal6care6is6the6best6method6of6preventing6or6controlling6risk6factors6ass
ociated6with6infant6mortality.6Nutritional6status6is6an6important6modifiable6risk6factor,6b
ut6a6nutrition6assessment6is6not6the6most6important6action6a6nurse6should6take6in6this6s
ituation.6The6patient6may6need6assistance6from6a6social6worker6at6some6time6during6her
6pregnancy,6but6a6referral6to6a6social6worker6is6not6the6most6important6aspect6the6nu
rse6should6address6at6this6time.6If6the6woman6has6identifiable6high-
risk6problems,6her6health6care6may6need6to6be6provided6by6a6physician.6However,6it6can
not6be6assumed6that6all6African-American6women6have6high-
Med6
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