Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
MedkC
, Hisley:kMaternalkChildkNursingkCarek2ndkEditionkTestkBankkChapterk01:k21stkCentur
ykMaternitykNursing
MULTIPLEkCHOICE
1. Whenkprovidingkcarekforkakpregnantkwoman,ktheknursekshouldkbekawarekthatkonekofkthekmos
tkfrequentlykreportedkmaternalkmedicalkriskkfactorskis:
a. Diabetesk mellitus. c. Chronick hypertension.
b. Mitralkvalvek prolapsek(MVP). d. Anemia.
ANS:k A
Thekmostkfrequentlykreportedkmaternalkmedicalkriskkfactorskarekdiabeteskandkhypertensionkassocia
tedkwithkpregnancy.kBothkofkthesekconditionskarekassociatedkwithk maternalkobesity.kTherekareknoks
tudieskthatkindicatek MVPk iskamongk thek mostk frequentlykreportedk maternalkriskk factors.kHyperte
nsionk associatedk withk pregnancy,knotkchronickhypertension,kiskonekofkthekmostkfrequentlykreporte
dk maternalk medicalkriskkfactors.k Althoughkanemiakiskakconcernkinkpregnancy,kitkisknotkonekofkthek
mostkfrequentlykreportedkmaternalkmedicalkriskkfactorskinkpregnancy.
PTS:k1kDIF:k Cognitivek Level:k Knowledgek REF:k 6
OBJ:k Nursingk Process:k Assessmentk MSC:k Clientk Needs:k Physiologick Integrity
2. Tokensurekoptimalkoutcomeskforkthekpatient,kthekcontemporarykmaternityknursek mustk incorporat
ekbothkteamworkkandkcommunicationkwithkclinicianskintokherkcarekdelivery,kThekSBARktechniqueko
fkcommunicationkiskankeasy-to-
rememberk mechanismkforkcommunication.kWhichkofkthekfollowingkcorrectlykdefineskthiskacronym?
a. Situation,k baselinek assessment,k response
b. Situation,k background,k assessment,k recommendation
c. Subjectivek background,k assessment,k recommendation
d. Situation,kbackground,kanticipatedkrecommen
dationkANS:kB
Theksituation,kbackground,kassessment,krecommendationk(SBAR)ktechniquekprovideskakspecifickfra
meworkkforkcommunicationkamongkhealthkcarekproviders.kFailurektokcommunicatekiskonekofkthekmaj
orkreasonskforkerrorskinkhealthkcare.kThekSBARktechniquekhaskthekpotentialktokservekaskakmeansktokre
ducekerrors.
PTS:k1kDIF:kCognitivekLevel:kComprehensionkR
EF:k14kOBJ:kNursingkProcess:kAssessment,kPlan
ning
MSC:k Clientk Needs:k SafekandkEffectivekCarek Environment
3. Thekrolek ofkthek professionalk nursek caringkfork childbearingk familiesk hask evolvedktokemphasize:
MedkC
, a. Providingkcarektokpatientsk directlyk atkthek bedside.
MedkC
, b. Primarilykhospitalk carekofk maternityk patients.
c. Practicekusingkank evidence-basedk approach.
d. Planningkpatientk carektokcoverk longerk hospitalkstays.
ANS:kC
Professionalknurseskarekpartkofkthekteamkofkhealthkcarekprovidersk whok collaborativelykcarek fork pat
ientskthroughoutkthekchildbearingkcycle.kProvidingkcarektokpatientskdirectlykatkthekbedsidekiskoneko
fktheknursesktasks;khowever,kitkdoesknotkencompasskthekconceptkofkthekevolvedkprofessionalknurse.k
Throughoutkthekprenatalkperiod,knurseskcarekforkwomenkinkclinicskandkphysiciansk officesk andkteac
hkclassesktok helpkfamiliesk preparek forkchildbirth.kNurseskalsokcarekforkchildbearingkfamilieskinkbirt
hingkcenterskandkinkthekhome.kNurseskhavekbeenkcriticallykimportantkinkdevelopingkstrategiesktoki
mprovekthekwell-
beingkofkwomenkandktheirkinfantskandkhavekledkthekeffortsktokimplementkclinicalkpracticekguidelines
kusingkankevidence-
basedkapproach.kMaternitykpatientskhavekexperiencedkakdecreased,kratherkthankankincreased,klengt
hkofkstaykoverkthekpastk2kdecades.
PTS:k1kDIF:kCognitivekLevel:kComprehensionkR
EF:k1kOBJ:kNursingkProcess:kImplementation
MSC:k Clientk Needs:k SafekandkEffectivekCarek Environment
4. Ak23-year-oldkAfrican-
Americankwomankiskpregnantkwithkherkfirstkchild.kBasedkonkthekstatisticskforkinfantkmortality,kw
hichkplankiskmostkimportantkforktheknursektokimplement?
a. Performkak nutritionk assessment.
b. Referk thek womanktokaksocialk worker.
c. Advisekthek womanktokseekankobstetrician,k notkak midwife.
d. Explainktokthek womankthekimportancek ofk keepingk herk prenatalkcarekappointments.
ANS:kD
Consistentkprenatalkcarekiskthekbestkmethodkofkpreventingkorkcontrollingkriskkfactorskassociatedkwi
thkinfantkmortality.kNutritionalkstatuskiskankimportantkmodifiablekriskkfactor,kbutkaknutritionkassess
mentkisknotkthekmostkimportantkactionkaknursekshouldktakekinkthisksituation.kThekpatientkmaykneedk
assistancekfromkaksocialkworkerkatksomektimek duringk herk pregnancy,k butkakreferralk tokak socialk wor
kerk isknotk thek mostkimportantkaspectk thek nursekshouldkaddresskatkthisktime.kIfkthekwomankhaskiden
tifiablekhigh-
riskkproblems,kherkhealthkcarekmaykneedktokbekprovidedkbykakphysician.kHowever,kitkcannotkbekassu
medkthatkallkAfrican-Americankwomenkhavekhigh-
riskkissues.k Inkaddition,kadvisingkthek womanktokseek ankobstetriciank isknotk thek mostk importantk asp
ectk onk whichktheknursek shouldkfocuskatkthisk time,kandkitkisk notkappropriatek forkaknursek tokadvisek or
MedkC
MedkC
, Hisley:kMaternalkChildkNursingkCarek2ndkEditionkTestkBankkChapterk01:k21stkCentur
ykMaternitykNursing
MULTIPLEkCHOICE
1. Whenkprovidingkcarekforkakpregnantkwoman,ktheknursekshouldkbekawarekthatkonekofkthekmos
tkfrequentlykreportedkmaternalkmedicalkriskkfactorskis:
a. Diabetesk mellitus. c. Chronick hypertension.
b. Mitralkvalvek prolapsek(MVP). d. Anemia.
ANS:k A
Thekmostkfrequentlykreportedkmaternalkmedicalkriskkfactorskarekdiabeteskandkhypertensionkassocia
tedkwithkpregnancy.kBothkofkthesekconditionskarekassociatedkwithk maternalkobesity.kTherekareknoks
tudieskthatkindicatek MVPk iskamongk thek mostk frequentlykreportedk maternalkriskk factors.kHyperte
nsionk associatedk withk pregnancy,knotkchronickhypertension,kiskonekofkthekmostkfrequentlykreporte
dk maternalk medicalkriskkfactors.k Althoughkanemiakiskakconcernkinkpregnancy,kitkisknotkonekofkthek
mostkfrequentlykreportedkmaternalkmedicalkriskkfactorskinkpregnancy.
PTS:k1kDIF:k Cognitivek Level:k Knowledgek REF:k 6
OBJ:k Nursingk Process:k Assessmentk MSC:k Clientk Needs:k Physiologick Integrity
2. Tokensurekoptimalkoutcomeskforkthekpatient,kthekcontemporarykmaternityknursek mustk incorporat
ekbothkteamworkkandkcommunicationkwithkclinicianskintokherkcarekdelivery,kThekSBARktechniqueko
fkcommunicationkiskankeasy-to-
rememberk mechanismkforkcommunication.kWhichkofkthekfollowingkcorrectlykdefineskthiskacronym?
a. Situation,k baselinek assessment,k response
b. Situation,k background,k assessment,k recommendation
c. Subjectivek background,k assessment,k recommendation
d. Situation,kbackground,kanticipatedkrecommen
dationkANS:kB
Theksituation,kbackground,kassessment,krecommendationk(SBAR)ktechniquekprovideskakspecifickfra
meworkkforkcommunicationkamongkhealthkcarekproviders.kFailurektokcommunicatekiskonekofkthekmaj
orkreasonskforkerrorskinkhealthkcare.kThekSBARktechniquekhaskthekpotentialktokservekaskakmeansktokre
ducekerrors.
PTS:k1kDIF:kCognitivekLevel:kComprehensionkR
EF:k14kOBJ:kNursingkProcess:kAssessment,kPlan
ning
MSC:k Clientk Needs:k SafekandkEffectivekCarek Environment
3. Thekrolek ofkthek professionalk nursek caringkfork childbearingk familiesk hask evolvedktokemphasize:
MedkC
, a. Providingkcarektokpatientsk directlyk atkthek bedside.
MedkC
, b. Primarilykhospitalk carekofk maternityk patients.
c. Practicekusingkank evidence-basedk approach.
d. Planningkpatientk carektokcoverk longerk hospitalkstays.
ANS:kC
Professionalknurseskarekpartkofkthekteamkofkhealthkcarekprovidersk whok collaborativelykcarek fork pat
ientskthroughoutkthekchildbearingkcycle.kProvidingkcarektokpatientskdirectlykatkthekbedsidekiskoneko
fktheknursesktasks;khowever,kitkdoesknotkencompasskthekconceptkofkthekevolvedkprofessionalknurse.k
Throughoutkthekprenatalkperiod,knurseskcarekforkwomenkinkclinicskandkphysiciansk officesk andkteac
hkclassesktok helpkfamiliesk preparek forkchildbirth.kNurseskalsokcarekforkchildbearingkfamilieskinkbirt
hingkcenterskandkinkthekhome.kNurseskhavekbeenkcriticallykimportantkinkdevelopingkstrategiesktoki
mprovekthekwell-
beingkofkwomenkandktheirkinfantskandkhavekledkthekeffortsktokimplementkclinicalkpracticekguidelines
kusingkankevidence-
basedkapproach.kMaternitykpatientskhavekexperiencedkakdecreased,kratherkthankankincreased,klengt
hkofkstaykoverkthekpastk2kdecades.
PTS:k1kDIF:kCognitivekLevel:kComprehensionkR
EF:k1kOBJ:kNursingkProcess:kImplementation
MSC:k Clientk Needs:k SafekandkEffectivekCarek Environment
4. Ak23-year-oldkAfrican-
Americankwomankiskpregnantkwithkherkfirstkchild.kBasedkonkthekstatisticskforkinfantkmortality,kw
hichkplankiskmostkimportantkforktheknursektokimplement?
a. Performkak nutritionk assessment.
b. Referk thek womanktokaksocialk worker.
c. Advisekthek womanktokseekankobstetrician,k notkak midwife.
d. Explainktokthek womankthekimportancek ofk keepingk herk prenatalkcarekappointments.
ANS:kD
Consistentkprenatalkcarekiskthekbestkmethodkofkpreventingkorkcontrollingkriskkfactorskassociatedkwi
thkinfantkmortality.kNutritionalkstatuskiskankimportantkmodifiablekriskkfactor,kbutkaknutritionkassess
mentkisknotkthekmostkimportantkactionkaknursekshouldktakekinkthisksituation.kThekpatientkmaykneedk
assistancekfromkaksocialkworkerkatksomektimek duringk herk pregnancy,k butkakreferralk tokak socialk wor
kerk isknotk thek mostkimportantkaspectk thek nursekshouldkaddresskatkthisktime.kIfkthekwomankhaskiden
tifiablekhigh-
riskkproblems,kherkhealthkcarekmaykneedktokbekprovidedkbykakphysician.kHowever,kitkcannotkbekassu
medkthatkallkAfrican-Americankwomenkhavekhigh-
riskkissues.k Inkaddition,kadvisingkthek womanktokseek ankobstetriciank isknotk thek mostk importantk asp
ectk onk whichktheknursek shouldkfocuskatkthisk time,kandkitkisk notkappropriatek forkaknursek tokadvisek or
MedkC
