Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
r r r r r r r r r
Med rC
, Hisley: rMaternal rChild rNursing rCare r2nd rEdition rTest rBank rChapter
r01: r21st rCentury rMaternity rNursing
MULTIPLE rCHOICE
1. When rproviding rcare rfor ra rpregnant rwoman, rthe rnurse rshould rbe raware
rthat rone rof rthe rmost rfrequently rreported rmaternal rmedical rrisk rfactors ris:
a. Diabetes rmellitus. c. Chronic rhypertension.
b. Mitral rvalve rprolapse r(MVP). d. Anemia.
ANS: rA
The rmost rfrequently rreported rmaternal rmedical rrisk rfactors rare rdiabetes rand
rhypertension rassociated rwith rpregnancy. rBoth rof rthese rconditions rare rassociated
rwith r maternal robesity. rThere rare rno rstudies rthat rindicate r MVP r is ramong rthe
r most r frequently rreported r maternal rrisk r factors. rHypertension r associated rwith
rpregnancy, rnot rchronic rhypertension, ris rone rof rthe rmost rfrequently rreported
r maternal r medical rrisk rfactors. r Although ranemia ris ra rconcern rin rpregnancy, rit
ris rnot rone rof rthe rmost rfrequently rreported rmaternal rmedical rrisk rfactors rin
rpregnancy.
PTS: r1 rDIF: rCognitive rLevel: rKnowledge rREF: r6
OBJ: rNursing rProcess: rAssessment rMSC: rClient rNeeds: rPhysiologic rIntegrity
2. To rensure roptimal routcomes rfor rthe rpatient, rthe rcontemporary rmaternity rnurse
r must r incorporate rboth rteamwork rand rcommunication rwith rclinicians rinto rher rcare
rdelivery, rThe rSBAR rtechnique rof rcommunication ris ran reasy-to-remember
r mechanism rfor rcommunication. rWhich rof rthe rfollowing rcorrectly rdefines rthis
racronym?
a. Situation, rbaseline rassessment, rresponse
b. Situation, rbackground, rassessment, rrecommendation
c. Subjective rbackground, rassessment, rrecommendation
d. Situation, rbackground, ranticipated
rrecommendation rANS: rB
The rsituation, rbackground, rassessment, rrecommendation r(SBAR) rtechnique
rprovides ra rspecific rframework rfor rcommunication ramong rhealth rcare rproviders.
rFailure rto rcommunicate ris rone rof rthe rmajor rreasons rfor rerrors rin rhealth rcare.
rThe rSBAR rtechnique rhas rthe rpotential rto rserve ras ra rmeans rto rreduce rerrors.
PTS: r1 rDIF: rCognitive rLevel:
rComprehension rREF: r14 rOBJ: rNursing
rProcess: rAssessment, rPlanning
Med rC
, MSC: rClient rNeeds: rSafe rand rEffective rCare rEnvironment
3. The rrole rof rthe rprofessional rnurse rcaring rfor rchildbearing rfamilies rhas revolved rto
remphasize:
a. Providing rcare rto rpatients rdirectly rat rthe rbedside.
Med rC
, b. Primarily rhospital rcare rof rmaternity rpatients.
c. Practice rusing ran revidence-based rapproach.
d. Planning rpatient rcare rto rcover rlonger rhospital rstays.
ANS: rC
Professional rnurses rare rpart rof rthe rteam rof rhealth rcare rproviders r who
r collaboratively rcare r for r patients rthroughout rthe rchildbearing rcycle. rProviding
rcare rto rpatients rdirectly rat rthe rbedside ris rone rof rthe rnurses rtasks; rhowever, rit
rdoes rnot rencompass rthe rconcept rof rthe revolved rprofessional rnurse. rThroughout
rthe rprenatal rperiod, rnurses rcare rfor rwomen rin rclinics rand rphysicians r offices
r and rteach rclasses rto r help rfamilies r prepare r for rchildbirth. rNurses ralso rcare
rfor rchildbearing rfamilies rin rbirthing rcenters rand rin rthe rhome. rNurses rhave rbeen
rcritically rimportant rin rdeveloping rstrategies rto rimprove rthe rwell-being rof rwomen
rand rtheir rinfants rand rhave rled rthe refforts rto rimplement rclinical rpractice
rguidelines rusing ran revidence-based rapproach. rMaternity rpatients rhave
rexperienced ra rdecreased, rrather rthan ran rincreased, rlength rof rstay rover rthe
rpast r2 rdecades.
PTS: r1 rDIF: rCognitive rLevel:
rComprehension rREF: r1 rOBJ: rNursing
rProcess: rImplementation
MSC: rClient rNeeds: rSafe rand rEffective rCare rEnvironment
4. A r23-year-old rAfrican-American rwoman ris rpregnant rwith rher rfirst rchild. rBased
ron rthe rstatistics rfor rinfant rmortality, rwhich rplan ris rmost rimportant rfor rthe
rnurse rto rimplement?
a. Perform ra rnutrition rassessment.
b. Refer rthe rwoman rto ra rsocial rworker.
c. Advise rthe rwoman rto rsee ran robstetrician, rnot ra rmidwife.
d. Explain rto rthe rwoman rthe rimportance rof rkeeping rher rprenatal rcare rappointments.
ANS: rD
Consistent rprenatal rcare ris rthe rbest rmethod rof rpreventing ror rcontrolling rrisk
rfactors rassociated rwith rinfant rmortality. rNutritional rstatus ris ran rimportant
rmodifiable rrisk rfactor, rbut ra rnutrition rassessment ris rnot rthe rmost rimportant
raction ra rnurse rshould rtake rin rthis rsituation. rThe rpatient rmay rneed rassistance
rfrom ra rsocial rworker rat rsome rtime rduring rher rpregnancy, rbut ra rreferral rto ra
rsocial rworker ris rnot rthe rmost rimportant raspect rthe rnurse rshould raddress rat
Med rC
r r r r r r r r r
Med rC
, Hisley: rMaternal rChild rNursing rCare r2nd rEdition rTest rBank rChapter
r01: r21st rCentury rMaternity rNursing
MULTIPLE rCHOICE
1. When rproviding rcare rfor ra rpregnant rwoman, rthe rnurse rshould rbe raware
rthat rone rof rthe rmost rfrequently rreported rmaternal rmedical rrisk rfactors ris:
a. Diabetes rmellitus. c. Chronic rhypertension.
b. Mitral rvalve rprolapse r(MVP). d. Anemia.
ANS: rA
The rmost rfrequently rreported rmaternal rmedical rrisk rfactors rare rdiabetes rand
rhypertension rassociated rwith rpregnancy. rBoth rof rthese rconditions rare rassociated
rwith r maternal robesity. rThere rare rno rstudies rthat rindicate r MVP r is ramong rthe
r most r frequently rreported r maternal rrisk r factors. rHypertension r associated rwith
rpregnancy, rnot rchronic rhypertension, ris rone rof rthe rmost rfrequently rreported
r maternal r medical rrisk rfactors. r Although ranemia ris ra rconcern rin rpregnancy, rit
ris rnot rone rof rthe rmost rfrequently rreported rmaternal rmedical rrisk rfactors rin
rpregnancy.
PTS: r1 rDIF: rCognitive rLevel: rKnowledge rREF: r6
OBJ: rNursing rProcess: rAssessment rMSC: rClient rNeeds: rPhysiologic rIntegrity
2. To rensure roptimal routcomes rfor rthe rpatient, rthe rcontemporary rmaternity rnurse
r must r incorporate rboth rteamwork rand rcommunication rwith rclinicians rinto rher rcare
rdelivery, rThe rSBAR rtechnique rof rcommunication ris ran reasy-to-remember
r mechanism rfor rcommunication. rWhich rof rthe rfollowing rcorrectly rdefines rthis
racronym?
a. Situation, rbaseline rassessment, rresponse
b. Situation, rbackground, rassessment, rrecommendation
c. Subjective rbackground, rassessment, rrecommendation
d. Situation, rbackground, ranticipated
rrecommendation rANS: rB
The rsituation, rbackground, rassessment, rrecommendation r(SBAR) rtechnique
rprovides ra rspecific rframework rfor rcommunication ramong rhealth rcare rproviders.
rFailure rto rcommunicate ris rone rof rthe rmajor rreasons rfor rerrors rin rhealth rcare.
rThe rSBAR rtechnique rhas rthe rpotential rto rserve ras ra rmeans rto rreduce rerrors.
PTS: r1 rDIF: rCognitive rLevel:
rComprehension rREF: r14 rOBJ: rNursing
rProcess: rAssessment, rPlanning
Med rC
, MSC: rClient rNeeds: rSafe rand rEffective rCare rEnvironment
3. The rrole rof rthe rprofessional rnurse rcaring rfor rchildbearing rfamilies rhas revolved rto
remphasize:
a. Providing rcare rto rpatients rdirectly rat rthe rbedside.
Med rC
, b. Primarily rhospital rcare rof rmaternity rpatients.
c. Practice rusing ran revidence-based rapproach.
d. Planning rpatient rcare rto rcover rlonger rhospital rstays.
ANS: rC
Professional rnurses rare rpart rof rthe rteam rof rhealth rcare rproviders r who
r collaboratively rcare r for r patients rthroughout rthe rchildbearing rcycle. rProviding
rcare rto rpatients rdirectly rat rthe rbedside ris rone rof rthe rnurses rtasks; rhowever, rit
rdoes rnot rencompass rthe rconcept rof rthe revolved rprofessional rnurse. rThroughout
rthe rprenatal rperiod, rnurses rcare rfor rwomen rin rclinics rand rphysicians r offices
r and rteach rclasses rto r help rfamilies r prepare r for rchildbirth. rNurses ralso rcare
rfor rchildbearing rfamilies rin rbirthing rcenters rand rin rthe rhome. rNurses rhave rbeen
rcritically rimportant rin rdeveloping rstrategies rto rimprove rthe rwell-being rof rwomen
rand rtheir rinfants rand rhave rled rthe refforts rto rimplement rclinical rpractice
rguidelines rusing ran revidence-based rapproach. rMaternity rpatients rhave
rexperienced ra rdecreased, rrather rthan ran rincreased, rlength rof rstay rover rthe
rpast r2 rdecades.
PTS: r1 rDIF: rCognitive rLevel:
rComprehension rREF: r1 rOBJ: rNursing
rProcess: rImplementation
MSC: rClient rNeeds: rSafe rand rEffective rCare rEnvironment
4. A r23-year-old rAfrican-American rwoman ris rpregnant rwith rher rfirst rchild. rBased
ron rthe rstatistics rfor rinfant rmortality, rwhich rplan ris rmost rimportant rfor rthe
rnurse rto rimplement?
a. Perform ra rnutrition rassessment.
b. Refer rthe rwoman rto ra rsocial rworker.
c. Advise rthe rwoman rto rsee ran robstetrician, rnot ra rmidwife.
d. Explain rto rthe rwoman rthe rimportance rof rkeeping rher rprenatal rcare rappointments.
ANS: rD
Consistent rprenatal rcare ris rthe rbest rmethod rof rpreventing ror rcontrolling rrisk
rfactors rassociated rwith rinfant rmortality. rNutritional rstatus ris ran rimportant
rmodifiable rrisk rfactor, rbut ra rnutrition rassessment ris rnot rthe rmost rimportant
raction ra rnurse rshould rtake rin rthis rsituation. rThe rpatient rmay rneed rassistance
rfrom ra rsocial rworker rat rsome rtime rduring rher rpregnancy, rbut ra rreferral rto ra
rsocial rworker ris rnot rthe rmost rimportant raspect rthe rnurse rshould raddress rat
Med rC
