Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
MedcC
, Hisley:cMaternalcChildcNursingcCarec2ndcEditioncTestcBankcChapterc01:c21stcCentur
ycMaternitycNursing
MULTIPLEcCHOICE
1. Whencprovidingccarecforcacpregnantcwoman,cthecnursecshouldcbecawarecthatconecofcthecmos
tcfrequentlycreportedcmaternalcmedicalcriskcfactorscis:
a. Diabetesc mellitus. c. Chronicc hypertension.
b. Mitralc valvec prolapsec(MVP). d. Anemia.
ANS:c A
Thecmostcfrequentlycreportedcmaternalcmedicalcriskcfactorscarecdiabetescandchypertensioncassocia
tedcwithcpregnancy.cBothcofcthesecconditionscarecassociatedcwithc maternalcobesity.cTherecarecnocs
tudiescthatcindicatec MVPc iscamongc thec mostc frequentlycreportedc maternalcriskc factors.cHyperte
nsionc associatedc withc pregnancy,cnotcchronicchypertension,cisconecofcthecmostcfrequentlycreporte
dc maternalc medicalcriskcfactors.c Althoughcanemiaciscacconcerncincpregnancy,citciscnotconecofcthec
mostcfrequentlycreportedcmaternalcmedicalcriskcfactorscincpregnancy.
PTS:c1c DIF:c Cognitivec Level:c Knowledgec REF:c 6
OBJ:c Nursingc Process:c Assessmentc MSC:c Clientc Needs:c Physiologicc Integrity
2. Tocensurecoptimalcoutcomescforcthecpatient,ctheccontemporarycmaternitycnursec mustc incorporat
ecbothcteamworkcandccommunicationcwithcclinicianscintocherccarecdelivery,cThecSBARctechniqueco
fccommunicationciscanceasy-to-
rememberc mechanismcforccommunication.cWhichcofcthecfollowingccorrectlycdefinescthiscacronym?
a. Situation,c baselinec assessment,c response
b. Situation,c background,c assessment,c recommendation
c. Subjectivec background,c assessment,c recommendation
d. Situation,cbackground,canticipatedcrecommen
dationcANS:cB
Thecsituation,cbackground,cassessment,crecommendationc(SBAR)ctechniquecprovidescacspecificcfra
meworkcforccommunicationcamongchealthccarecproviders.cFailurectoccommunicatecisconecofcthecmaj
orcreasonscforcerrorscinchealthccare.cThecSBARctechniquechascthecpotentialctocservecascacmeansctocre
ducecerrors.
PTS:c1cDIF:cCognitivecLevel:cComprehensioncR
EF:c14cOBJ:cNursingcProcess:cAssessment,cPlan
ning
MSC:c Clientc Needs:c SafecandcEffectivec Carec Environment
3. Thecrolec ofcthec professionalc nursec caringcforc childbearingc familiesc hasc evolvedctocemphasize:
MedcC
, a. Providingccarectoc patientsc directlyc atcthec bedside.
MedcC
, b. Primarilychospitalc carecofc maternityc patients.
c. Practicec usingcanc evidence-basedc approach.
d. Planningcpatientc carectoccoverc longerc hospitalcstays.
ANS:cC
Professionalcnursescarecpartcofcthecteamcofchealthccarecprovidersc whoc collaborativelyccarec forc pat
ientscthroughoutcthecchildbearingccycle.cProvidingccarectocpatientscdirectlycatcthecbedsidecisconeco
fcthecnursesctasks;chowever,citcdoescnotcencompasscthecconceptcofcthecevolvedcprofessionalcnurse.c
Throughoutcthecprenatalcperiod,cnursesccarecforcwomencincclinicscandcphysiciansc officesc andcteac
hcclassesctoc helpcfamiliesc preparec forcchildbirth.cNursescalsoccarecforcchildbearingcfamiliescincbirt
hingccenterscandcincthechome.cNurseschavecbeenccriticallycimportantcincdevelopingcstrategiesctoci
mprovecthecwell-
beingcofcwomencandctheircinfantscandchavecledctheceffortsctocimplementcclinicalcpracticecguidelines
cusingcancevidence-
basedcapproach.cMaternitycpatientschavecexperiencedcacdecreased,crathercthancancincreased,clengt
hcofcstaycovercthecpastc2cdecades.
PTS:c1cDIF:cCognitivecLevel:cComprehensioncR
EF:c1cOBJ:cNursingcProcess:cImplementation
MSC:c Clientc Needs:c SafecandcEffectivec Carec Environment
4. Ac23-year-oldcAfrican-
Americancwomanciscpregnantcwithchercfirstcchild.cBasedconcthecstatisticscforcinfantcmortality,cw
hichcplanciscmostcimportantcforcthecnursectocimplement?
a. Performcac nutritionc assessment.
b. Referc thec womanc tocacsocialc worker.
c. Advisecthec womanctocseecancobstetrician,c notcac midwife.
d. Explainctocthec womancthec importancec ofc keepingc herc prenatalc carecappointments.
ANS:cD
Consistentcprenatalccareciscthecbestcmethodcofcpreventingcorccontrollingcriskcfactorscassociatedcwi
thcinfantcmortality.cNutritionalcstatusciscancimportantcmodifiablecriskcfactor,cbutcacnutritioncassess
mentciscnotcthecmostcimportantcactioncacnursecshouldctakecincthiscsituation.cThecpatientcmaycneedc
assistancecfromcacsocialcworkercatcsomectimec duringc herc pregnancy,c butcacreferralc tocac socialc wor
kerc iscnotc thec mostcimportantcaspectc thec nursecshouldcaddresscatcthisctime.cIfcthecwomanchasciden
tifiablechigh-
riskcproblems,cherchealthccarecmaycneedctocbecprovidedcbycacphysician.cHowever,citccannotcbecassu
medcthatcallcAfrican-Americancwomenchavechigh-
riskcissues.c Incaddition,cadvisingcthec womanctocseec ancobstetricianc iscnotc thec mostc importantc asp
ectc onc whichcthecnursec shouldcfocuscatcthisc time,candcitcisc notcappropriatec forcacnursec tocadvisec or
MedcC
MedcC
, Hisley:cMaternalcChildcNursingcCarec2ndcEditioncTestcBankcChapterc01:c21stcCentur
ycMaternitycNursing
MULTIPLEcCHOICE
1. Whencprovidingccarecforcacpregnantcwoman,cthecnursecshouldcbecawarecthatconecofcthecmos
tcfrequentlycreportedcmaternalcmedicalcriskcfactorscis:
a. Diabetesc mellitus. c. Chronicc hypertension.
b. Mitralc valvec prolapsec(MVP). d. Anemia.
ANS:c A
Thecmostcfrequentlycreportedcmaternalcmedicalcriskcfactorscarecdiabetescandchypertensioncassocia
tedcwithcpregnancy.cBothcofcthesecconditionscarecassociatedcwithc maternalcobesity.cTherecarecnocs
tudiescthatcindicatec MVPc iscamongc thec mostc frequentlycreportedc maternalcriskc factors.cHyperte
nsionc associatedc withc pregnancy,cnotcchronicchypertension,cisconecofcthecmostcfrequentlycreporte
dc maternalc medicalcriskcfactors.c Althoughcanemiaciscacconcerncincpregnancy,citciscnotconecofcthec
mostcfrequentlycreportedcmaternalcmedicalcriskcfactorscincpregnancy.
PTS:c1c DIF:c Cognitivec Level:c Knowledgec REF:c 6
OBJ:c Nursingc Process:c Assessmentc MSC:c Clientc Needs:c Physiologicc Integrity
2. Tocensurecoptimalcoutcomescforcthecpatient,ctheccontemporarycmaternitycnursec mustc incorporat
ecbothcteamworkcandccommunicationcwithcclinicianscintocherccarecdelivery,cThecSBARctechniqueco
fccommunicationciscanceasy-to-
rememberc mechanismcforccommunication.cWhichcofcthecfollowingccorrectlycdefinescthiscacronym?
a. Situation,c baselinec assessment,c response
b. Situation,c background,c assessment,c recommendation
c. Subjectivec background,c assessment,c recommendation
d. Situation,cbackground,canticipatedcrecommen
dationcANS:cB
Thecsituation,cbackground,cassessment,crecommendationc(SBAR)ctechniquecprovidescacspecificcfra
meworkcforccommunicationcamongchealthccarecproviders.cFailurectoccommunicatecisconecofcthecmaj
orcreasonscforcerrorscinchealthccare.cThecSBARctechniquechascthecpotentialctocservecascacmeansctocre
ducecerrors.
PTS:c1cDIF:cCognitivecLevel:cComprehensioncR
EF:c14cOBJ:cNursingcProcess:cAssessment,cPlan
ning
MSC:c Clientc Needs:c SafecandcEffectivec Carec Environment
3. Thecrolec ofcthec professionalc nursec caringcforc childbearingc familiesc hasc evolvedctocemphasize:
MedcC
, a. Providingccarectoc patientsc directlyc atcthec bedside.
MedcC
, b. Primarilychospitalc carecofc maternityc patients.
c. Practicec usingcanc evidence-basedc approach.
d. Planningcpatientc carectoccoverc longerc hospitalcstays.
ANS:cC
Professionalcnursescarecpartcofcthecteamcofchealthccarecprovidersc whoc collaborativelyccarec forc pat
ientscthroughoutcthecchildbearingccycle.cProvidingccarectocpatientscdirectlycatcthecbedsidecisconeco
fcthecnursesctasks;chowever,citcdoescnotcencompasscthecconceptcofcthecevolvedcprofessionalcnurse.c
Throughoutcthecprenatalcperiod,cnursesccarecforcwomencincclinicscandcphysiciansc officesc andcteac
hcclassesctoc helpcfamiliesc preparec forcchildbirth.cNursescalsoccarecforcchildbearingcfamiliescincbirt
hingccenterscandcincthechome.cNurseschavecbeenccriticallycimportantcincdevelopingcstrategiesctoci
mprovecthecwell-
beingcofcwomencandctheircinfantscandchavecledctheceffortsctocimplementcclinicalcpracticecguidelines
cusingcancevidence-
basedcapproach.cMaternitycpatientschavecexperiencedcacdecreased,crathercthancancincreased,clengt
hcofcstaycovercthecpastc2cdecades.
PTS:c1cDIF:cCognitivecLevel:cComprehensioncR
EF:c1cOBJ:cNursingcProcess:cImplementation
MSC:c Clientc Needs:c SafecandcEffectivec Carec Environment
4. Ac23-year-oldcAfrican-
Americancwomanciscpregnantcwithchercfirstcchild.cBasedconcthecstatisticscforcinfantcmortality,cw
hichcplanciscmostcimportantcforcthecnursectocimplement?
a. Performcac nutritionc assessment.
b. Referc thec womanc tocacsocialc worker.
c. Advisecthec womanctocseecancobstetrician,c notcac midwife.
d. Explainctocthec womancthec importancec ofc keepingc herc prenatalc carecappointments.
ANS:cD
Consistentcprenatalccareciscthecbestcmethodcofcpreventingcorccontrollingcriskcfactorscassociatedcwi
thcinfantcmortality.cNutritionalcstatusciscancimportantcmodifiablecriskcfactor,cbutcacnutritioncassess
mentciscnotcthecmostcimportantcactioncacnursecshouldctakecincthiscsituation.cThecpatientcmaycneedc
assistancecfromcacsocialcworkercatcsomectimec duringc herc pregnancy,c butcacreferralc tocac socialc wor
kerc iscnotc thec mostcimportantcaspectc thec nursecshouldcaddresscatcthisctime.cIfcthecwomanchasciden
tifiablechigh-
riskcproblems,cherchealthccarecmaycneedctocbecprovidedcbycacphysician.cHowever,citccannotcbecassu
medcthatcallcAfrican-Americancwomenchavechigh-
riskcissues.c Incaddition,cadvisingcthec womanctocseec ancobstetricianc iscnotc thec mostc importantc asp
ectc onc whichcthecnursec shouldcfocuscatcthisc time,candcitcisc notcappropriatec forcacnursec tocadvisec or
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