MaternalChild Nursing Care 2ndEdition Ward HisleyTest Bank
B B B B B B B B B
Med C
B
, Hisley:MaternalChildNursingCare2ndEditionTestBank Chapter 01: 21st Century
B B B B B B B B B B B B
Maternity Nursing
B B
MULTIPLE CHOICE B
1. When providing care for a pregnant woman, the nurse should be aware that one of the most
B B B B B B B B B B B B B B B B
B frequently reported maternal medical risk factors is: B B B B B B
a. Diabetes mellitus. B c. Chronic hypertension. B
b. Mitral valve prolapse (MVP). B B B d. Anemia.
ANS: A B
The most frequently reported maternal medical risk factors are diabetes and hypertension associated
B B B B B B B B B B B B
with pregnancy. Both of these conditions are associated with maternal obesity. There are no studies
B B B B B B B B B B B B B B B
that indicate MVP is among the most frequently reported maternal risk factors. Hypertension
B B B B B B B B B B B B B
associated with pregnancy, not chronic hypertension, is one of the most frequently reported
B B B B B B B B B B B B B
Bmaternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the most
B B B B B B B B B B B B B B B B B
frequently reported maternal medical risk factors in pregnancy.
B B B B B B B B
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
B B B B B B B
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
B B B B B B B B
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
B B B B B B B B B B B B
B both teamwork and communication with clinicians into her care delivery, The SBAR technique of
B B B B B B B B B B B B B
B communication is an easy-to-remember mechanism for communication. Which of the following B B B B B B B B B B
B correctly defines this acronym? B B B
a. Situation, baseline assessment, response B B B
b. Situation, background, assessment, recommendation B B B
c. Subjective background, assessment, recommendation B B B
d. Situation, background, anticipated B B
B recommendation ANS: B B B
The situation, background, assessment, recommendation (SBAR) technique provides a specific
B B B B B B B B B
framework for communication among health care providers. Failure to communicate is one of the
B B B B B B B B B B B B B B
major reasons for errors in health care. The SBAR technique has the potential to serve as a means to
B B B B B B B B B B B B B B B B B B B
reduce errors.
B B
PTS: 1 DIF: Cognitive Level: Comprehension
B B B B B
B REF: 14 OBJ: Nursing Process: Assessment,
B B B B B
B Planning
MSC: Client Needs: Safe and Effective Care Environment
B B B B B B B
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
B B B B B B B B B B B B B
Med C B
, a. Providing care to patients directly at the bedside.
B B B B B B B
Med C B
, b. Primarily hospital care of maternity patients. B B B B B
c. Practice using an evidence-based approach. B B B B
d. Planning patient care to cover longer hospital stays. B B B B B B B
ANS: C B
Professional nurses are part of the team of health care providers who collaboratively care for B B B B B B B B B B B B B B
Bpatients throughout the childbearing cycle. Providing care to patients directly at the bedside is one of
B B B B B B B B B B B B B B B
the nurses tasks; however, it does not encompass the concept of the evolved professional nurse.
B B B B B B B B B B B B B B B
Throughout the prenatal period, nurses care for women in clinics and physicians offices and teach
B B B B B B B B B B B B B B B
classes to help families prepare for childbirth. Nurses also care for childbearing families in birthing
B B B B B B B B B B B B B B B
centers and in the home. Nurses have been critically important in developing strategies to improve the
B B B B B B B B B B B B B B B B
well-being of women and their infants and have led the efforts to implement clinical practice
B B B B B B B B B B B B B B B
guidelines using an evidence-based approach. Maternity patients have experienced a decreased,
B B B B B B B B B B B
rather than an increased, length of stay over the past 2 decades.
B B B B B B B B B B B B
PTS: 1 DIF: Cognitive Level: Comprehension
B B B B B
B REF: 1 OBJ: Nursing Process: Implementation
B B B B B
MSC: Client Needs: Safe and Effective Care Environment
B B B B B B B
4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics
B B B B B B B B B B B B B
B for infant mortality, which plan is most important for the nurse to implement?
B B B B B B B B B B B B
a. Perform a nutrition assessment. B B B
b. Refer the woman to a social worker. B B B B B B
c. Advise the woman to see an obstetrician, not a midwife. B B B B B B B B B
d. Explain to the woman the importance of keeping her prenatal care appointments. B B B B B B B B B B B
ANS: D B
Consistent prenatal care is the best method of preventing or controlling risk factors associated with
B B B B B B B B B B B B B B
infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment
B B B B B B B B B B B B B B
is not the most important action a nurse should take in this situation. The patient may need assistance
B B B B B B B B B B B B B B B B B B
from a social worker at some time during her pregnancy, but a referral to a social worker is not the
B B B B B B B B B B B B B B B B B B B B
most important aspect the nurse should address at this time. If the woman has identifiable high-risk
B B B B B B B B B B B B B B B B
problems, her health care may need to be provided by a physician. However, it cannot be assumed that
B B B B B B B B B B B B B B B B B B
allAfrican-American women have high-risk issues. In addition, advising the woman to see an
B B B B B B B B B B B B B B
obstetrician is not the most important aspect on which the nurse should focus at this time, and it is
B B B B B B B B B B B B B B B B B B B
not appropriate for a nurse to advise or manage the type of care a patient is to receive.
B B B B B B B B B B B B B B B B B B
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
B B B B B B B
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
B B B B B B B B B B
Med C B
B B B B B B B B B
Med C
B
, Hisley:MaternalChildNursingCare2ndEditionTestBank Chapter 01: 21st Century
B B B B B B B B B B B B
Maternity Nursing
B B
MULTIPLE CHOICE B
1. When providing care for a pregnant woman, the nurse should be aware that one of the most
B B B B B B B B B B B B B B B B
B frequently reported maternal medical risk factors is: B B B B B B
a. Diabetes mellitus. B c. Chronic hypertension. B
b. Mitral valve prolapse (MVP). B B B d. Anemia.
ANS: A B
The most frequently reported maternal medical risk factors are diabetes and hypertension associated
B B B B B B B B B B B B
with pregnancy. Both of these conditions are associated with maternal obesity. There are no studies
B B B B B B B B B B B B B B B
that indicate MVP is among the most frequently reported maternal risk factors. Hypertension
B B B B B B B B B B B B B
associated with pregnancy, not chronic hypertension, is one of the most frequently reported
B B B B B B B B B B B B B
Bmaternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the most
B B B B B B B B B B B B B B B B B
frequently reported maternal medical risk factors in pregnancy.
B B B B B B B B
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
B B B B B B B
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
B B B B B B B B
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
B B B B B B B B B B B B
B both teamwork and communication with clinicians into her care delivery, The SBAR technique of
B B B B B B B B B B B B B
B communication is an easy-to-remember mechanism for communication. Which of the following B B B B B B B B B B
B correctly defines this acronym? B B B
a. Situation, baseline assessment, response B B B
b. Situation, background, assessment, recommendation B B B
c. Subjective background, assessment, recommendation B B B
d. Situation, background, anticipated B B
B recommendation ANS: B B B
The situation, background, assessment, recommendation (SBAR) technique provides a specific
B B B B B B B B B
framework for communication among health care providers. Failure to communicate is one of the
B B B B B B B B B B B B B B
major reasons for errors in health care. The SBAR technique has the potential to serve as a means to
B B B B B B B B B B B B B B B B B B B
reduce errors.
B B
PTS: 1 DIF: Cognitive Level: Comprehension
B B B B B
B REF: 14 OBJ: Nursing Process: Assessment,
B B B B B
B Planning
MSC: Client Needs: Safe and Effective Care Environment
B B B B B B B
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
B B B B B B B B B B B B B
Med C B
, a. Providing care to patients directly at the bedside.
B B B B B B B
Med C B
, b. Primarily hospital care of maternity patients. B B B B B
c. Practice using an evidence-based approach. B B B B
d. Planning patient care to cover longer hospital stays. B B B B B B B
ANS: C B
Professional nurses are part of the team of health care providers who collaboratively care for B B B B B B B B B B B B B B
Bpatients throughout the childbearing cycle. Providing care to patients directly at the bedside is one of
B B B B B B B B B B B B B B B
the nurses tasks; however, it does not encompass the concept of the evolved professional nurse.
B B B B B B B B B B B B B B B
Throughout the prenatal period, nurses care for women in clinics and physicians offices and teach
B B B B B B B B B B B B B B B
classes to help families prepare for childbirth. Nurses also care for childbearing families in birthing
B B B B B B B B B B B B B B B
centers and in the home. Nurses have been critically important in developing strategies to improve the
B B B B B B B B B B B B B B B B
well-being of women and their infants and have led the efforts to implement clinical practice
B B B B B B B B B B B B B B B
guidelines using an evidence-based approach. Maternity patients have experienced a decreased,
B B B B B B B B B B B
rather than an increased, length of stay over the past 2 decades.
B B B B B B B B B B B B
PTS: 1 DIF: Cognitive Level: Comprehension
B B B B B
B REF: 1 OBJ: Nursing Process: Implementation
B B B B B
MSC: Client Needs: Safe and Effective Care Environment
B B B B B B B
4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics
B B B B B B B B B B B B B
B for infant mortality, which plan is most important for the nurse to implement?
B B B B B B B B B B B B
a. Perform a nutrition assessment. B B B
b. Refer the woman to a social worker. B B B B B B
c. Advise the woman to see an obstetrician, not a midwife. B B B B B B B B B
d. Explain to the woman the importance of keeping her prenatal care appointments. B B B B B B B B B B B
ANS: D B
Consistent prenatal care is the best method of preventing or controlling risk factors associated with
B B B B B B B B B B B B B B
infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment
B B B B B B B B B B B B B B
is not the most important action a nurse should take in this situation. The patient may need assistance
B B B B B B B B B B B B B B B B B B
from a social worker at some time during her pregnancy, but a referral to a social worker is not the
B B B B B B B B B B B B B B B B B B B B
most important aspect the nurse should address at this time. If the woman has identifiable high-risk
B B B B B B B B B B B B B B B B
problems, her health care may need to be provided by a physician. However, it cannot be assumed that
B B B B B B B B B B B B B B B B B B
allAfrican-American women have high-risk issues. In addition, advising the woman to see an
B B B B B B B B B B B B B B
obstetrician is not the most important aspect on which the nurse should focus at this time, and it is
B B B B B B B B B B B B B B B B B B B
not appropriate for a nurse to advise or manage the type of care a patient is to receive.
B B B B B B B B B B B B B B B B B B
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
B B B B B B B
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
B B B B B B B B B B
Med C B
