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, Hisley:Maternal Child Nursing Care 2nd EditionTest Bank Chapter 01: 21st Century
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Maternity Nursing td
MULTIPLE CHOICE td
1. When providing care for a pregnant woman, the nurse should be aware that one of the most fr
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equently reported maternal medical risk factors is: td td td td td td
a. Diabetes mellitus. td c. Chronic hypertension. td
b. Mitral valve prolapse (MVP). td td td d. Anemia.
ANS: A td
The most frequently reported maternal medical risk factors are diabetes and hypertension associate
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d with pregnancy. Both of these conditions are associated with maternal obesity. There are no studi
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es that indicate MVP is among the most frequently reported maternal risk factors. Hypertensio
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n associated with pregnancy, not chronic hypertension, is one of the most frequently reported ma
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ternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the most fre
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quently reported maternal medical risk factors in pregnancy. td td td td td td td
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
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OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
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2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate
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both teamwork and communication with clinicians into her care delivery, The SBAR technique of co
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mmunication is an easy-to- td td td
remember mechanism for communication. Which of the following correctly defines this acronym?
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a. Situation, baseline assessment, response td td td
b. Situation, background, assessment, recommendation t d t d t d
c. Subjective background, assessment, recommendation t d t d t d
d. Situation, background, anticipated recommen td td td
dation ANS: B td td
The situation, background, assessment, recommendation (SBAR) technique provides a specific fram
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ework for communication among health care providers. Failure to communicate is one of the major r
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easons for errors in health care. The SBAR technique has the potential to serve as a means to reduce e
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rrors.
PTS: 1 DIF: Cognitive Level: Comprehension R
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EF: 14 OBJ: Nursing Process: Assessment, Plann
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ing
MSC: Client Needs: Safe and Effective Care Environment
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3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
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, a. Providing care to patients directly at the bedside.
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, b. Primarily hospital care of maternity patients. td td td td t d
c. Practice using an evidence-based approach. td td td td
d. Planning patient care to cover longer hospital stays. td td td td td td td
ANS: C td
Professional nurses are part of the team of health care providers who collaboratively care for pati td td td td td td td td td td t d t d td t d t d
ents throughout the childbearing cycle. Providing care to patients directly at the bedside is one of th
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e nurses tasks; however, it does not encompass the concept of the evolved professional nurse. Throu
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ghout the prenatal period, nurses care for women in clinics and physicians offices and teach classes
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to help families prepare for childbirth. Nurses also care for childbearing families in birthing cente
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rs and in the home. Nurses have been critically important in developing strategies to improve the w
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ell-
being of women and their infants and have led the efforts to implement clinical practice guidelines u
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sing an evidence- td td
based approach. Maternity patients have experienced a decreased, rather than an increased, length
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of stay over the past 2 decades.
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PTS: 1 DIF: Cognitive Level: Comprehension R
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EF: 1 OBJ: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment
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4. A 23-year-old African- td td
American woman is pregnant with her first child. Based on the statistics for infant mortality, whic
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h plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. td t d td
b. Refer the woman to a social worker. td td td td td t d
c. Advise the woman to see an obstetrician, not a midwife. td td td td td td td td t d
d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D td
Consistent prenatal care is the best method of preventing or controlling risk factors associated with
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infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessmen
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t is not the most important action a nurse should take in this situation. The patient may need assista
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nce from a social worker at some time during her pregnancy, but a referral to a social worker is n
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ot the most important aspect the nurse should address at this time. If the woman has identifiable hi
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gh-
risk problems, her health care may need to be provided by a physician. However, it cannot be assume
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d that all African-American women have high-
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risk issues. In addition, advising the woman to see an obstetrician is not the most important aspe
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ct on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
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