Test Bank for Maternal-Child Nursing Care with The Women’s Health Companion Optimizing Outcomes for Mothers, Children, and Families, 2nd Edition, Susan L. Ward, Shelton M. Hisley

Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank




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, Hisley:MaternalChildNursingCare2ndEditionTestBank Chapter 01: 21st Century M C
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aternity Nursing ZXC




MULTIPLE CHOICE Z X C




1. When providing care for a pregnant woman, the nurse should be aware that one of the most fre
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quently reported maternal medical risk factors is: ZXC ZXC ZXC ZXC ZXC ZXC




a. Diabetes mellitus. Z X C c. Chronic hypertension. Z X C




b. Mitral valve prolapse (MVP). ZX C Z X C ZXC d. Anemia.


ANS: A Z X C




The most frequently reported maternal medical risk factors are diabetes and hypertension associated
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with pregnancy. Both of these conditions are associated with maternal obesity. There are no studies
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that indicate MVP is among the most frequently reported maternal risk factors. Hypertension
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Zassociated with pregnancy, not chronic hypertension, is one of the most frequently reported mate
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rnal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the most freque
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ntly reported maternal medical risk factors in pregnancy.
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PTS: 1 DIF: Cognitive Level: Knowledge REF: 6 ZXC Z X C Z X C Z X C Z X C ZX C Z X C




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 com
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munication is an easy-to- ZXC ZXC ZXC




remember mechanism for communication. Which of the following correctly defines this acronym? Z X C ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




a. Situation, baseline assessment, response Z X C Z X C Z X C




b. Situation, background, assessment, recommendation Z X C Z X C Z X C




c. Subjective background, assessment, recommendation Z X C Z X C Z X C




d. Situation, background, anticipated recommen ZXC ZXC ZXC




dation ANS: B ZXC ZXC




The situation, background, assessment, recommendation (SBAR) technique provides a specific frame
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work for communication among health care providers. Failure to communicate is one of the major reas
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ons for errors in health care. The SBAR technique has the potential to serve as a means to reduce errors.
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PTS: 1 DIF: Cognitive Level: Comprehension RE ZXC ZXC ZXC ZXC ZXC ZXC




F: 14 OBJ: Nursing Process: Assessment, Plannin
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g

MSC: Client Needs: Safe and Effective Care Environment Z X C Z X C Z X C ZXC ZXC Z X C Z X C




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. ZXC Z X C ZXC Z X C Z X C




c. Practice using an evidence-based approach. Z X C ZXC Z X C ZX C




d. Planning patient care to cover longer hospital stays. ZX C Z X C ZX C ZXC Z X C Z X C Z X C




ANS: C ZXC




Professional nurses are part of the team of health care providers who collaboratively care for pati ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC Z X C Z X C ZXC Z X C Z X C




ents throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the
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nurses tasks; however, it does not encompass the concept of the evolved professional nurse. Through
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out the prenatal period, nurses care for women in clinics and physicians offices and teach classes to
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Chelp families prepare for childbirth. Nurses also care for childbearing families in birthing centers a
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nd in the home. Nurses have been critically important in developing strategies to improve the well-
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being of women and their infants and have led the efforts to implement clinical practice guidelines usi
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ng an evidence- ZXC ZXC




based approach. Maternity patients have experienced a decreased, rather than an increased, length of
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stay over the past 2 decades. ZXC ZXC ZXC ZXC ZXC




PTS: 1 DIF: Cognitive Level: Comprehension RE ZXC ZXC ZXC ZXC ZXC ZXC




F: 1 OBJ: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment Z X C Z X C Z X C ZXC ZXC Z X C Z X C




4. A 23-year-old African- ZXC ZXC




American woman is pregnant with her first child. Based on the statistics for infant mortality, which ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




plan is most important for the nurse to implement? ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




a. Perform a nutrition assessment. ZXC Z X C Z X C




b. Refer the woman to a social worker. Z XC Z X C Z XC ZXC ZXC Z X C




c. Advise the woman to see an obstetrician, not a midwife. ZX C Z X C ZXC ZX C ZXC ZXC Z X C ZXC Z X C




d. Explain to the woman the importance of keeping her prenatal care appointments. ZXC ZXC Z X C ZXC Z X C ZX C Z X C Z X C Z X C Z X C Z X C




ANS: D ZXC




Consistent prenatal care is the best method of preventing or controlling risk factors associated with i ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




nfant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment i
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s not the most important action a nurse should take in this situation. The patient may need assistance f
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rom a social worker at some time during her pregnancy, but a referral to a social worker is not th
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e most important aspect the nurse should address at this time. If the woman has identifiable high-
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risk problems, her health care may need to be provided by a physician. However, it cannot be assumed
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that allAfrican-American women have high- ZXC ZXC ZXC ZXC ZXC




risk issues. In addition, advising the woman to see an obstetrician is not the most important asp
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ect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
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manage the type of care a patient is to receive. Z X C Z X C Z X C ZXC Z X C ZXC ZXC ZXC ZXC




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