TESTBANK b
b For more TEST BANKS https://www.stuvia.com/user/angelinas
b b b b
, Chapter 01: 21st Century Maternity Nursing b b b b b
MULTIPLE CHOICE b
1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently
b b b b b b b b b b b b b b b b b
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 with
b b b b b b b b b b b b b
pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that indicate
b b b b b b b b b b b b b b b b
MVP is among the most frequently reported maternal risk factors. Hypertension associated with pregnancy,
b b b b b b b b b b b b b b
not chronic hypertension, is one of the most frequently reported maternal medical risk factors. Although anemia
b b b b b b b b b b b b b b b b
is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk factors in pregnancy.
b b b b b b b b b b b b 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 both
b b b b b b b b b b b b b
teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is an
b b b b b b b b b b b b b b b b
easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?
b b b b b b b b b 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 recommendation b b b
ANS: B b
The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for
b b b b b b b b b b b
communication among health care providers. Failure to communicate is one of the major reasons for errors in health
b b b b b b b b b b b b b b b b b b
care. The SBAR technique has the potential to serve as a means to reduce errors.
b b b b b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Comprehension REF: 14
b b b b b b b
b OBJ: Nursing Process: Assessment, Planning
b b b b
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
a. Providing care to patients directly at the bedside. b b b b b b b
b For more TEST BANKS https://www.stuvia.com/user/angelinas
b b b 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 patients
b b b b b b b b b b b b b b b
throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks;
b b b b b b b b b b b b b b b b b b
however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period,
b b b b b b b b b b b b b b b b
nurses care for women in clinics and physicians offices and teach classes to help families prepare for
b b b b b b b b b b b b b b b b b
childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses have been
b b b b b b b b b b b b b b b b b
critically important in developing strategies to improve the well-being of women and their infants and have led the
b b b b b b b b b b b b b b b b b b
efforts to implement clinical practice guidelines using an evidence-based approach. Maternity patients have
b b b b b b b b b b b b b
experienced a decreased, rather than an increased, length of stay over the past 2 decades.
b b b b b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1
b b b b b b b
b OBJ: Nursing Process: Implementation
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 for infant
b b b b b b b b b b b b b b b
mortality, which plan is most important for the nurse to implement?
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 infant mortality.
b b b b b b b b b b b b b b b b
Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most important action
b b b b b b b b b b b b b b b b b b
a nurse should take in this situation. The patient may need assistance from a social worker at some time during her
b b b b b b b b b b b b b b b b b b b b b
pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at this
b b b b b b b b b b b b b b b b b b b b
time. If the woman has identifiable high-risk problems, her health care may need to be provided by a physician.
b b b b b b b b b b b b b b b b b b b
However, it cannot be assumed that all African-American women have high-risk issues. In addition, advising the
b b b b b b b b b b b b b b b b
woman to see an obstetrician is not the most important aspect on which the nurse should focus at this time, and
b b b b b b b b b b b b b b b b b b b b b
it is 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 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
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year- old
b b b b b b b b b b b b b b b b b b b
Hispanic patient with limited English proficiency. It is important for the nurse to:
b b b b b b b b b b b b b
b For more TEST BANKS https://www.stuvia.com/user/angelinas
b b b b
, a. Use maternity jargon in order for the patient to become familiar with these terms.
b b b b b b b b b b b b b
b. Speak quickly and efficiently to expedite the visit.
b b b b b b b
c. Provide the patient with handouts. b b b b
d. Assess whether the patient understands the discussion.
b b b b b b
ANS: D b
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether the
b b b b b b b b b b b b b b b
patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase
b b b b b b b b b b b b b b b
understanding. Most patient education materials are written at too high a level for the average adult and may
b b b b b b b b b b b b b b b b b b
not be useful for a client with limited English proficiency.
b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Application REF: 5
b b b b b b b
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
b b b b b b b b b b b b b b b b
most significant barrier to access to care is the pregnant womans:
b b b b b b b b b b b
a. Age. c. Educational level. b
b. Minority status. b d. Inability to pay. b b
ANS: D b
The most significant barrier to health care access is the inability to pay for services; this is compounded by the fact
b b b b b b b b b b b b b b b b b b b b
that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients statistically
b b b b b b b b b b b b b b b b
receive less prenatal care, age is not the most significant barrier. Significant disparities in morbidity and
b b b b b b b b b b b b b b b b
mortality rates exist for minority women; however, minority status is not the most significant barrier to access of
b b b b b b b b b b b b b b b b b b
care. Disparities in educational level are associated with morbidity and mortality rates; however, educational level
b b b b b b b b b b b b b b b
is not the most significant barrier to access of care.
b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
b b b b b b b
b OBJ: Nursing Process: Assessment
b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b
7. What is the primary role of practicing nurses in the research process?
b b b b b b b b b b b
a. Designing research studies b b
b. Collecting data for other researchers b b b b
c. Identifying researchable problems b b
d. Seeking funding to support research studies b b b b b
b For more TEST BANKS https://www.stuvia.com/user/angelinas
b b b b
b For more TEST BANKS https://www.stuvia.com/user/angelinas
b b b b
, Chapter 01: 21st Century Maternity Nursing b b b b b
MULTIPLE CHOICE b
1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently
b b b b b b b b b b b b b b b b b
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 with
b b b b b b b b b b b b b
pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that indicate
b b b b b b b b b b b b b b b b
MVP is among the most frequently reported maternal risk factors. Hypertension associated with pregnancy,
b b b b b b b b b b b b b b
not chronic hypertension, is one of the most frequently reported maternal medical risk factors. Although anemia
b b b b b b b b b b b b b b b b
is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk factors in pregnancy.
b b b b b b b b b b b b 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 both
b b b b b b b b b b b b b
teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is an
b b b b b b b b b b b b b b b b
easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?
b b b b b b b b b 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 recommendation b b b
ANS: B b
The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for
b b b b b b b b b b b
communication among health care providers. Failure to communicate is one of the major reasons for errors in health
b b b b b b b b b b b b b b b b b b
care. The SBAR technique has the potential to serve as a means to reduce errors.
b b b b b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Comprehension REF: 14
b b b b b b b
b OBJ: Nursing Process: Assessment, Planning
b b b b
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
a. Providing care to patients directly at the bedside. b b b b b b b
b For more TEST BANKS https://www.stuvia.com/user/angelinas
b b b 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 patients
b b b b b b b b b b b b b b b
throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks;
b b b b b b b b b b b b b b b b b b
however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period,
b b b b b b b b b b b b b b b b
nurses care for women in clinics and physicians offices and teach classes to help families prepare for
b b b b b b b b b b b b b b b b b
childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses have been
b b b b b b b b b b b b b b b b b
critically important in developing strategies to improve the well-being of women and their infants and have led the
b b b b b b b b b b b b b b b b b b
efforts to implement clinical practice guidelines using an evidence-based approach. Maternity patients have
b b b b b b b b b b b b b
experienced a decreased, rather than an increased, length of stay over the past 2 decades.
b b b b b b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1
b b b b b b b
b OBJ: Nursing Process: Implementation
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 for infant
b b b b b b b b b b b b b b b
mortality, which plan is most important for the nurse to implement?
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 infant mortality.
b b b b b b b b b b b b b b b b
Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most important action
b b b b b b b b b b b b b b b b b b
a nurse should take in this situation. The patient may need assistance from a social worker at some time during her
b b b b b b b b b b b b b b b b b b b b b
pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at this
b b b b b b b b b b b b b b b b b b b b
time. If the woman has identifiable high-risk problems, her health care may need to be provided by a physician.
b b b b b b b b b b b b b b b b b b b
However, it cannot be assumed that all African-American women have high-risk issues. In addition, advising the
b b b b b b b b b b b b b b b b
woman to see an obstetrician is not the most important aspect on which the nurse should focus at this time, and
b b b b b b b b b b b b b b b b b b b b b
it is 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 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
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year- old
b b b b b b b b b b b b b b b b b b b
Hispanic patient with limited English proficiency. It is important for the nurse to:
b b b b b b b b b b b b b
b For more TEST BANKS https://www.stuvia.com/user/angelinas
b b b b
, a. Use maternity jargon in order for the patient to become familiar with these terms.
b b b b b b b b b b b b b
b. Speak quickly and efficiently to expedite the visit.
b b b b b b b
c. Provide the patient with handouts. b b b b
d. Assess whether the patient understands the discussion.
b b b b b b
ANS: D b
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether the
b b b b b b b b b b b b b b b
patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase
b b b b b b b b b b b b b b b
understanding. Most patient education materials are written at too high a level for the average adult and may
b b b b b b b b b b b b b b b b b b
not be useful for a client with limited English proficiency.
b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Application REF: 5
b b b b b b b
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
b b b b b b b b b b b b b b b b
most significant barrier to access to care is the pregnant womans:
b b b b b b b b b b b
a. Age. c. Educational level. b
b. Minority status. b d. Inability to pay. b b
ANS: D b
The most significant barrier to health care access is the inability to pay for services; this is compounded by the fact
b b b b b b b b b b b b b b b b b b b b
that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients statistically
b b b b b b b b b b b b b b b b
receive less prenatal care, age is not the most significant barrier. Significant disparities in morbidity and
b b b b b b b b b b b b b b b b
mortality rates exist for minority women; however, minority status is not the most significant barrier to access of
b b b b b b b b b b b b b b b b b b
care. Disparities in educational level are associated with morbidity and mortality rates; however, educational level
b b b b b b b b b b b b b b b
is not the most significant barrier to access of care.
b b b b b b b b b b
PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
b b b b b b b
b OBJ: Nursing Process: Assessment
b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b
7. What is the primary role of practicing nurses in the research process?
b b b b b b b b b b b
a. Designing research studies b b
b. Collecting data for other researchers b b b b
c. Identifying researchable problems b b
d. Seeking funding to support research studies b b b b b
b For more TEST BANKS https://www.stuvia.com/user/angelinas
b b b b
