TESTBANK U
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U U U U U
,Chapter 01: 21st Century Maternity Nursing U U U U U
MULTIPLE CHOICE U
1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently
U U U U U U U U U U U U U U U U U
reported maternal medical risk factors is:
U U U U U U
a. Diabetes mellitus. U c. Chronic hypertension. U
b. Mitral valve prolapse (MVP). U U U d. Anemia.
ANS: A U
The most frequently reported maternal medical risk factors are diabetes and hypertension associated with
U U U U U U U U U U U U U
pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that
U U U U U U U U U U U U U U U
indicate MVP is among the most frequently reported maternal risk factors. Hypertension associated with
U U U U U U U U U U U U U U
pregnancy, not chronic hypertension, is one of the most frequently reported maternal medical risk factors.
U U U U U U U U U U U U U U U
UAlthough anemia is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk
U U U U U U U U U U U U U U U U U U
factors in pregnancy.
U U U
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
U U U U U U U
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
U U U U U U U U
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both
U U U U U U U U U U U U U
teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is
U U U U U U U U U U U U U U U
an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?
U U U U U U U U U U U U U
a. Situation, baseline assessment, response U U U
b. Situation, background, assessment, recommendation
U U U
c. Subjective background, assessment, recommendation U U U
d. Situation, background, anticipated recommendation
U U U
ANS: B U
The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for
U U U U U U U U U U U
communication among health care providers. Failure to communicate is one of the major reasons for errors in
U U U U U U U U U U U U U U U U U
health care. The SBAR technique has the potential to serve as a means to reduce errors.
U U U U U U U U U U U U U U U U
PTS: 1 DIF: Cognitive Level: Comprehension REF: 14
U U U U U U U
U OBJ: Nursing Process: Assessment, Planning
U U U U
MSC: Client Needs: Safe and Effective Care Environment
U U U U U U U
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
U U U U U U U U U U U U U
a. Providing care to patients directly at the bedside.
U U U U U U U
For more TEST BANKS https://www.stuvia.com/user/angelinas
U U U U U
, b. Primarily hospital care of maternity patients. U U U U U
c. Practice using an evidence-based approach. U U U U
d. Planning patient care to cover longer hospital stays. U U U U U U U
ANS: C U
Professional nurses are part of the team of health care providers who collaboratively care for patients
U U U U U U U U U U U U U U U
throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks;
U U U U U U U U U U U U U U U U U U
however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period,
U U U U U U U U U U U U U U U U
nurses care for women in clinics and physicians offices and teach classes to help families prepare for
U U U U U U U U U U U U U U U U U
childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses have been
U U U U U U U U U U U U U U U U U
critically important in developing strategies to improve the well-being of women and their infants and have led
U U U U U U U U U U U U U U U U U
the efforts to implement clinical practice guidelines using an evidence-based approach. Maternity patients have
U U U U U U U U U U U U U U
experienced a decreased, rather than an increased, length of stay over the past 2 decades.
U U U U U U U U U U U U U U U
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1
U U U U U U U
U OBJ: Nursing Process: Implementation
U U U
MSC: Client Needs: Safe and Effective Care Environment
U U U U U U U
4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant
U U U U U U U U U U U U U U U
mortality, which plan is most important for the nurse to implement?
U U U U U U U U U U U
a. Perform a nutrition assessment. U U U
b. Refer the woman to a social worker. U U U U U U
c. Advise the woman to see an obstetrician, not a midwife.
U U U U U U U U U
d. Explain to the woman the importance of keeping her prenatal care appointments.
U U U U U U U U U U U
ANS: D U
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
U U U U U U U U U U U U U U U
mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most
U U U U U U U U U U U U U U U U U
important action a nurse should take in this situation. The patient may need assistance from a social worker at
U U U U U U U U U U U U U U U U U U U
some time during her pregnancy, but a referral to a social worker is not the most important aspect the nurse
U U U U U U U U U U U U U U U U U U U U
should address at this time. If the woman has identifiable high-risk problems, her health care may need to be
U U U U U U U U U U U U U U U U U U U
provided by a physician. However, it cannot be assumed that all African-American women have high-risk issues.
U U U U U U U U U U U U U U U U
In addition, advising the woman to see an obstetrician is not the most important aspect on which the nurse
U U U U U U U U U U U U U U U U U U U
should focus at this time, and it is not appropriate for a nurse to advise or manage the type of care a
U U U U U U U U U U U U U U U U U U U U U U
patient is to receive.
U U U U
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
U U U U U U U
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
U U U U U U U U U U
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year- old
U U U U U U U U U U U U U U U U U U U
Hispanic patient with limited English proficiency. It is important for the nurse to:
U U U U U U U U U U U U U
For more TEST BANKS https://www.stuvia.com/user/angelinas
U U U U U
, a. Use maternity jargon in order for the patient to become familiar with these terms.
U U U U U U U U U U U U U
b. Speak quickly and efficiently to expedite the visit.
U U U U U U U
c. Provide the patient with handouts. U U U U
d. Assess whether the patient understands the discussion.
U U U U U U
ANS: D U
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether
U U U U U U U U U U U U U U
the patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase
U U U U U U U U U U U U U U U U
understanding. Most patient education materials are written at too high a level for the average adult and may
U U U U U U U U U U U U U U U U U U
not be useful for a client with limited English proficiency.
U U U U U U U U U U
PTS: 1 DIF: Cognitive Level: Application REF: 5
U U U U U U U
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
U U U U U U U U U U
6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
U U U U U U U U U U U U U U U U
most significant barrier to access to care is the pregnant womans:
U U U U U U U U U U U
a. Age. c. Educational level. U
b. Minority status. U d. Inability to pay. U U
ANS: D U
The most significant barrier to health care access is the inability to pay for services; this is compounded by the fact
U U U U U U U U U U U U U U U U U U U U
that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients statistically
U U U U U U U U U U U U U U U U
receive less prenatal care, age is not the most significant barrier. Significant disparities in morbidity and
U U U U U U U U U U U U U U U U
mortality rates exist for minority women; however, minority status is not the most significant barrier to access of
U U U U U U U U U U U U U U U U U U
care. Disparities in educational level are associated with morbidity and mortality rates; however, educational
U U U U U U U U U U U U U U
level is not the most significant barrier to access of care.
U U U U U U U U U U U
PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
U U U U U U U
U OBJ: Nursing Process: Assessment
U U U
MSC: Client Needs: Safe and Effective Care Environment
U U U U U U U
7. What is the primary role of practicing nurses in the research process?
U U U U U U U U U U U
a. Designing research studies U U
b. Collecting data for other researchers U U U U
c. Identifying researchable problems U U
d. Seeking funding to support research studies
U U U U U
For more TEST BANKS https://www.stuvia.com/user/angelinas
U U U U U
For more TEST BANKS https://www.stuvia.com/user/angelinas
U U U U U
,Chapter 01: 21st Century Maternity Nursing U U U U U
MULTIPLE CHOICE U
1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently
U U U U U U U U U U U U U U U U U
reported maternal medical risk factors is:
U U U U U U
a. Diabetes mellitus. U c. Chronic hypertension. U
b. Mitral valve prolapse (MVP). U U U d. Anemia.
ANS: A U
The most frequently reported maternal medical risk factors are diabetes and hypertension associated with
U U U U U U U U U U U U U
pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that
U U U U U U U U U U U U U U U
indicate MVP is among the most frequently reported maternal risk factors. Hypertension associated with
U U U U U U U U U U U U U U
pregnancy, not chronic hypertension, is one of the most frequently reported maternal medical risk factors.
U U U U U U U U U U U U U U U
UAlthough anemia is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk
U U U U U U U U U U U U U U U U U U
factors in pregnancy.
U U U
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
U U U U U U U
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
U U U U U U U U
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both
U U U U U U U U U U U U U
teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is
U U U U U U U U U U U U U U U
an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?
U U U U U U U U U U U U U
a. Situation, baseline assessment, response U U U
b. Situation, background, assessment, recommendation
U U U
c. Subjective background, assessment, recommendation U U U
d. Situation, background, anticipated recommendation
U U U
ANS: B U
The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for
U U U U U U U U U U U
communication among health care providers. Failure to communicate is one of the major reasons for errors in
U U U U U U U U U U U U U U U U U
health care. The SBAR technique has the potential to serve as a means to reduce errors.
U U U U U U U U U U U U U U U U
PTS: 1 DIF: Cognitive Level: Comprehension REF: 14
U U U U U U U
U OBJ: Nursing Process: Assessment, Planning
U U U U
MSC: Client Needs: Safe and Effective Care Environment
U U U U U U U
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
U U U U U U U U U U U U U
a. Providing care to patients directly at the bedside.
U U U U U U U
For more TEST BANKS https://www.stuvia.com/user/angelinas
U U U U U
, b. Primarily hospital care of maternity patients. U U U U U
c. Practice using an evidence-based approach. U U U U
d. Planning patient care to cover longer hospital stays. U U U U U U U
ANS: C U
Professional nurses are part of the team of health care providers who collaboratively care for patients
U U U U U U U U U U U U U U U
throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks;
U U U U U U U U U U U U U U U U U U
however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period,
U U U U U U U U U U U U U U U U
nurses care for women in clinics and physicians offices and teach classes to help families prepare for
U U U U U U U U U U U U U U U U U
childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses have been
U U U U U U U U U U U U U U U U U
critically important in developing strategies to improve the well-being of women and their infants and have led
U U U U U U U U U U U U U U U U U
the efforts to implement clinical practice guidelines using an evidence-based approach. Maternity patients have
U U U U U U U U U U U U U U
experienced a decreased, rather than an increased, length of stay over the past 2 decades.
U U U U U U U U U U U U U U U
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1
U U U U U U U
U OBJ: Nursing Process: Implementation
U U U
MSC: Client Needs: Safe and Effective Care Environment
U U U U U U U
4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant
U U U U U U U U U U U U U U U
mortality, which plan is most important for the nurse to implement?
U U U U U U U U U U U
a. Perform a nutrition assessment. U U U
b. Refer the woman to a social worker. U U U U U U
c. Advise the woman to see an obstetrician, not a midwife.
U U U U U U U U U
d. Explain to the woman the importance of keeping her prenatal care appointments.
U U U U U U U U U U U
ANS: D U
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
U U U U U U U U U U U U U U U
mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most
U U U U U U U U U U U U U U U U U
important action a nurse should take in this situation. The patient may need assistance from a social worker at
U U U U U U U U U U U U U U U U U U U
some time during her pregnancy, but a referral to a social worker is not the most important aspect the nurse
U U U U U U U U U U U U U U U U U U U U
should address at this time. If the woman has identifiable high-risk problems, her health care may need to be
U U U U U U U U U U U U U U U U U U U
provided by a physician. However, it cannot be assumed that all African-American women have high-risk issues.
U U U U U U U U U U U U U U U U
In addition, advising the woman to see an obstetrician is not the most important aspect on which the nurse
U U U U U U U U U U U U U U U U U U U
should focus at this time, and it is not appropriate for a nurse to advise or manage the type of care a
U U U U U U U U U U U U U U U U U U U U U U
patient is to receive.
U U U U
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
U U U U U U U
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
U U U U U U U U U U
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year- old
U U U U U U U U U U U U U U U U U U U
Hispanic patient with limited English proficiency. It is important for the nurse to:
U U U U U U U U U U U U U
For more TEST BANKS https://www.stuvia.com/user/angelinas
U U U U U
, a. Use maternity jargon in order for the patient to become familiar with these terms.
U U U U U U U U U U U U U
b. Speak quickly and efficiently to expedite the visit.
U U U U U U U
c. Provide the patient with handouts. U U U U
d. Assess whether the patient understands the discussion.
U U U U U U
ANS: D U
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether
U U U U U U U U U U U U U U
the patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase
U U U U U U U U U U U U U U U U
understanding. Most patient education materials are written at too high a level for the average adult and may
U U U U U U U U U U U U U U U U U U
not be useful for a client with limited English proficiency.
U U U U U U U U U U
PTS: 1 DIF: Cognitive Level: Application REF: 5
U U U U U U U
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
U U U U U U U U U U
6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
U U U U U U U U U U U U U U U U
most significant barrier to access to care is the pregnant womans:
U U U U U U U U U U U
a. Age. c. Educational level. U
b. Minority status. U d. Inability to pay. U U
ANS: D U
The most significant barrier to health care access is the inability to pay for services; this is compounded by the fact
U U U U U U U U U U U U U U U U U U U U
that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients statistically
U U U U U U U U U U U U U U U U
receive less prenatal care, age is not the most significant barrier. Significant disparities in morbidity and
U U U U U U U U U U U U U U U U
mortality rates exist for minority women; however, minority status is not the most significant barrier to access of
U U U U U U U U U U U U U U U U U U
care. Disparities in educational level are associated with morbidity and mortality rates; however, educational
U U U U U U U U U U U U U U
level is not the most significant barrier to access of care.
U U U U U U U U U U U
PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
U U U U U U U
U OBJ: Nursing Process: Assessment
U U U
MSC: Client Needs: Safe and Effective Care Environment
U U U U U U U
7. What is the primary role of practicing nurses in the research process?
U U U U U U U U U U U
a. Designing research studies U U
b. Collecting data for other researchers U U U U
c. Identifying researchable problems U U
d. Seeking funding to support research studies
U U U U U
For more TEST BANKS https://www.stuvia.com/user/angelinas
U U U U U
