TESTBANK
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. 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
, a. Use maternity jargon in order for the patient to become familiar with these terms.
nb nb nb nb nb nb nb nb nb nb nb nb nb
b. Speak quickly and efficiently to expedite the visit.
nb nb nb nb nb nb nb
c. Provide the patient with handouts. nb nb nb nb
d. Assess whether the patient understands the discussion.
nb nb nb nb nb nb
ANS: D nb
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether
nb nb nb nb nb nb nb nb nb nb nb nb nb nb
the patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
understanding. Most patient education materials are written at too high a level for the average adult and
nb nb nb nb nb nb nb nb nb n b nb n b n b nb nb nb nb
may not be useful for a client with limited English proficiency.
n b nb nb nb nb nb nb nb nb nb nb
PTS: 1 DIF: Cognitive Level: Application REF: 5
nb nb nb nb nb nb nb
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
nb nb nb nb nb nb nb nb nb nb
6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
most significant barrier to access to care is the pregnant womans:
nb nb nb nb nb nb nb nb nb nb nb
a. Age. c. Educational level. nb
b. Minority status. nb d. Inability to pay. nb nb
ANS: D nb
The most significant barrier to health care access is the inability to pay for services; this is compounded by the
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
fact that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
statistically receive less prenatal care, age is not the most significant barrier. Significant disparities in
nb nb nb nb nb nb nb nb nb nb nb n b n b n b n b
morbidity and mortality rates exist for minority women; however, minority status is not the most significant
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
barrier to access of care. Disparities in educational level are associated with morbidity and mortality rates;
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
however, educational level is not the most significant barrier to access of care.
nb nb nb nb nb nb nb nb nb nb nb nb nb
PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
nb nb nb nb nb nb nb
OBJ: Nursing Process: Assessment
nb nb nb nb
MSC: Client Needs: Safe and Effective Care Environment
nb nb nb nb nb nb nb
7. What is the primary role of practicing nurses in the research process?
nb nb nb nb nb nb nb nb nb nb nb
a. Designing research studies nb nb
b. Collecting data for other researchers nb nb nb nb
c. Identifying researchable problems nb nb
d. Seeking funding to support research studies nb nb nb nb nb
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. 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
, a. Use maternity jargon in order for the patient to become familiar with these terms.
nb nb nb nb nb nb nb nb nb nb nb nb nb
b. Speak quickly and efficiently to expedite the visit.
nb nb nb nb nb nb nb
c. Provide the patient with handouts. nb nb nb nb
d. Assess whether the patient understands the discussion.
nb nb nb nb nb nb
ANS: D nb
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether
nb nb nb nb nb nb nb nb nb nb nb nb nb nb
the patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
understanding. Most patient education materials are written at too high a level for the average adult and
nb nb nb nb nb nb nb nb nb n b nb n b n b nb nb nb nb
may not be useful for a client with limited English proficiency.
n b nb nb nb nb nb nb nb nb nb nb
PTS: 1 DIF: Cognitive Level: Application REF: 5
nb nb nb nb nb nb nb
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
nb nb nb nb nb nb nb nb nb nb
6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
most significant barrier to access to care is the pregnant womans:
nb nb nb nb nb nb nb nb nb nb nb
a. Age. c. Educational level. nb
b. Minority status. nb d. Inability to pay. nb nb
ANS: D nb
The most significant barrier to health care access is the inability to pay for services; this is compounded by the
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
fact that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
statistically receive less prenatal care, age is not the most significant barrier. Significant disparities in
nb nb nb nb nb nb nb nb nb nb nb n b n b n b n b
morbidity and mortality rates exist for minority women; however, minority status is not the most significant
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
barrier to access of care. Disparities in educational level are associated with morbidity and mortality rates;
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb
however, educational level is not the most significant barrier to access of care.
nb nb nb nb nb nb nb nb nb nb nb nb nb
PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
nb nb nb nb nb nb nb
OBJ: Nursing Process: Assessment
nb nb nb nb
MSC: Client Needs: Safe and Effective Care Environment
nb nb nb nb nb nb nb
7. What is the primary role of practicing nurses in the research process?
nb nb nb nb nb nb nb nb nb nb nb
a. Designing research studies nb nb
b. Collecting data for other researchers nb nb nb nb
c. Identifying researchable problems nb nb
d. Seeking funding to support research studies nb nb nb nb nb
