TEST BANK =
= For=more=TEST=BANKS=https://www.stuvia.com/user/angelinas
,Chapter 01: 21st Century Maternity Nursing
= = = = =
MULTIPLE=CHOICE
1. When=providing=care=for=a=pregnant=woman,=the=nurse=should=be=aware=that=one=of=the=most=frequentl
y=reported=maternal=medical=risk=factors=is:
a. Diabetes=mellitus. c. Chronic=hypertension.
b. Mitral=valve=prolapse=(MVP). d. Anemia.
ANS:=A
The=most=frequently=reported=maternal=medical=risk=factors=are=diabetes=and=hypertension=associated=with=preg
nancy.= Both=of= these= conditions= are=associated=with= maternal= obesity.= There=are=no=studies= that= indicate=M
VP= is= among= the= most= frequently=reported= maternal= risk=factors.= Hypertension= associated= with= pregnancy,=n
ot=chronic=hypertension,=is=one=of=the=most=frequently=reported= maternal= medical=risk=factors.= Although=anem
ia=is=a=concern=in=pregnancy,=it=is=not=one=of=the=most=frequently=reported=maternal=medical=risk=factors=in=preg
nancy.
PTS:=1=DIF:=Cognitive= Level:=Knowledge=REF:=6
OBJ:=Nursing=Process:=Assessment= MSC:=Client=Needs:=Physiologic= Integrity
2. To=ensure=optimal=outcomes=for=the=patient,=the=contemporary=maternity=nurse= must= incorporate=both=team
work=and=communication=with=clinicians=into=her=care=delivery,=The=SBAR=technique=of=communication=is=an=
easy-to-remember= mechanism=for=communication.=Which=of=the=following=correctly=defines=this=acronym?
a. Situation,=baseline=assessment,=response
b. Situation,=background,= assessment,= recommendation
c. Subjective=background,=assessment,= recommendation
d. Situation,=background,=anticipated=recommendation
ANS:=B
The=situation,=background,=assessment,=recommendation=(SBAR)=technique=provides=a=specific=framework=for=co
mmunication=among=health=care=providers.=Failure=to=communicate=is=one=of=the=major=reasons=for=errors=in=healt
h=care.=The=SBAR=technique=has=the=potential=to=serve=as=a=means=to=reduce=errors.
PTS:=1=DIF:=Cognitive=Level:=Comprehension=REF:=14
= OBJ:=Nursing=Process:=Assessment,=Planning
MSC:=Client=Needs:=Safe=and=Effective= Care=Environment
3. The=role=of=the=professional=nurse=caring=for=childbearing=families= has=evolved=to=emphasize:
a. Providing=care=to=patients= directly=at=the=bedside.
= For=more=TEST=BANKS=https://www.stuvia.com/user/angelinas
, b. Primarily=hospital=care=of=maternity=patients.
c. Practice=using=an=evidence-based=approach.
d. Planning=patient=care=to=cover=longer=hospital=stays.
ANS:=C
Professional=nurses=are=part=of=the=team=of=health=care=providers= who= collaboratively=care= for= patients=throug
hout=the=childbearing=cycle.=Providing=care=to=patients=directly=at=the=bedside=is=one=of=the=nurses=tasks;=howev
er,=it=does=not=encompass=the=concept=of=the=evolved=professional=nurse.=Throughout=the=prenatal=period,=nurse
s=care=for=women=in=clinics=and=physicians= offices= and=teach=classes=to= help=families= prepare= for=childbirth.=
Nurses=also=care=for=childbearing=families=in=birthing=centers=and=in=the=home.=Nurses=have=been=critically=imp
ortant=in=developing=strategies=to=improve=the=well-
being=of=women=and=their=infants=and=have=led=the=efforts=to=implement=clinical=practice=guidelines=using=an=ev
idence-
based=approach.=Maternity=patients=have=experienced=a=decreased,=rather=than=an=increased,=length=of=stay=over=
the=past=2=decades.
PTS:=1=DIF:=Cognitive=Level:=Comprehension=REF:=1=
OBJ:=Nursing=Process:=Implementation
MSC:=Client=Needs:=Safe=and=Effective= Care=Environment
4. A=23-year-old=African-
American=woman=is=pregnant=with=her=first=child.=Based=on=the=statistics=for=infant=mortality,=which=plan=is=
most=important=for=the=nurse=to=implement?
a. Perform=a= nutrition=assessment.
b. Refer=the=woman=to=a=social=worker.
c. Advise=the=woman=to=see=an=obstetrician,= not=a= midwife.
d. Explain=to=the=woman=the=importance=of= keeping=her=prenatal=care=appointments.
ANS:=D
Consistent=prenatal=care=is=the=best=method=of=preventing=or=controlling=risk=factors=associated=with=infant=mort
ality.=Nutritional=status=is=an=important=modifiable=risk=factor,=but=a=nutrition=assessment=is=not=the=most=import
ant=action=a=nurse=should=take=in=this=situation.=The=patient= may=need=assistance=from=a=social=worker=at=some=
time= during= her= pregnancy,= but=a= referral= to=a= social= worker= is=not= the= most=important=aspect= the= nurse=shoul
d=address=at=this=time.=If=the=woman=has=identifiable=high-
risk=problems,=her=health=care=may=need=to=be=provided=by=a=physician.=However,=it=cannot=be=assumed=that=all
=African-American=women=have=high-
risk=issues.= In=addition,=advising=the= woman=to=see= an=obstetrician= is=not=the= most=important= aspect=on= which=
the=nurse= should=focus=at=this= time,=and=it=is= not=appropriate= for= a= nurse= to=advise=or= manage= the= type=of= car
e= a=patient=is=to=receive.
PTS:=1=DIF:=Cognitive= Level:=Comprehension=REF:=6
OBJ:=Nursing=Process:=Planning=MSC:=Client=Needs:=Health=Promotion=and= Maintenance
= For=more=TEST=BANKS=https://www.stuvia.com/user/angelinas
, 5. During=a=prenatal=intake=interview,=the=nurse=is=in=the=process=of=obtaining=an=initial=assessment=of=a=21-
year-=old=Hispanic=patient=with=limited=English=proficiency.=It=is=important=for=the=nurse=to:
= For=more=TEST=BANKS=https://www.stuvia.com/user/angelinas
= For=more=TEST=BANKS=https://www.stuvia.com/user/angelinas
,Chapter 01: 21st Century Maternity Nursing
= = = = =
MULTIPLE=CHOICE
1. When=providing=care=for=a=pregnant=woman,=the=nurse=should=be=aware=that=one=of=the=most=frequentl
y=reported=maternal=medical=risk=factors=is:
a. Diabetes=mellitus. c. Chronic=hypertension.
b. Mitral=valve=prolapse=(MVP). d. Anemia.
ANS:=A
The=most=frequently=reported=maternal=medical=risk=factors=are=diabetes=and=hypertension=associated=with=preg
nancy.= Both=of= these= conditions= are=associated=with= maternal= obesity.= There=are=no=studies= that= indicate=M
VP= is= among= the= most= frequently=reported= maternal= risk=factors.= Hypertension= associated= with= pregnancy,=n
ot=chronic=hypertension,=is=one=of=the=most=frequently=reported= maternal= medical=risk=factors.= Although=anem
ia=is=a=concern=in=pregnancy,=it=is=not=one=of=the=most=frequently=reported=maternal=medical=risk=factors=in=preg
nancy.
PTS:=1=DIF:=Cognitive= Level:=Knowledge=REF:=6
OBJ:=Nursing=Process:=Assessment= MSC:=Client=Needs:=Physiologic= Integrity
2. To=ensure=optimal=outcomes=for=the=patient,=the=contemporary=maternity=nurse= must= incorporate=both=team
work=and=communication=with=clinicians=into=her=care=delivery,=The=SBAR=technique=of=communication=is=an=
easy-to-remember= mechanism=for=communication.=Which=of=the=following=correctly=defines=this=acronym?
a. Situation,=baseline=assessment,=response
b. Situation,=background,= assessment,= recommendation
c. Subjective=background,=assessment,= recommendation
d. Situation,=background,=anticipated=recommendation
ANS:=B
The=situation,=background,=assessment,=recommendation=(SBAR)=technique=provides=a=specific=framework=for=co
mmunication=among=health=care=providers.=Failure=to=communicate=is=one=of=the=major=reasons=for=errors=in=healt
h=care.=The=SBAR=technique=has=the=potential=to=serve=as=a=means=to=reduce=errors.
PTS:=1=DIF:=Cognitive=Level:=Comprehension=REF:=14
= OBJ:=Nursing=Process:=Assessment,=Planning
MSC:=Client=Needs:=Safe=and=Effective= Care=Environment
3. The=role=of=the=professional=nurse=caring=for=childbearing=families= has=evolved=to=emphasize:
a. Providing=care=to=patients= directly=at=the=bedside.
= For=more=TEST=BANKS=https://www.stuvia.com/user/angelinas
, b. Primarily=hospital=care=of=maternity=patients.
c. Practice=using=an=evidence-based=approach.
d. Planning=patient=care=to=cover=longer=hospital=stays.
ANS:=C
Professional=nurses=are=part=of=the=team=of=health=care=providers= who= collaboratively=care= for= patients=throug
hout=the=childbearing=cycle.=Providing=care=to=patients=directly=at=the=bedside=is=one=of=the=nurses=tasks;=howev
er,=it=does=not=encompass=the=concept=of=the=evolved=professional=nurse.=Throughout=the=prenatal=period,=nurse
s=care=for=women=in=clinics=and=physicians= offices= and=teach=classes=to= help=families= prepare= for=childbirth.=
Nurses=also=care=for=childbearing=families=in=birthing=centers=and=in=the=home.=Nurses=have=been=critically=imp
ortant=in=developing=strategies=to=improve=the=well-
being=of=women=and=their=infants=and=have=led=the=efforts=to=implement=clinical=practice=guidelines=using=an=ev
idence-
based=approach.=Maternity=patients=have=experienced=a=decreased,=rather=than=an=increased,=length=of=stay=over=
the=past=2=decades.
PTS:=1=DIF:=Cognitive=Level:=Comprehension=REF:=1=
OBJ:=Nursing=Process:=Implementation
MSC:=Client=Needs:=Safe=and=Effective= Care=Environment
4. A=23-year-old=African-
American=woman=is=pregnant=with=her=first=child.=Based=on=the=statistics=for=infant=mortality,=which=plan=is=
most=important=for=the=nurse=to=implement?
a. Perform=a= nutrition=assessment.
b. Refer=the=woman=to=a=social=worker.
c. Advise=the=woman=to=see=an=obstetrician,= not=a= midwife.
d. Explain=to=the=woman=the=importance=of= keeping=her=prenatal=care=appointments.
ANS:=D
Consistent=prenatal=care=is=the=best=method=of=preventing=or=controlling=risk=factors=associated=with=infant=mort
ality.=Nutritional=status=is=an=important=modifiable=risk=factor,=but=a=nutrition=assessment=is=not=the=most=import
ant=action=a=nurse=should=take=in=this=situation.=The=patient= may=need=assistance=from=a=social=worker=at=some=
time= during= her= pregnancy,= but=a= referral= to=a= social= worker= is=not= the= most=important=aspect= the= nurse=shoul
d=address=at=this=time.=If=the=woman=has=identifiable=high-
risk=problems,=her=health=care=may=need=to=be=provided=by=a=physician.=However,=it=cannot=be=assumed=that=all
=African-American=women=have=high-
risk=issues.= In=addition,=advising=the= woman=to=see= an=obstetrician= is=not=the= most=important= aspect=on= which=
the=nurse= should=focus=at=this= time,=and=it=is= not=appropriate= for= a= nurse= to=advise=or= manage= the= type=of= car
e= a=patient=is=to=receive.
PTS:=1=DIF:=Cognitive= Level:=Comprehension=REF:=6
OBJ:=Nursing=Process:=Planning=MSC:=Client=Needs:=Health=Promotion=and= Maintenance
= For=more=TEST=BANKS=https://www.stuvia.com/user/angelinas
, 5. During=a=prenatal=intake=interview,=the=nurse=is=in=the=process=of=obtaining=an=initial=assessment=of=a=21-
year-=old=Hispanic=patient=with=limited=English=proficiency.=It=is=important=for=the=nurse=to:
= For=more=TEST=BANKS=https://www.stuvia.com/user/angelinas
