Maternal Child Nursing Care – 2nd Edition by Ward &
Hisley
2nd Edition
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,Hisley: Maternal Child Nursing Care 2nd Edition Test Bank
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 frequently 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 pregnancy. Both of these conditions are associated
with maternal obesity. There are no studies that indicate MVP is among the
most frequently reported maternal risk factors. Hypertension associated with
pregnancy, not chronic hypertension, is one of the most frequently reported
maternal medical risk factors. Although anemia is a concern in pregnancy, it is
not one of the most frequently reported maternal medical risk factors in
pregnancy.
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 teamwork 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
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,ANS: B
The situation, background, assessment, recommendation (SBAR) technique
provides a specific framework for communication among health care providers.
Failure to communicate is one of the major reasons for errors in health 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.
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, 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 throughout the childbearing cycle. Providing care
to patients directly at the bedside is one of the nurses tasks; however, it does not
encompass the concept of the evolved professional nurse. Throughout the
prenatal period, nurses 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 important
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 evidence-
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.
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