2nd Edition, Susan L. Ward, Shelton M. Hisley

Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank




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, Hisley: Maternal Child Nursing Care 2nd Edition Test Bank Chapter 01: 21st Cen
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tury Maternity Nursing
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MULTIPLE CHOICE GV




1. When providing care for a pregnant woman, the nurse should be aware that one of th
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e most frequently reported maternal medical risk factors is:
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a. Diabetes mellitus. GV c. Chronic hypertension. GV




b. Mitral valve prolapse (MVP). GV GV GV d. Anemia.


ANS: A GV




The most frequently reported maternal medical risk factors are diabetes and hypertension as
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sociated with pregnancy. Both of these conditions are associated with maternal obesity. The
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re are no studies that indicate MVP is among the most frequently reported maternal ris
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k factors. Hypertension associated with pregnancy, not chronic hypertension, is one of the
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most frequently reported maternal medical risk factors. Although anemia is a concern in p
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regnancy, it is not one of the most frequently reported maternal medical risk factors in preg
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nancy.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
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OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
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2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incor
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porate both teamwork and communication with clinicians into her care delivery, The SBAR t
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echnique of communication is an easy-to- GV GV GV GV GV



remember mechanism for communication. Which of the following correctly defines this acron
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ym?

a. Situation, baseline assessment, response GV GV GV




b. Situation, background, assessment, recommendation
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c. Subjective background, assessment, recommendation
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d. Situation, background, anticipated recomme GV GV GV




ndation ANS: B GV GV




The situation, background, assessment, recommendation (SBAR) technique provides a specific
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framework for communication among health care providers. Failure to communicate is one of
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the major reasons for errors in health care. The SBAR technique has the potential to serve as
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a means to reduce errors.
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PTS: 1 DIF: Cognitive Level: Comprehension
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V REF: 14 OBJ: Nursing Process: Assessment,
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Planning

MSC: Client Needs: Safe and Effective Care Environment
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, 3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
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a. Providing care to patients directly at the bedside.
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Med C GV

, b. Primarily hospital care of maternity patients. GV GV GV GV GV




c. Practice using an evidence-based approach.
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d. Planning patient care to cover longer hospital stays.
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ANS: C GV




Professional nurses are part of the team of health care providers who collaboratively care
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for patients throughout the childbearing cycle. Providing care to patients directly at the be
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dside is one of the nurses tasks; however, it does not encompass the concept of the evolved
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professional nurse. Throughout the prenatal period, nurses care for women in clinics and ph
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ysicians offices and teach classes to help families prepare for childbirth. Nurses also care
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for childbearing families in birthing centers and in the home. Nurses have been critically im
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portant in developing strategies to improve the well-
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being of women and their infants and have led the efforts to implement clinical practice guid
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elines using an evidence-
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based approach. Maternity patients have experienced a decreased, rather than an increased, l
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ength of stay over the past 2 decades.
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PTS: 1 DIF: Cognitive Level: Comprehension
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V REF: 1 OBJ: Nursing Process: Implementatio
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n

MSC: Client Needs: Safe and Effective Care Environment
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4. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant mortali
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ty, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. GV GV GV




b. Refer the woman to a social worker.
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c. Advise the woman to see an obstetrician, not a midwife.
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d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D GV




Consistent prenatal care is the best method of preventing or controlling risk factors associat
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ed with infant mortality. Nutritional status is an important modifiable risk factor, but a nutri
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tion assessment is not the most important action a nurse should take in this situation. The p
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atient may need assistance from a social worker at some time during her pregnancy, but a
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referral to a social worker is not the most important aspect the nurse should address at t
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his time. If the woman has identifiable high-
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risk problems, her health care may need to be provided by a physician. However, it cannot b
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e assumed that all African-American women have high-
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