Test Bank: Maternal Child Nursing Care 2nd Edition By Ward Hisley

Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank




Med C
GV

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




tury Maternity Nursing
GV GV




MULTIPLE CHOICE GV




1. When providing care for a pregnant woman, the nurse should be aware that one of th
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



e most frequently reported maternal medical risk factors is:
GV GV GV GV GV GV GV GV




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
GV GV GV GV GV GV GV GV GV GV GV GV



sociated with pregnancy. Both of these conditions are associated with maternal obesity. The
GV GV GV GV GV GV GV GV GV G V GV GV



re are no studies that indicate MVP is among the most frequently reported maternal ris
GV GV GV GV GV G V G V GV GV G V G V GV G V GV



k factors. Hypertension associated with pregnancy, not chronic hypertension, is one of the
GV GV GV GV GV GV GV GV GV GV GV GV GV



most frequently reported maternal medical risk factors. Although anemia is a concern in p
GV GV G V G V GV GV G V GV GV GV GV GV GV



regnancy, it is not one of the most frequently reported maternal medical risk factors in preg
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



nancy.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
GV GV GV GV GV GV GV




OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
GV GV GV GV GV GV GV GV




2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incor
GV GV GV GV GV GV GV GV GV GV G V G V



porate both teamwork and communication with clinicians into her care delivery, The SBAR t
GV GV GV GV GV GV GV GV GV GV GV GV GV



echnique of communication is an easy-to- GV GV GV GV GV



remember mechanism for communication. Which of the following correctly defines this acron
G V GV GV GV GV GV GV GV GV GV GV



ym?

a. Situation, baseline assessment, response GV GV GV




b. Situation, background, assessment, recommendation
GV GV GV




c. Subjective background, assessment, recommendation
GV GV GV




d. Situation, background, anticipated recomme GV GV GV




ndation ANS: B GV GV




The situation, background, assessment, recommendation (SBAR) technique provides a specific
GV GV GV GV GV GV GV GV GV GV



framework for communication among health care providers. Failure to communicate is one of
GV GV GV GV GV GV GV GV GV GV GV GV GV



the major reasons for errors in health care. The SBAR technique has the potential to serve as
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



a means to reduce errors.
GV GV GV GV GV




PTS: 1 DIF: Cognitive Level: Comprehension
GV GV GV GV GV G




V REF: 14 OBJ: Nursing Process: Assessment,
GV GV GV GV GV GV




Planning

MSC: Client Needs: Safe and Effective Care Environment
GV GV GV GV GV GV GV




Med C GV

, 3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
GV GV GV GV GV GV GV GV GV GV GV GV GV




a. Providing care to patients directly at the bedside.
GV GV GV GV GV GV GV




Med C GV

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




c. Practice using an evidence-based approach.
GV GV GV GV




d. Planning patient care to cover longer hospital stays.
GV GV GV GV GV GV GV




ANS: C GV




Professional nurses are part of the team of health care providers who collaboratively care
GV GV GV GV GV GV GV GV GV GV G V G V GV G V



for patients throughout the childbearing cycle. Providing care to patients directly at the be
G V GV GV GV GV GV GV GV GV GV GV GV GV



dside is one of the nurses tasks; however, it does not encompass the concept of the evolved
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



professional nurse. Throughout the prenatal period, nurses care for women in clinics and ph
GV GV GV GV GV GV GV GV GV GV GV GV GV



ysicians offices and teach classes to help families prepare for childbirth. Nurses also care
G V G V GV GV GV G V GV G V G V GV GV GV GV GV



for childbearing families in birthing centers and in the home. Nurses have been critically im
GV GV GV GV GV GV GV GV GV GV GV GV GV GV



portant in developing strategies to improve the well-
GV GV GV GV GV GV GV



being of women and their infants and have led the efforts to implement clinical practice guid
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



elines using an evidence-
GV GV GV



based approach. Maternity patients have experienced a decreased, rather than an increased, l
GV GV GV GV GV GV GV GV GV GV GV GV



ength of stay over the past 2 decades.
GV GV GV GV GV GV GV




PTS: 1 DIF: Cognitive Level: Comprehension
GV GV GV GV GV G




V REF: 1 OBJ: Nursing Process: Implementatio
GV GV GV GV GV




n

MSC: Client Needs: Safe and Effective Care Environment
GV GV GV GV GV GV GV




4. A 23-year-old African-
GV GV



American woman is pregnant with her first child. Based on the statistics for infant mortali
GV GV GV GV GV GV GV GV GV GV GV GV GV GV



ty, which plan is most important for the nurse to implement?
GV GV GV GV GV GV GV GV GV GV




a. Perform a nutrition assessment. GV GV GV




b. Refer the woman to a social worker.
GV GV GV GV GV GV




c. Advise the woman to see an obstetrician, not a midwife.
GV GV GV GV GV GV GV GV GV




d. Explain to the woman the importance of keeping her prenatal care appointments.
GV GV GV GV GV GV GV GV GV GV GV




ANS: D GV




Consistent prenatal care is the best method of preventing or controlling risk factors associat
GV GV GV GV GV GV GV GV GV GV GV GV GV



ed with infant mortality. Nutritional status is an important modifiable risk factor, but a nutri
GV GV GV GV GV GV GV GV GV GV GV GV GV GV



tion assessment is not the most important action a nurse should take in this situation. The p
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



atient may need assistance from a social worker at some time during her pregnancy, but a
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



referral to a social worker is not the most important aspect the nurse should address at t
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



his time. If the woman has identifiable high-
GV GV GV GV GV GV GV



risk problems, her health care may need to be provided by a physician. However, it cannot b
GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV GV



e assumed that all African-American women have high-
GV GV GV GV GV GV GV




Med C GV