Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
MedEC
, Hisley:EMaternalEChildENursingECareE2ndEEditionETestEBankEChapterE01:E21stECentu
ryEMaternityENursing
MULTIPLEE CHOICE
1. WhenEprovidingEcareEforEaEpregnantEwoman,EtheEnurseEshouldEbeEawareEthatEoneEofEtheEmos
tEfrequentlyEreportedEmaternalEmedicalEriskEfactorsEis:
a. DiabetesE mellitus. c. ChronicE hypertension.
b. MitralE valveE prolapseE(MVP). d. Anemia.
ANS:E A
TheEmostEfrequentlyEreportedEmaternalEmedicalEriskEfactorsEareEdiabetesEandEhypertensionEassocia
tedEwithEpregnancy.EBothEofEtheseEconditionsEareEassociatedEwithE maternalEobesity.EThereEareEnoEs
tudiesEthatEindicateE MVPE isEamongE theE mostE frequentlyEreportedE maternalEriskE factors.EHyperte
nsionE associatedE withE pregnancy,EnotEchronicEhypertension,EisEoneEofEtheEmostEfrequentlyEreporte
dE maternalE medicalEriskEfactors.E AlthoughEanemiaEisEaEconcernEinEpregnancy,EitEisEnotEoneEofEtheEm
ostEfrequentlyEreportedEmaternalEmedicalEriskEfactorsEinEpregnancy.
PTS:E1E DIF:E CognitiveE Level:E KnowledgeE REF:E 6
OBJ:E NursingE Process:E AssessmentE MSC:E ClientE Needs:E PhysiologicE Integrity
2. ToEensureEoptimalEoutcomesEforEtheEpatient,EtheEcontemporaryEmaternityEnurseE mustE incorporat
eEbothEteamworkEandEcommunicationEwithEcliniciansEintoEherEcareEdelivery,ETheESBAREtechniqueEof
EcommunicationEisEanEeasy-to-
rememberE mechanismEforEcommunication.EWhichEofEtheEfollowingEcorrectlyEdefinesEthisEacronym?
a. Situation,E baselineE assessment,E response
b. Situation,E background,E assessment,E recommendation
c. SubjectiveE background,E assessment,E recommendation
d. Situation,Ebackground,EanticipatedErecommen
dationEANS:EB
TheEsituation,Ebackground,Eassessment,ErecommendationE(SBAR)EtechniqueEprovidesEaEspecificEfra
meworkEforEcommunicationEamongEhealthEcareEproviders.EFailureEtoEcommunicateEisEoneEofEtheEmaj
orEreasonsEforEerrorsEinEhealthEcare.ETheESBAREtechniqueEhasEtheEpotentialEtoEserveEasEaEmeansEtoEre
duceEerrors.
PTS:E1EDIF:ECognitiveELevel:EComprehensionER
EF:E14EOBJ:ENursingEProcess:EAssessment,EPlan
ning
MSC:E ClientE Needs:E SafeEandEEffectiveE CareE Environment
3. TheEroleEofEtheE professionalE nurseE caringEforE childbearingE familiesE hasE evolvedEtoEemphasize:
MedEC
, a. ProvidingEcareEtoE patientsE directlyE atEtheE bedside.
MedEC
, b. PrimarilyEhospitalE careEofE maternityE patients.
c. PracticeE usingEanE evidence-basedE approach.
d. PlanningEpatientE careEtoEcoverE longerE hospitalE stays.
ANS:EC
ProfessionalEnursesEareEpartEofEtheEteamEofEhealthEcareEprovidersE whoE collaborativelyEcareE forE pat
ientsEthroughoutEtheEchildbearingEcycle.EProvidingEcareEtoEpatientsEdirectlyEatEtheEbedsideEisEoneEof
EtheEnursesEtasks;Ehowever,EitEdoesEnotEencompassEtheEconceptEofEtheEevolvedEprofessionalEnurse.ET
hroughoutEtheEprenatalEperiod,EnursesEcareEforEwomenEinEclinicsEandEphysiciansE officesE andEteachEc
lassesEtoE helpEfamiliesE prepareE forEchildbirth.ENursesEalsoEcareEforEchildbearingEfamiliesEinEbirthin
gEcentersEandEinEtheEhome.ENursesEhaveEbeenEcriticallyEimportantEinEdevelopingEstrategiesEtoEimpr
oveEtheEwell-
beingEofEwomenEandEtheirEinfantsEandEhaveEledEtheEeffortsEtoEimplementEclinicalEpracticeEguidelines
EusingEanEevidence-
basedEapproach.EMaternityEpatientsEhaveEexperiencedEaEdecreased,EratherEthanEanEincreased,Elengt
hEofEstayEoverEtheEpastE2Edecades.
PTS:E1EDIF:ECognitiveELevel:EComprehensionER
EF:E1EOBJ:ENursingEProcess:EImplementation
MSC:E ClientE Needs:E SafeEandEEffectiveE CareE Environment
4. AE23-year-oldEAfrican-
AmericanEwomanEisEpregnantEwithEherEfirstEchild.EBasedEonEtheEstatisticsEforEinfantEmortality,Ew
hichEplanEisEmostEimportantEforEtheEnurseEtoEimplement?
a. PerformEaE nutritionE assessment.
b. ReferE theE womanE toEaEsocialE worker.
c. AdviseEtheE womanEtoEseeEanEobstetrician,E notEaE midwife.
d. ExplainEtoEtheE womanEtheE importanceE ofE keepingE herE prenatalE careE appointments.
ANS:ED
ConsistentEprenatalEcareEisEtheEbestEmethodEofEpreventingEorEcontrollingEriskEfactorsEassociatedEwi
thEinfantEmortality.ENutritionalEstatusEisEanEimportantEmodifiableEriskEfactor,EbutEaEnutritionEassess
mentEisEnotEtheEmostEimportantEactionEaEnurseEshouldEtakeEinEthisEsituation.ETheEpatientEmayEneedE
assistanceEfromEaEsocialEworkerEatEsomeEtimeE duringE herE pregnancy,E butEaEreferralE toEaE socialE wor
kerE isEnotE theE mostEimportantEaspectE theE nurseEshouldEaddressEatEthisEtime.EIfEtheEwomanEhasEiden
tifiableEhigh-
riskEproblems,EherEhealthEcareEmayEneedEtoEbeEprovidedEbyEaEphysician.EHowever,EitEcannotEbeEassu
medEthatEallEAfrican-AmericanEwomenEhaveEhigh-
riskEissues.E InEaddition,EadvisingEtheE womanEtoEseeE anEobstetricianE isEnotE theE mostE importantE asp
ectE onE whichEtheEnurseE shouldEfocusEatEthisE time,EandEitEisE notEappropriateE forEaEnurseE toEadviseE or
MedEC
MedEC
, Hisley:EMaternalEChildENursingECareE2ndEEditionETestEBankEChapterE01:E21stECentu
ryEMaternityENursing
MULTIPLEE CHOICE
1. WhenEprovidingEcareEforEaEpregnantEwoman,EtheEnurseEshouldEbeEawareEthatEoneEofEtheEmos
tEfrequentlyEreportedEmaternalEmedicalEriskEfactorsEis:
a. DiabetesE mellitus. c. ChronicE hypertension.
b. MitralE valveE prolapseE(MVP). d. Anemia.
ANS:E A
TheEmostEfrequentlyEreportedEmaternalEmedicalEriskEfactorsEareEdiabetesEandEhypertensionEassocia
tedEwithEpregnancy.EBothEofEtheseEconditionsEareEassociatedEwithE maternalEobesity.EThereEareEnoEs
tudiesEthatEindicateE MVPE isEamongE theE mostE frequentlyEreportedE maternalEriskE factors.EHyperte
nsionE associatedE withE pregnancy,EnotEchronicEhypertension,EisEoneEofEtheEmostEfrequentlyEreporte
dE maternalE medicalEriskEfactors.E AlthoughEanemiaEisEaEconcernEinEpregnancy,EitEisEnotEoneEofEtheEm
ostEfrequentlyEreportedEmaternalEmedicalEriskEfactorsEinEpregnancy.
PTS:E1E DIF:E CognitiveE Level:E KnowledgeE REF:E 6
OBJ:E NursingE Process:E AssessmentE MSC:E ClientE Needs:E PhysiologicE Integrity
2. ToEensureEoptimalEoutcomesEforEtheEpatient,EtheEcontemporaryEmaternityEnurseE mustE incorporat
eEbothEteamworkEandEcommunicationEwithEcliniciansEintoEherEcareEdelivery,ETheESBAREtechniqueEof
EcommunicationEisEanEeasy-to-
rememberE mechanismEforEcommunication.EWhichEofEtheEfollowingEcorrectlyEdefinesEthisEacronym?
a. Situation,E baselineE assessment,E response
b. Situation,E background,E assessment,E recommendation
c. SubjectiveE background,E assessment,E recommendation
d. Situation,Ebackground,EanticipatedErecommen
dationEANS:EB
TheEsituation,Ebackground,Eassessment,ErecommendationE(SBAR)EtechniqueEprovidesEaEspecificEfra
meworkEforEcommunicationEamongEhealthEcareEproviders.EFailureEtoEcommunicateEisEoneEofEtheEmaj
orEreasonsEforEerrorsEinEhealthEcare.ETheESBAREtechniqueEhasEtheEpotentialEtoEserveEasEaEmeansEtoEre
duceEerrors.
PTS:E1EDIF:ECognitiveELevel:EComprehensionER
EF:E14EOBJ:ENursingEProcess:EAssessment,EPlan
ning
MSC:E ClientE Needs:E SafeEandEEffectiveE CareE Environment
3. TheEroleEofEtheE professionalE nurseE caringEforE childbearingE familiesE hasE evolvedEtoEemphasize:
MedEC
, a. ProvidingEcareEtoE patientsE directlyE atEtheE bedside.
MedEC
, b. PrimarilyEhospitalE careEofE maternityE patients.
c. PracticeE usingEanE evidence-basedE approach.
d. PlanningEpatientE careEtoEcoverE longerE hospitalE stays.
ANS:EC
ProfessionalEnursesEareEpartEofEtheEteamEofEhealthEcareEprovidersE whoE collaborativelyEcareE forE pat
ientsEthroughoutEtheEchildbearingEcycle.EProvidingEcareEtoEpatientsEdirectlyEatEtheEbedsideEisEoneEof
EtheEnursesEtasks;Ehowever,EitEdoesEnotEencompassEtheEconceptEofEtheEevolvedEprofessionalEnurse.ET
hroughoutEtheEprenatalEperiod,EnursesEcareEforEwomenEinEclinicsEandEphysiciansE officesE andEteachEc
lassesEtoE helpEfamiliesE prepareE forEchildbirth.ENursesEalsoEcareEforEchildbearingEfamiliesEinEbirthin
gEcentersEandEinEtheEhome.ENursesEhaveEbeenEcriticallyEimportantEinEdevelopingEstrategiesEtoEimpr
oveEtheEwell-
beingEofEwomenEandEtheirEinfantsEandEhaveEledEtheEeffortsEtoEimplementEclinicalEpracticeEguidelines
EusingEanEevidence-
basedEapproach.EMaternityEpatientsEhaveEexperiencedEaEdecreased,EratherEthanEanEincreased,Elengt
hEofEstayEoverEtheEpastE2Edecades.
PTS:E1EDIF:ECognitiveELevel:EComprehensionER
EF:E1EOBJ:ENursingEProcess:EImplementation
MSC:E ClientE Needs:E SafeEandEEffectiveE CareE Environment
4. AE23-year-oldEAfrican-
AmericanEwomanEisEpregnantEwithEherEfirstEchild.EBasedEonEtheEstatisticsEforEinfantEmortality,Ew
hichEplanEisEmostEimportantEforEtheEnurseEtoEimplement?
a. PerformEaE nutritionE assessment.
b. ReferE theE womanE toEaEsocialE worker.
c. AdviseEtheE womanEtoEseeEanEobstetrician,E notEaE midwife.
d. ExplainEtoEtheE womanEtheE importanceE ofE keepingE herE prenatalE careE appointments.
ANS:ED
ConsistentEprenatalEcareEisEtheEbestEmethodEofEpreventingEorEcontrollingEriskEfactorsEassociatedEwi
thEinfantEmortality.ENutritionalEstatusEisEanEimportantEmodifiableEriskEfactor,EbutEaEnutritionEassess
mentEisEnotEtheEmostEimportantEactionEaEnurseEshouldEtakeEinEthisEsituation.ETheEpatientEmayEneedE
assistanceEfromEaEsocialEworkerEatEsomeEtimeE duringE herE pregnancy,E butEaEreferralE toEaE socialE wor
kerE isEnotE theE mostEimportantEaspectE theE nurseEshouldEaddressEatEthisEtime.EIfEtheEwomanEhasEiden
tifiableEhigh-
riskEproblems,EherEhealthEcareEmayEneedEtoEbeEprovidedEbyEaEphysician.EHowever,EitEcannotEbeEassu
medEthatEallEAfrican-AmericanEwomenEhaveEhigh-
riskEissues.E InEaddition,EadvisingEtheE womanEtoEseeE anEobstetricianE isEnotE theE mostE importantE asp
ectE onE whichEtheEnurseE shouldEfocusEatEthisE time,EandEitEisE notEappropriateE forEaEnurseE toEadviseE or
MedEC
