Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
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, Hisley:nMaternalnChildnNursingnCaren2ndnEditionnTestnBanknChaptern01:n21stnCentu
rynMaternitynNursing
MULTIPLEn CHOICE
1. Whennprovidingncarenfornanpregnantnwoman,nthennursenshouldnbenawarenthatnonenofnthenmost
frequentlynreportednmaternalnmedicalnrisknfactorsnis:
n
a. Diabetesn mellitus. c. Chronicn hypertension.
b. Mitralnvalven prolapsen(MVP). d. Anemia.
ANS:n A
Thenmostnfrequentlynreportednmaternalnmedicalnrisknfactorsnarendiabetesnandnhypertensionnassocia
tednwithnpregnancy.nBothnofnthesenconditionsnarenassociatednwithn maternalnobesity.nTherenarennons
tudiesnthatnindicaten MVPn isnamongn then mostn frequentlynreportedn maternalnriskn factors.nHyperte
nsionn associatedn withn pregnancy,nnotnchronicnhypertension,nisnonenofnthenmostnfrequentlynreporte
dn maternaln medicalnrisknfactors.n Althoughnanemianisnanconcernninnpregnancy,nitnisnnotnonenofnthenm
ostnfrequentlynreportednmaternalnmedicalnrisknfactorsninnpregnancy.
PTS:n1nDIF:n Cognitiven Level:nKnowledgenREF:n6
OBJ:nNursingn Process:n Assessmentn MSC:n Clientn Needs:n Physiologicn Integrity
2. Tonensurenoptimalnoutcomesnfornthenpatient,nthencontemporarynmaternitynnursen mustn incorporat
enbothnteamworknandncommunicationnwithncliniciansnintonherncarendelivery,nThenSBARntechniquenofn
communicationnisnanneasy-to-
remembern mechanismnforncommunication.nWhichnofnthenfollowingncorrectlyndefinesnthisnacronym?
a. Situation,n baselinen assessment,nresponse
b. Situation,n background,n assessment,n recommendation
c. Subjectiven background,n assessment,n recommendation
d. Situation,nbackground,nanticipatednrecommen
dationnANS:nB
Thensituation,nbackground,nassessment,nrecommendationn(SBAR)ntechniquenprovidesnanspecificnfra
meworknforncommunicationnamongnhealthncarenproviders.nFailurentoncommunicatenisnonenofnthenmaj
ornreasonsnfornerrorsninnhealthncare.nThenSBARntechniquenhasnthenpotentialntonservenasnanmeansntonre
ducenerrors.
PTS:n1nDIF:nCognitivenLevel:nComprehensionnR
EF:n14nOBJ:nNursingnProcess:nAssessment,nPlan
ning
MSC:n Clientn Needs:n SafenandnEffectiven Caren Environment
3. Thenrolen ofnthen professionaln nursen caringnforn childbearingn familiesn hasn evolvedntonemphasize:
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, a. Providingncarentonpatientsn directlynatnthenbedside.
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, b. Primarilynhospitalncarenofn maternityn patients.
c. Practicenusingnann evidence-basednapproach.
d. Planningnpatientncarentoncovernlongern hospitalnstays.
ANS:nC
Professionalnnursesnarenpartnofnthenteamnofnhealthncarenprovidersn whon collaborativelyncaren forn pati
entsnthroughoutnthenchildbearingncycle.nProvidingncarentonpatientsndirectlynatnthenbedsidenisnonenofn
thennursesntasks;nhowever,nitndoesnnotnencompassnthenconceptnofnthenevolvednprofessionalnnurse.nTh
roughoutnthenprenatalnperiod,nnursesncarenfornwomenninnclinicsnandnphysiciansn officesn andnteachncl
assesnton helpnfamiliesn preparen fornchildbirth.nNursesnalsoncarenfornchildbearingnfamiliesninnbirthing
ncentersnandninnthenhome.nNursesnhavenbeenncriticallynimportantninndevelopingnstrategiesntonimprov
enthenwell-
beingnofnwomennandntheirninfantsnandnhavenledntheneffortsntonimplementnclinicalnpracticenguidelinesn
usingnannevidence-
basednapproach.nMaternitynpatientsnhavenexperiencednandecreased,nrathernthannannincreased,nlength
nofnstaynovernthenpastn2ndecades.
PTS:n1nDIF:nCognitivenLevel:nComprehensionnR
EF:n1nOBJ:nNursingnProcess:nImplementation
MSC:n Clientn Needs:n SafenandnEffectiven Caren Environment
4. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonnthenstatisticsnforninfantnmortality,nwh
ichnplannisnmostnimportantnfornthennursentonimplement?
a. Performnan nutritionnassessment.
b. Refernthen womanntonansocialn worker.
c. Advisenthen womanntonseenannobstetrician,n notnan midwife.
d. Explainntonthen womannthenimportancenofn keepingn hern prenatalncarenappointments.
ANS:nD
Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsnassociatednwit
hninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfactor,nbutnannutritionnassess
mentnisnnotnthenmostnimportantnactionnannursenshouldntakeninnthisnsituation.nThenpatientnmaynneedna
ssistancenfromnansocialnworkernatnsomentimen duringn hern pregnancy,n butnanreferraln tonan socialn work
ern isnnotn then mostnimportantnaspectn then nursenshouldnaddressnatnthisntime.nIfnthenwomannhasnidentif
iablenhigh-
risknproblems,nhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowever,nitncannotnbenassu
mednthatnallnAfrican-Americannwomennhavenhigh-
risknissues.n Innaddition,nadvisingnthen womanntonseen annobstetriciann isnnotn then mostn importantn aspe
ctn onn whichnthennursen shouldnfocusnatnthisn time,nandnitnisn notnappropriaten fornannursen tonadvisen orn
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MednC
, Hisley:nMaternalnChildnNursingnCaren2ndnEditionnTestnBanknChaptern01:n21stnCentu
rynMaternitynNursing
MULTIPLEn CHOICE
1. Whennprovidingncarenfornanpregnantnwoman,nthennursenshouldnbenawarenthatnonenofnthenmost
frequentlynreportednmaternalnmedicalnrisknfactorsnis:
n
a. Diabetesn mellitus. c. Chronicn hypertension.
b. Mitralnvalven prolapsen(MVP). d. Anemia.
ANS:n A
Thenmostnfrequentlynreportednmaternalnmedicalnrisknfactorsnarendiabetesnandnhypertensionnassocia
tednwithnpregnancy.nBothnofnthesenconditionsnarenassociatednwithn maternalnobesity.nTherenarennons
tudiesnthatnindicaten MVPn isnamongn then mostn frequentlynreportedn maternalnriskn factors.nHyperte
nsionn associatedn withn pregnancy,nnotnchronicnhypertension,nisnonenofnthenmostnfrequentlynreporte
dn maternaln medicalnrisknfactors.n Althoughnanemianisnanconcernninnpregnancy,nitnisnnotnonenofnthenm
ostnfrequentlynreportednmaternalnmedicalnrisknfactorsninnpregnancy.
PTS:n1nDIF:n Cognitiven Level:nKnowledgenREF:n6
OBJ:nNursingn Process:n Assessmentn MSC:n Clientn Needs:n Physiologicn Integrity
2. Tonensurenoptimalnoutcomesnfornthenpatient,nthencontemporarynmaternitynnursen mustn incorporat
enbothnteamworknandncommunicationnwithncliniciansnintonherncarendelivery,nThenSBARntechniquenofn
communicationnisnanneasy-to-
remembern mechanismnforncommunication.nWhichnofnthenfollowingncorrectlyndefinesnthisnacronym?
a. Situation,n baselinen assessment,nresponse
b. Situation,n background,n assessment,n recommendation
c. Subjectiven background,n assessment,n recommendation
d. Situation,nbackground,nanticipatednrecommen
dationnANS:nB
Thensituation,nbackground,nassessment,nrecommendationn(SBAR)ntechniquenprovidesnanspecificnfra
meworknforncommunicationnamongnhealthncarenproviders.nFailurentoncommunicatenisnonenofnthenmaj
ornreasonsnfornerrorsninnhealthncare.nThenSBARntechniquenhasnthenpotentialntonservenasnanmeansntonre
ducenerrors.
PTS:n1nDIF:nCognitivenLevel:nComprehensionnR
EF:n14nOBJ:nNursingnProcess:nAssessment,nPlan
ning
MSC:n Clientn Needs:n SafenandnEffectiven Caren Environment
3. Thenrolen ofnthen professionaln nursen caringnforn childbearingn familiesn hasn evolvedntonemphasize:
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, a. Providingncarentonpatientsn directlynatnthenbedside.
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, b. Primarilynhospitalncarenofn maternityn patients.
c. Practicenusingnann evidence-basednapproach.
d. Planningnpatientncarentoncovernlongern hospitalnstays.
ANS:nC
Professionalnnursesnarenpartnofnthenteamnofnhealthncarenprovidersn whon collaborativelyncaren forn pati
entsnthroughoutnthenchildbearingncycle.nProvidingncarentonpatientsndirectlynatnthenbedsidenisnonenofn
thennursesntasks;nhowever,nitndoesnnotnencompassnthenconceptnofnthenevolvednprofessionalnnurse.nTh
roughoutnthenprenatalnperiod,nnursesncarenfornwomenninnclinicsnandnphysiciansn officesn andnteachncl
assesnton helpnfamiliesn preparen fornchildbirth.nNursesnalsoncarenfornchildbearingnfamiliesninnbirthing
ncentersnandninnthenhome.nNursesnhavenbeenncriticallynimportantninndevelopingnstrategiesntonimprov
enthenwell-
beingnofnwomennandntheirninfantsnandnhavenledntheneffortsntonimplementnclinicalnpracticenguidelinesn
usingnannevidence-
basednapproach.nMaternitynpatientsnhavenexperiencednandecreased,nrathernthannannincreased,nlength
nofnstaynovernthenpastn2ndecades.
PTS:n1nDIF:nCognitivenLevel:nComprehensionnR
EF:n1nOBJ:nNursingnProcess:nImplementation
MSC:n Clientn Needs:n SafenandnEffectiven Caren Environment
4. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonnthenstatisticsnforninfantnmortality,nwh
ichnplannisnmostnimportantnfornthennursentonimplement?
a. Performnan nutritionnassessment.
b. Refernthen womanntonansocialn worker.
c. Advisenthen womanntonseenannobstetrician,n notnan midwife.
d. Explainntonthen womannthenimportancenofn keepingn hern prenatalncarenappointments.
ANS:nD
Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsnassociatednwit
hninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfactor,nbutnannutritionnassess
mentnisnnotnthenmostnimportantnactionnannursenshouldntakeninnthisnsituation.nThenpatientnmaynneedna
ssistancenfromnansocialnworkernatnsomentimen duringn hern pregnancy,n butnanreferraln tonan socialn work
ern isnnotn then mostnimportantnaspectn then nursenshouldnaddressnatnthisntime.nIfnthenwomannhasnidentif
iablenhigh-
risknproblems,nhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowever,nitncannotnbenassu
mednthatnallnAfrican-Americannwomennhavenhigh-
risknissues.n Innaddition,nadvisingnthen womanntonseen annobstetriciann isnnotn then mostn importantn aspe
ctn onn whichnthennursen shouldnfocusnatnthisn time,nandnitnisn notnappropriaten fornannursen tonadvisen orn
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