`
`
,Chapter 01: 21st Century Maternity Nursing y# y# y# y# y#
MULTIPLE CHOICE y#
1. When providing care for a pregnant woman, the nurse should be aware that one of the most fre
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
quently reported maternal medical risk factors is:
y# y# y# y# y# y#
a. Diabetes mellitus. y# c. Chronic hypertension. y#
b. Mitral valve prolapse (MVP).
y# y# y# d. Anemia.
ANS: A y#
The most frequently reported maternal medical risk factors are diabetes and hypertension associated with pr
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
egnancy. Both of these conditions are associated with maternal obesity. There are no studies that in
y# y# y# y# y# y# y# y # y# y# y# y# y# y# y#
dicate MVP is among the most frequently reported maternal risk factors. Hypertension associated w
y# y# y# y# y # y # y# y # y# y# y# y# y#
ith pregnancy, not chronic hypertension, is one of the most frequently reported maternal medical risk fac
y# y# y# y# y# y# y# y# y# y# y# y # y # y# y#
tors. Although anemia is a concern in pregnancy, it is not one of the most frequently reported maternal
y # y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
y#medical risk factors in pregnancy.y# y# y# y#
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
y# y# y# y# y# y# y#
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
y# y# y# y# y# y# y# y#
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both tea
y# y# y# y# y# y# y# y# y# y# y # y # y# y#
mwork and communication with clinicians into her care delivery, The SBAR technique of communicatio
y# y# y# y# y# y# y# y# y# y# y# y# y#
n is an easy-to-
y# y# y#
remember mechanism for communication. Which of the following correctly defines this acronym?
y# y# y# y# y# y# y# y# y# y# y#
a. Situation, baseline assessment, response
y# y# y#
b. Situation, background, assessment, recommendation
y# y# y#
c. Subjective background, assessment, recommendation
y# y# y#
d. Situation, background, anticipated recommendati
y# y# y#
onANS: B #
y y#
The situation, background, assessment, recommendation (SBAR) technique provides a specific framework fo
y# y# y# y# y# y# y# y# y# y# y#
r communication among health care providers. Failure to communicate is one of the major reasons for error
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
s in health care. The SBAR technique has the potential to serve as a means to reduce errors.
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
PTS: 1 DIF: Cognitive Level: Comprehension REF:
y# y# y# y# y# y# y
# 14OBJ: Nursing Process: Assessment, Planning
#
y y# y# y# y#
MSC: Client Needs: Safe and Effective Care Environment
y# y# y# y# y# y# y#
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
y# y# y# y# y# y# y# y# y# y# y# y# y#
a. Providing care to patients directly at the bedside.
y# y# y# y# y# y# y#
,b. Primarily hospital care of maternity patients.
y# y# y# y# y#
c. Practice using an evidence-based approach.
y# y# y# y#
d. Planning patient care to cover longer hospital stays.
y# y# y# y# y# y# y#
ANS: C y#
Professional nurses are part of the team of health care providers who collaboratively care for patients t
y# y# y# y# y# y# y# y# y# y# y # y # y# y # y # y#
hroughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses t
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
asks; however, it does not encompass the concept of the evolved professional nurse. Throughout the pre
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
natal period, nurses care for women in clinics and physicians offices and teach classes to help families
y# y# y# y# y# y# y# y# y# y # y # y# y# y# y # y# y
#prepare for childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nur
y # y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ses have been critically important in developing strategies to improve the well-
y# y# y# y# y# y# y# y# y# y# y#
being of women and their infants and have led the efforts to implement clinical practice guidelines usin
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
g an evidence-
y# y#
based approach. Maternity patients have experienced a decreased, rather than an increased, length of stay
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
#over the past 2 decades.
y# y# y# y#
PTS: 1 DIF: Cognitive Level: Comprehension REF:
y# y# y# y# y# y# y
# 1OBJ: Nursing Process: Implementation
#
y y# y# y#
MSC: Client Needs: Safe and Effective Care Environment
y# y# y# y# y# y# y#
4. A 23-year-old African-
y# y#
American woman is pregnant with her first child. Based on the statistics for infant mortality, which p
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
lan is most important for the nurse to implement?
y# y# y# y# y# y# y# y#
a. Perform a nutrition assessment. y# y# y#
b. Refer the woman to a social worker.
y# y# y# y# y# y#
c. Advise the woman to see an obstetrician, not a midwife.
y# y# y# y# y# y# y# y# y#
d. Explain to the woman the importance of keeping her prenatal care appointments.
y# y# y# y# y# y# y# y# y# y# y#
ANS: D y#
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
most important action a nurse should take in this situation. The patient may need assistance from a soc
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ial worker at some time during her pregnancy, but a referral to a social worker is not the most im
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
portant aspect the nurse should address at this time. If the woman has identifiable high-
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
risk problems, her health care may need to be provided by a physician. However, it cannot be assumed t
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
hat all African-American women have high-
y# y# y# y# y#
riskissues. In addition, advising the woman to see an obstetrician is not the most important aspect
#
y y# y# y# y# y# y# y# y# y# y # y# y# y# y# y# y#
on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or man
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
age the type of care a patient is to receive.
y# y# y# y# y# y# y# y# y#
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
y# y# y# y# y# y# y#
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
y# y# y# y# y# y# y# y# y# y#
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 2
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
, 1-year- old Hispanic patient with limited English proficiency. It is important for the nurse to:
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
`
,Chapter 01: 21st Century Maternity Nursing y# y# y# y# y#
MULTIPLE CHOICE y#
1. When providing care for a pregnant woman, the nurse should be aware that one of the most fre
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
quently reported maternal medical risk factors is:
y# y# y# y# y# y#
a. Diabetes mellitus. y# c. Chronic hypertension. y#
b. Mitral valve prolapse (MVP).
y# y# y# d. Anemia.
ANS: A y#
The most frequently reported maternal medical risk factors are diabetes and hypertension associated with pr
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
egnancy. Both of these conditions are associated with maternal obesity. There are no studies that in
y# y# y# y# y# y# y# y # y# y# y# y# y# y# y#
dicate MVP is among the most frequently reported maternal risk factors. Hypertension associated w
y# y# y# y# y # y # y# y # y# y# y# y# y#
ith pregnancy, not chronic hypertension, is one of the most frequently reported maternal medical risk fac
y# y# y# y# y# y# y# y# y# y# y# y # y # y# y#
tors. Although anemia is a concern in pregnancy, it is not one of the most frequently reported maternal
y # y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
y#medical risk factors in pregnancy.y# y# y# y#
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
y# y# y# y# y# y# y#
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
y# y# y# y# y# y# y# y#
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both tea
y# y# y# y# y# y# y# y# y# y# y # y # y# y#
mwork and communication with clinicians into her care delivery, The SBAR technique of communicatio
y# y# y# y# y# y# y# y# y# y# y# y# y#
n is an easy-to-
y# y# y#
remember mechanism for communication. Which of the following correctly defines this acronym?
y# y# y# y# y# y# y# y# y# y# y#
a. Situation, baseline assessment, response
y# y# y#
b. Situation, background, assessment, recommendation
y# y# y#
c. Subjective background, assessment, recommendation
y# y# y#
d. Situation, background, anticipated recommendati
y# y# y#
onANS: B #
y y#
The situation, background, assessment, recommendation (SBAR) technique provides a specific framework fo
y# y# y# y# y# y# y# y# y# y# y#
r communication among health care providers. Failure to communicate is one of the major reasons for error
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
s in health care. The SBAR technique has the potential to serve as a means to reduce errors.
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
PTS: 1 DIF: Cognitive Level: Comprehension REF:
y# y# y# y# y# y# y
# 14OBJ: Nursing Process: Assessment, Planning
#
y y# y# y# y#
MSC: Client Needs: Safe and Effective Care Environment
y# y# y# y# y# y# y#
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
y# y# y# y# y# y# y# y# y# y# y# y# y#
a. Providing care to patients directly at the bedside.
y# y# y# y# y# y# y#
,b. Primarily hospital care of maternity patients.
y# y# y# y# y#
c. Practice using an evidence-based approach.
y# y# y# y#
d. Planning patient care to cover longer hospital stays.
y# y# y# y# y# y# y#
ANS: C y#
Professional nurses are part of the team of health care providers who collaboratively care for patients t
y# y# y# y# y# y# y# y# y# y# y # y # y# y # y # y#
hroughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses t
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
asks; however, it does not encompass the concept of the evolved professional nurse. Throughout the pre
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
natal period, nurses care for women in clinics and physicians offices and teach classes to help families
y# y# y# y# y# y# y# y# y# y # y # y# y# y# y # y# y
#prepare for childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nur
y # y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ses have been critically important in developing strategies to improve the well-
y# y# y# y# y# y# y# y# y# y# y#
being of women and their infants and have led the efforts to implement clinical practice guidelines usin
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
g an evidence-
y# y#
based approach. Maternity patients have experienced a decreased, rather than an increased, length of stay
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y
#over the past 2 decades.
y# y# y# y#
PTS: 1 DIF: Cognitive Level: Comprehension REF:
y# y# y# y# y# y# y
# 1OBJ: Nursing Process: Implementation
#
y y# y# y#
MSC: Client Needs: Safe and Effective Care Environment
y# y# y# y# y# y# y#
4. A 23-year-old African-
y# y#
American woman is pregnant with her first child. Based on the statistics for infant mortality, which p
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
lan is most important for the nurse to implement?
y# y# y# y# y# y# y# y#
a. Perform a nutrition assessment. y# y# y#
b. Refer the woman to a social worker.
y# y# y# y# y# y#
c. Advise the woman to see an obstetrician, not a midwife.
y# y# y# y# y# y# y# y# y#
d. Explain to the woman the importance of keeping her prenatal care appointments.
y# y# y# y# y# y# y# y# y# y# y#
ANS: D y#
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
most important action a nurse should take in this situation. The patient may need assistance from a soc
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
ial worker at some time during her pregnancy, but a referral to a social worker is not the most im
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
portant aspect the nurse should address at this time. If the woman has identifiable high-
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
risk problems, her health care may need to be provided by a physician. However, it cannot be assumed t
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
hat all African-American women have high-
y# y# y# y# y#
riskissues. In addition, advising the woman to see an obstetrician is not the most important aspect
#
y y# y# y# y# y# y# y# y# y# y # y# y# y# y# y# y#
on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or man
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
age the type of care a patient is to receive.
y# y# y# y# y# y# y# y# y#
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
y# y# y# y# y# y# y#
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
y# y# y# y# y# y# y# y# y# y#
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 2
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
, 1-year- old Hispanic patient with limited English proficiency. It is important for the nurse to:
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
