TEST BANK
l
,Chapter 01: 21st Century Maternity Nursing
l l l l l
MULTIPLE lCHOICE
1. When lproviding lcare lfor la lpregnant lwoman, lthe lnurse lshould lbe laware lthat lone lof lthe lmost
lfrequently lreported lmaternal lmedical lrisk lfactors lis:
a. Diabetes lmellitus. c. Chronic lhypertension.
b. Mitral lvalve lprolapse l(MVP). d. Anemia.
ANS: lA
The lmost lfrequently lreported lmaternal lmedical lrisk lfactors lare ldiabetes land lhypertension lassociated lwith
lpregnancy. l Both lof l these l conditions l are lassociated lwith l maternal l obesity. l There lare lno lstudies
l that l indicate lMVP l is l among l the l most l frequently lreported l maternal l risk lfactors. l Hypertension
l associated l with l pregnancy, lnot lchronic lhypertension, lis lone lof lthe lmost lfrequently lreported l maternal
l medical lrisk lfactors. l Although lanemia lis la lconcern lin lpregnancy, lit lis lnot lone lof lthe lmost lfrequently
lreported lmaternal lmedical lrisk lfactors lin lpregnancy.
PTS: l1 lDIF: lCognitive lLevel: lKnowledge lREF: l6
OBJ: lNursing lProcess: lAssessment lMSC: lClient lNeeds: l Physiologic l Integrity
2. To lensure loptimal loutcomes lfor lthe lpatient, lthe lcontemporary lmaternity lnurse l must l incorporate lboth
lteamwork land lcommunication lwith lclinicians linto lher lcare ldelivery, lThe lSBAR ltechnique lof
lcommunication lis lan leasy-to-remember l mechanism lfor lcommunication. lWhich lof lthe lfollowing lcorrectly
ldefines lthis lacronym?
a. Situation, lbaseline lassessment, lresponse
b. Situation, lbackground, lassessment, lrecommendation
c. Subjective lbackground, lassessment, lrecommendation
d. Situation, lbackground, lanticipated lrecommendation
ANS: lB
The lsituation, lbackground, lassessment, lrecommendation l(SBAR) ltechnique lprovides la lspecific lframework lfor
lcommunication lamong lhealth lcare lproviders. lFailure lto lcommunicate lis lone lof lthe lmajor lreasons lfor lerrors
lin lhealth lcare. lThe lSBAR ltechnique lhas lthe lpotential lto lserve las la lmeans lto lreduce lerrors.
PTS: l1 lDIF: lCognitive lLevel: lComprehension lREF:
14 lOBJ: lNursing lProcess: lAssessment, lPlanning
l
MSC: lClient lNeeds: lSafe land lEffective l Care lEnvironment
3. The lrole lof lthe lprofessional lnurse lcaring lfor lchildbearing lfamilies l has levolved lto lemphasize:
a. Providing lcare lto lpatients l directly lat lthe lbedside.
, b. Primarily lhospital lcare lof lmaternity lpatients.
c. Practice lusing lan levidence-based lapproach.
d. Planning lpatient lcare lto lcover llonger lhospital lstays.
ANS: lC
Professional lnurses lare lpart lof lthe lteam lof lhealth lcare lproviders l who l collaboratively lcare l for l patients
lthroughout lthe lchildbearing lcycle. lProviding lcare lto lpatients ldirectly lat lthe lbedside lis lone lof lthe lnurses
ltasks; lhowever, lit ldoes lnot lencompass lthe lconcept lof lthe levolved lprofessional lnurse. lThroughout lthe
lprenatal lperiod, lnurses lcare lfor lwomen lin lclinics land lphysicians l offices l and lteach lclasses lto l help
lfamilies l prepare l for lchildbirth. lNurses lalso lcare lfor lchildbearing lfamilies lin lbirthing lcenters land lin lthe
lhome. lNurses lhave lbeen lcritically limportant lin ldeveloping lstrategies lto limprove lthe lwell-being lof lwomen
land ltheir linfants land lhave lled lthe lefforts lto limplement lclinical lpractice lguidelines lusing lan levidence-based
lapproach. lMaternity lpatients lhave lexperienced la ldecreased, lrather lthan lan lincreased, llength lof lstay lover
lthe lpast l2 ldecades.
PTS: l1 lDIF: lCognitive lLevel: lComprehension lREF: l1
l OBJ: lNursing lProcess: lImplementation
MSC: lClient lNeeds: lSafe land lEffective l Care lEnvironment
4. A l23-year-old lAfrican-American lwoman lis lpregnant lwith lher lfirst lchild. lBased lon lthe lstatistics lfor
linfant lmortality, lwhich lplan lis lmost limportant lfor lthe lnurse lto limplement?
a. Perform la l nutrition lassessment.
b. Refer lthe lwoman lto la lsocial lworker.
c. Advise lthe lwoman lto lsee lan lobstetrician, lnot la l midwife.
d. Explain lto lthe lwoman lthe limportance lof lkeeping lher lprenatal lcare lappointments.
ANS: lD
Consistent lprenatal lcare lis lthe lbest lmethod lof lpreventing lor lcontrolling lrisk lfactors lassociated lwith linfant
lmortality. lNutritional lstatus lis lan limportant lmodifiable lrisk lfactor, lbut la lnutrition lassessment lis lnot lthe
lmost limportant laction la lnurse lshould ltake lin lthis lsituation. lThe lpatient l may lneed lassistance lfrom la lsocial
lworker lat lsome l time l during l her l pregnancy, l but la l referral l to la l social l worker l is lnot l the l most
limportant laspect l the l nurse lshould laddress lat lthis ltime. lIf lthe lwoman lhas lidentifiable lhigh-risk lproblems,
lher lhealth lcare lmay lneed lto lbe lprovided lby la lphysician. lHowever, lit lcannot lbe lassumed lthat lall lAfrican-
American lwomen lhave lhigh-risk lissues. l In laddition, ladvising lthe l woman lto lsee l an lobstetrician l is lnot
lthe l most limportant l aspect lon l which l the lnurse l should lfocus lat lthis l time, land lit lis l not lappropriate
l for l a l nurse l to ladvise lor l manage l the l type lof l care l a lpatient lis lto lreceive.
PTS: l1 lDIF: lCognitive l Level: lComprehension lREF: l6
OBJ: lNursing lProcess: lPlanning lMSC: lClient lNeeds: lHealth lPromotion land l Maintenance
5. During la lprenatal lintake linterview, lthe lnurse lis lin lthe lprocess lof lobtaining lan linitial lassessment lof la l21-
year- lold lHispanic lpatient lwith llimited lEnglish lproficiency. lIt lis limportant lfor lthe lnurse lto:
, a. Use l maternity ljargon lin lorder lfor lthe lpatient lto lbecome lfamiliar lwith lthese lterms.
b. Speak lquickly land lefficiently lto lexpedite lthe l visit.
c. Provide lthe lpatient lwith lhandouts.
d. Assess lwhether lthe lpatient lunderstands lthe ldiscussion.
ANS: lD
Nurses lcontribute lto lhealth lliteracy lby lusing lsimple, lcommon lwords; lavoiding ljargon; land levaluating
lwhether lthe lpatient lunderstands lthe ldiscussion. lSpeaking lslowly land lclearly land lfocusing lon lwhat lis
limportant lincrease lunderstanding. lMost lpatient leducation lmaterials lare lwritten lat ltoo l high la l level l for
lthe laverage ladult land l may lnot lbe luseful lfor la lclient lwith llimited lEnglish lproficiency.
PTS: l1 lDIF: lCognitive lLevel: lApplication lREF: l5
OBJ: lNursing lProcess: lEvaluation lMSC: lClient lNeeds: lHealth lPromotion land l Maintenance
6. When lmanaging lhealth lcare lfor lpregnant lwomen lat la lprenatal lclinic, lthe lnurse lshould lrecognize lthat
lthe lmost lsignificant lbarrier lto laccess lto lcare lis lthe lpregnant lwomans:
a. Age. c. Educational llevel.
b. Minority lstatus. d. Inability lto lpay.
ANS: lD
The lmost lsignificant lbarrier lto lhealth lcare laccess lis lthe linability lto lpay lfor lservices; lthis lis lcompounded lby
lthe lfact lthat lmany lphysicians lrefuse lto lcare lfor lwomen lwho lcannot lpay. lAlthough ladolescent lpregnant
lclients lstatistically lreceive lless lprenatal lcare, lage lis lnot lthe lmost lsignificant l barrier. l Significant
l disparities l in lmorbidity land lmortality lrates lexist lfor lminority lwomen; lhowever, lminority lstatus lis lnot lthe
lmost lsignificant lbarrier lto laccess lof lcare. lDisparities lin leducational llevel lare lassociated lwith lmorbidity
land lmortality lrates; lhowever, leducational llevel lis lnot lthe lmost lsignificant lbarrier lto laccess lof lcare.
PTS: l1 lDIF: lCognitive lLevel: lKnowledge lREF:
5 lOBJ: lNursing lProcess: lAssessment
l
MSC: lClient lNeeds: lSafe land lEffective l Care lEnvironment
7. What lis lthe lprimary lrole l of lpracticing lnurses lin lthe lresearch lprocess?
a. Designing lresearch lstudies
b. Collecting ldata lfor lother lresearchers
c. Identifying lresearchable lproblems
d. Seeking lfunding lto lsupport lresearch lstudies
l
,Chapter 01: 21st Century Maternity Nursing
l l l l l
MULTIPLE lCHOICE
1. When lproviding lcare lfor la lpregnant lwoman, lthe lnurse lshould lbe laware lthat lone lof lthe lmost
lfrequently lreported lmaternal lmedical lrisk lfactors lis:
a. Diabetes lmellitus. c. Chronic lhypertension.
b. Mitral lvalve lprolapse l(MVP). d. Anemia.
ANS: lA
The lmost lfrequently lreported lmaternal lmedical lrisk lfactors lare ldiabetes land lhypertension lassociated lwith
lpregnancy. l Both lof l these l conditions l are lassociated lwith l maternal l obesity. l There lare lno lstudies
l that l indicate lMVP l is l among l the l most l frequently lreported l maternal l risk lfactors. l Hypertension
l associated l with l pregnancy, lnot lchronic lhypertension, lis lone lof lthe lmost lfrequently lreported l maternal
l medical lrisk lfactors. l Although lanemia lis la lconcern lin lpregnancy, lit lis lnot lone lof lthe lmost lfrequently
lreported lmaternal lmedical lrisk lfactors lin lpregnancy.
PTS: l1 lDIF: lCognitive lLevel: lKnowledge lREF: l6
OBJ: lNursing lProcess: lAssessment lMSC: lClient lNeeds: l Physiologic l Integrity
2. To lensure loptimal loutcomes lfor lthe lpatient, lthe lcontemporary lmaternity lnurse l must l incorporate lboth
lteamwork land lcommunication lwith lclinicians linto lher lcare ldelivery, lThe lSBAR ltechnique lof
lcommunication lis lan leasy-to-remember l mechanism lfor lcommunication. lWhich lof lthe lfollowing lcorrectly
ldefines lthis lacronym?
a. Situation, lbaseline lassessment, lresponse
b. Situation, lbackground, lassessment, lrecommendation
c. Subjective lbackground, lassessment, lrecommendation
d. Situation, lbackground, lanticipated lrecommendation
ANS: lB
The lsituation, lbackground, lassessment, lrecommendation l(SBAR) ltechnique lprovides la lspecific lframework lfor
lcommunication lamong lhealth lcare lproviders. lFailure lto lcommunicate lis lone lof lthe lmajor lreasons lfor lerrors
lin lhealth lcare. lThe lSBAR ltechnique lhas lthe lpotential lto lserve las la lmeans lto lreduce lerrors.
PTS: l1 lDIF: lCognitive lLevel: lComprehension lREF:
14 lOBJ: lNursing lProcess: lAssessment, lPlanning
l
MSC: lClient lNeeds: lSafe land lEffective l Care lEnvironment
3. The lrole lof lthe lprofessional lnurse lcaring lfor lchildbearing lfamilies l has levolved lto lemphasize:
a. Providing lcare lto lpatients l directly lat lthe lbedside.
, b. Primarily lhospital lcare lof lmaternity lpatients.
c. Practice lusing lan levidence-based lapproach.
d. Planning lpatient lcare lto lcover llonger lhospital lstays.
ANS: lC
Professional lnurses lare lpart lof lthe lteam lof lhealth lcare lproviders l who l collaboratively lcare l for l patients
lthroughout lthe lchildbearing lcycle. lProviding lcare lto lpatients ldirectly lat lthe lbedside lis lone lof lthe lnurses
ltasks; lhowever, lit ldoes lnot lencompass lthe lconcept lof lthe levolved lprofessional lnurse. lThroughout lthe
lprenatal lperiod, lnurses lcare lfor lwomen lin lclinics land lphysicians l offices l and lteach lclasses lto l help
lfamilies l prepare l for lchildbirth. lNurses lalso lcare lfor lchildbearing lfamilies lin lbirthing lcenters land lin lthe
lhome. lNurses lhave lbeen lcritically limportant lin ldeveloping lstrategies lto limprove lthe lwell-being lof lwomen
land ltheir linfants land lhave lled lthe lefforts lto limplement lclinical lpractice lguidelines lusing lan levidence-based
lapproach. lMaternity lpatients lhave lexperienced la ldecreased, lrather lthan lan lincreased, llength lof lstay lover
lthe lpast l2 ldecades.
PTS: l1 lDIF: lCognitive lLevel: lComprehension lREF: l1
l OBJ: lNursing lProcess: lImplementation
MSC: lClient lNeeds: lSafe land lEffective l Care lEnvironment
4. A l23-year-old lAfrican-American lwoman lis lpregnant lwith lher lfirst lchild. lBased lon lthe lstatistics lfor
linfant lmortality, lwhich lplan lis lmost limportant lfor lthe lnurse lto limplement?
a. Perform la l nutrition lassessment.
b. Refer lthe lwoman lto la lsocial lworker.
c. Advise lthe lwoman lto lsee lan lobstetrician, lnot la l midwife.
d. Explain lto lthe lwoman lthe limportance lof lkeeping lher lprenatal lcare lappointments.
ANS: lD
Consistent lprenatal lcare lis lthe lbest lmethod lof lpreventing lor lcontrolling lrisk lfactors lassociated lwith linfant
lmortality. lNutritional lstatus lis lan limportant lmodifiable lrisk lfactor, lbut la lnutrition lassessment lis lnot lthe
lmost limportant laction la lnurse lshould ltake lin lthis lsituation. lThe lpatient l may lneed lassistance lfrom la lsocial
lworker lat lsome l time l during l her l pregnancy, l but la l referral l to la l social l worker l is lnot l the l most
limportant laspect l the l nurse lshould laddress lat lthis ltime. lIf lthe lwoman lhas lidentifiable lhigh-risk lproblems,
lher lhealth lcare lmay lneed lto lbe lprovided lby la lphysician. lHowever, lit lcannot lbe lassumed lthat lall lAfrican-
American lwomen lhave lhigh-risk lissues. l In laddition, ladvising lthe l woman lto lsee l an lobstetrician l is lnot
lthe l most limportant l aspect lon l which l the lnurse l should lfocus lat lthis l time, land lit lis l not lappropriate
l for l a l nurse l to ladvise lor l manage l the l type lof l care l a lpatient lis lto lreceive.
PTS: l1 lDIF: lCognitive l Level: lComprehension lREF: l6
OBJ: lNursing lProcess: lPlanning lMSC: lClient lNeeds: lHealth lPromotion land l Maintenance
5. During la lprenatal lintake linterview, lthe lnurse lis lin lthe lprocess lof lobtaining lan linitial lassessment lof la l21-
year- lold lHispanic lpatient lwith llimited lEnglish lproficiency. lIt lis limportant lfor lthe lnurse lto:
, a. Use l maternity ljargon lin lorder lfor lthe lpatient lto lbecome lfamiliar lwith lthese lterms.
b. Speak lquickly land lefficiently lto lexpedite lthe l visit.
c. Provide lthe lpatient lwith lhandouts.
d. Assess lwhether lthe lpatient lunderstands lthe ldiscussion.
ANS: lD
Nurses lcontribute lto lhealth lliteracy lby lusing lsimple, lcommon lwords; lavoiding ljargon; land levaluating
lwhether lthe lpatient lunderstands lthe ldiscussion. lSpeaking lslowly land lclearly land lfocusing lon lwhat lis
limportant lincrease lunderstanding. lMost lpatient leducation lmaterials lare lwritten lat ltoo l high la l level l for
lthe laverage ladult land l may lnot lbe luseful lfor la lclient lwith llimited lEnglish lproficiency.
PTS: l1 lDIF: lCognitive lLevel: lApplication lREF: l5
OBJ: lNursing lProcess: lEvaluation lMSC: lClient lNeeds: lHealth lPromotion land l Maintenance
6. When lmanaging lhealth lcare lfor lpregnant lwomen lat la lprenatal lclinic, lthe lnurse lshould lrecognize lthat
lthe lmost lsignificant lbarrier lto laccess lto lcare lis lthe lpregnant lwomans:
a. Age. c. Educational llevel.
b. Minority lstatus. d. Inability lto lpay.
ANS: lD
The lmost lsignificant lbarrier lto lhealth lcare laccess lis lthe linability lto lpay lfor lservices; lthis lis lcompounded lby
lthe lfact lthat lmany lphysicians lrefuse lto lcare lfor lwomen lwho lcannot lpay. lAlthough ladolescent lpregnant
lclients lstatistically lreceive lless lprenatal lcare, lage lis lnot lthe lmost lsignificant l barrier. l Significant
l disparities l in lmorbidity land lmortality lrates lexist lfor lminority lwomen; lhowever, lminority lstatus lis lnot lthe
lmost lsignificant lbarrier lto laccess lof lcare. lDisparities lin leducational llevel lare lassociated lwith lmorbidity
land lmortality lrates; lhowever, leducational llevel lis lnot lthe lmost lsignificant lbarrier lto laccess lof lcare.
PTS: l1 lDIF: lCognitive lLevel: lKnowledge lREF:
5 lOBJ: lNursing lProcess: lAssessment
l
MSC: lClient lNeeds: lSafe land lEffective l Care lEnvironment
7. What lis lthe lprimary lrole l of lpracticing lnurses lin lthe lresearch lprocess?
a. Designing lresearch lstudies
b. Collecting ldata lfor lother lresearchers
c. Identifying lresearchable lproblems
d. Seeking lfunding lto lsupport lresearch lstudies
