Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank Questions & Answers | Complete Guide A+

TEST BANK n




n For more TEST BANKS https://www.stuvia.com/user/angelinas
n n n n

,Chapter 01: 21st Century Maternity Nursing n n n n n




MULTIPLE CHOICE n




1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently
n n n n n n n n n n n n n n n n n



reported maternal medical risk factors is:
n n n n n n




a. Diabetes mellitus. n c. Chronic hypertension. n




b. Mitral valve prolapse (MVP). n n n d. Anemia.


ANS: A n




The most frequently reported maternal medical risk factors are diabetes and hypertension associated with
n n n n n n n n n n n n n



pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that
n n n n n n n n n n n n n n n



nindicate MVP is among the most frequently reported maternal risk factors. Hypertension associated with
n n n n n n n n n n n n n



pregnancy, not chronic hypertension, is one of the most frequently reported maternal medical risk factors.
n n n n n n n n n n n n n n n



nAlthough anemia is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk
n n n n n n n n n n n n n n n n n n



factors in pregnancy.
n n n




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




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




2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both
n n n n n n n n n n n n n



teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is
n n n n n n n n n n n n n n n



an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?
n n n n n n n n n n n n n




a. Situation, baseline assessment, response n n n




b. Situation, background, assessment, recommendation n n n




c. Subjective background, assessment, recommendation n n n




d. Situation, background, anticipated recommendation n n n




ANS: B n




The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for
n n n n n n n n n n n



communication among health care providers. Failure to communicate is one of the major reasons for errors in
n n n n n n n n n n n n n n n n n



health care. The SBAR technique has the potential to serve as a means to reduce errors.
n n n n n n n n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Comprehension REF: 14
n n n n n n n




n OBJ: Nursing Process: Assessment, Planning
n n n n




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




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




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




n For more TEST BANKS https://www.stuvia.com/user/angelinas
n n n n

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




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




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




ANS: C n




Professional nurses are part of the team of health care providers who collaboratively care for patients
n n n n n n n n n n n n n n n



throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks;
n n n n n n n n n n n n n n n n n n



however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period,
n n n n n n n n n n n n n n n n



nurses care for women in clinics and physicians offices and teach classes to help families prepare for
n n n n n n n n n n n n n n n n n



childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses have been
n n n n n n n n n n n n n n n n n



critically important in developing strategies to improve the well-being of women and their infants and have led
n n n n n n n n n n n n n n n n n



the efforts to implement clinical practice guidelines using an evidence-based approach. Maternity patients have
n n n n n n n n n n n n n n



experienced a decreased, rather than an increased, length of stay over the past 2 decades.
n n n n n n n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Comprehension REF: 1
n n n n n n n




n OBJ: Nursing Process: Implementation
n n n




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




4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant
n n n n n n n n n n n n n n n



mortality, which plan is most important for the nurse to implement?
n n n n n n n n n n n




a. Perform a nutrition assessment. n n n




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




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




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




ANS: D n




Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
n n n n n n n n n n n n n n n



mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most
n n n n n n n n n n n n n n n n n



important action a nurse should take in this situation. The patient may need assistance from a social worker at
n n n n n n n n n n n n n n n n n n n



some time during her pregnancy, but a referral to a social worker is not the most important aspect the
n n n n n n n n n n n n n n n n n n n



nurse should address at this time. If the woman has identifiable high-risk problems, her health care may need to
n n n n n n n n n n n n n n n n n n n



be provided by a physician. However, it cannot be assumed that all African-American women have high-risk
n n n n n n n n n n n n n n n n



issues. In addition, advising the woman to see an obstetrician is not the most important aspect on which the
n n n n n n n n n n n n n n n n n n n



nurse should focus at this time, and it is not appropriate for a nurse to advise or manage the type of care
n n n n n n n n n n n n n n n n n n n n n n



a patient is to receive.
n n n n n




PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
n n n n n n n




OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
n n n n n n n n n n




5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-
n n n n n n n n n n n n n n n n n n



old Hispanic patient with limited English proficiency. It is important for the nurse to:
n n n n n n n n n n n n n n




n For more TEST BANKS https://www.stuvia.com/user/angelinas
n n n n

, a. Use maternity jargon in order for the patient to become familiar with these terms.
n n n n n n n n n n n n n




b. Speak quickly and efficiently to expedite the visit.
n n n n n n n




c. Provide the patient with handouts. n n n n




d. Assess whether the patient understands the discussion.
n n n n n n




ANS: D n




Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether
n n n n n n n n n n n n n n



the patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase
n n n n n n n n n n n n n n n n



understanding. Most patient education materials are written at too high a level for the average adult and
n n n n n n n n n n n n n n n n n



nmay not be useful for a client with limited English proficiency.
n n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Application REF: 5
n n n n n n n




OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
n n n n n n n n n n




6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
n n n n n n n n n n n n n n n n



most significant barrier to access to care is the pregnant womans:
n n n n n n n n n n n




a. Age. c. Educational level. n




b. Minority status. n d. Inability to pay. n n




ANS: D n




The most significant barrier to health care access is the inability to pay for services; this is compounded by the
n n n n n n n n n n n n n n n n n n n



fact that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients
n n n n n n n n n n n n n n n n



statistically receive less prenatal care, age is not the most significant barrier. Significant disparities in
n n n n n n n n n n n n n n n



morbidity and mortality rates exist for minority women; however, minority status is not the most significant
n n n n n n n n n n n n n n n n



barrier to access of care. Disparities in educational level are associated with morbidity and mortality rates;
n n n n n n n n n n n n n n n n



however, educational level is not the most significant barrier to access of care.
n n n n n n n n n n n n n




PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
n n n n n n n




n OBJ: Nursing Process: Assessment
n n n




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




7. What is the primary role of practicing nurses in the research process?
n n n n n n n n n n n




a. Designing research studies n n




b. Collecting data for other researchers n n n n




c. Identifying researchable problems n n




d. Seeking funding to support research studies n n n n n




n For more TEST BANKS https://www.stuvia.com/user/angelinas
n n n n