Test Bank Maternal Child Nursing Care 2nd Edition Ward Hisley
Table of Contents
Chapter 01: 21st Century Maternity Nursing....................................................................................... 3
Chapter 02: Community Care: The Family and Culture .................................................................... 17
Chapter 03: Assessment and Health Promotion ............................................................................... 27
Chapter 04: Reproductive System Concerns .................................................................................... 45
Chapter 05: Infertility, Contraception, and Abortion .......................................................................... 66
Chapter 06: Genetics, Conception, and Fetal Development ............................................................. 85
Chapter 07: Anatomy and Physiology of Pregnancy....................................................................... 102
Chapter 08: Nursing Care of the Family During Pregnancy ............................................................ 117
Chapter 09: Maternal and Fetal Nutrition ........................................................................................ 135
Chapter 10: Assessment of High Risk Pregnancy .......................................................................... 153
Chapter 11: High Risk Perinatal Care: Preexisting Conditions........................................................ 167
Chapter 12: High Risk Perinatal Care: Gestational Conditions ....................................................... 188
Chapter 13: Labor and Birth Processes .......................................................................................... 210
Chapter 14: Pain Management ....................................................................................................... 224
Chapter 15: Fetal Assessment During Labor .................................................................................. 243
Chapter 16: Nursing Care of the Family During Labor and Birth .................................................... 261
Chapter 17: Labor and Birth Complications .................................................................................... 287
Chapter 18: Maternal Physiologic Changes .................................................................................... 304
Chapter 19: Nursing Care of the Family During the Postpartum Period ......................................... 319
Chapter 20: Transition to Parenthood ............................................................................................. 333
Chapter 21: Postpartum Complications........................................................................................... 348
Chapter 22: Physiologic and Behavioral Adaptations of the Newborn............................................ 368
Chapter 23: Nursing Care of the Newborn and Family ................................................................... 387
Chapter 24: Newborn Nutrition and Feeding................................................................................... 399
Chapter 25: The High Risk Newborn .............................................................................................. 417
Chapter 26: 21st Century Pediatric Nursing.................................................................................... 442
Chapter 27: Family, Social, Cultural, and Religious Influences on ChildHealth Promotion ............. 449
Chapter 28: Developmental and Genetic Influences on Child HealthPromotion............................. 457
Chapter 29: Communication, History, and Physical Assessment ................................................... 473
Chapter 30: Pain Assessment and Management in Children ......................................................... 493
Chapter 31: The Infant and Family.................................................................................................. 504
Chapter 32: The Toddler and Family ............................................................................................... 527
Chapter 33: The Preschooler and Family........................................................................................ 545
Chapter 34: The School-Age Child and Family ............................................................................... 559
Chapter 35: The Adolescent and Family ......................................................................................... 576
Chapter 36: Impact of Chronic Illness, Disability, and End-of-Life Care for the Child and Family ..... 597
Chapter 37: Impact of Cognitive or Sensory Impairment on the Childand Family .......................... 615
Chapter 38: Family-Centered Care of the Child During Illness andHospitalization......................... 635
Chapter 39: Pediatric Variations of Nursing Interventions ............................................................... 647
Chapter 40: Respiratory Dysfunction .............................................................................................. 671
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,Chapter 41: Gastrointestinal Dysfunction ........................................................................................ 689
Chapter 42: Cardiovascular Dysfunction ......................................................................................... 711
Chapter 43: Hematologic and Immunologic Dysfunction ................................................................ 737
Chapter 44: Cancer ......................................................................................................................... 761
Chapter 45: Genitourinary Dysfunction ........................................................................................... 786
Chapter 46: Cerebral Dysfunction ................................................................................................... 802
Chapter 47: Endocrine Dysfunction ................................................................................................ 824
Chapter 48: Musculoskeletal or Articular Dysfunction..................................................................... 841
Chapter 49: Neuromuscular or Muscular Dysfunction .................................................................... 857
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, Chapter 01: 21st Century Maternity Nursing
MULTIPLE CHOICE
1. When providing care for a pregnant woman, the nurse should be aware that one of the
most frequently reported maternal medical risk factors is:
a. Diabetes mellitus. c. Chronic hypertension.
b. Mitral valve prolapse (MVP). d. Anemia.
ANS: A
The most frequently reported maternal medical risk factors are diabetes and hypertension
associated with pregnancy. Both of these conditions are associated with maternal obesity. There
are no studies that indicate MVP is among the most frequently reported maternal risk factors.
Hypertension associated with pregnancy, not chronic hypertension, is one of the most frequently
reported maternal medical risk factors. Although anemia is a concern in pregnancy, it is not one
of the most frequently reported maternal medical risk factors in pregnancy.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must
incorporate both teamwork and communication with clinicians into her care delivery, The SBAR
technique of communication is an easy-to-remember mechanism for communication. Which of
the following correctly defines this acronym?
a. Situation, baseline assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated
recommendation ANS: B
The situation, background, assessment, recommendation (SBAR) technique provides a specific
framework for communication among health care providers. Failure to communicate is one of the
major reasons for errors in health care. The SBAR technique has the potential to serve as a
means to reduce errors.
PTS: 1 DIF: Cognitive Level: Comprehension
REF: 14 OBJ: Nursing Process: Assessment,
Planning
MSC: Client Needs: Safe and Effective Care Environment
3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
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, a. Providing care to patients directly at the bedside.
b. Primarily hospital care of maternity patients.
c. Practice using an evidence-based approach.
d. Planning patient care to cover longer hospital stays.
ANS: C
Professional nurses are part of the team of health care providers who collaboratively care for
patients throughout the childbearing cycle. Providing care to patients directly at the bedside is
one of the nurses tasks; however, it does not encompass the concept of the evolved
professional nurse. Throughout the prenatal period, nurses care for women in clinics and
physicians offices and teach classes to help families prepare for childbirth. Nurses also care for
childbearing families in birthing centers and in the home. Nurses have been critically important in
developing strategies to improve the well-being of women and their infants and have led the
efforts to implement clinical practice guidelines using an evidence-based approach. Maternity
patients have experienced a decreased, rather than an increased, length of stay over the past 2
decades.
PTS: 1 DIF: Cognitive Level: Comprehension
REF: 1 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
4. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated
with infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition
assessment is not the most important action a nurse should take in this situation. The patient
may need assistance from a social worker at some time during her pregnancy, but a referral to
a social worker is not the most important aspect the nurse should address at this time. If the
woman has identifiable high-risk problems, her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have high-risk
issues. In addition, advising the woman to see an obstetrician is not the most important
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
advise or manage the type of care a patient is to receive.
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