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MATERNAL CHILD NURSING CARE 7TH EDITION
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,Chapter 01: 21st Century Maternity Nursing
Perry: Maternal Child Nursing Care, 7th Edition
MULTIPLE CHOICE
1. When providing care for a pregnant woman, the nurse
should be aware that one of the mostfrequently reported
maternal medical risk factors is
a. diabetes mellitus.
b. mitral valve prolapse (MVP).
c. chronic hypertension.
d. anemia.
ANSWER: 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.
DIF: Cognitive Level: Knowledge OBJ: NURSING Process:
AssessmentMSC: 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 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
ANSWER: 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.
DIF: Cognitive Level: Comprehension
OBJ: NURSING Process: Assessment | NURSING Process:
PlanningMSC: Client Needs: Safe and Effective Care
Environment
3. The role of the professional NURSE caring for childbearing families has evolved to emphasize
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.
ANSWER: 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 isone of the NURSE‘s tasks; however, it does not encompass the concept of the
evolved professional NURSE. Throughout the prenatal period, NURSEs care for women in
clinics and physician‘s 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 developDinowgnlo
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g of women
, 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 two decades.
DIF: Cognitive Level: Comprehension OBJ: NURSING Process:
ImplementationMSC: 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.
ANSWER: 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 toa 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 aspecton 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.
DIF: Cognitive Level: Application OBJ: NURSING Process:
PlanningMSC: Client Needs: Health Promotion and Maintenance
5. During a prenatal intake interview, the NURSE is in the process of obtaining an initial
assessment of a 21-year-old Hispanic patient with limited English proficiency. It is important
for the NURSE to
a. use maternity jargon in order for the patient to become familiar with these terms.
b. speak quickly and efficiently to expedite the visit.
c. provide the patient with handouts.
d. assess whether the patient understands the discussion.
ANSWER: D
NURSEs contribute to health literacy by using simple, common words; avoiding jargon;
and evaluating whether the patient understands the discussion. Speaking slowly and clearly
andfocusing on what is important increase understanding. Most patient education materials
arewritten at too high a level for the average adult and may not be useful for a patient with
limited English proficiency.
DIF: Cognitive Level: Application OBJ: NURSING Process:
EvaluationMSC: Client Needs: Health Promotion and Maintenance
6. When managing health care for pregnant women at a prenatal clinic, the NURSE
shouldrecognize that the most significant barrier to access to care is the pregnant
woman‘s
a. age.
b. minority status.
c. educational level.
d. inability to pay.
ANSWER: D
The most significant barrier to health care access is the inability to pay for services; this is
compounded by the fact that many physicians refuse to care for women who cannot pay.
