Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
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, Hisley: Maternal Child Nursing Care 2nd Edition Test Bank Chapter 01: 21st Cent
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ury Maternity Nursing
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MULTIPLE CHOICE TP
1. When providing care for a pregnant woman, the nurse should be aware that one of the
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TP most frequently reported maternal medical risk factors is:
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a. Diabetes mellitus. TP c. Chronic hypertension. TP
b. Mitral valve prolapse (MVP).
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ANS: A TP
The most frequently reported maternal medical risk factors are diabetes and hypertension ass
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ociated with pregnancy. Both of these conditions are associated with maternal obesity. There
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are no studies that indicate MVP is among the most frequently reported maternal risk f
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actors. Hypertension associated with pregnancy, not chronic hypertension, is one of the mos
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t frequently reported maternal medical risk factors. Although anemia is a concern in pregn
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ancy, it is not one of the most frequently reported maternal medical risk factors in pregnancy.
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PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
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OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
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2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incor
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porate both teamwork and communication with clinicians into her care delivery, The SBAR te
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chnique of communication is an easy-to-
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remember mechanism for communication. Which of the following correctly defines this acron
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ym?
a. Situation, baseline assessment, response TP TP TP
b. Situation, background, assessment, recommendation
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c. Subjective background, assessment, recommendation
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d. Situation, background, anticipated recommeTP TP TP
ndation ANS: B TP TP
The situation, background, assessment, recommendation (SBAR) technique provides a specific f
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ramework for communication among health care providers. Failure to communicate is one of t
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he major reasons for errors in health care. The SBAR technique has the potential to serve as a
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means to reduce errors.
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PTS: 1 DIF: Cognitive Level: Comprehension
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REF: 14 OBJ: Nursing Process: Assessment, P
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lanning
MSC: Client Needs: Safe and Effective Care Environment
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, 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.
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, b. Primarily hospital care of maternity patients.
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c. Practice using an evidence-based approach.
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d. Planning patient care to cover longer hospital stays.
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ANS: C TP
Professional nurses are part of the team of health care providers who collaboratively care f
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or patients throughout the childbearing cycle. Providing care to patients directly at the beds
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ide is one of the nurses tasks; however, it does not encompass the concept of the evolved prof
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essional nurse. Throughout the prenatal period, nurses care for women in clinics and physicia
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ns offices and teach classes to help families prepare for childbirth. Nurses also care for chi
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ldbearing families in birthing centers and in the home. Nurses have been critically important
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in developing strategies to improve the well-
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being of women and their infants and have led the efforts to implement clinical practice guide
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lines using an evidence-
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based approach. Maternity patients have experienced a decreased, rather than an increased, le
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ngth of stay over the past 2 decades.
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PTS: 1 DIF: Cognitive Level: Comprehension
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REF: 1 OBJ: Nursing Process: Implementatio
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n
MSC: Client Needs: Safe and Effective Care Environment
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4. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant mortalit
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y, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. TP TP TP
b. Refer the woman to a social worker.
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c. Advise the woman to see an obstetrician, not a midwife.
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d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D TP
Consistent prenatal care is the best method of preventing or controlling risk factors associate
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d with infant mortality. Nutritional status is an important modifiable risk factor, but a nutriti
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on assessment is not the most important action a nurse should take in this situation. The pati
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ent may need assistance from a social worker at some time during her pregnancy, but a refe
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rral to a social worker is not the most important aspect the nurse should address at this ti
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me. If the woman has identifiable high-
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risk problems, her health care may need to be provided by a physician. However, it cannot be
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assumed that all African-American women have high-
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