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Maternal child nursing care 2nd edition ward hisley test bank.pdf
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- Maternal Child Nursing
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- Chamberlain College Of Nursing
Maternal child nursing care 2nd edition ward hisley test
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Maternal Child nursing Care 2nd editio’ ’ ’ ’ ’
n Ward hisley test Bank
’ ’ ’ ’ ’
,Hisley:’Maternal’Child’Nursing’Care’2nd’Edition’Test’Bank’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’re
ported’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’pregna
ncy.’Both’of’these’conditions’are’associated’with’ maternal’obesity.’There’are’no’studies’that’indicate’ MVP’ is’a
mong’ 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’conce
rn’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’teamwor
k’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’co
mmunication’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:
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’througho
ut’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’f
or’women’in’clinics’and’physicians’ offices’ and’teach’classes’to’ help’families’ prepare’ for’childbirth.’Nurses’als
o’care’for’childbearing’families’in’birthing’centers’and’in’the’home.’Nurses’have’been’critically’important’in’dev
eloping’strategies’to’improve’the’well-
being’of’women’and’their’infants’and’have’led’the’efforts’to’implement’clinical’practice’guidelines’using’an’evid
ence-
based’approach.’Maternity’patients’have’experienced’a’decreased,’rather’than’an’increased,’length’of’stay’over’th
e’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’mo
st’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’mortali
ty.’Nutritional’status’is’an’important’modifiable’risk’factor,’but’a’nutrition’assessment’is’not’the’most’important’a
ction’a’nurse’should’take’in’this’situation.’The’patient’may’need’assistance’from’a’social’worker’at’some’time’ dur
ing’ 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’Af
rican-American’women’have’high-
risk’issues.’ In’addition,’advising’the’ woman’to’see’ an’obstetrician’ is’not’ the’ most’ important’ aspect’ on’ which’th
e’nurse’ should’focus’at’this’ time,’and’it’is’ not’appropriate’ for’a’nurse’ to’advise’ or’ manage’ the’ type’ of’care’ a’pat
ient’is’to’receive.
PTS:’1’DIF:’Cognitive’ Level:’Comprehension’ REF:’6
OBJ:’Nursing’Process:’ Planning’ MSC:’ 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:
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