Exam (elaborations)

Test-bank for maternal-child-nursing-care-2nd-edition-ward-hisley-complete-guide-

0 purchase

Course
Mental health foundations

Institution
Mental Health Foundations

Book
Maternal Child Nursing Care

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 fa...

[Show more]

Preview 4 out of 797 pages

View example

Uploaded on January 27, 2025
Number of pages 797
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

maternal child nursing care

Institution Mental health foundations
Course Mental health foundations

$18.99

Add to cart

Save

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

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
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:

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.

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:

, 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.

ANS: 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 and focusing on what is important increase
understanding. Most patient education materials are written at too high a level for the average adult and may
not be useful for a client with limited English proficiency.

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

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

6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
most significant barrier to access to care is the pregnant womans:

a. Age. c. Educational level.

b. Minority status. d. Inability to pay.

ANS: 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. Although adolescent pregnant clients
statistically receive less prenatal care, age is not the most significant barrier. Significant disparities in
morbidity and mortality rates exist for minority women; however, minority status is not the most significant
barrier to access of care. Disparities in educational level are associated with morbidity and mortality rates;
however, educational level is not the most significant barrier to access of care.

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

OBJ: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment

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

a. Designing research studies

b. Collecting data for other researchers

c. Identifying researchable problems

d. Seeking funding to support research studies

ANS: C

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller walternpeter036. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $18.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64257 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Seller

Exam (elaborations) ·

Exam (elaborations)

Test-bank for maternal-child-nursing-care-2nd-edition-ward-hisley-complete-guide-

Document information

Subjects

Connected book

More summaries for

Written for