NURSING 100 MATERNAL CHILDNURSING CARE 6TH EDITION jj jj jj jj jj jj
jj PERRY TEST BANK CHAPTER 1-49 jj jj jj jj
Chapter 01: 21st Century Maternity Nursing
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Perry: Maternal Child Nursing Care, 6th
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Edition
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MULTIPLE
CHOICE
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1. When providing care for a pregnant woman, the nurse should be aware that
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one of the mostfrequently reported maternal medical risk factors is:
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a. diabetes mellitus. jj
b. mitral valve prolapse (MVP). jj jj jj
c. chronic hypertension. jj
d. anemia.
ANS: A jj
The most frequently reported maternal medical risk factors are diabetes and
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hypertension associated with pregnancy. Both of these conditions are associated
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with maternal obesity. There are no studies that indicate MVP is among the
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most frequently reported maternal risk factors. Hypertension associated with
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pregnancy, not chronic hypertension, is one of the mostfrequently reported
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maternal medical risk factors. Although anemia is a concern in pregnancy,it is
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not one of the most frequently reported maternal medical risk factors in
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pregnancy.
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PTS: 1 DIF: Cognitive Level: Knowledge jj jj jj
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity j jj j j j j jj jj jj
2. To ensure optimal outcomes for the patient, the contemporary maternity nurse
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must incorporate both teamwork and communication with clinicians into her
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care delivery. The SBAR technique of communicatioNnUiRs SaInNGeaTsBy.C-tOo-
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Mremember mechanism for communication.
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Which of the following correctly defines this acronym?
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a. Situation, baseline assessment, response jj jj jj
b. Situation, background, assessment, recommendation j j jj
c. Subjective background, assessment, recommendation j jj j
d. Situation, background, anticipated recommendation jj jj jj
ANS: B jj
The situation, background, assessment, recommendation (SBAR) technique
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provides a specific framework for communication among health care providers.
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Failure to communicateis one of the major reasons for errors in health care. The
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SBAR technique has the potential toserve as a means to reduce errors.
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PTS: 1 DIF: Cognitive Level: jj j
ComprehensionOBJ: Nursing Process:
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, Assessment, Planning j
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
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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 jj
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, Professional nurses are part of the team of health care providers who jj jj jj jj jj jj jj jj jj jj jj
collaboratively care for patients throughout the childbearing cycle. Providing
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care to patients directly at the bedside isone of the nurse's tasks; however, it
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does not encompass the concept of the evolved professional nurse. Throughout
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the prenatal period, nurses care for women in clinics and physician's offices and
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teach classes to help families prepare for childbirth. Nurses also care for
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childbearing families in birthing centers and in the home. Nurses have been
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critically important in developing strategies to improve the well-being of
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women and their infants and have led the efforts to implement clinical practice
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guidelines using an evidence-based approach. Maternity patients have
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experienced a decreased, rather than an increased, length ofstay over the past
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two decades.
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PTS: 1 DIF: Cognitive Level: jj j
ComprehensionOBJ: Nursing Process:
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Implementation
MSC: Client Needs: Safe and Effective Care Environment
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4. A 23-year-old African-American woman is pregnant with her first child.
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Based on the statistics for infant mortality, which plan is most important
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for the nurse to implement?
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a. Perform a nutrition assessment. jj jj jj
b. Refer the woman to a social worker. jj jj jj jj jj jj
c. Advise the woman to see an obstetrician, not a midwife. jj jj jj jj jj jj jj jj jj
d. Explain to the woman the importance of keeping her prenatal care jj jj jj jj jj jj jj jj jj jj
appointments.
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ANS: D jj
Consistent prenatal care is the best method of preventing or controlling risk jj jj jj jj jj jj jj jj jj jj jj
factors associatedwith infant mortality. Nutritional status is an important
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modifiable risk factor, but a nutrition assessment is not the most important
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action a nurse should take in this situation. The patient may need assistance
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from a socialNwUoRrSkIeNrGaTt Bs .oCmO eMtime during her pregnancy, but a referral toa
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social worker is not the most important aspect the nurse should address at this
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time. If the
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woman has identifiable high risk problems, her health care may need to be
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provided by a physician. However, it cannot be assumed that all African-
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American women have high risk issues. In addition, advising the woman to see
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an obstetrician is not the most important aspecton which the nurse should focus
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at this time, and it is not appropriate for a nurse to advise or manage the type of
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care a patient is to receive.
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PTS: 1 DIF: Cognitive Level: ApplicationOBJ: Nursing Process: jj jj jj jj jj
PlanningMSC: Client Needs: Health Promotion and Maintenance
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5. During a prenatal intake interview, the nurse is in the process of obtaining an
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initial assessment of a 21-year-old Hispanic patient with limited English
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, proficiency. It is importantfor the nurse to: jj jj jj jj jj jj
a. use maternity jargon in order for the patient to become familiar with these
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terms.
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b. speak quickly and efficiently to expedite the visit.
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c. provide the patient with handouts. jj jj jj jj
d. assess whether the patient understands the discussion.
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ANS: D jj
Nurses contribute to health literacy by using simple, common words;
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avoiding jargon; and evaluating whether the patient understands the
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discussion. Speaking slowly and clearly andfocusing on what is important
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increase understanding. Most patient education materials arewritten at too
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high a level for the average adult and may not be useful for a patient with
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limited English proficiency.
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