Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
Med C
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, Hisley: Maternal Child Nursing Care 2nd Edition Test Bank Chapter 01: 21st Centu
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ry Maternity Nursing
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MULTIPLE CHOICE JK
1. When providing care for a pregnant woman, the nurse should be aware that one of the m
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ost frequently reported maternal medical risk factors is:
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a. Diabetes mellitus. JK c. Chronic hypertension. JK
b. Mitral valve prolapse (MVP). JK JK JK d. Anemia.
ANS: A JK
The most frequently reported maternal medical risk factors are diabetes and hypertension assoc
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iated with pregnancy. Both of these conditions are associated with maternal obesity. There are
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no studies that indicate MVP is among the most frequently reported maternal risk factors.
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Hypertension associated with pregnancy, not chronic hypertension, is one of the most frequen
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tly reported maternal medical risk factors. Although anemia is a concern in pregnancy, it is n
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ot 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 incorpo
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rate both teamwork and communication with clinicians into her care delivery, The SBAR techni
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que of communication is an easy-to-
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remember mechanism for communication. Which of the following correctly defines this acrony
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m?
a. Situation, baseline assessment, response JK JK JK
b. Situation, background, assessment, recommendation
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c. Subjective background, assessment, recommendation
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d. Situation, background, anticipated recomme JK JK JK
ndation ANS: B JK JK
The situation, background, assessment, recommendation (SBAR) technique provides a specific fr
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amework for communication among health care providers. Failure to communicate is one of the
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major reasons for errors in health care. The SBAR technique has the potential to serve as a mean
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s to reduce errors.
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PTS: 1 DIF: Cognitive Level: Comprehension
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REF: 14 OBJ: Nursing Process: Assessment, Pl
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anning
MSC: Client Needs: Safe and Effective Care Environment
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Med C JK
, 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. JK JK JK JK JK
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 JK
Professional nurses are part of the team of health care providers who collaboratively care for
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Kpatients throughout the childbearing cycle. Providing care to patients directly at the bedside is
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one of the nurses tasks; however, it does not encompass the concept of the evolved professional
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nurse. Throughout the prenatal period, nurses care for women in clinics and physicians offices
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and teach classes to help families prepare for childbirth. Nurses also care for childbearing fa
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milies in birthing centers and in the home. Nurses have been critically important in developing
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strategies to improve the well- JK JK JK JK
being of women and their infants and have led the efforts to implement clinical practice guidelin
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es using an evidence-
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based approach. Maternity patients have experienced a decreased, rather than an increased, len
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gth 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: Implementation
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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 mortality,
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which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. JK JK JK
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 JK
Consistent prenatal care is the best method of preventing or controlling risk factors associated
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with infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition a
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ssessment is not the most important action a nurse should take in this situation. The patient ma
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y need assistance from a social worker at some time during her pregnancy, but a referral to a
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social worker is not the most important aspect the nurse should address at this time. If the w
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oman has identifiable high- JK JK JK
risk problems, her health care may need to be provided by a physician. However, it cannot be as
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sumed that all African-American women have high-
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risk issues. In addition, advising the woman to see an obstetrician is not the most important
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Kaspect on which the nurse should focus at this time, and it is not appropriate for a nurse to a
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Med C JK
