Hisley: Maternal Child Nursing Care 2nd Edition Test Bank Chapter 01: 21st Century Maternity Nursing
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Course
Hisley: Maternal Child Nursing Care 2nd Edition
Institution
Hisley: Maternal Child Nursing Care 2nd Edition
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 medi...
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 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.
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
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