MedV
C
, Hisley:VMaternalVChildVNursingVCareV2ndVEditionVTestVBankVCha
pterV01:V21stVCenturyVMaternityVNursing
MULTIPLEVCHOICE
1. WhenVprovidingVcareVforVaVpregnantVwoman,VtheVnurseVshouldVbeVawareVthatVoneVofVtheVmos
tVfrequentlyVreportedVmaternalVmedicalVriskVfactorsVis:
a. DiabetesVmellitus. c. ChronicVhypertension.
b. MitralVvalveVprolapseV(MVP). d. Anemia.
ANS:VA
TheVmostVfrequentlyVreportedVmaternalVmedicalVriskVfactorsVareVdiabetesVandVhypertensionVassociatedV
withVpregnancy.V BothVofV theseV conditionsV areVassociatedVwithV maternalV obesity.V ThereVareVnoVstudi
esV thatV indicateVMVPV isV amongV theV mostV frequentlyVreportedV maternalV riskVfactors.V HypertensionV a
ssociatedV withV pregnancy,VnotVchronicVhypertension,VisVoneVofVtheVmostVfrequentlyVreportedV maternal
V medicalVriskVfactors.V AlthoughVanemiaVisVaVconcernVinVpregnancy,VitVisVnotVoneVofVtheVmostVfreque
ntlyVreportedVmaternalVmedicalVriskVfactorsVinVpregnancy.
PTS:V1VDIF:VCognitiveVLevel:VKnowledgeVREF:V6
OBJ:VNursingVProcess:VAssessmentVMSC:VClientVNeeds:VPhysiologicVIntegrity
2. ToVensureVoptimalVoutcomesVforVtheVpatient,VtheVcontemporaryVmaternityVnurseV mustV incorporateVb
othVteamworkVandVcommunicationVwithVcliniciansVintoVherVcareVdelivery,VTheVSBARVtechniqueVofVco
mmunicationVisVanVeasy-to-
rememberV mechanismVforVcommunication.VWhichVofVtheVfollowingVcorrectlyVdefinesVthisVacronym?
a. Situation,VbaselineVassessment,Vresponse
b. Situation,Vbackground,Vassessment,Vrecommendation
c. SubjectiveVbackground,Vassessment,Vrecommendation
d. Situation,Vbackground,VanticipatedVrecommendation
ANS:VB
TheVsituation,Vbackground,Vassessment,VrecommendationV(SBAR)VtechniqueVprovidesVaVspecificVframewor
kVforVcommunicationVamongVhealthVcareVproviders.VFailureVtoVcommunicateVisVoneVofVtheVmajorVreasons
VforVerrorsVinVhealthVcare.VTheVSBARVtechniqueVhasVtheVpotentialVtoVserveVasVaVmeansVtoVreduceVerror
s.
PTS:V1VDIF:VCognitiveVLevel:VComprehensionVRE
F:V14VOBJ:VNursingVProcess:VAssessment,VPlannin
g
MSC:VClientVNeeds:VSafeVandVEffectiveVCareVEnvironment
3. TheVroleVofVtheVprofessionalVnurseVcaringVforVchildbearingVfamiliesV hasVevolvedVtoVemphasize:
MedV
C
, a. ProvidingVcareVtoVpatientsVdirectlyVatVtheVbedside.
MedV
C
, b. PrimarilyVhospitalVcareVofVmaternityVpatients.
c. PracticeVusingVanVevidence-basedVapproach.
d. PlanningVpatientVcareVtoVcoverVlongerVhospitalVstays.
ANS:VC
ProfessionalVnursesVareVpartVofVtheVteamVofVhealthVcareVprovidersV whoV collaborativelyVcareV forV patie
ntsVthroughoutVtheVchildbearingVcycle.VProvidingVcareVtoVpatientsVdirectlyVatVtheVbedsideVisVoneVofVth
eVnursesVtasks;Vhowever,VitVdoesVnotVencompassVtheVconceptVofVtheVevolvedVprofessionalVnurse.VThro
ughoutVtheVprenatalVperiod,VnursesVcareVforVwomenVinVclinicsVandVphysiciansV officesV andVteachVclass
esVtoV helpVfamiliesV prepareV forVchildbirth.VNursesValsoVcareVforVchildbearingVfamiliesVinVbirthingVcen
tersVandVinVtheVhome.VNursesVhaveVbeenVcriticallyVimportantVinVdevelopingVstrategiesVtoVimproveVtheV
well-
beingVofVwomenVandVtheirVinfantsVandVhaveVledVtheVeffortsVtoVimplementVclinicalVpracticeVguidelinesV
usingVanVevidence-
basedVapproach.VMaternityVpatientsVhaveVexperiencedVaVdecreased,VratherVthanVanVincreased,VlengthVof
VstayVoverVtheVpastV2Vdecades.
PTS:V1VDIF:VCognitiveVLevel:VComprehensionVRE
F:V1VOBJ:VNursingVProcess:VImplementation
MSC:VClientVNeeds:VSafeVandVEffectiveVCareVEnvironment
4. AV23-year-oldVAfrican-
AmericanVwomanVisVpregnantVwithVherVfirstVchild.VBasedVonVtheVstatisticsVforVinfantVmortality,Vwhi
chVplanVisVmostVimportantVforVtheVnurseVtoVimplement?
a. PerformVaV nutritionVassessment.
b. ReferVtheVwomanVtoVaVsocialVworker.
c. AdviseVtheVwomanVtoVseeVanVobstetrician,VnotVaV midwife.
d. ExplainVtoVtheVwomanVtheVimportanceVofVkeepingVherVprenatalVcareVappointments.
ANS:VD
ConsistentVprenatalVcareVisVtheVbestVmethodVofVpreventingVorVcontrollingVriskVfactorsVassociatedVwithVi
nfantVmortality.VNutritionalVstatusVisVanVimportantVmodifiableVriskVfactor,VbutVaVnutritionVassessmentVis
VnotVtheVmostVimportantVactionVaVnurseVshouldVtakeVinVthisVsituation.VTheVpatientV mayVneedVassistanc
eVfromVaVsocialVworkerVatVsomeV timeV duringV herV pregnancy,V butVaV referralV toVaV socialV workerV isVn
otV theV mostVimportantVaspectV theV nurseVshouldVaddressVatVthisVtime.VIfVtheVwomanVhasVidentifiableVh
igh-
riskVproblems,VherVhealthVcareVmayVneedVtoVbeVprovidedVbyVaVphysician.VHowever,VitVcannotVbeVassu
medVthatVallVAfrican-AmericanVwomenVhaveVhigh-
riskVissues.V InVaddition,VadvisingVtheV womanVtoVseeV anVobstetricianV isVnotVtheV mostVimportantV aspec
tVonV whichV theVnurseV shouldVfocusVatVthisV time,VandVitVisV notVappropriateV forV aV nurseV toVadviseVo
rV manageV theV typeVofV careV aVpatientVisVtoVreceive.
PTS:V1VDIF:VCognitiveVLevel:VComprehensionVREF:V6
OBJ:VNursingVProcess:VPlanningVMSC:VClientVNeeds:VHealthVPromotionVandV Maintenance
MedV
C
C
, Hisley:VMaternalVChildVNursingVCareV2ndVEditionVTestVBankVCha
pterV01:V21stVCenturyVMaternityVNursing
MULTIPLEVCHOICE
1. WhenVprovidingVcareVforVaVpregnantVwoman,VtheVnurseVshouldVbeVawareVthatVoneVofVtheVmos
tVfrequentlyVreportedVmaternalVmedicalVriskVfactorsVis:
a. DiabetesVmellitus. c. ChronicVhypertension.
b. MitralVvalveVprolapseV(MVP). d. Anemia.
ANS:VA
TheVmostVfrequentlyVreportedVmaternalVmedicalVriskVfactorsVareVdiabetesVandVhypertensionVassociatedV
withVpregnancy.V BothVofV theseV conditionsV areVassociatedVwithV maternalV obesity.V ThereVareVnoVstudi
esV thatV indicateVMVPV isV amongV theV mostV frequentlyVreportedV maternalV riskVfactors.V HypertensionV a
ssociatedV withV pregnancy,VnotVchronicVhypertension,VisVoneVofVtheVmostVfrequentlyVreportedV maternal
V medicalVriskVfactors.V AlthoughVanemiaVisVaVconcernVinVpregnancy,VitVisVnotVoneVofVtheVmostVfreque
ntlyVreportedVmaternalVmedicalVriskVfactorsVinVpregnancy.
PTS:V1VDIF:VCognitiveVLevel:VKnowledgeVREF:V6
OBJ:VNursingVProcess:VAssessmentVMSC:VClientVNeeds:VPhysiologicVIntegrity
2. ToVensureVoptimalVoutcomesVforVtheVpatient,VtheVcontemporaryVmaternityVnurseV mustV incorporateVb
othVteamworkVandVcommunicationVwithVcliniciansVintoVherVcareVdelivery,VTheVSBARVtechniqueVofVco
mmunicationVisVanVeasy-to-
rememberV mechanismVforVcommunication.VWhichVofVtheVfollowingVcorrectlyVdefinesVthisVacronym?
a. Situation,VbaselineVassessment,Vresponse
b. Situation,Vbackground,Vassessment,Vrecommendation
c. SubjectiveVbackground,Vassessment,Vrecommendation
d. Situation,Vbackground,VanticipatedVrecommendation
ANS:VB
TheVsituation,Vbackground,Vassessment,VrecommendationV(SBAR)VtechniqueVprovidesVaVspecificVframewor
kVforVcommunicationVamongVhealthVcareVproviders.VFailureVtoVcommunicateVisVoneVofVtheVmajorVreasons
VforVerrorsVinVhealthVcare.VTheVSBARVtechniqueVhasVtheVpotentialVtoVserveVasVaVmeansVtoVreduceVerror
s.
PTS:V1VDIF:VCognitiveVLevel:VComprehensionVRE
F:V14VOBJ:VNursingVProcess:VAssessment,VPlannin
g
MSC:VClientVNeeds:VSafeVandVEffectiveVCareVEnvironment
3. TheVroleVofVtheVprofessionalVnurseVcaringVforVchildbearingVfamiliesV hasVevolvedVtoVemphasize:
MedV
C
, a. ProvidingVcareVtoVpatientsVdirectlyVatVtheVbedside.
MedV
C
, b. PrimarilyVhospitalVcareVofVmaternityVpatients.
c. PracticeVusingVanVevidence-basedVapproach.
d. PlanningVpatientVcareVtoVcoverVlongerVhospitalVstays.
ANS:VC
ProfessionalVnursesVareVpartVofVtheVteamVofVhealthVcareVprovidersV whoV collaborativelyVcareV forV patie
ntsVthroughoutVtheVchildbearingVcycle.VProvidingVcareVtoVpatientsVdirectlyVatVtheVbedsideVisVoneVofVth
eVnursesVtasks;Vhowever,VitVdoesVnotVencompassVtheVconceptVofVtheVevolvedVprofessionalVnurse.VThro
ughoutVtheVprenatalVperiod,VnursesVcareVforVwomenVinVclinicsVandVphysiciansV officesV andVteachVclass
esVtoV helpVfamiliesV prepareV forVchildbirth.VNursesValsoVcareVforVchildbearingVfamiliesVinVbirthingVcen
tersVandVinVtheVhome.VNursesVhaveVbeenVcriticallyVimportantVinVdevelopingVstrategiesVtoVimproveVtheV
well-
beingVofVwomenVandVtheirVinfantsVandVhaveVledVtheVeffortsVtoVimplementVclinicalVpracticeVguidelinesV
usingVanVevidence-
basedVapproach.VMaternityVpatientsVhaveVexperiencedVaVdecreased,VratherVthanVanVincreased,VlengthVof
VstayVoverVtheVpastV2Vdecades.
PTS:V1VDIF:VCognitiveVLevel:VComprehensionVRE
F:V1VOBJ:VNursingVProcess:VImplementation
MSC:VClientVNeeds:VSafeVandVEffectiveVCareVEnvironment
4. AV23-year-oldVAfrican-
AmericanVwomanVisVpregnantVwithVherVfirstVchild.VBasedVonVtheVstatisticsVforVinfantVmortality,Vwhi
chVplanVisVmostVimportantVforVtheVnurseVtoVimplement?
a. PerformVaV nutritionVassessment.
b. ReferVtheVwomanVtoVaVsocialVworker.
c. AdviseVtheVwomanVtoVseeVanVobstetrician,VnotVaV midwife.
d. ExplainVtoVtheVwomanVtheVimportanceVofVkeepingVherVprenatalVcareVappointments.
ANS:VD
ConsistentVprenatalVcareVisVtheVbestVmethodVofVpreventingVorVcontrollingVriskVfactorsVassociatedVwithVi
nfantVmortality.VNutritionalVstatusVisVanVimportantVmodifiableVriskVfactor,VbutVaVnutritionVassessmentVis
VnotVtheVmostVimportantVactionVaVnurseVshouldVtakeVinVthisVsituation.VTheVpatientV mayVneedVassistanc
eVfromVaVsocialVworkerVatVsomeV timeV duringV herV pregnancy,V butVaV referralV toVaV socialV workerV isVn
otV theV mostVimportantVaspectV theV nurseVshouldVaddressVatVthisVtime.VIfVtheVwomanVhasVidentifiableVh
igh-
riskVproblems,VherVhealthVcareVmayVneedVtoVbeVprovidedVbyVaVphysician.VHowever,VitVcannotVbeVassu
medVthatVallVAfrican-AmericanVwomenVhaveVhigh-
riskVissues.V InVaddition,VadvisingVtheV womanVtoVseeV anVobstetricianV isVnotVtheV mostVimportantV aspec
tVonV whichV theVnurseV shouldVfocusVatVthisV time,VandVitVisV notVappropriateV forV aV nurseV toVadviseVo
rV manageV theV typeVofV careV aVpatientVisVtoVreceive.
PTS:V1VDIF:VCognitiveVLevel:VComprehensionVREF:V6
OBJ:VNursingVProcess:VPlanningVMSC:VClientVNeeds:VHealthVPromotionVandV Maintenance
MedV
C
