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y Advances and Trends Third Edition.
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FULL TEST BANK!!!
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, Hisley: Maternal Child Nursing Care 3rd Edition Test Bank Chapter 01
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: 21st Century Maternity Nursing
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MULTIPLE.CHOICE
1. When.providing.care.for.a.pregnant.woman,.the.nurse.should.be.aware.that.one.of.the.most.frequently.repor
ted.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.pregnanc
y..Both.of.these.conditions.are.associated.with.maternal.obesity..There.are.no.studies.that.indicate.MVP. is.among.th
e. most. frequently.reported. maternal.risk.factors..Hypertension.associated. with.pregnancy,.not.chronic.hypertensi
on,.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.a
nd.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.comm
unication.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.O
BJ:.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.
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, 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.th
e.childbearing.cycle..Providing.care.to.patients.directly.at.the.bedside.is.one.of.the.nurses.tasks;.however,.it.does.not.e
ncompass.the.concept.of.the.evolved.professional.nurse..Throughout.the.prenatal.period,.nurses.care.for.women.in.cl
inics.and.physicians.offices. and.teach.classes.to. help.families. prepare. for.childbirth..Nurses.also.care.for.childbeari
ng.families.in.birthing.centers.and.in.the.home..Nurses.have.been.critically.important.in.developing.strategies.to.impr
ove.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.pa
st.2.decades.
PTS:.1.DIF:.Cognitive.Level:.Comprehension.REF:.1.OB
J:.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.i
mportant.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. pre
gnancy,. 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.Africa
n-American.women.have.high-
risk.issues..In.addition,.advising.the.woman.to.see.an.obstetrician.is.not.the.most.important.aspect.on.which.the.nurs
e.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.rec
eive.
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:
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, 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.p
atient.understands.the.discussion..Speaking.slowly.and.clearly.and.focusing.on.what.is.important.increase.understan
ding..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.receiv
e.less.prenatal.care,.age.is.not.the.most.significant.barrier.. Significant. disparities. in.morbidity.and.mortality.rates.ex
ist.for.minority.women;.however,.minority.status.is.not.the.most.significant.barrier.to.access.of.care..Disparities.in.ed
ucational.level.are.associated.with.morbidity.and.mortality.rates;.however,.educational.level.is.not.the.most.significa
nt.barrier.to.access.of.care.
PTS:.1.DIF:.Cognitive.Level:.Knowledge.REF:.5.O
BJ:.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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