Med.C
, 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.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. amon
g. the. most. frequently.reported. maternal. risk.factors.. Hypertension. associated. with. pregnancy,.not.chronic.hypert
ension,.is.one.of.the.most.frequently.reported. maternal. medical.risk.factors.. Although.anemia.is.a.concern.in.pregn
ancy,.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.
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.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.
Med.C
, 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.t
he.childbearing.cycle..Providing.care.to.patients.directly.at.the.bedside.is.one.of.the.nurses.tasks;.however,.it.does.no
t.encompass.the.concept.of.the.evolved.professional.nurse..Throughout.the.prenatal.period,.nurses.care.for.women.i
n.clinics.and.physicians. offices. and.teach.classes.to. help.families. prepare. for.childbirth..Nurses.also.care.for.child
bearing.families.in.birthing.centers.and.in.the.home..Nurses.have.been.critically.important.in.developing.strategies.t
o.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.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.nur
se. 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.r
eceive.
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-
Med.C
, . old.Hispanic.patient.with.limited.English.proficiency..It.is.important.for.the.nurse.to:
Med.C
, 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.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. amon
g. the. most. frequently.reported. maternal. risk.factors.. Hypertension. associated. with. pregnancy,.not.chronic.hypert
ension,.is.one.of.the.most.frequently.reported. maternal. medical.risk.factors.. Although.anemia.is.a.concern.in.pregn
ancy,.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.
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.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.
Med.C
, 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.t
he.childbearing.cycle..Providing.care.to.patients.directly.at.the.bedside.is.one.of.the.nurses.tasks;.however,.it.does.no
t.encompass.the.concept.of.the.evolved.professional.nurse..Throughout.the.prenatal.period,.nurses.care.for.women.i
n.clinics.and.physicians. offices. and.teach.classes.to. help.families. prepare. for.childbirth..Nurses.also.care.for.child
bearing.families.in.birthing.centers.and.in.the.home..Nurses.have.been.critically.important.in.developing.strategies.t
o.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.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.nur
se. 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.r
eceive.
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-
Med.C
, . old.Hispanic.patient.with.limited.English.proficiency..It.is.important.for.the.nurse.to:
Med.C
