MedjC
, Hisley:jMaternaljChildjNursingjCarej2ndjEditionjTestjBankjChapterj
01:j21stjCenturyjMaternityjNursing
MULTIPLEjCHOICE
1. Whenjprovidingjcarejforjajpregnantjwoman,jthejnursejshouldjbejawarejthatjonejofjthejmostjfrequentlyjre
portedjmaternaljmedicaljriskjfactorsjis:
a. Diabetesjmellitus. c. Chronicjhypertension.
b. Mitraljvalvejprolapsej(MVP). d. Anemia.
ANS:jA
Thejmostjfrequentlyjreportedjmaternaljmedicaljriskjfactorsjarejdiabetesjandjhypertensionjassociatedjwithjpregnan
cy.j Bothjofj thesej conditionsj arejassociatedjwithj maternalj obesity.j Therejarejnojstudiesj thatj indicatejMVPj isj a
mongj thej mostj frequentlyjreportedj maternalj riskjfactors.j Hypertensionj associatedj withj pregnancy,jnotjchronicj
hypertension,jisjonejofjthejmostjfrequentlyjreportedj maternalj medicaljriskjfactors.j Althoughjanemiajisjajconcern
jinjpregnancy,jitjisjnotjonejofjthejmostjfrequentlyjreportedjmaternaljmedicaljriskjfactorsjinjpregnancy.
PTS:j1jDIF:jCognitivej Level:jKnowledgejREF:j6
OBJ:jNursingjProcess:jAssessmentj MSC:jClientjNeeds:j Physiologicj Integrity
2. Tojensurejoptimaljoutcomesjforjthejpatient,jthejcontemporaryjmaternityjnursej mustj incorporatejbothjteamwor
kjandjcommunicationjwithjcliniciansjintojherjcarejdelivery,jThejSBARjtechniquejofjcommunicationjisjanjeasy-to-
rememberj mechanismjforjcommunication.jWhichjofjthejfollowingjcorrectlyjdefinesjthisjacronym?
a. Situation,jbaselinejassessment,jresponse
b. Situation,jbackground,j assessment,j recommendation
c. Subjectivejbackground,jassessment,j recommendation
d. Situation,jbackground,janticipatedjrecommendation
ANS:jB
Thejsituation,jbackground,jassessment,jrecommendationj(SBAR)jtechniquejprovidesjajspecificjframeworkjforjcom
municationjamongjhealthjcarejproviders.jFailurejtojcommunicatejisjonejofjthejmajorjreasonsjforjerrorsjinjhealthjcar
e.jThejSBARjtechniquejhasjthejpotentialjtojservejasjajmeansjtojreducejerrors.
PTS:j1jDIF:jCognitivejLevel:jComprehensionjREF:j14j
OBJ:jNursingjProcess:jAssessment,jPlanning
MSC:jClientjNeeds:jSafejandjEffectivej CarejEnvironment
3. Thejrolejofjthejprofessionaljnursejcaringjforjchildbearingjfamiliesj hasjevolvedjtojemphasize:
a. Providingjcarejtojpatientsj directlyjatjthejbedside.
MedjC
, b. Primarilyjhospitaljcarejofjmaternityjpatients.
c. Practicejusingjanjevidence-basedjapproach.
d. Planningjpatientjcarejtojcoverjlongerjhospitaljstays.
ANS:jC
Professionaljnursesjarejpartjofjthejteamjofjhealthjcarejprovidersj whoj collaborativelyjcarej forj patientsjthroughou
tjthejchildbearingjcycle.jProvidingjcarejtojpatientsjdirectlyjatjthejbedsidejisjonejofjthejnursesjtasks;jhowever,jitjdo
esjnotjencompassjthejconceptjofjthejevolvedjprofessionaljnurse.jThroughoutjthejprenataljperiod,jnursesjcarejforj
womenjinjclinicsjandjphysiciansj officesj andjteachjclassesjtoj helpjfamiliesj preparej forjchildbirth.jNursesjalsojca
rejforjchildbearingjfamiliesjinjbirthingjcentersjandjinjthejhome.jNursesjhavejbeenjcriticallyjimportantjinjdevelopi
ngjstrategiesjtojimprovejthejwell-
beingjofjwomenjandjtheirjinfantsjandjhavejledjthejeffortsjtojimplementjclinicaljpracticejguidelinesjusingjanjevide
nce-
basedjapproach.jMaternityjpatientsjhavejexperiencedjajdecreased,jratherjthanjanjincreased,jlengthjofjstayjoverjthe
jpastj2jdecades.
PTS:j1jDIF:jCognitivejLevel:jComprehensionjREF:j1jO
BJ:jNursingjProcess:jImplementation
MSC:jClientjNeeds:jSafejandjEffectivej CarejEnvironment
4. Aj23-year-oldjAfrican-
Americanjwomanjisjpregnantjwithjherjfirstjchild.jBasedjonjthejstatisticsjforjinfantjmortality,jwhichjplanjisjmos
tjimportantjforjthejnursejtojimplement?
a. Performjaj nutritionjassessment.
b. Referjthejwomanjtojajsocialjworker.
c. Advisejthejwomanjtojseejanjobstetrician,j notjaj midwife.
d. Explainjtojthejwomanjthejimportancejofj keepingjherjprenataljcarejappointments.
ANS:jD
Consistentjprenataljcarejisjthejbestjmethodjofjpreventingjorjcontrollingjriskjfactorsjassociatedjwithjinfantjmortalit
y.jNutritionaljstatusjisjanjimportantjmodifiablejriskjfactor,jbutjajnutritionjassessmentjisjnotjthejmostjimportantjact
ionjajnursejshouldjtakejinjthisjsituation.jThejpatientj mayjneedjassistancejfromjajsocialjworkerjatjsomej timej durin
gj herj pregnancy,j butjaj referralj tojaj socialj workerj isjnotj thej mostjimportantjaspectj thej nursejshouldjaddressjatjthi
sjtime.jIfjthejwomanjhasjidentifiablejhigh-
riskjproblems,jherjhealthjcarejmayjneedjtojbejprovidedjbyjajphysician.jHowever,jitjcannotjbejassumedjthatjalljAfr
ican-Americanjwomenjhavejhigh-
riskjissues.j Injaddition,jadvisingjthej womanjtojseej anjobstetricianj isjnotjthej mostjimportantj aspectjonj whichj thej
nursej shouldjfocusjatjthisj time,jandjitjisj notjappropriatej forj aj nursej tojadvisejorj managej thej typejofj carej ajpatie
ntjisjtojreceive.
PTS:j1jDIF:jCognitivej Level:jComprehensionjREF:j6
OBJ:jNursingjProcess:jPlanningjMSC:j ClientjNeeds:jHealthjPromotionjandj Maintenance
5. Duringjajprenataljintakejinterview,jthejnursejisjinjthejprocessjofjobtainingjanjinitialjassessmentjofjaj21-year-
MedjC
, joldjHispanicjpatientjwithjlimitedjEnglishjproficiency.jItjisjimportantjforjthejnursejto:
MedjC
, Hisley:jMaternaljChildjNursingjCarej2ndjEditionjTestjBankjChapterj
01:j21stjCenturyjMaternityjNursing
MULTIPLEjCHOICE
1. Whenjprovidingjcarejforjajpregnantjwoman,jthejnursejshouldjbejawarejthatjonejofjthejmostjfrequentlyjre
portedjmaternaljmedicaljriskjfactorsjis:
a. Diabetesjmellitus. c. Chronicjhypertension.
b. Mitraljvalvejprolapsej(MVP). d. Anemia.
ANS:jA
Thejmostjfrequentlyjreportedjmaternaljmedicaljriskjfactorsjarejdiabetesjandjhypertensionjassociatedjwithjpregnan
cy.j Bothjofj thesej conditionsj arejassociatedjwithj maternalj obesity.j Therejarejnojstudiesj thatj indicatejMVPj isj a
mongj thej mostj frequentlyjreportedj maternalj riskjfactors.j Hypertensionj associatedj withj pregnancy,jnotjchronicj
hypertension,jisjonejofjthejmostjfrequentlyjreportedj maternalj medicaljriskjfactors.j Althoughjanemiajisjajconcern
jinjpregnancy,jitjisjnotjonejofjthejmostjfrequentlyjreportedjmaternaljmedicaljriskjfactorsjinjpregnancy.
PTS:j1jDIF:jCognitivej Level:jKnowledgejREF:j6
OBJ:jNursingjProcess:jAssessmentj MSC:jClientjNeeds:j Physiologicj Integrity
2. Tojensurejoptimaljoutcomesjforjthejpatient,jthejcontemporaryjmaternityjnursej mustj incorporatejbothjteamwor
kjandjcommunicationjwithjcliniciansjintojherjcarejdelivery,jThejSBARjtechniquejofjcommunicationjisjanjeasy-to-
rememberj mechanismjforjcommunication.jWhichjofjthejfollowingjcorrectlyjdefinesjthisjacronym?
a. Situation,jbaselinejassessment,jresponse
b. Situation,jbackground,j assessment,j recommendation
c. Subjectivejbackground,jassessment,j recommendation
d. Situation,jbackground,janticipatedjrecommendation
ANS:jB
Thejsituation,jbackground,jassessment,jrecommendationj(SBAR)jtechniquejprovidesjajspecificjframeworkjforjcom
municationjamongjhealthjcarejproviders.jFailurejtojcommunicatejisjonejofjthejmajorjreasonsjforjerrorsjinjhealthjcar
e.jThejSBARjtechniquejhasjthejpotentialjtojservejasjajmeansjtojreducejerrors.
PTS:j1jDIF:jCognitivejLevel:jComprehensionjREF:j14j
OBJ:jNursingjProcess:jAssessment,jPlanning
MSC:jClientjNeeds:jSafejandjEffectivej CarejEnvironment
3. Thejrolejofjthejprofessionaljnursejcaringjforjchildbearingjfamiliesj hasjevolvedjtojemphasize:
a. Providingjcarejtojpatientsj directlyjatjthejbedside.
MedjC
, b. Primarilyjhospitaljcarejofjmaternityjpatients.
c. Practicejusingjanjevidence-basedjapproach.
d. Planningjpatientjcarejtojcoverjlongerjhospitaljstays.
ANS:jC
Professionaljnursesjarejpartjofjthejteamjofjhealthjcarejprovidersj whoj collaborativelyjcarej forj patientsjthroughou
tjthejchildbearingjcycle.jProvidingjcarejtojpatientsjdirectlyjatjthejbedsidejisjonejofjthejnursesjtasks;jhowever,jitjdo
esjnotjencompassjthejconceptjofjthejevolvedjprofessionaljnurse.jThroughoutjthejprenataljperiod,jnursesjcarejforj
womenjinjclinicsjandjphysiciansj officesj andjteachjclassesjtoj helpjfamiliesj preparej forjchildbirth.jNursesjalsojca
rejforjchildbearingjfamiliesjinjbirthingjcentersjandjinjthejhome.jNursesjhavejbeenjcriticallyjimportantjinjdevelopi
ngjstrategiesjtojimprovejthejwell-
beingjofjwomenjandjtheirjinfantsjandjhavejledjthejeffortsjtojimplementjclinicaljpracticejguidelinesjusingjanjevide
nce-
basedjapproach.jMaternityjpatientsjhavejexperiencedjajdecreased,jratherjthanjanjincreased,jlengthjofjstayjoverjthe
jpastj2jdecades.
PTS:j1jDIF:jCognitivejLevel:jComprehensionjREF:j1jO
BJ:jNursingjProcess:jImplementation
MSC:jClientjNeeds:jSafejandjEffectivej CarejEnvironment
4. Aj23-year-oldjAfrican-
Americanjwomanjisjpregnantjwithjherjfirstjchild.jBasedjonjthejstatisticsjforjinfantjmortality,jwhichjplanjisjmos
tjimportantjforjthejnursejtojimplement?
a. Performjaj nutritionjassessment.
b. Referjthejwomanjtojajsocialjworker.
c. Advisejthejwomanjtojseejanjobstetrician,j notjaj midwife.
d. Explainjtojthejwomanjthejimportancejofj keepingjherjprenataljcarejappointments.
ANS:jD
Consistentjprenataljcarejisjthejbestjmethodjofjpreventingjorjcontrollingjriskjfactorsjassociatedjwithjinfantjmortalit
y.jNutritionaljstatusjisjanjimportantjmodifiablejriskjfactor,jbutjajnutritionjassessmentjisjnotjthejmostjimportantjact
ionjajnursejshouldjtakejinjthisjsituation.jThejpatientj mayjneedjassistancejfromjajsocialjworkerjatjsomej timej durin
gj herj pregnancy,j butjaj referralj tojaj socialj workerj isjnotj thej mostjimportantjaspectj thej nursejshouldjaddressjatjthi
sjtime.jIfjthejwomanjhasjidentifiablejhigh-
riskjproblems,jherjhealthjcarejmayjneedjtojbejprovidedjbyjajphysician.jHowever,jitjcannotjbejassumedjthatjalljAfr
ican-Americanjwomenjhavejhigh-
riskjissues.j Injaddition,jadvisingjthej womanjtojseej anjobstetricianj isjnotjthej mostjimportantj aspectjonj whichj thej
nursej shouldjfocusjatjthisj time,jandjitjisj notjappropriatej forj aj nursej tojadvisejorj managej thej typejofj carej ajpatie
ntjisjtojreceive.
PTS:j1jDIF:jCognitivej Level:jComprehensionjREF:j6
OBJ:jNursingjProcess:jPlanningjMSC:j ClientjNeeds:jHealthjPromotionjandj Maintenance
5. Duringjajprenataljintakejinterview,jthejnursejisjinjthejprocessjofjobtainingjanjinitialjassessmentjofjaj21-year-
MedjC
, joldjHispanicjpatientjwithjlimitedjEnglishjproficiency.jItjisjimportantjforjthejnursejto:
MedjC
