TEST BANK h
hForhmorehTESThBANKShhttps://www.stuvia.com/user/angelinas
,Chapterh01:h21sthCenturyhMaternityhNursing
MULTIPLEhCHOICE
1. Whenhprovidinghcarehforhahpregnanthwoman,hthehnursehshouldhbehawarehthathonehofhthehmosthfreq
uentlyhreportedhmaternalhmedicalhriskhfactorshis:
a. Diabeteshmellitus. c. Chronichhypertension.
b. Mitralhvalvehprolapseh(MVP). d. Anemia.
ANS:hA
Thehmosthfrequentlyhreportedhmaternalhmedicalhriskhfactorsharehdiabeteshandhhypertensionhassociatedhwithh
pregnancy.h Bothhofh theseh conditionsh arehassociatedhwithh maternalh obesity.h Thereharehnohstudiesh thath ind
icatehMVPh ish amongh theh mosth frequentlyhreportedh maternalh riskhfactors.h Hypertensionh associatedh withh p
regnancy,hnothchronichhypertension,hishonehofhthehmosthfrequentlyhreportedh maternalh medicalhriskhfactors.h
Althoughhanemiahishahconcernhinhpregnancy,hithishnothonehofhthehmosthfrequentlyhreportedhmaternalhmedica
lhriskhfactorshinhpregnancy.
PTS:h1hDIF:hCognitivehLevel:hKnowledgehREF:h6
OBJ:hNursinghProcess:hAssessmenth MSC:hClienthNeeds:h Physiologich Integrity
2. Tohensurehoptimalhoutcomeshforhthehpatient,hthehcontemporaryhmaternityhnurseh musth incorporatehbothhte
amworkhandhcommunicationhwithhclinicianshintohherhcarehdelivery,hThehSBARhtechniquehofhcommunication
hishanheasy-to-
rememberh mechanismhforhcommunication.hWhichhofhthehfollowinghcorrectlyhdefineshthishacronym?
a. Situation,hbaselinehassessment,hresponse
b. Situation,hbackground,h assessment,h recommendation
c. Subjectivehbackground,hassessment,h recommendation
d. Situation,hbackground,hanticipatedhrecommendation
ANS:hB
Thehsituation,hbackground,hassessment,hrecommendationh(SBAR)htechniquehprovideshahspecifichframeworkhfor
hcommunicationhamonghhealthhcarehproviders.hFailurehtohcommunicatehishonehofhthehmajorhreasonshforherrorsh
inhhealthhcare.hThehSBARhtechniquehhashthehpotentialhtohservehashahmeanshtohreduceherrors.
PTS:h1hDIF:hCognitivehLevel:hComprehensionhREF:h
14hOBJ:hNursinghProcess:hAssessment,hPlanning
MSC:hClienthNeeds:hSafehandhEffectivehCarehEnvironment
3. Thehrolehofhthehprofessionalhnursehcaringhforhchildbearinghfamiliesh hashevolvedhtohemphasize:
a. Providinghcarehtohpatientsh directlyhaththehbedside.
hForhmorehTESThBANKShhttps://www.stuvia.com/user/angelinas
,b. Primarilyhhospitalhcarehofhmaternityhpatients.
c. Practicehusinghanhevidence-basedhapproach.
d. Planninghpatienthcarehtohcoverhlongerhhospitalhstays.
ANS:hC
Professionalhnursesharehparthofhthehteamhofhhealthhcarehprovidersh whoh collaborativelyhcareh forh patientshthr
oughouththehchildbearinghcycle.hProvidinghcarehtohpatientshdirectlyhaththehbedsidehishonehofhthehnurseshtasks
;hhowever,hithdoeshnothencompasshthehconcepthofhthehevolvedhprofessionalhnurse.hThroughouththehprenatalhp
eriod,hnurseshcarehforhwomenhinhclinicshandhphysiciansh officesh andhteachhclasseshtoh helphfamiliesh prepare
h forhchildbirth.hNurseshalsohcarehforhchildbearinghfamilieshinhbirthinghcentershandhinhthehhome.hNurseshhav
ehbeenhcriticallyhimportanthinhdevelopinghstrategieshtohimprovehthehwell-
beinghofhwomenhandhtheirhinfantshandhhavehledhtheheffortshtohimplementhclinicalhpracticehguidelineshusingh
anhevidence-
basedhapproach.hMaternityhpatientshhavehexperiencedhahdecreased,hratherhthanhanhincreased,hlengthhofhstayh
overhthehpasth2hdecades.
PTS:h1hDIF:hCognitivehLevel:hComprehensionhREF:h
1hOBJ:hNursinghProcess:hImplementation
MSC:hClienthNeeds:hSafehandhEffectivehCarehEnvironment
4. Ah23-year-oldhAfrican-
Americanhwomanhishpregnanthwithhherhfirsthchild.hBasedhonhthehstatisticshforhinfanthmortality,hwhichhpla
nhishmosthimportanthforhthehnursehtohimplement?
a. Performhah nutritionhassessment.
b. Referhthehwomanhtohahsocialhworker.
c. Advisehthehwomanhtohseehanhobstetrician,hnothah midwife.
d. Explainhtohthehwomanhthehimportancehofh keepinghherh prenatalhcarehappointments.
ANS:hD
Consistenthprenatalhcarehishthehbesthmethodhofhpreventinghorhcontrollinghriskhfactorshassociatedhwithhinfanth
mortality.hNutritionalhstatushishanhimportanthmodifiablehriskhfactor,hbuthahnutritionhassessmenthishnoththehm
osthimportanthactionhahnursehshouldhtakehinhthishsituation.hThehpatienth mayhneedhassistancehfromhahsocialh
workerhathsomeh timeh duringh herh pregnancy,h buthah referralh tohah socialh workerh ishnoth theh mosthimportantha
specth theh nursehshouldhaddresshaththishtime.hIfhthehwomanhhashidentifiablehhigh-
riskhproblems,hherhhealthhcarehmayhneedhtohbehprovidedhbyhahphysician.hHowever,hithcannothbehassumedhth
athallhAfrican-Americanhwomenhhavehhigh-
riskhissues.h Inhaddition,hadvisinghtheh womanhtohseeh anhobstetricianh ishnoththeh mosthimportanth aspecthonh w
hichh thehnurseh shouldhfocushaththish time,handhithish nothappropriateh forh ah nurseh tohadvisehorh manageh theh
typehofh careh ahpatienthishtohreceive.
PTS:h1hDIF:hCognitiveh Level:hComprehensionhREF:h6
OBJ:hNursinghProcess:hPlanninghMSC:hClienthNeeds:hHealthhPromotionhandh Maintenance
hForhmorehTESThBANKShhttps://www.stuvia.com/user/angelinas
, 5. Duringhahprenatalhintakehinterview,hthehnursehishinhthehprocesshofhobtaininghanhinitialhassessmenthofhah21
-year-holdhHispanichpatienthwithhlimitedhEnglishhproficiency.hIthishimportanthforhthehnursehto:
hForhmorehTESThBANKShhttps://www.stuvia.com/user/angelinas
hForhmorehTESThBANKShhttps://www.stuvia.com/user/angelinas
,Chapterh01:h21sthCenturyhMaternityhNursing
MULTIPLEhCHOICE
1. Whenhprovidinghcarehforhahpregnanthwoman,hthehnursehshouldhbehawarehthathonehofhthehmosthfreq
uentlyhreportedhmaternalhmedicalhriskhfactorshis:
a. Diabeteshmellitus. c. Chronichhypertension.
b. Mitralhvalvehprolapseh(MVP). d. Anemia.
ANS:hA
Thehmosthfrequentlyhreportedhmaternalhmedicalhriskhfactorsharehdiabeteshandhhypertensionhassociatedhwithh
pregnancy.h Bothhofh theseh conditionsh arehassociatedhwithh maternalh obesity.h Thereharehnohstudiesh thath ind
icatehMVPh ish amongh theh mosth frequentlyhreportedh maternalh riskhfactors.h Hypertensionh associatedh withh p
regnancy,hnothchronichhypertension,hishonehofhthehmosthfrequentlyhreportedh maternalh medicalhriskhfactors.h
Althoughhanemiahishahconcernhinhpregnancy,hithishnothonehofhthehmosthfrequentlyhreportedhmaternalhmedica
lhriskhfactorshinhpregnancy.
PTS:h1hDIF:hCognitivehLevel:hKnowledgehREF:h6
OBJ:hNursinghProcess:hAssessmenth MSC:hClienthNeeds:h Physiologich Integrity
2. Tohensurehoptimalhoutcomeshforhthehpatient,hthehcontemporaryhmaternityhnurseh musth incorporatehbothhte
amworkhandhcommunicationhwithhclinicianshintohherhcarehdelivery,hThehSBARhtechniquehofhcommunication
hishanheasy-to-
rememberh mechanismhforhcommunication.hWhichhofhthehfollowinghcorrectlyhdefineshthishacronym?
a. Situation,hbaselinehassessment,hresponse
b. Situation,hbackground,h assessment,h recommendation
c. Subjectivehbackground,hassessment,h recommendation
d. Situation,hbackground,hanticipatedhrecommendation
ANS:hB
Thehsituation,hbackground,hassessment,hrecommendationh(SBAR)htechniquehprovideshahspecifichframeworkhfor
hcommunicationhamonghhealthhcarehproviders.hFailurehtohcommunicatehishonehofhthehmajorhreasonshforherrorsh
inhhealthhcare.hThehSBARhtechniquehhashthehpotentialhtohservehashahmeanshtohreduceherrors.
PTS:h1hDIF:hCognitivehLevel:hComprehensionhREF:h
14hOBJ:hNursinghProcess:hAssessment,hPlanning
MSC:hClienthNeeds:hSafehandhEffectivehCarehEnvironment
3. Thehrolehofhthehprofessionalhnursehcaringhforhchildbearinghfamiliesh hashevolvedhtohemphasize:
a. Providinghcarehtohpatientsh directlyhaththehbedside.
hForhmorehTESThBANKShhttps://www.stuvia.com/user/angelinas
,b. Primarilyhhospitalhcarehofhmaternityhpatients.
c. Practicehusinghanhevidence-basedhapproach.
d. Planninghpatienthcarehtohcoverhlongerhhospitalhstays.
ANS:hC
Professionalhnursesharehparthofhthehteamhofhhealthhcarehprovidersh whoh collaborativelyhcareh forh patientshthr
oughouththehchildbearinghcycle.hProvidinghcarehtohpatientshdirectlyhaththehbedsidehishonehofhthehnurseshtasks
;hhowever,hithdoeshnothencompasshthehconcepthofhthehevolvedhprofessionalhnurse.hThroughouththehprenatalhp
eriod,hnurseshcarehforhwomenhinhclinicshandhphysiciansh officesh andhteachhclasseshtoh helphfamiliesh prepare
h forhchildbirth.hNurseshalsohcarehforhchildbearinghfamilieshinhbirthinghcentershandhinhthehhome.hNurseshhav
ehbeenhcriticallyhimportanthinhdevelopinghstrategieshtohimprovehthehwell-
beinghofhwomenhandhtheirhinfantshandhhavehledhtheheffortshtohimplementhclinicalhpracticehguidelineshusingh
anhevidence-
basedhapproach.hMaternityhpatientshhavehexperiencedhahdecreased,hratherhthanhanhincreased,hlengthhofhstayh
overhthehpasth2hdecades.
PTS:h1hDIF:hCognitivehLevel:hComprehensionhREF:h
1hOBJ:hNursinghProcess:hImplementation
MSC:hClienthNeeds:hSafehandhEffectivehCarehEnvironment
4. Ah23-year-oldhAfrican-
Americanhwomanhishpregnanthwithhherhfirsthchild.hBasedhonhthehstatisticshforhinfanthmortality,hwhichhpla
nhishmosthimportanthforhthehnursehtohimplement?
a. Performhah nutritionhassessment.
b. Referhthehwomanhtohahsocialhworker.
c. Advisehthehwomanhtohseehanhobstetrician,hnothah midwife.
d. Explainhtohthehwomanhthehimportancehofh keepinghherh prenatalhcarehappointments.
ANS:hD
Consistenthprenatalhcarehishthehbesthmethodhofhpreventinghorhcontrollinghriskhfactorshassociatedhwithhinfanth
mortality.hNutritionalhstatushishanhimportanthmodifiablehriskhfactor,hbuthahnutritionhassessmenthishnoththehm
osthimportanthactionhahnursehshouldhtakehinhthishsituation.hThehpatienth mayhneedhassistancehfromhahsocialh
workerhathsomeh timeh duringh herh pregnancy,h buthah referralh tohah socialh workerh ishnoth theh mosthimportantha
specth theh nursehshouldhaddresshaththishtime.hIfhthehwomanhhashidentifiablehhigh-
riskhproblems,hherhhealthhcarehmayhneedhtohbehprovidedhbyhahphysician.hHowever,hithcannothbehassumedhth
athallhAfrican-Americanhwomenhhavehhigh-
riskhissues.h Inhaddition,hadvisinghtheh womanhtohseeh anhobstetricianh ishnoththeh mosthimportanth aspecthonh w
hichh thehnurseh shouldhfocushaththish time,handhithish nothappropriateh forh ah nurseh tohadvisehorh manageh theh
typehofh careh ahpatienthishtohreceive.
PTS:h1hDIF:hCognitiveh Level:hComprehensionhREF:h6
OBJ:hNursinghProcess:hPlanninghMSC:hClienthNeeds:hHealthhPromotionhandh Maintenance
hForhmorehTESThBANKShhttps://www.stuvia.com/user/angelinas
, 5. Duringhahprenatalhintakehinterview,hthehnursehishinhthehprocesshofhobtaininghanhinitialhassessmenthofhah21
-year-holdhHispanichpatienthwithhlimitedhEnglishhproficiency.hIthishimportanthforhthehnursehto:
hForhmorehTESThBANKShhttps://www.stuvia.com/user/angelinas
