2025 Maternal Child Nursing Care Exam
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, 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 reported maternal medical risk factors is:
A. Diabetes mellitus
B. Chronic hypertension
C. Mitral valve prolapses (MVP).
ANS: A
The most frequently reported maternal medical risk factors are diabetes and
hypertension associated with pregnancy. Both of these conditions are associated with
maternal obesity. There are no studies that indicate MVP is among the most
frequently reported maternal risk factors. Hypertension associated with pregnancy,
not chronic hypertension, 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 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 communication 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
OBJ: 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.
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 the childbearing cycle. Providing care to patients directly
at the bedside is one of the nurses tasks; however, it does not encompass the concept
of the evolved professional nurse. Throughout the prenatal period, nurses care for
women in clinics and physicians offices and teach classes to help families prepare for
childbirth. Nurses also care for childbearing families in birthing centers and in the
home. Nurses have been critically important in developing strategies to 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 past 2
decades.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1
OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
, 3. A 23-year-old African-American woman is pregnant with her first child. Based on
the statistics for infant mortality, which plan is most important 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 pregnancy, 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 African-American women have high-risk issues. In
addition, advising the woman to see an obstetrician is not the most important aspect
on which the nurse 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 receive.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and
Maintenance
4. 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:
A. Use maternity jargon in order for the patient to become familiar with these
terms.
B. Speak quickly and efficiently to expedite the visit.
Prep | 2nd Edition Test Bank with
Updated Verified Q&A
Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank instant delivery
, 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 reported maternal medical risk factors is:
A. Diabetes mellitus
B. Chronic hypertension
C. Mitral valve prolapses (MVP).
ANS: A
The most frequently reported maternal medical risk factors are diabetes and
hypertension associated with pregnancy. Both of these conditions are associated with
maternal obesity. There are no studies that indicate MVP is among the most
frequently reported maternal risk factors. Hypertension associated with pregnancy,
not chronic hypertension, 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 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 communication 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
OBJ: 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.
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 the childbearing cycle. Providing care to patients directly
at the bedside is one of the nurses tasks; however, it does not encompass the concept
of the evolved professional nurse. Throughout the prenatal period, nurses care for
women in clinics and physicians offices and teach classes to help families prepare for
childbirth. Nurses also care for childbearing families in birthing centers and in the
home. Nurses have been critically important in developing strategies to 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 past 2
decades.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1
OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
, 3. A 23-year-old African-American woman is pregnant with her first child. Based on
the statistics for infant mortality, which plan is most important 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 pregnancy, 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 African-American women have high-risk issues. In
addition, advising the woman to see an obstetrician is not the most important aspect
on which the nurse 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 receive.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and
Maintenance
4. 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:
A. Use maternity jargon in order for the patient to become familiar with these
terms.
B. Speak quickly and efficiently to expedite the visit.
