Test Bank for Maternal Child Nursing Care 2nd Edition by Ward & Hisley – Complete Questions & Answers Guide (A+)

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,Chapter 01: 21st Century Maternity Nursing v v v v v




MULTIPLE CHOICE v




1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently
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reported maternal medical risk factors is:
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a. Diabetes mellitus. v c. Chronic hypertension. v




b. Mitral valve prolapse (MVP). v v v d. Anemia.


ANS: A v




The most frequently reported maternal medical risk factors are diabetes and hypertension associated with
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pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that indicate
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MVP is among the most frequently reported maternal risk factors. Hypertension associated with pregnancy,
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not chronic hypertension, is one of the most frequently reported maternal medical risk factors. Although anemia
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is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk factors in pregnancy.
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PTS: 1 DIF: Cognitive Level: Knowledge REF: 6
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OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
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2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both
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teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is an
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easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?
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a. Situation, baseline assessment, response v v v




b. Situation, background, assessment, recommendation v v v




c. Subjective background, assessment, recommendation v v v




d. Situation, background, anticipated recommendation v v v




ANS: B v




The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for
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communication among health care providers. Failure to communicate is one of the major reasons for errors in health
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care. The SBAR technique has the potential to serve as a means to reduce errors.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 14
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v OBJ: Nursing Process: Assessment, Planning
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MSC: Client Needs: Safe and Effective Care Environment
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3. The role of the professional nurse caring for childbearing families has evolved to emphasize:
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a. Providing care to patients directly at the bedside. v v v v v v v




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, b. Primarily hospital care of maternity patients. v v v v v




c. Practice using an evidence-based approach. v v v v




d. Planning patient care to cover longer hospital stays. v v v v v v v




ANS: C v




Professional nurses are part of the team of health care providers who collaboratively care for patients
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throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks;
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however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period,
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nurses care for women in clinics and physicians offices and teach classes to help families prepare for
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childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses have been
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critically important in developing strategies to improve the well-being of women and their infants and have led the
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efforts to implement clinical practice guidelines using an evidence-based approach. Maternity patients have
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experienced a decreased, rather than an increased, length of stay over the past 2 decades.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 1
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v OBJ: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment
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4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant
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mortality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. v v v




b. Refer the woman to a social worker. v v v v v v




c. Advise the woman to see an obstetrician, not a midwife. v v v v v v v v v




d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D v




Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant mortality.
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Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most important action
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a nurse should take in this situation. The patient may need assistance from a social worker at some time during her
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pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at this
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time. If the woman has identifiable high-risk problems, her health care may need to be provided by a physician.
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However, it cannot be assumed that all African-American women have high-risk issues. In addition, advising the
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woman to see an obstetrician is not the most important aspect on which the nurse should focus at this time, and
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it is not appropriate for a nurse to advise or manage the type of care a patient is to receive.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
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OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
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5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year- old
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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.
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b. Speak quickly and efficiently to expedite the visit.
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c. Provide the patient with handouts. v v v v




d. Assess whether the patient understands the discussion.
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ANS: D v




Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether the
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patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase
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understanding. Most patient education materials are written at too high a level for the average adult and may
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not be useful for a client with limited English proficiency.
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PTS: 1 DIF: Cognitive Level: Application REF: 5
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OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
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6. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the
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most significant barrier to access to care is the pregnant womans:
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a. Age. c. Educational level. v




b. Minority status. v d. Inability to pay. v v




ANS: D v




The most significant barrier to health care access is the inability to pay for services; this is compounded by the fact
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that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients statistically
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receive less prenatal care, age is not the most significant barrier. Significant disparities in morbidity and
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mortality rates exist for minority women; however, minority status is not the most significant barrier to access of
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care. Disparities in educational level are associated with morbidity and mortality rates; however, educational level
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is not the most significant barrier to access of care.
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PTS: 1 DIF: Cognitive Level: Knowledge REF: 5
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v OBJ: Nursing Process: Assessment
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MSC: Client Needs: Safe and Effective Care Environment
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7. What is the primary role of practicing nurses in the research process?
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a. Designing research studies v v




b. Collecting data for other researchers v v v v




c. Identifying researchable problems v v




d. Seeking funding to support research studies v v v v v




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