Test Bank Maternal Child Nursing Care by Perry 6th Edition-Latest.

1. Whenproviding care for a pregnant woman,the nurse should be aware that one ofthe mostfrequentlyreported maternal medical risk factors is: a. Diabetesmellitus. 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 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, itis not one ofthe most frequently reported maternal medicalrisk factors inpregnancy. PTS:1DIF: 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 SBARtechnique of communication isan easy-to-remember mechanism for communication. Which ofthe following correctly defines this acronym? a. Situation, baseline assessment,response b. Situation, background, assessment, recommendation c. Subjective background, assessment, recommendation d. Situation, background, anticipated recommendationANS: 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:1DIF: Cognitive Level: ComprehensionREF:14OBJ: Nursing Process: Assessment, Planning MSC: ClientNeeds: Safe andEffective Care Environment 3. The role ofthe professional nurse caring for childbearing families has evolvedto emphasize: a. Providing care to patients directly atthe bedside. 5 b. Primarilyhospital care of maternity patients. c. Practice using an evidence-basedapproach. d. Planning patient care to coverlonger hospital stays. ANS: C Professional nurses are part of the team of health care providers who collaboratively care for patients throughoutthe childbearing cycle. Providing care to patients directly atthe bedside isone ofthe nurses tasks; however, it doesnot encompass the concept ofthe evolvedprofessional nurse. Throughoutthe 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 importantin developing strategies to improve the well-being of women andtheirinfants and have led the efforts to implement clinical practice guidelines using an evidence-basedapproach. Maternitypatients haveexperienced a decreased, ratherthan an increased, length of stay overthe past 2 decades. PTS:1DIF: Cognitive Level: Comprehension REF:1OBJ: Nursing Process: Implementation MSC: ClientNeeds: Safe andEffective Care Environment 4. A23-year-oldAfrican-American woman is pregnant with herfirst child. Based on the statistics forinfantmortality, which plan is most important forthe nurse to implement? a. Perform a nutrition assessment. b. Referthe 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 appo