TESTBANK FOR 21st Century Maternity Nursing
Chapter 01: 21st Century Maternity Nursing
The role of the professional nurse caring for childbearingfamilies
has evolved to emphasize:
MULTIPLE CHOICE
When providing care for a pregnant woman, the nurse shouldbe Providing care to patients directly at the bedside.
aware that one of the most frequently reported maternal medical
risk factors is:
Primarily hospital care of maternity patients.
Diabetes mellitus. c. Chronic hypertension.
Practice using an evidence-based approach.
Planning patient care to cover longer hospital stays.
b. Mitral valve prolapse(MVP). d. Anemia.
ANS: C
ANS: A
Professional nurses are part of the team of health care providers who
collaboratively care for patients throughout
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 ANS: B
medical risk factors in pregnancy.
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
To ensure optimal outcomes for the patient, the contemporary reasons for errors in healthcare. The SBAR technique has the
maternity nurse must incorporate both teamwork and potential to serve as a means to reduce errors.
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?
Situation, baseline assessment, response
Situation, background, assessment, recommendation
Subjective background, assessment, recommendation
Situation, background, anticipated recommendation
1
,TESTBANK FOR 21st Century Maternity Nursing
the childbearing cycle. Providing care to patients directly at the
bedside is one of the nurse’s tasks; however, it does notencompass
the concept of the evolved professional nurse. Throughout the
prenatal period, nurses care for women in clinics and physician’s
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 strategiesto
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 ofstay over the past 2
decades.
A 23-year-old African-American woman is pregnant with herfirst
child. Based on the statistics for infant mortality, which plan is most
important for the nurse to implement?
Perform a nutrition assessment.
Refer the woman to a social worker.
Advise the woman to see an obstetrician, not a midwife.
Explain to the woman the importance of keeping herprenatal care
appointments.
ANS: D
2
,TESTBANK FOR 21st Century Maternity Nursing
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 When managing health care for pregnant women at a prenatal clinic,
nutrition assessment is not the most important action a nurse the nurse should recognize that the most significant barrier to access
should take in this situation. The patient may need assistance from a to care is the pregnant woman’s:
social worker at some time during her pregnancy, but areferral to a
social worker is not the most important aspect the nurse should
address at this time. If the woman has identifiable high-risk Age. c. Educational level.
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 Minority status. d. Inability to pay.
obstetrician is not themost 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.
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 thenurse to:
Use maternity jargon in order for the patient to becomefamiliar with
these terms.
Speak quickly and efficiently to expedite the visit.
Provide the patient with handouts.
Assess whether the patient understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, commonwords;
avoiding jargon; and evaluating whether the patient understands
the discussion. Speaking slowly and clearly and focusing on what is
important increase understanding. Most patient education
materials are written at too high a level for the average adult and
may not be useful for a client with limited English proficiency.
3
,TESTBANK FOR 21st Century Maternity Nursing
When the nurse is unsure about how to perform a patientcare
procedure, the best action would be to:
ANS: D Ask another nurse.
The most significant barrier to health care access is the inability to Discuss the procedure with the patient’s physician.
pay for services; this is compounded by the fact that many
physicians refuse to care for women who cannot pay. Although
adolescent pregnant clients statistically receive less prenatal care,
Look up the procedure in a nursing textbook.
age is not the most significant barrier.
Significant disparities in morbidity and mortality rates exist for
minority women; however, minority status is not the most Consult the agency procedure manual and follow theguidelines for
significant barrier to access of care. Disparities in educational level the procedure.
are associated with morbidity and mortality rates; however,
educational level is not the most significant barrier to access of
care.
What is the primary role of practicing nurses in the researchprocess?
Designing research studies
Collecting data for other researchers
Identifying researchable problems
Seeking funding to support research studies
ANS: C
When problems are identified, research can be conducted properly.
Research of health care issues leads to evidence- based practice
guidelines. Designing research studies is onlyone factor of the
research process. Data collection is one factor of research. Financial
support is necessary to conductresearch, but it is not the primary
role of the nurse in the research process.
4
Chapter 01: 21st Century Maternity Nursing
The role of the professional nurse caring for childbearingfamilies
has evolved to emphasize:
MULTIPLE CHOICE
When providing care for a pregnant woman, the nurse shouldbe Providing care to patients directly at the bedside.
aware that one of the most frequently reported maternal medical
risk factors is:
Primarily hospital care of maternity patients.
Diabetes mellitus. c. Chronic hypertension.
Practice using an evidence-based approach.
Planning patient care to cover longer hospital stays.
b. Mitral valve prolapse(MVP). d. Anemia.
ANS: C
ANS: A
Professional nurses are part of the team of health care providers who
collaboratively care for patients throughout
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 ANS: B
medical risk factors in pregnancy.
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
To ensure optimal outcomes for the patient, the contemporary reasons for errors in healthcare. The SBAR technique has the
maternity nurse must incorporate both teamwork and potential to serve as a means to reduce errors.
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?
Situation, baseline assessment, response
Situation, background, assessment, recommendation
Subjective background, assessment, recommendation
Situation, background, anticipated recommendation
1
,TESTBANK FOR 21st Century Maternity Nursing
the childbearing cycle. Providing care to patients directly at the
bedside is one of the nurse’s tasks; however, it does notencompass
the concept of the evolved professional nurse. Throughout the
prenatal period, nurses care for women in clinics and physician’s
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 strategiesto
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 ofstay over the past 2
decades.
A 23-year-old African-American woman is pregnant with herfirst
child. Based on the statistics for infant mortality, which plan is most
important for the nurse to implement?
Perform a nutrition assessment.
Refer the woman to a social worker.
Advise the woman to see an obstetrician, not a midwife.
Explain to the woman the importance of keeping herprenatal care
appointments.
ANS: D
2
,TESTBANK FOR 21st Century Maternity Nursing
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 When managing health care for pregnant women at a prenatal clinic,
nutrition assessment is not the most important action a nurse the nurse should recognize that the most significant barrier to access
should take in this situation. The patient may need assistance from a to care is the pregnant woman’s:
social worker at some time during her pregnancy, but areferral to a
social worker is not the most important aspect the nurse should
address at this time. If the woman has identifiable high-risk Age. c. Educational level.
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 Minority status. d. Inability to pay.
obstetrician is not themost 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.
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 thenurse to:
Use maternity jargon in order for the patient to becomefamiliar with
these terms.
Speak quickly and efficiently to expedite the visit.
Provide the patient with handouts.
Assess whether the patient understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, commonwords;
avoiding jargon; and evaluating whether the patient understands
the discussion. Speaking slowly and clearly and focusing on what is
important increase understanding. Most patient education
materials are written at too high a level for the average adult and
may not be useful for a client with limited English proficiency.
3
,TESTBANK FOR 21st Century Maternity Nursing
When the nurse is unsure about how to perform a patientcare
procedure, the best action would be to:
ANS: D Ask another nurse.
The most significant barrier to health care access is the inability to Discuss the procedure with the patient’s physician.
pay for services; this is compounded by the fact that many
physicians refuse to care for women who cannot pay. Although
adolescent pregnant clients statistically receive less prenatal care,
Look up the procedure in a nursing textbook.
age is not the most significant barrier.
Significant disparities in morbidity and mortality rates exist for
minority women; however, minority status is not the most Consult the agency procedure manual and follow theguidelines for
significant barrier to access of care. Disparities in educational level the procedure.
are associated with morbidity and mortality rates; however,
educational level is not the most significant barrier to access of
care.
What is the primary role of practicing nurses in the researchprocess?
Designing research studies
Collecting data for other researchers
Identifying researchable problems
Seeking funding to support research studies
ANS: C
When problems are identified, research can be conducted properly.
Research of health care issues leads to evidence- based practice
guidelines. Designing research studies is onlyone factor of the
research process. Data collection is one factor of research. Financial
support is necessary to conductresearch, but it is not the primary
role of the nurse in the research process.
4
