Maternal Child Nursing Care - Chapter 1:
21st Century Maternity Nursing
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) Mitral valve prolapse (MVP)
C) Chronic hypertension
D) Anemia
A) Diabetes mellitus
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
B) Situation, background, assessment, recommendation
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
C) Practice using an evidence-based approach
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.
D) Explain to the woman the importance of keeping her prenatal care appointments.
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.
C) Provide the patient with handouts.
D) Assess whether the patient understands the discussion.
D) Assess whether the patient understands the discussion.
When managing health care for pregnant women at a prenatal clinic, the nurse should
recognize that the most significant barrier to access to care is the pregnant woman's:
, A) Age
B) Minority status
C) Educational level
D) Inability to pay
D) Inability to pay
What is the primary role of practicing nurses in the research process?
A) Designing research studies
B) Collecting data for other researchers
C) Identifying researchable problems
D) Seeking funding to support research studies
C) Identifying researchable problems
When the nurse is unsure about how to perform a patient care procedure, the best
action would be to:
A) Ask another nurse.
B) Discuss the procedure with the patients physician.
C) Look up the procedure in a nursing textbook.
D) Consult the agency procedure manual and follow the guidelines for the procedure.
D) Consult the agency procedure manual and follow the guidelines for the procedure
From the nurses perspective, what measure should be the focus of the health care
system to reduce the rate of infant mortality further?
A) Implementing programs to ensure women's early participation in ongoing prenatal
care
B) Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
C) Expanding the number of neonatal intensive care units (NICUs)
D) Mandating that all pregnant women receive care from an obstetrician
A) Implementing programs to ensure women's early participation in ongoing prenatal
care
Alternative and complementary therapies:
A) Replace conventional Western modalities of treatment.
B) Are used by only a small number of American adults.
C) Recognize the value of clients input into their health care.
D) Focus primarily on the disease an individual is experiencing.
C) Recognize the value of clients input into their health care
A 38-year-old Hispanic woman delivered a 9-pound, 6-ounce girl vaginally after being in
labor for 43
hours. The baby died 3 days later from sepsis. On what grounds would the woman
potentially have a legitimate legal case for negligence?
A) She is Hispanic
B) She delivered a girl
C) The standards of care were not met
D) She refused fetal monitoring
C) The standards of care were not met
A newly graduated nurse is attempting to understand the reason for increasing health
care spending in the United States. Her research finds that these costs are much higher
compared with other developed countries as a result of:
A) A higher rate of obesity among pregnant women.
21st Century Maternity Nursing
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) Mitral valve prolapse (MVP)
C) Chronic hypertension
D) Anemia
A) Diabetes mellitus
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
B) Situation, background, assessment, recommendation
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
C) Practice using an evidence-based approach
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.
D) Explain to the woman the importance of keeping her prenatal care appointments.
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.
C) Provide the patient with handouts.
D) Assess whether the patient understands the discussion.
D) Assess whether the patient understands the discussion.
When managing health care for pregnant women at a prenatal clinic, the nurse should
recognize that the most significant barrier to access to care is the pregnant woman's:
, A) Age
B) Minority status
C) Educational level
D) Inability to pay
D) Inability to pay
What is the primary role of practicing nurses in the research process?
A) Designing research studies
B) Collecting data for other researchers
C) Identifying researchable problems
D) Seeking funding to support research studies
C) Identifying researchable problems
When the nurse is unsure about how to perform a patient care procedure, the best
action would be to:
A) Ask another nurse.
B) Discuss the procedure with the patients physician.
C) Look up the procedure in a nursing textbook.
D) Consult the agency procedure manual and follow the guidelines for the procedure.
D) Consult the agency procedure manual and follow the guidelines for the procedure
From the nurses perspective, what measure should be the focus of the health care
system to reduce the rate of infant mortality further?
A) Implementing programs to ensure women's early participation in ongoing prenatal
care
B) Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
C) Expanding the number of neonatal intensive care units (NICUs)
D) Mandating that all pregnant women receive care from an obstetrician
A) Implementing programs to ensure women's early participation in ongoing prenatal
care
Alternative and complementary therapies:
A) Replace conventional Western modalities of treatment.
B) Are used by only a small number of American adults.
C) Recognize the value of clients input into their health care.
D) Focus primarily on the disease an individual is experiencing.
C) Recognize the value of clients input into their health care
A 38-year-old Hispanic woman delivered a 9-pound, 6-ounce girl vaginally after being in
labor for 43
hours. The baby died 3 days later from sepsis. On what grounds would the woman
potentially have a legitimate legal case for negligence?
A) She is Hispanic
B) She delivered a girl
C) The standards of care were not met
D) She refused fetal monitoring
C) The standards of care were not met
A newly graduated nurse is attempting to understand the reason for increasing health
care spending in the United States. Her research finds that these costs are much higher
compared with other developed countries as a result of:
A) A higher rate of obesity among pregnant women.
