k
k
1
V.S.U.2023
k
Chapterk01:k21stkCenturykMaternitykNursingk
k
1. Whenk providingk carek fork ak pregnant k woman,k theknursek should kbek awarek thatk onekofk thek mostk
frequentlyk reported k maternalk medicalk riskk factorsk is:k
k
k
a.k Diabetesk mellitus.k c.k Chronick hypertension.k
k
k
b.k Mitralk valvek prolapsek (MVP).k d.k Anemia.k
k
k
ANS:k A k
k
2. Tok ensurek optimalk outcomesk fork thek patient,k thek contemporaryk maternityk nursek must k incorpo
ratek bothk teamworkk and k communicationk withk cliniciansk intok herk carek delivery,k Thek SBARk techniq
uek of k communicationk isk ank easy-to-
rememberk mechanismk fork communication.k Whichk of k thek followingk correctlyk definesk thisk acronym
?k
k
k
a. Situation,k baselinek assessment,k responsek
k
k
b. Situation,k background,k assessment,k recommendationk
k
k
c. Subjectivek background,k assessment,k recommendationk
k
k
d. Situation,k background,k anticipated k recommendationk
k
k
ANS:k Bk
k
3.k Thek rolek of k thek professionalk nursek caringk fork childbearingk familiesk hask evolved k tok emphasize:k
k
k
a. Providingk carek tok patientsk directlyk at k thek bedside.k
k
b. Primarilyk hospitalk carek of k maternityk patients.k
k
k
c. Practicek usingk ank evidence-based k approach.k
k
k
d. Planningk patient k carek tok coverk longerk hospitalk stays.k
k
k
ANS:k Ck
k
4.k A k 23-year-old k African-
Americank womank isk pregnant k withk herk first k child.kBasedk onkthekstatisticsk forkinfant kmortality,k whic
hk plank isk most k important k fork thek nursek tok implement?k
k
k
a. Performk ak nutritionk assessment.k
k
k
b. Referk thek womank tok ak socialk worker.k
,k
k
2
k
k
k
k
c. Advisek thek womank tok seek ank obstetrician,k not k ak midwife.k
k
k
d. Explaink tok thek womank thek importancek of k keepingk herk prenatalk carek appointments.k
k
k
ANS:k D k
k
5.k Duringk ak prenatalk intakek interview,k theknursek isk ink thekprocessk of kobtainingk ank initialk assessment k
of k ak 21-year-
old k Hispanick patient k withk limited k Englishk proficiency.k It k isk important k fork thek nursek to:k
k
k
a.k Usek maternityk jargonk ink orderk fork thek patient k tok becomek familiark withk thesek terms.k
k
bk Speakk quicklyk and k efficientlyk tok expeditek thek visit.k
.k
,k
k
3
c.k Providek thek patient k withk handouts.k
k
k
d k Assessk whetherk thek patient k understandsk thek discussion.k
k
k
ANS:k D k
k
6. Whenk managingk healthk carek fork pregnant k womenk at kak prenatalkclinic,k thek nursek should krecognize
k that k thek most k significant k barrierk tok accessk tok carek isk thek pregnant k woman‘s:k
kk
a.k Age.k c.k Educationalk level.k
k
k
b.k Minorityk status.k d.k Inabilityk tok pay.k
k
k
ANS:k D k
k
7. What k isk thek primaryk rolek of k practicingk nursesk ink thek researchk process?k
k
k
a. Designingk researchk studiesk
k
k
b. Collectingk datak fork otherk researchersk
k
k
c. Identifyingk researchablek problemsk
k
k
d. Seekingk fundingk tok support k researchk studiesk
k
k
ANS:k Ck
k
8.k Whenk thek nursek isk unsurek about k howk tokperformk ak patient k carek procedure,k thek best kactionkwouldkk
bek to:k
, k
k
4
k
k
a. Askk anotherk nurse.k
k
k
b. Discussk thek procedurek withk thek patient‘sk physician.k
k
k
c. Lookk upk thek procedurek ink ak nursingk textbook.k
k
k
d. Consult k thek agencyk procedurek manualk and k follow k thek guidelinesk fork thek procedure.k
k
k
ANS:k D k
k
9.k Fromk thek nurse‘sk perspective,k what k measurek should k bek thek focusk ofkthekhealthk carek systemk tokred
ucek thek ratek of k infant k mortalityk further?k
k
k
a. Implementingk programsk tok ensurek women‘sk earlyk participationk ink ongoingk prenatalk carek
k
k
b. Increasingk thek lengthk of k stayk ink ak hospitalk afterk vaginalk birthk fromk 2k tok 3k daysk
k
k
c. Expandingk thek numberk of k neonatalk intensivek carek unitsk (NICUs)k
k
k
d. Mandatingk that k allk pregnant k womenk receivek carek fromk ank obstetriciank
k
k
ANS:k A k
k
10.k Alternativek and k complementaryk therapies:k
k
k
a. Replacek conventionalk Westernk modalitiesk of k treatment.k
k
b. Arek used k byk onlyk ak smallk numberk of k Americank adults.k
k
k
c. Recognizek thek valuek of k clients‘k input k intok theirk healthk care.k
k
k
d. Focusk primarilyk onk thek diseasek ank individualk isk experiencing.k
k
k
ANS:k Ck
k
11. Ak 38-year-old k Hispanick womank delivered k ak 9-pound,k 6-
ouncek girlk vaginallyk afterk beingk ink labork fork 43k hours.k Thek babyk died k 3k daysk laterk fromk sepsis.k Onk
what k groundsk would k thek womank potentiallyk havek ak legitimatek legalk casek fork negligence?k
k
k
a.k Shek isk Hispanic.k c.k Thek standardsk of k carek werek not k met.k
k
k
b.k Shek delivered k ak girl.k d.k Shek refused k fetalk monitoring.k
k
k
ANS:k Ck
k
12. Ak newlyk graduatedk nursek isk attemptingk tokunderstand k thek reasonk fork increasingk healthk carek s
pendingk ink thek UnitedkStates.k Herkresearchk findskthatk thesek costskarek muchk higherk compared k withk o
therk developed k countriesk ask ak result k of:k
k
k
1
V.S.U.2023
k
Chapterk01:k21stkCenturykMaternitykNursingk
k
1. Whenk providingk carek fork ak pregnant k woman,k theknursek should kbek awarek thatk onekofk thek mostk
frequentlyk reported k maternalk medicalk riskk factorsk is:k
k
k
a.k Diabetesk mellitus.k c.k Chronick hypertension.k
k
k
b.k Mitralk valvek prolapsek (MVP).k d.k Anemia.k
k
k
ANS:k A k
k
2. Tok ensurek optimalk outcomesk fork thek patient,k thek contemporaryk maternityk nursek must k incorpo
ratek bothk teamworkk and k communicationk withk cliniciansk intok herk carek delivery,k Thek SBARk techniq
uek of k communicationk isk ank easy-to-
rememberk mechanismk fork communication.k Whichk of k thek followingk correctlyk definesk thisk acronym
?k
k
k
a. Situation,k baselinek assessment,k responsek
k
k
b. Situation,k background,k assessment,k recommendationk
k
k
c. Subjectivek background,k assessment,k recommendationk
k
k
d. Situation,k background,k anticipated k recommendationk
k
k
ANS:k Bk
k
3.k Thek rolek of k thek professionalk nursek caringk fork childbearingk familiesk hask evolved k tok emphasize:k
k
k
a. Providingk carek tok patientsk directlyk at k thek bedside.k
k
b. Primarilyk hospitalk carek of k maternityk patients.k
k
k
c. Practicek usingk ank evidence-based k approach.k
k
k
d. Planningk patient k carek tok coverk longerk hospitalk stays.k
k
k
ANS:k Ck
k
4.k A k 23-year-old k African-
Americank womank isk pregnant k withk herk first k child.kBasedk onkthekstatisticsk forkinfant kmortality,k whic
hk plank isk most k important k fork thek nursek tok implement?k
k
k
a. Performk ak nutritionk assessment.k
k
k
b. Referk thek womank tok ak socialk worker.k
,k
k
2
k
k
k
k
c. Advisek thek womank tok seek ank obstetrician,k not k ak midwife.k
k
k
d. Explaink tok thek womank thek importancek of k keepingk herk prenatalk carek appointments.k
k
k
ANS:k D k
k
5.k Duringk ak prenatalk intakek interview,k theknursek isk ink thekprocessk of kobtainingk ank initialk assessment k
of k ak 21-year-
old k Hispanick patient k withk limited k Englishk proficiency.k It k isk important k fork thek nursek to:k
k
k
a.k Usek maternityk jargonk ink orderk fork thek patient k tok becomek familiark withk thesek terms.k
k
bk Speakk quicklyk and k efficientlyk tok expeditek thek visit.k
.k
,k
k
3
c.k Providek thek patient k withk handouts.k
k
k
d k Assessk whetherk thek patient k understandsk thek discussion.k
k
k
ANS:k D k
k
6. Whenk managingk healthk carek fork pregnant k womenk at kak prenatalkclinic,k thek nursek should krecognize
k that k thek most k significant k barrierk tok accessk tok carek isk thek pregnant k woman‘s:k
kk
a.k Age.k c.k Educationalk level.k
k
k
b.k Minorityk status.k d.k Inabilityk tok pay.k
k
k
ANS:k D k
k
7. What k isk thek primaryk rolek of k practicingk nursesk ink thek researchk process?k
k
k
a. Designingk researchk studiesk
k
k
b. Collectingk datak fork otherk researchersk
k
k
c. Identifyingk researchablek problemsk
k
k
d. Seekingk fundingk tok support k researchk studiesk
k
k
ANS:k Ck
k
8.k Whenk thek nursek isk unsurek about k howk tokperformk ak patient k carek procedure,k thek best kactionkwouldkk
bek to:k
, k
k
4
k
k
a. Askk anotherk nurse.k
k
k
b. Discussk thek procedurek withk thek patient‘sk physician.k
k
k
c. Lookk upk thek procedurek ink ak nursingk textbook.k
k
k
d. Consult k thek agencyk procedurek manualk and k follow k thek guidelinesk fork thek procedure.k
k
k
ANS:k D k
k
9.k Fromk thek nurse‘sk perspective,k what k measurek should k bek thek focusk ofkthekhealthk carek systemk tokred
ucek thek ratek of k infant k mortalityk further?k
k
k
a. Implementingk programsk tok ensurek women‘sk earlyk participationk ink ongoingk prenatalk carek
k
k
b. Increasingk thek lengthk of k stayk ink ak hospitalk afterk vaginalk birthk fromk 2k tok 3k daysk
k
k
c. Expandingk thek numberk of k neonatalk intensivek carek unitsk (NICUs)k
k
k
d. Mandatingk that k allk pregnant k womenk receivek carek fromk ank obstetriciank
k
k
ANS:k A k
k
10.k Alternativek and k complementaryk therapies:k
k
k
a. Replacek conventionalk Westernk modalitiesk of k treatment.k
k
b. Arek used k byk onlyk ak smallk numberk of k Americank adults.k
k
k
c. Recognizek thek valuek of k clients‘k input k intok theirk healthk care.k
k
k
d. Focusk primarilyk onk thek diseasek ank individualk isk experiencing.k
k
k
ANS:k Ck
k
11. Ak 38-year-old k Hispanick womank delivered k ak 9-pound,k 6-
ouncek girlk vaginallyk afterk beingk ink labork fork 43k hours.k Thek babyk died k 3k daysk laterk fromk sepsis.k Onk
what k groundsk would k thek womank potentiallyk havek ak legitimatek legalk casek fork negligence?k
k
k
a.k Shek isk Hispanic.k c.k Thek standardsk of k carek werek not k met.k
k
k
b.k Shek delivered k ak girl.k d.k Shek refused k fetalk monitoring.k
k
k
ANS:k Ck
k
12. Ak newlyk graduatedk nursek isk attemptingk tokunderstand k thek reasonk fork increasingk healthk carek s
pendingk ink thek UnitedkStates.k Herkresearchk findskthatk thesek costskarek muchk higherk compared k withk o
therk developed k countriesk ask ak result k of:k
k
