,Hisley: Maternal Child Nursing Care 2nd Edition Test Bank
Chapter 01: 21st Century Maternity Nursing
MULTIPLE CHOICE
1. 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. 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, it is not one of the most frequently reported maternal medical risk factors in
pregnancy.
PTS: 1 DIF: 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 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
ANS: 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: 1 DIF: Cognitive Level: Comprehension REF: 14
OBJ: Nursing Process: Assessment, Planning
MSC: Client Needs: Safe and Effective Care Environment
3. 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 @axhospital @axcare @axof @axmaternity @axpatients.
c. Practice @axusing @axan @axevidence-based @axapproach.
d. Planning @axpatient @axcare @axto @axcover @axlonger @axhospital @axstays.
ANS: @axC
Professional @axnurses @axare @axpart @axof @axthe @axteam @axof @axhealth @axcare @axproviders @ a x who @ a x collaboratively
@axcare @ a x for @ a x patients @axthroughout @axthe @axchildbearing @axcycle. @axProviding @axcare @axto @axpatients
@axdirectly @axat @axthe @axbedside @axis @axone @axof @axthe @axnurses @axtasks; @axhowever, @axit @axdoes @axnot @axencompass
@axthe @axconcept @axof @axthe @axevolved @axprofessional @axnurse. @axThroughout @axthe @axprenatal @axperiod, @axnurses
@axcare @axfor @axwomen @axin @axclinics @axand @axphysicians @ a x offices @ a x and @axteach @axclasses @axto @ a x help
@axfamilies @ a x prepare @ a x for @axchildbirth. @axNurses @axalso @axcare @axfor @axchildbearing @axfamilies @axin @axbirthing
@axcenters @axand @axin @axthe @axhome. @axNurses @axhave @axbeen @axcritically @aximportant @axin @axdeveloping
@axstrategies @axto @aximprove @axthe @axwell-being @axof @axwomen @axand @axtheir @axinfants @axand @axhave @axled @axthe
@axefforts @axto @aximplement @axclinical @axpractice @axguidelines @axusing @axan @axevidence-based @axapproach.
@axMaternity @axpatients @axhave @axexperienced @axa @axdecreased, @axrather @axthan @axan @axincreased, @axlength @axof
@axstay @axover @axthe @axpast @ax2 @axdecades.
PTS: @ax1 @axDIF: @axCognitive @axLevel: @axComprehension
REF: @ax1 @axOBJ: @axNursing @axProcess:
@ax
@ax Implementation
MSC: @axClient @axNeeds: @axSafe @axand @axEffective @axCare @axEnvironment
4. A @ax23-year-old @axAfrican-American @axwoman @axis @axpregnant @axwith @axher @axfirst @axchild. @axBased @axon
@axthe @axstatistics @axfor @axinfant @axmortality, @axwhich @axplan @axis @axmost @aximportant @axfor @axthe @axnurse @axto
@aximplement?
a. Perform @axa @ a x nutrition @axassessment.
b. Refer @axthe @axwoman @axto @axa @axsocial @axworker.
c. Advise @axthe @axwoman @axto @axsee @axan @axobstetrician, @ax not @axa @ a x midwife.
d. Explain @axto @axthe @axwoman @axthe @aximportance @axof @ax keeping @axher @axprenatal @axcare @axappointments.
ANS: @axD
Consistent @axprenatal @axcare @axis @axthe @axbest @axmethod @axof @axpreventing @axor @axcontrolling @axrisk @axfactors
@axassociated @axwith @axinfant @axmortality. @axNutritional @axstatus @axis @axan @aximportant @axmodifiable @axrisk
@axfactor, @axbut @axa @axnutrition @axassessment @axis @axnot @axthe @axmost @aximportant @axaction @axa @axnurse @axshould
@axtake @axin @axthis @axsituation. @axThe @axpatient @ a x may @axneed @axassistance @axfrom @axa @axsocial @axworker @axat
@axsome @ a x time @ a x during @ a x her @ a x pregnancy, @ a x but @axa @ a x referral @ a x to @axa @ a x social @ a x worker @ a x is @axnot
@ a x the @ a x most @aximportant @axaspect @ a x the @ a x nurse @axshould @axaddress @axat @axthis @axtime. @axIf @axthe @axwoman
@axhas @axidentifiable @axhigh-risk @axproblems, @axher @axhealth @axcare @axmay @axneed @axto @axbe @axprovided @axby @axa
@axphysician. @axHowever, @axit @axcannot @axbe @axassumed @axthat @axall @axAfrican-American @axwomen @axhave @axhigh-
risk @axissues. @ a x In @axaddition, @axadvising @axthe @ a x woman @axto @axsee @ a x an @axobstetrician @ a x is @axnot @axthe
@ a x most @aximportant @ a x aspect @axon @ a x which @ a x the @axnurse @ a x should @axfocus @axat @axthis @ a x time, @axand @axit @axis
@ a x not @axappropriate @ a x for @ a x a @ a x nurse @ a x to @axadvise @axor @ a x manage @ a x the @ a x type @axof @ a x care @ a x a
@axpatient @axis @axto @axreceive.
, PTS: @ax1 @axDIF: @axCognitive @ax Level: @axComprehension @axREF: @ax6
OBJ: @axNursing @axProcess: @axPlanning @axMSC: @ax Client @axNeeds: @axHealth @axPromotion @axand @ a x Maintenance
5. During @axa @axprenatal @axintake @axinterview, @axthe @axnurse @axis @axin @axthe @axprocess @axof @axobtaining @axan
@axinitial @axassessment @axof @axa @ax21-year- @axold @axHispanic @axpatient @axwith @axlimited @axEnglish @axproficiency.
@axIt @axis @aximportant @axfor @axthe @axnurse @axto:
Chapter 01: 21st Century Maternity Nursing
MULTIPLE CHOICE
1. 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. 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, it is not one of the most frequently reported maternal medical risk factors in
pregnancy.
PTS: 1 DIF: 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 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
ANS: 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: 1 DIF: Cognitive Level: Comprehension REF: 14
OBJ: Nursing Process: Assessment, Planning
MSC: Client Needs: Safe and Effective Care Environment
3. 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 @axhospital @axcare @axof @axmaternity @axpatients.
c. Practice @axusing @axan @axevidence-based @axapproach.
d. Planning @axpatient @axcare @axto @axcover @axlonger @axhospital @axstays.
ANS: @axC
Professional @axnurses @axare @axpart @axof @axthe @axteam @axof @axhealth @axcare @axproviders @ a x who @ a x collaboratively
@axcare @ a x for @ a x patients @axthroughout @axthe @axchildbearing @axcycle. @axProviding @axcare @axto @axpatients
@axdirectly @axat @axthe @axbedside @axis @axone @axof @axthe @axnurses @axtasks; @axhowever, @axit @axdoes @axnot @axencompass
@axthe @axconcept @axof @axthe @axevolved @axprofessional @axnurse. @axThroughout @axthe @axprenatal @axperiod, @axnurses
@axcare @axfor @axwomen @axin @axclinics @axand @axphysicians @ a x offices @ a x and @axteach @axclasses @axto @ a x help
@axfamilies @ a x prepare @ a x for @axchildbirth. @axNurses @axalso @axcare @axfor @axchildbearing @axfamilies @axin @axbirthing
@axcenters @axand @axin @axthe @axhome. @axNurses @axhave @axbeen @axcritically @aximportant @axin @axdeveloping
@axstrategies @axto @aximprove @axthe @axwell-being @axof @axwomen @axand @axtheir @axinfants @axand @axhave @axled @axthe
@axefforts @axto @aximplement @axclinical @axpractice @axguidelines @axusing @axan @axevidence-based @axapproach.
@axMaternity @axpatients @axhave @axexperienced @axa @axdecreased, @axrather @axthan @axan @axincreased, @axlength @axof
@axstay @axover @axthe @axpast @ax2 @axdecades.
PTS: @ax1 @axDIF: @axCognitive @axLevel: @axComprehension
REF: @ax1 @axOBJ: @axNursing @axProcess:
@ax
@ax Implementation
MSC: @axClient @axNeeds: @axSafe @axand @axEffective @axCare @axEnvironment
4. A @ax23-year-old @axAfrican-American @axwoman @axis @axpregnant @axwith @axher @axfirst @axchild. @axBased @axon
@axthe @axstatistics @axfor @axinfant @axmortality, @axwhich @axplan @axis @axmost @aximportant @axfor @axthe @axnurse @axto
@aximplement?
a. Perform @axa @ a x nutrition @axassessment.
b. Refer @axthe @axwoman @axto @axa @axsocial @axworker.
c. Advise @axthe @axwoman @axto @axsee @axan @axobstetrician, @ax not @axa @ a x midwife.
d. Explain @axto @axthe @axwoman @axthe @aximportance @axof @ax keeping @axher @axprenatal @axcare @axappointments.
ANS: @axD
Consistent @axprenatal @axcare @axis @axthe @axbest @axmethod @axof @axpreventing @axor @axcontrolling @axrisk @axfactors
@axassociated @axwith @axinfant @axmortality. @axNutritional @axstatus @axis @axan @aximportant @axmodifiable @axrisk
@axfactor, @axbut @axa @axnutrition @axassessment @axis @axnot @axthe @axmost @aximportant @axaction @axa @axnurse @axshould
@axtake @axin @axthis @axsituation. @axThe @axpatient @ a x may @axneed @axassistance @axfrom @axa @axsocial @axworker @axat
@axsome @ a x time @ a x during @ a x her @ a x pregnancy, @ a x but @axa @ a x referral @ a x to @axa @ a x social @ a x worker @ a x is @axnot
@ a x the @ a x most @aximportant @axaspect @ a x the @ a x nurse @axshould @axaddress @axat @axthis @axtime. @axIf @axthe @axwoman
@axhas @axidentifiable @axhigh-risk @axproblems, @axher @axhealth @axcare @axmay @axneed @axto @axbe @axprovided @axby @axa
@axphysician. @axHowever, @axit @axcannot @axbe @axassumed @axthat @axall @axAfrican-American @axwomen @axhave @axhigh-
risk @axissues. @ a x In @axaddition, @axadvising @axthe @ a x woman @axto @axsee @ a x an @axobstetrician @ a x is @axnot @axthe
@ a x most @aximportant @ a x aspect @axon @ a x which @ a x the @axnurse @ a x should @axfocus @axat @axthis @ a x time, @axand @axit @axis
@ a x not @axappropriate @ a x for @ a x a @ a x nurse @ a x to @axadvise @axor @ a x manage @ a x the @ a x type @axof @ a x care @ a x a
@axpatient @axis @axto @axreceive.
, PTS: @ax1 @axDIF: @axCognitive @ax Level: @axComprehension @axREF: @ax6
OBJ: @axNursing @axProcess: @axPlanning @axMSC: @ax Client @axNeeds: @axHealth @axPromotion @axand @ a x Maintenance
5. During @axa @axprenatal @axintake @axinterview, @axthe @axnurse @axis @axin @axthe @axprocess @axof @axobtaining @axan
@axinitial @axassessment @axof @axa @ax21-year- @axold @axHispanic @axpatient @axwith @axlimited @axEnglish @axproficiency.
@axIt @axis @aximportant @axfor @axthe @axnurse @axto:
