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Chapterx01:x21stxCenturyxMaternityxNursing
MULTIPLExCHOICE
1. Whenxprovidingxcarexforxaxpregnantxwoman,xthexnursexshouldxbexawarexthatxonexofxthexmostxfreq
uentlyxreportedxmaternalxmedicalxriskxfactorsxis:
a. Diabetesx mellitus. c. Chronicx hypertension.
b. Mitralx valvex prolapsex (MVP). d. Anemia.
ANS:x A
Thexmostxfrequentlyxreportedxmaternalxmedicalxriskxfactorsxarexdiabetesxandxhypertensionxassociatedxwith
xpregnancy.xBothxofxthesexconditionsxarexassociatedxwithxmaternalxobesity.xTherexarexnoxstudiesxthatxindic
atexMVPxisxamongxthexmostxfrequentlyxreportedxmaternalxriskxfactors.xHypertensionxassociatedxwithxpreg
nancy,xnotxchronicxhypertension,xisxonexofxthexmostxfrequentlyxreportedxmaternalxmedicalxriskxfactors.xAlt
houghxanemiaxisxaxconcernxinxpregnancy,xitxisxnotxonexofxthexmostxfrequentlyxreportedxmaternalxmedicalxri
skxfactorsxinxpregnancy.
PTS:x1x DIF:xCognitivex Level:x Knowledgex REF:x 6
OBJ:xNursingx Process:x Assessmentx MSC:x Clientx Needs:x Physiologicx Integrity
2. Toxensurexoptimalxoutcomesxforxthexpatient,xthexcontemporaryxmaternityxnursexmustxincorporatexbothxte
amworkxandxcommunicationxwithxcliniciansxintoxherxcarexdelivery,xThexSBARxtechniquexofxcommunication
xisxanxeasy-to-
rememberxmechanismxforxcommunication.xWhichxofxthexfollowingxcorrectlyxdefinesxthisxacronym?
a. Situation,x baselinex assessment,x response
b. Situation,xbackground,xassessment,xrecommendation
c. Subjectivexbackground,xassessment,xrecommendation
d. Situation,x background,x anticipatedx recommendation
ANS:x B
Thexsituation,xbackground,xassessment,xrecommendationx(SBAR)xtechniquexprovidesxaxspecificxframeworkxfor
xcommunicationxamongxhealthxcarexproviders.xFailurextoxcommunicatexisxonexofxthexmajorxreasonsxforxerrorsx
inxhealthxcare.xThexSBARxtechniquexhasxthexpotentialxtoxservexasxaxmeansxtoxreducexerrors.
PTS:x1xDIF:xCognitivexLevel:xComprehensionxREF:x
14xOBJ:xNursingxProcess:xAssessment,xPlanning
MSC:x ClientxNeeds:xSafex andxEffectivex Carex Environment
3. Thexrolexofxthexprofessionalxnursexcaringxforxchildbearingxfamiliesxhasxevolvedxtoxemphasize:
a. Providingxcarextoxpatientsxdirectlyxatxthexbedside.
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Chapterx01:x21stxCenturyxMaternityxNursing
MULTIPLExCHOICE
1. Whenxprovidingxcarexforxaxpregnantxwoman,xthexnursexshouldxbexawarexthatxonexofxthexmostxfreq
uentlyxreportedxmaternalxmedicalxriskxfactorsxis:
a. Diabetesx mellitus. c. Chronicx hypertension.
b. Mitralx valvex prolapsex (MVP). d. Anemia.
ANS:x A
Thexmostxfrequentlyxreportedxmaternalxmedicalxriskxfactorsxarexdiabetesxandxhypertensionxassociatedxwith
xpregnancy.xBothxofxthesexconditionsxarexassociatedxwithxmaternalxobesity.xTherexarexnoxstudiesxthatxindic
atexMVPxisxamongxthexmostxfrequentlyxreportedxmaternalxriskxfactors.xHypertensionxassociatedxwithxpreg
nancy,xnotxchronicxhypertension,xisxonexofxthexmostxfrequentlyxreportedxmaternalxmedicalxriskxfactors.xAlt
houghxanemiaxisxaxconcernxinxpregnancy,xitxisxnotxonexofxthexmostxfrequentlyxreportedxmaternalxmedicalxri
skxfactorsxinxpregnancy.
PTS:x1x DIF:xCognitivex Level:x Knowledgex REF:x 6
OBJ:xNursingx Process:x Assessmentx MSC:x Clientx Needs:x Physiologicx Integrity
2. Toxensurexoptimalxoutcomesxforxthexpatient,xthexcontemporaryxmaternityxnursexmustxincorporatexbothxte
amworkxandxcommunicationxwithxcliniciansxintoxherxcarexdelivery,xThexSBARxtechniquexofxcommunication
xisxanxeasy-to-
rememberxmechanismxforxcommunication.xWhichxofxthexfollowingxcorrectlyxdefinesxthisxacronym?
a. Situation,x baselinex assessment,x response
b. Situation,xbackground,xassessment,xrecommendation
c. Subjectivexbackground,xassessment,xrecommendation
d. Situation,x background,x anticipatedx recommendation
ANS:x B
Thexsituation,xbackground,xassessment,xrecommendationx(SBAR)xtechniquexprovidesxaxspecificxframeworkxfor
xcommunicationxamongxhealthxcarexproviders.xFailurextoxcommunicatexisxonexofxthexmajorxreasonsxforxerrorsx
inxhealthxcare.xThexSBARxtechniquexhasxthexpotentialxtoxservexasxaxmeansxtoxreducexerrors.
PTS:x1xDIF:xCognitivexLevel:xComprehensionxREF:x
14xOBJ:xNursingxProcess:xAssessment,xPlanning
MSC:x ClientxNeeds:xSafex andxEffectivex Carex Environment
3. Thexrolexofxthexprofessionalxnursexcaringxforxchildbearingxfamiliesxhasxevolvedxtoxemphasize:
a. Providingxcarextoxpatientsxdirectlyxatxthexbedside.
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