,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 freq
uently 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 pre
ak
gnancy. Both of these conditions are associated with maternal obesity. There are no studies that indi
cate 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 factor
s. Although anemia is a concern in pregnancy, it is not one of the most frequently reported maternal m
edical 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 tea
mwork 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 recommendati
onANS: 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:
14OBJ: 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 hospital care of maternity patients.
c. Practice using an evidence-based approach.
d. Planning patient care to cover longer hospital stays.
ANS: C
Professional nurses are part of the team of health care providers who collaboratively care for patients th
ak
roughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tas
ks; however, it does not encompass the concept of the evolved professional nurse. Throughout the prenat
al period, nurses care for women in clinics and physicians offices and teach classes to help families pre
pare for childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses h
ave been critically important in developing strategies to 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 of stay
over the past 2 decades.
PTS: 1 DIF: Cognitive Level: Comprehension REF:
1OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
4. A 23-year-old African-
American woman is pregnant with her first child. Based on the statistics for infant mortality, which pl
an 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.
ANS: D
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 nutrition assessment is not the
most important action a nurse should take in this situation. The patient may need assistance from a soci
al worker at some time during her pregnancy, but a referral to a social worker is not the most impo
rtant aspect the nurse should address at this time. If the woman has identifiable high-
risk problems, her health care may need to be provided by a physician. However, it cannot be assumed th
ak
at all African-American women have high-
risk issues. In addition, advising the woman to see an obstetrician is not the most important aspect o
ak
n which the nurse should focus at this time, and it is not appropriate for a nurse to advise or manag
e the type of care a patient is to receive.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 2
, 1- year- old Hispanic patient with limited English proficiency. It is important for the nurse to:
MULTIPLE CHOICE
1. When providing care for a pregnant woman, the nurse should be aware that one of the most freq
uently 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 pre
ak
gnancy. Both of these conditions are associated with maternal obesity. There are no studies that indi
cate 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 factor
s. Although anemia is a concern in pregnancy, it is not one of the most frequently reported maternal m
edical 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 tea
mwork 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 recommendati
onANS: 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:
14OBJ: 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 hospital care of maternity patients.
c. Practice using an evidence-based approach.
d. Planning patient care to cover longer hospital stays.
ANS: C
Professional nurses are part of the team of health care providers who collaboratively care for patients th
ak
roughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tas
ks; however, it does not encompass the concept of the evolved professional nurse. Throughout the prenat
al period, nurses care for women in clinics and physicians offices and teach classes to help families pre
pare for childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses h
ave been critically important in developing strategies to 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 of stay
over the past 2 decades.
PTS: 1 DIF: Cognitive Level: Comprehension REF:
1OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
4. A 23-year-old African-
American woman is pregnant with her first child. Based on the statistics for infant mortality, which pl
an 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.
ANS: D
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 nutrition assessment is not the
most important action a nurse should take in this situation. The patient may need assistance from a soci
al worker at some time during her pregnancy, but a referral to a social worker is not the most impo
rtant aspect the nurse should address at this time. If the woman has identifiable high-
risk problems, her health care may need to be provided by a physician. However, it cannot be assumed th
ak
at all African-American women have high-
risk issues. In addition, advising the woman to see an obstetrician is not the most important aspect o
ak
n which the nurse should focus at this time, and it is not appropriate for a nurse to advise or manag
e the type of care a patient is to receive.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 6
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 2
, 1- year- old Hispanic patient with limited English proficiency. It is important for the nurse to:
