T3 Qs Test1 Chapter 01: 21st Century Maternity Nursing
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NUR 2214C (NUR2214C)
Institution
Florida State College At Jacksonville
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.
3. The role of the professional...
the nurse should be aware that one of the most frequently reported maternal medical risk factors is
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NUR 2214C (NUR2214C)
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Chapter 01: 21st Century Maternity Nursing 3. The role of the professional nurse caring for
childbearing families has evolved to emphasize:
MULTIPLE CHOICE
a. Providing care to patients directly at the bedside.
1. When providing care for a pregnant woman, the nurse
should be aware that one of the most frequently reported b. Primarily hospital care of maternity patients.
maternal medical risk factors is:
c. Practice using an evidence-based approach.
a. Diabetes mellitus. c. Chronic hypertension.
d. Planning patient care to cover longer hospital stays.
b. Mitral valve prolapse
d. Anemia. ANS: C
(MVP).
ANS: A Professional nurses are part of the team of health care
providers who collaboratively care for patients throughout
The most frequently reported maternal medical risk factors the childbearing cycle. Providing care to patients directly at
are diabetes and hypertension associated with pregnancy. the bedside is one of the nurse’s tasks; however, it does
Both of these conditions are associated with maternal not encompass the concept of the evolved professional
obesity. There are no studies that indicate MVP is among the nurse. Throughout the prenatal period, nurses care for
most frequently reported maternal risk factors. Hypertension women in clinics and physician’s offices and teach classes
associated with pregnancy, not chronic hypertension, is one to help families prepare for childbirth. Nurses also care for
of the most frequently reported maternal medical risk childbearing families in birthing centers and in the home.
factors. Although anemia is a concern in pregnancy, it is not Nurses have been critically important in developing
one of the most frequently reported maternal medical risk strategies to improve the well-being of women and their
factors in pregnancy. 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.
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- 4. A 23-year-old African-American woman is pregnant with
to- remember mechanism for communication. Which of the her first child. Based on the statistics for infant mortality,
following correctly defines this acronym? which plan is most important for the nurse to implement?
a. Situation, baseline assessment, response a. Perform a nutrition assessment.
b. Situation, background, assessment, recommendation b. Refer the woman to a social worker.
c. Subjective background, assessment, recommendation c. Advise the woman to see an obstetrician, not a midwife.
d. Situation, background, anticipated recommendation d. Explain to the woman the importance of keeping
her prenatal care appointments.
ANS: B
ANS: D
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.
1
, 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 ANS: D
from a social worker at some time during her pregnancy, but
a referral to a social worker is not the most important aspect The most significant barrier to health care access is the
the nurse should address at this time. If the woman has inability to pay for services; this is compounded by the fact
identifiable high-risk problems, her health care may need to that many physicians refuse to care for women who cannot
be provided by a physician. However, it cannot be assumed pay. Although adolescent pregnant clients statistically receive
that all African-American women have high-risk issues. In less prenatal care, age is not the most significant barrier.
addition, advising the woman to see an obstetrician is not the Significant disparities in morbidity and mortality rates exist
most important aspect on which the nurse should focus at for minority women; however, minority status is not the most
this time, and it is not appropriate for a nurse to advise or significant barrier to access of care. Disparities in educational
manage the type of care a patient is to receive. level are associated with morbidity and mortality rates;
however, educational level is not the most significant barrier
to access of care.
5. During a prenatal intake interview, the nurse is in the 7. What is the primary role of practicing nurses in the
process of obtaining an initial assessment of a 21-year-old research process?
Hispanic patient with limited English proficiency. It is
important for the nurse to: a. Designing research studies
a. Use maternity jargon in order for the patient to b. Collecting data for other researchers
become familiar with these terms.
c. Identifying researchable problems
b. Speak quickly and efficiently to expedite the visit.
d. Seeking funding to support research studies
c. Provide the patient with handouts.
d. Assess whether the patient understands the discussion.
ANS: C
When problems are identified, research can be conducted
ANS: D properly. Research of health care issues leads to evidence-
based practice guidelines. Designing research studies is only
Nurses contribute to health literacy by using simple, common one factor of the research process. Data collection is one
words; avoiding jargon; and evaluating whether the patient factor of research. Financial support is necessary to conduct
understands the discussion. Speaking slowly and clearly and research, but it is not the primary role of the nurse in the
focusing on what is important increase understanding. Most research process.
patient education materials are written at too high a level for
the average adult and may not be useful for a client with
limited English proficiency.
8. When the nurse is unsure about how to perform a
patient care procedure, the best action would be to:
6. When managing health care for pregnant women at a a. Ask another nurse.
prenatal clinic, the nurse should recognize that the most
b. Discuss the procedure with the patient’s physician.
significant barrier to access to care is the pregnant
woman’s: c. Look up the procedure in a nursing textbook.
a. Age. c. Educational level. d. Consult the agency procedure manual and follow
the guidelines for the procedure.
b. Minority status. d. Inability to pay.
2
, Early prenatal care allows for early diagnosis and appropriate
interventions to reduce the rate of infant mortality. An
increased length of stay has been shown to foster improved
self-care and parental education. However, it does not
ANS: D prevent the incidence of leading causes of infant mortality
rates, such as low birth weight. Early prevention and
It is always best to follow the agency’s policies and
diagnosis reduce the rate of infant mortality. NICUs offer care
procedures manual when seeking information on correct
to high- risk infants after they are born. Expanding the
patient procedures. These policies should reflect the current
number of NICUs would offer better access for high-risk care,
standards of care and state guidelines. Each nurse is
but this factor is not the primary focus for further reduction
responsible for her own practice. Relying on another nurse
of infant mortality rates. A mandate that all pregnant women
may not always be safe practice. Each nurse is obligated to
receive obstetric care would be nearly impossible to enforce.
follow the standards of care for safe client care delivery.
Furthermore, certified nurse-midwives (CNMs) have
Physicians are responsible for their own client care activity.
demonstrated reliable, safe care for pregnant
Nurses may follow safe orders from physicians, but they are
women.
also responsible for the activities that they as nurses are to
carry out. Information provided in a nursing textbook is
basic information for general knowledge. Furthermore, the
information in a textbook may not reflect the current 10. Alternative and complementary therapies:
standard of care or individual state or hospital policies.
a. Replace conventional Western modalities of treatment.
b. Are used by only a small number of American adults.
9. From the nurse’s perspective, what measure should be
the focus of the health care system to reduce the rate of c. Recognize the value of clients’ input into their health care.
infant mortality further?
d. Focus primarily on the disease an individual
a. Implementing programs to ensure women’s is experiencing.
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 ANS: C
units (NICUs)
Many popular alternative healing modalities offer human-
d. Mandating that all pregnant women receive care from centered care based on philosophies that recognize the value
an obstetrician of the patient’s input and honor the individual’s beliefs,
values, and desires. Alternative and complementary
therapies are part of an integrative approach to health care.
An increasing number of American adults are seeking
alternative and complementary health care options.
Alternative healing modalities offer an holistic approach to
ANS: A health, focusing on the whole person, not just the disease.
11. 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. c. The standards of care were
not met.
b. She delivered a girl. d. She refused fetal
monitoring.
3
, ANS: D
ANS: C Accountability refers to legal and professional responsibility
for practice. Collegiality refers to a working relationship with
Not meeting the standards of care is a legitimate factor for a
one’s colleagues. Ethics refers to a code to guide practice.
case of negligence. The client’s race is not a factor for a case
Evaluation refers to examination of the effectiveness
of negligence. The infant’s gender is not a factor for a case of
of interventions in relation to expected outcomes.
negligence. Although fetal monitoring is the standard of care,
the client has the right to refuse treatment. This refusal is not
a case for negligence; however, informed consent should be
properly obtained, and the client should sign an against 14. Through the use of social media technology, nurses can
medical advice form for refusal of any treatment that is link with other nurses who may share similar interests,
within the standard of care. insights about practice, and advocate for patients. The
most concerning pitfall for nurses using this technology is:
a. Violation of patient privacy and confidentiality.
12. A newly graduated nurse is attempting to understand the
reason for increasing health care spending in the United b. Institutions and colleagues may be cast in an
States. Her research finds that these costs are much unfavorable light.
higher compared with other developed countries as a
result of: c. Unintended negative consequences for using
social media.
a. A higher rate of obesity among pregnant women.
d. Lack of institutional policy governing online contact.
b. Limited access to technology.
c. Increased usage of health care services along with
lower prices.
d. Homogeneity of the population. ANS: A
The most significant pitfall for nurses using this technology is
the violation of patient privacy and confidentiality.
Furthermore, institutions and colleagues can be cast in
unfavorable lights with negative consequences for those
ANS: A posting information. Nursing students have been expelled
from school and nurses have been fired or reprimanded by
Health care is one of the fastest growing sectors of the U.S.
their Board of Nursing for injudicious posts. The American
economy. Currently, 17.4% of the gross domestic product is
Nurses Association has published six principles for social
spent on health care. Higher spending in the United States
networking and nurses. All institutions should have policies
compared with 12 other industrialized countries is related to
guiding the use of social media, and nurses should be familiar
higher prices and readily accessible technology along with
with these guidelines.
greater obesity rates among women. More than one third of
women in the United States are obese. Of the U.S.
population, 16% is uninsured and has limited access to health
care. Maternal morbidity and mortality are directly related to 15. An important development that affects maternity nursing
racial disparities. is integrative health care, which:
a. Seeks to provide the same health care for all racial
and ethnic groups.
13. The term used to describe legal and professional
responsibility for practice for maternity nurses b. Blends complementary and alternative therapies
is: with conventional Western treatment.
a. Collegiality. c. Evaluation. c. Focuses on the disease or condition rather than
the background of the client.
b. Ethics. d. Accountability.
d. Has been mandated by Congress.
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