Full Test
Bank for
6th Edition Perry
,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 frequentlyreported
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 inpregnancy.
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 isan 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 recommendationANS:
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 throughout the
childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks; however, it does not
encompass the concept of the evolved professional nurse. Throughout the prenatal period, nurses care for women in
clinics and physicians offices and teach classes to help families prepare for childbirth. Nurses also care for childbearing
families in birthing centers and in the home. Nurses have 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 haveexperienced 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 infantmortality,
which plan 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 social worker atsome time during her pregnancy, but
a referral to a social worker is not the most important aspect the nurseshould 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
that all African-American women have high-risk issues. In addition, advising the woman to see an obstetrician is not the
most important aspect on which thenurse should focus at this time, and it is not appropriate for a nurse to advise or
manage 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 21-year-old
Hispanic patient with limited English proficiency. It is important for the nurse to:
