Maternal Child Nursing Care 2nd Edition Ward Hisley Test Bank
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, Hisley:HMaternalHChildHNursingHCareH2ndHEditionHTestHBankHChapterH01:H21stHCe
nturyHMaternityHNursing
MULTIPLEH CHOICE
1. WhenHprovidingHcareHforHaHpregnantHwoman,HtheHnurseHshouldHbeHawareHthatHoneHofHt
heHmostHfrequentlyHreportedHmaternalHmedicalHriskHfactorsHis:
a. DiabetesH mellitus. c. ChronicHhypertension.
b. MitralHvalveH prolapseH(MVP). d. Anemia.
ANS:H A
TheHmostHfrequentlyHreportedHmaternalHmedicalHriskHfactorsHareHdiabetesHandHhypertensionHas
sociatedHwithHpregnancy.HBothHofHtheseHconditionsHareHassociatedHwithH maternalHobesity.HThe
reHareHnoHstudiesHthatHindicateH MVPH isHamongH theH mostH frequentlyHreportedH maternalHriskH
factors.HHypertensionH associatedH withH pregnancy,HnotHchronicHhypertension,HisHoneHofHtheHm
ostHfrequentlyHreportedH maternalH medicalHriskHfactors.H AlthoughHanemiaHisHaHconcernHinHpre
gnancy,HitHisHnotHoneHofHtheHmostHfrequentlyHreportedHmaternalHmedicalHriskHfactorsHinHpregn
ancy.
PTS:H1HDIF:H CognitiveH Level:HKnowledgeH REF:H6
OBJ:HNursingH Process:H AssessmentH MSC:H ClientH Needs:H PhysiologicH Integrity
2. ToHensureHoptimalHoutcomesHforHtheHpatient,HtheHcontemporaryHmaternityHnurseH mustH incor
porateHbothHteamworkHandHcommunicationHwithHcliniciansHintoHherHcareHdelivery,HTheHSBARHt
echniqueHofHcommunicationHisHanHeasy-to-
rememberH mechanismHforHcommunication.HWhichHofHtheHfollowingHcorrectlyHdefinesHthisHacron
ym?
a. Situation,H baselineH assessment,H response
b. Situation,H background,H assessment,H recommendation
c. SubjectiveH background,H assessment,H recommendation
d. Situation,Hbackground,HanticipatedHrecomme
ndationHANS:HB
TheHsituation,Hbackground,Hassessment,HrecommendationH(SBAR)HtechniqueHprovidesHaHspecific
HframeworkHforHcommunicationHamongHhealthHcareHproviders.HFailureHtoHcommunicateHisHoneHo
fHtheHmajorHreasonsHforHerrorsHinHhealthHcare.HTheHSBARHtechniqueHhasHtheHpotentialHtoHserve
HasHaHmeansHtoHreduceHerrors.
PTS:H1HDIF:HCognitiveHLevel:HComprehension
HREF:H14HOBJ:HNursingHProcess:HAssessment,H
Planning
MSC:H ClientH Needs:H SafeHandHEffectiveH CareH Environment
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, 3. TheHroleH ofHtheH professionalH nurseHcaringHforH childbearingH familiesH hasH evolvedHtoHemphasize:
a. ProvidingHcareHtoHpatientsH directlyH atHtheHbedside.
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, b. PrimarilyHhospitalHcareHofH maternityH patients.
c. PracticeH usingHanH evidence-basedHapproach.
d. PlanningHpatientH careHtoHcoverHlongerH hospitalH stays.
ANS:HC
ProfessionalHnursesHareHpartHofHtheHteamHofHhealthHcareHprovidersH whoH collaborativelyHcareH f
orH patientsHthroughoutHtheHchildbearingHcycle.HProvidingHcareHtoHpatientsHdirectlyHatHtheHbed
sideHisHoneHofHtheHnursesHtasks;Hhowever,HitHdoesHnotHencompassHtheHconceptHofHtheHevolvedHp
rofessionalHnurse.HThroughoutHtheHprenatalHperiod,HnursesHcareHforHwomenHinHclinicsHandHphy
siciansH officesH andHteachHclassesHtoH helpHfamiliesH prepareH forHchildbirth.HNursesHalsoHcareHfo
rHchildbearingHfamiliesHinHbirthingHcentersHandHinHtheHhome.HNursesHhaveHbeenHcriticallyHimp
ortantHinHdevelopingHstrategiesHtoHimproveHtheHwell-
beingHofHwomenHandHtheirHinfantsHandHhaveHledHtheHeffortsHtoHimplementHclinicalHpracticeHgui
delinesHusingHanHevidence-
basedHapproach.HMaternityHpatientsHhaveHexperiencedHaHdecreased,HratherHthanHanHincreased,Hl
engthHofHstayHoverHtheHpastH2Hdecades.
PTS:H1HDIF:HCognitiveHLevel:HComprehension
HREF:H1HOBJ:HNursingHProcess:HImplementati
on
MSC:H ClientH Needs:H SafeHandHEffectiveH CareH Environment
4. AH23-year-oldHAfrican-
AmericanHwomanHisHpregnantHwithHherHfirstHchild.HBasedHonHtheHstatisticsHforHinfantHmortal
ity,HwhichHplanHisHmostHimportantHforHtheHnurseHtoHimplement?
a. PerformHaH nutritionHassessment.
b. ReferH theH womanH toHaHsocialH worker.
c. AdviseHtheH womanHtoHseeHanHobstetrician,H notHaH midwife.
d. ExplainHtoHtheH womanHtheHimportanceH ofH keepingH herH prenatalHcareH appointments.
ANS:HD
ConsistentHprenatalHcareHisHtheHbestHmethodHofHpreventingHorHcontrollingHriskHfactorsHassociat
edHwithHinfantHmortality.HNutritionalHstatusHisHanHimportantHmodifiableHriskHfactor,HbutHaHnutr
itionHassessmentHisHnotHtheHmostHimportantHactionHaHnurseHshouldHtakeHinHthisHsituation.HThe
HpatientHmayHneedHassistanceHfromHaHsocialHworkerHatHsomeHtimeH duringH herH pregnancy,H butH
aHreferralH toHaH socialH workerH isHnotH theH mostHimportantHaspectH theH nurseHshouldHaddressHatH
thisHtime.HIfHtheHwomanHhasHidentifiableHhigh-
riskHproblems,HherHhealthHcareHmayHneedHtoHbeHprovidedHbyHaHphysician.HHowever,HitHcannotH
beHassumedHthatHallHAfrican-AmericanHwomenHhaveHhigh-
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