OB exam 1 Test Bank Updated ;Everything you need to pass OB exam 1 is here,guaranteed success
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OB exam 1 Test Bank Updated ;Everything you need to pass OB exam 1 is here,guaranteed success
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.
b. mitral valve prolapse (MVP)....
OB exam 1 Test Bank Updated ;Everything you need to
pass OB exam 1 is here,guaranteed success
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.
b. mitral valve prolapse (MVP).
c. chronic hypertension.
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 in pregnancy
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-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 recommendation
ANS: 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.
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 nurse's tasks; however, it does not encompass the concept of
the evolved professional nurse. Throughout the prenatal period, nurses care for women
in clinics and physician's 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 have experienced a
decreased, rather than an increased, length of stay over the past two decades.
A 23-year-old African-American woman is pregnant with her first child. Based on
the statistics for infant mortality, 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 at some time during her
pregnancy, but a referral to a social worker is not the most important 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 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 the nurse 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.
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:
,a. use maternity jargon in order for the patient to become familiar with these
terms.
b. speak quickly and efficiently to expedite the visit.
c. provide the patient with handouts.
d. assess whether the patient understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, common words; avoiding jargon;
and evaluating whether the patient understands the discussion. Speaking slowly and
clearly and focusing on what is important increase understanding. Most patient
education materials are written at too high a level for the average adult and may not be
useful for a patient with limited English proficiency.
When managing health care for pregnant women at a prenatal clinic, the nurse
should recognize that the most significant barrier to access to care is the
pregnant woman's:
a. age.
b. minority status.
c. educational level.
d. inability to pay.
ANS: D
The most significant barrier to health care access is the inability to pay for services; this
is compounded by the fact that many physicians refuse to care for women who cannot
pay. Although adolescent pregnant patients statistically receive less prenatal care, age
is not the most significant barrier. Significant disparities in morbidity and mortality rates
exist for minority women; however, minority status is not the most significant barrier to
access of care. Disparities in educational level are associated with morbidity and
mortality rates; however, educational level is not the most significant barrier to access of
care.
When the nurse is unsure about how to perform a patient care procedure, the
best action would be to:
a. ask another nurse.
b. discuss the procedure with the patient's physician.
c. look up the procedure in a nursing textbook.
, d. consult the agency's procedure manual and follow the guidelines for the
procedure.
ANS: D
It is always best to follow the agency's policies and procedures manual when seeking
information on correct patient procedures. These policies should reflect the current
standards of care and state guidelines. Each nurse is responsible for her own practice.
Relying on another nurse may not always be safe practice. Each nurse is obligated to
follow the standards of care for safe patient care delivery. Physicians are responsible for
their own patient care activity. Nurses may follow safe orders from physicians, but they
are 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 standard of care or individual
state or hospital policies.
From the nurse's perspective, what measure should be the focus of the health
care system to reduce the rate of infant mortality further?
a. Implementing programs to ensure women's 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 units (NICUs).
d. Mandating that all pregnant women receive care from an obstetrician.
ANS: A
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 prevent the incidence
of leading causes of infant mortality rates, such as low birth weight. Early prevention
and diagnosis reduce the rate of infant mortality. NICUs offer care to high risk infants
after they are born. Expanding the number of NICUs would offer better access for high
risk care, but this factor is not the primary focus for further reduction of infant mortality
rates. A mandate that all pregnant women receive obstetric care would be nearly
impossible to enforce. Furthermore, certified nurse-midwives (CNMs) have
demonstrated reliable, safe care for pregnant women.
Alternative and complementary therapies:
a. replace conventional Western modalities of treatment.
b. are used by only a small number of American adults.
c. recognize the value of patients' input into their health care.
d. focus primarily on the disease an individual is experiencing.
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