Exam 1: 21st Century Maternity and Women’s Health Nursing

The Patient Protection and Affordable Care Act (ACA)was signed into law by President Obama in early 2010.The Act provides some immediate benefits,and other provisions will take place over the next several years.The practicing nurse should have a thorough understanding of how these changes will benefit his or her clients.Which outcomes are goals of the ACA?

Which methods help alleviate the problems associated with access to health care for the maternity client?

Maternity nurses can enhance communication among health care providers by using the SBAR technique.The acronym SBAR stands for what?

Which statement best exemplifies contemporary maternity nursing?

Which statements indicate that the nurse is practicing appropriate family-centered care techniques?

During a prenatal intake interview,the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic client with limited English proficiency.Which action is the most important for the nurse to perform?

A recently graduated nurse is attempting to understand the reason for increasing health care spending in the United States.Which information gathered from her research best explains the rationale for these higher costs compared with other developed countries?

A nurse caring for a pregnant client should be aware that the U.S.birth rate shows what trend?

What is the minimum level of practice that a reasonably prudent nurse is expected to provide?

During a prenatal intake interview,the client informs the nurse that she would prefer a midwife to provide both her care during pregnancy and deliver her infant.Which information is most appropriate for the nurse to share with this client?

Through the use of social media technology,nurses can link with other nurses who may share similar interests,insights about practice,and advocate for clients.Which factor is the most concerning pitfall for nurses using this technology?

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?

While obtaining a detailed history from a woman who has recently immigrated from Somalia,the nurse realizes that the client has undergone female genital mutilation.What is the nurse's most appropriate response in this situation?

In evaluating the level of a pregnant woman's risk of having a low-birth-weight (LBW)infant,which factor is the most important for the nurse to consider?

The National Quality Forum has issued a list of "never events" specifically pertaining to maternal and child health.These include all of the following except:

A 38-year-old Hispanic woman vaginally delivered a 9-pound,6-ounce baby girl after being in labor for 43 hours.The baby died 3 days later from sepsis.On what grounds could the woman have a legitimate legal case for negligence?

Healthy People 2020 has established national health priorities that focus on a number of maternal-child health indicators.Nurses are assuming greater roles in assessing family health and are providing care across the perinatal continuum.Which of these priorities has made the most significant progress?

The nurses working at a newly established birthing center have begun to compare their performance in providing maternal-newborn care against clinical standards.This comparison process is most commonly known as what?

Which statement best describes maternity nursing care that is based on knowledge gained through research and clinical trials?

To ensure client safety,the practicing nurse must have knowledge of The Joint Commission's current "Do Not Use" list of abbreviations.Which term is acceptable for use regarding medication administration?