Question 1

In consideration of the historic evolution of maternity care, which treatment options were used? (Select all that apply.)

Accepted Answer

A)  During the nineteenth century, women of privilege were delivered by midwives in a hospital setting. 
B)  Granny midwives received their training through a period of apprenticeship. 
C)  The recognition of improved obstetric outcomes was related to increased usage of hygienic practices. 
D)  A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth. 
E)  The use of chloroform by midwives led to decreased pain during birth. 
A)  During the nineteenth century, women of privilege were delivered by midwives in a hospital setting. 
B)  Granny midwives received their training through a period of apprenticeship. 
C)  The recognition of improved obstetric outcomes was related to increased usage of hygienic practices. 
D)  A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth. 
E)  The use of chloroform by midwives led to decreased pain during birth.

Question 2

Match each term with the correct definition.
-Managed care

Accepted Answer

A) This includes health maintenance organizations (HMOs), point of service plans (POSs), and preferred provider organizations (PPOs). 
B) The payer of the health insurance (usually the employer or the government) pays a set amount of money each year to a network of primary care providers (PCPs). 
C) Medical diagnoses are classified based on the type of complexity of services generally required. 
A) This includes health maintenance organizations (HMOs), point of service plans (POSs), and preferred provider organizations (PPOs). 
B) The payer of the health insurance (usually the employer or the government) pays a set amount of money each year to a network of primary care providers (PCPs). 
C) Medical diagnoses are classified based on the type of complexity of services generally required.

Question 3

The use of "twilight sleep" during the labor and birth process:

Accepted Answer

A)  provided inadequate pain relief during the labor and birth process. 
B)  facilitated bonding between mother and infant. 
C)  resulted in a decreased incidence of puerperal infections. 
D)  affected the maternal level of consciousness. 
A)  provided inadequate pain relief during the labor and birth process. 
B)  facilitated bonding between mother and infant. 
C)  resulted in a decreased incidence of puerperal infections. 
D)  affected the maternal level of consciousness.

Question 4

A client who had a vaginal birth 12 hours ago without complications wants to go home. Typical discharge orders at this facility call for discharge to occur at 48 hours postbirth. The newborn and mother are considered to be stable and an order is written for discharge, with follow-up by home health. What type of variance would this discharge indicate?

Accepted Answer

A)  Positive 
B)  Negative 
C)  Equivocal 
D)  Without incidence 
A)  Positive 
B)  Negative 
C)  Equivocal 
D)  Without incidence

Question 5

The nurse is reviewing a health history of a newly pregnant woman at a local health fair. Which statement made by the nurse will most likely improve the woman's outcome for a healthy pregnancy?

Accepted Answer

A)  "Make sure you eat four servings of calcium-rich foods like milk, cheese, or yogurt every day." 
B)  "Include 30 minutes of walking three times per week to make sure you get enough exercise." 
C)  "Report any changes in vision or headaches that do not subside to your health care provider." 
D)  "Throughout your pregnancy, it is important to see your health care provider as scheduled." 
A)  "Make sure you eat four servings of calcium-rich foods like milk, cheese, or yogurt every day." 
B)  "Include 30 minutes of walking three times per week to make sure you get enough exercise." 
C)  "Report any changes in vision or headaches that do not subside to your health care provider." 
D)  "Throughout your pregnancy, it is important to see your health care provider as scheduled."

Question 6

The nurse is reviewing the principles of family-centered care with a primipara. Which client statement will the nurse need to correct?

Accepted Answer

A)  "Remaining focused on my family will help benefit me and my baby." 
B)  "Most of the time, childbirth is uncomplicated and a healthy event for the family." 
C)  "Because childbirth is normal, after my baby's birth our family dynamics will not change." 
D)  "With correct information, I am able to make decisions regarding my health care while I am pregnant." 
A)  "Remaining focused on my family will help benefit me and my baby." 
B)  "Most of the time, childbirth is uncomplicated and a healthy event for the family." 
C)  "Because childbirth is normal, after my baby's birth our family dynamics will not change." 
D)  "With correct information, I am able to make decisions regarding my health care while I am pregnant."

Exam 1: Maternity and Women's Health Care Today

In consideration of the historic evolution of maternity care, which treatment options were used? (Select all that apply.)

Match each term with the correct definition. -Managed care

The use of "twilight sleep" during the labor and birth process:

The nurse is reviewing a health history of a newly pregnant woman at a local health fair. Which statement made by the nurse will most likely improve the woman's outcome for a healthy pregnancy?

The nurse is reviewing the principles of family-centered care with a primipara. Which client statement will the nurse need to correct?

The Nurse's Role in Maternity and Women's Health Care

Ethical, Social, and Legal Issues

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

Conception and Prenatal Development

Physiologic Adaptations to Pregnancy

Psychosocial Adaptations to Pregnancy

Nutrition for Childbearing

Antepartum Fetal Assessment

Perinatal Education

Processes of Birth

Nursing Care During Labor and Birth

Intrapartum Fetal Surveillance

Pain Management During Childbirth

Nursing Care During Obstetric Procedures

Postpartum Physiologic Adaptations

Postpartum Psychosocial Adaptations

Normal Newborn: Processes of Adaptation

Assessment of the Normal Newborn

Care of the Normal Newborn

Infant Feeding

Home Care of the Infant

The Childbearing Family with Special Needs

Complications of Pregnancy

Concurrent Disorders During Pregnancy

Intrapartum Complications

Postpartum Maternal Complications

High-Risk Newborn: Complications Associated with Gestational Age and Development

High-Risk Newborn: Acquired and Congenital Conditions

Family Planning

Infertility

Preventive Care for Women

Women's Health Problems

Infertility

Preventive Care for Women

Women's Health Problems

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