Question 1

Recent trends in childbirth practices in the United States indicate that:

Accepted Answer

A) More than 15% of mothers had late or no prenatal care. 
B) The percentage of Hispanics, non-Hispanic African Americans, and Caucasians who received prenatal care was essentially the same. 
C) Births occurring in the hospital accounted for 99% of births. 
D) Cesarean births have been declining as a percentage of live births. 
A) More than 15% of mothers had late or no prenatal care. 
B) The percentage of Hispanics, non-Hispanic African Americans, and Caucasians who received prenatal care was essentially the same. 
C) Births occurring in the hospital accounted for 99% of births. 
D) Cesarean births have been declining as a percentage of live births. C

Question 2

A newly graduated nurse is attempting to understand the reason for increasing health care spending in the United States.Her research finds that these costs are much higher compared with other developed countries as a result of:

Accepted Answer

A) A higher rate of obesity among pregnant women. 
B) Limited access to technology. 
C) Increased usage of health care services along with lower prices. 
D) Homogeneity of the population. 
A) A higher rate of obesity among pregnant women. 
B) Limited access to technology. 
C) Increased usage of health care services along with lower prices. 
D) Homogeneity of the population. A

Question 3

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:

Accepted Answer

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. 
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. D

Question 4

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 providing care across the perinatal continuum.Therefore it is important for the nurse to be aware that significant progress has been made in:

Accepted Answer

A) The reduction of fetal deaths and use of prenatal care. 
B) Low birth weight and preterm birth. 
C) Elimination of health disparities based on race. 
D) Infant mortality and the prevention of birth defects. 
A) The reduction of fetal deaths and use of prenatal care. 
B) Low birth weight and preterm birth. 
C) Elimination of health disparities based on race. 
D) Infant mortality and the prevention of birth defects.

Question 5

Alternative and complementary therapies:

Accepted Answer

A) Replace conventional Western modalities of treatment. 
B) Are used by only a small number of American adults. 
C) Recognize the value of clients' input into their health care. 
D) Focus primarily on the disease an individual is experiencing. 
A) Replace conventional Western modalities of treatment. 
B) Are used by only a small number of American adults. 
C) Recognize the value of clients' input into their health care. 
D) Focus primarily on the disease an individual is experiencing.

Question 6

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Pediatric imaging

Accepted Answer

A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation. 
A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation.

Question 7

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:

Accepted Answer

A) Age. 
B) Minority status. 
C) Educational level. 
D) Inability to pay. 
A) Age. 
B) Minority status. 
C) Educational level. 
D) Inability to pay.

Question 8

The level of practice a reasonably prudent nurse provides is called:

Accepted Answer

A) The standard of care. 
B) Risk management. 
C) A sentinel event. 
D) Failure to rescue. 
A) The standard of care. 
B) Risk management. 
C) A sentinel event. 
D) Failure to rescue.

Question 9

From the nurse's perspective,what measure should be the focus of the health care system to reduce the rate of infant mortality further?

Accepted Answer

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 
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

Question 10

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Patient care information

Accepted Answer

A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation. 
A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation.

Question 11

An important development that affects maternity nursing is integrative health care,which:

Accepted Answer

A) Seeks to provide the same health care for all racial and ethnic groups. 
B) Blends complementary and alternative therapies with conventional Western treatment. 
C) Focuses on the disease or condition rather than the background of the client. 
D) Has been mandated by Congress. 
A) Seeks to provide the same health care for all racial and ethnic groups. 
B) Blends complementary and alternative therapies with conventional Western treatment. 
C) Focuses on the disease or condition rather than the background of the client. 
D) Has been mandated by Congress.

Question 12

When the nurse is unsure about how to perform a patient care procedure,the best action would be to:

Accepted Answer

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 procedure manual and follow the guidelines for the procedure. 
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 procedure manual and follow the guidelines for the procedure.

Question 13

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Hand hygiene

Accepted Answer

A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation. 
A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation.

Question 14

Maternity nursing care that is based on knowledge gained through research and clinical trials is:

Accepted Answer

A) Derived from the Nursing Intervention Classification. 
B) Known as evidence-based practice. 
C) At odds with the Cochrane School of traditional nursing. 
D) An outgrowth of telemedicine. 
A) Derived from the Nursing Intervention Classification. 
B) Known as evidence-based practice. 
C) At odds with the Cochrane School of traditional nursing. 
D) An outgrowth of telemedicine.

Question 15

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Informed consent

Accepted Answer

A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation. 
A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation.

Question 16

Which interventions would help alleviate the problems associated with access to health care for maternity patients (Select all that apply)?

Accepted Answer

A) Provide transportation to prenatal visits. 
B) Provide childcare so that a pregnant woman may keep prenatal visits. 
C) Mandate that physicians make house calls. 
D) Provide low-cost or no-cost health care insurance. 
E) Provide job training. 
A) Provide transportation to prenatal visits. 
B) Provide childcare so that a pregnant woman may keep prenatal visits. 
C) Mandate that physicians make house calls. 
D) Provide low-cost or no-cost health care insurance. 
E) Provide job training.

Question 17

To ensure patient safety,the practicing nurse must have knowledge of the current Joint Commission's "Do Not Use" list of abbreviations.Which of the following is acceptable for use?

Accepted Answer

A) q.o.d. or Q.O.D. 
B) MSO4 or MgSO4 
C) International Unit 
D) Lack of a leading zero 
A) q.o.d. or Q.O.D. 
B) MSO4 or MgSO4 
C) International Unit 
D) Lack of a leading zero

Question 18

The term used to describe legal and professional responsibility for practice for maternity nurses is:

Accepted Answer

A) Collegiality. 
B) Ethics. 
C) Evaluation. 
D) Accountability. 
A) Collegiality. 
B) Ethics. 
C) Evaluation. 
D) Accountability.

Question 19

Recent trends in childbirth practice indicate that:

Accepted Answer

A) Delayed pushing is now discouraged in the second stage of labor. 
B) Episiotomy rates are increasing. 
C) Midwives perform more episiotomies than physicians. 
D) Newborn infants remain with the mother and are encouraged to breastfeed. 
A) Delayed pushing is now discouraged in the second stage of labor. 
B) Episiotomy rates are increasing. 
C) Midwives perform more episiotomies than physicians. 
D) Newborn infants remain with the mother and are encouraged to breastfeed.

Question 20

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Culture measurement,feedback,and intervention

Accepted Answer

A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation. 
A) Ask the patient to "teach back." 
B) Comply with CDC guidelines. 
C) Ensure that information is documented in a timely manner. 
D) Promote interventions that will reduce patient risk. 
E) Reduce exposure to radiation.

Exam 1: 21st Century Maternity Nursing

Recent trends in childbirth practices in the United States indicate that:

A newly graduated nurse is attempting to understand the reason for increasing health care spending in the United States.Her research finds that these costs are much higher compared with other developed countries as a result of:

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:

Alternative and complementary therapies:

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Pediatric imaging

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:

The level of practice a reasonably prudent nurse provides is called:

From the nurse's perspective,what measure should be the focus of the health care system to reduce the rate of infant mortality further?

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Patient care information

An important development that affects maternity nursing is integrative health care,which:

When the nurse is unsure about how to perform a patient care procedure,the best action would be to:

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Hand hygiene

Maternity nursing care that is based on knowledge gained through research and clinical trials is:

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Informed consent

Which interventions would help alleviate the problems associated with access to health care for maternity patients (Select all that apply)?

To ensure patient safety,the practicing nurse must have knowledge of the current Joint Commission's "Do Not Use" list of abbreviations.Which of the following is acceptable for use?

The term used to describe legal and professional responsibility for practice for maternity nurses is:

Recent trends in childbirth practice indicate that:

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Culture measurement,feedback,and intervention

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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