Question 1

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

Accepted Answer

A) Births to unmarried women are more likely to have less favorable outcomes. 
B) Birth rates for women 40 to 44 years of age are beginning to decline. 
C) Cigarette smoking among pregnant women continues to increase. 
D) The rates of pregnancy and abortion among teens are lower in the United States than in any other industrial country. 
A) Births to unmarried women are more likely to have less favorable outcomes. 
B) Birth rates for women 40 to 44 years of age are beginning to decline. 
C) Cigarette smoking among pregnant women continues to increase. 
D) The rates of pregnancy and abortion among teens are lower in the United States than in any other industrial country.

Question 2

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

Accepted Answer

A) Midwifery care is only available to clients who are uninsured because their services are less expensive than an obstetrician. Costs are often lower than an obstetric provider. 
B) The client will receive fewer interventions during the birth process. 
C) She should be aware that midwives are not certified. 
D) Her delivery can take place only at home or in a birth center. 
A) Midwifery care is only available to clients who are uninsured because their services are less expensive than an obstetrician. Costs are often lower than an obstetric provider. 
B) The client will receive fewer interventions during the birth process. 
C) She should be aware that midwives are not certified. 
D) Her delivery can take place only at home or in a birth center.

Question 3

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

Accepted Answer

A) Ask another nurse. 
B) Discuss the procedure with the client'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 client'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 4

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) Ninety-nine percent of births occurred in the hospital. 
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) Ninety-nine percent of births occurred in the hospital. 
D) Cesarean births have been declining as a percentage of live births.

Question 5

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 6

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 7

While obtaining a detailed history from a woman who has recently emigrated from Somalia,the nurse realizes that the client has undergone female genital mutilation (FGM). The nurse's best response to this client is:

Accepted Answer

A) "This is a very abnormal practice and rarely seen in the United States." 
B) "Do you know who performed this so that it can be reported to the authorities?" 
C) "We will be able to fully restore your circumcision after delivery." 
D) "The extent of your circumcision will affect the potential for complications." 
A) "This is a very abnormal practice and rarely seen in the United States." 
B) "Do you know who performed this so that it can be reported to the authorities?" 
C) "We will be able to fully restore your circumcision after delivery." 
D) "The extent of your circumcision will affect the potential for complications."

Exam 1: Contemporary Maternity Nursing

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

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

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

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

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

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

While obtaining a detailed history from a woman who has recently emigrated from Somalia,the nurse realizes that the client has undergone female genital mutilation (FGM). The nurse's best response to this client is:

The Family and Culture

Community and Home Care

Health Promotion and Illness Prevention

Health Assessment

Common Health Problems

Infertility,Contraception,and Abortion

Genetics,Conception,and Fetal Development

Assessment for Risk Factors

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Management of Discomfort

Fetal Assessment During Labor

Nursing Care During Labor and Birth

Labor and Birth at Risk

Maternal Physiologic Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social,cultural and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical and Developmental Assessment

Pain Assessment and Management

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 Home Care

Reaction to 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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