Question 1

The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family:

Accepted Answer

A)   Rituals and customs.
B)   Values and beliefs.
C)   Boundaries and channels.
D)   Socialization processes. B

Question 2

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

Accepted Answer

A)   Only 15% of mothers receive prenatal care in the first trimester.
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. C

Question 3

A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage. On the basis of the information given, what family form best describes this family?

Accepted Answer

A)   Married-blended family
B)   Extended family
C)   Nuclear family
D)   Same-sex family A

Question 4

All of the following conditions have contributed to the increase in maternity-related health care costs except:

Accepted Answer

A)   Early postpartum discharges.
B)   Liability costs.
C)   The use of high-tech equipment.
D)   The cost of care for low-birth-weight (LBW)  infants.

Question 5

What is the primary role of practicing nurses in the research process?

Accepted Answer

A)   Designing research studies
B)   Collecting data for other researchers
C)   Identifying researchable problems
D)   Seeking funding to support research studies

Question 6

In which culture is the father more likely to be expected to participate in the labor and delivery?

Accepted Answer

A)   Asian American
B)   African American
C)   European American
D)   Hispanic

Question 7

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.

Question 8

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.

Question 9

The nurse caring for the pregnant woman 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 industrialized country.

Question 10

Which methods would help alleviate the problems associated with access to health care for the maternity patient? Choose all that apply.

Accepted Answer

A)   Provide transportation to prenatal visits.
B)   Provide child care 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 11

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?

Accepted Answer

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.

Question 12

The nurse should be aware that a statistic widely used to compare the health status of different populations would be the:

Accepted Answer

A)   Incidence of specific infections such as acquired immunodeficiency syndrome (AIDS)  and tuberculosis.
B)   Infant mortality rate.
C)   Maternal morbidity rate.
D)   Incidence of low-birth-weight infants.

Question 13

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.

Question 14

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

Accepted Answer

A)   She is Hispanic.
B)   She delivered a girl.
C)   The standards of care were not met.
D)   She refused fetal monitoring.

Question 15

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 patients' input into their health care.
D)   Focus primarily on the disease an individual is experiencing.

Question 16

The nurse's care of a Hispanic family includes teaching about infant care. When developing a plan of care, the nurse bases interventions on the knowledge that in traditional Hispanic families:

Accepted Answer

A)   Breastfeeding is encouraged immediately after birth.
B)   Male infants typically are circumcised.
C)   The maternal grandmother participates in the care of the mother and her infant.
D)   Special herbs mixed in water are used to stimulate the passage of meconium.

Question 17

When attempting to communicate with a patient who speaks a different language, the nurse should:

Accepted Answer

A)   Respond promptly and positively to project authority.
B)   Never use a family member as an interpreter.
C)   Talk to the interpreter to avoid confusing the patient.
D)   Provide as much privacy as possible.

Question 18

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.

Question 19

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 abbreviations 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

Question 20

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.

Exam 1: 21st Century Maternity Nursing: Culturally Competent, Family and Community Focused