Deck 1: 21st Century Maternity and Womens Health Nursing

Question 1

When the nurse is unsure how to perform a client care procedure that is high risk and low volume,his or her best action in this situation would be what?

A) Ask another nurse.
B) Discuss the procedure with the client's physician.
C) Look up the procedure in a nursing textbook.
D) First consult the agency procedure manual

Answer 1

First consult the agency procedure manual

Question 2

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?

A) Best practices network
B) Clinical benchmarking
C) Outcomes-oriented practice
D) Evidence-based practice

Answer 2

Outcomes-oriented practice

Question 3

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 intervention is the most important for the nurse to implement?

A) Use maternity jargon to enable the client to become familiar with these terms.
B) Speak quickly and efficiently to expedite the visit.
C) Provide the client with handouts.
D) Assess whether the client understands the discussion.

Answer 3

Assess whether the client understands the discussion.

Question 4

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?

A) African-American race
B) Cigarette smoking
C) Poor nutritional status
D) Limited maternal education

Question 5

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 about resulting care?

A) Midwifery care is a good option for clients who are uninsured.
B) She 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 6

Greater than one third of women in the United States are now obese (body mass index [BMI] of 30 or greater).Less than one quarter of women in Canada exhibit the same BMI.Obesity in the pregnant woman increases both maternal medical risk factors and negative outcomes for the infant.The nurse is about to perform an assessment on a client who is 28 weeks pregnant and has a BMI of 35.What are the most frequently reported complications for which the nurse must be alert while assessing this client? (Select all that apply. )

A) Potential miscarriage
B) Diabetes
C) Fetal death in utero
D) Decreased fertility
E) Hypertension

Question 7

Which statements indicate that the nurse is practicing appropriate family-centered care techniques? (Select all that apply. )

A) The nurse commands the pregnant woman to do as she is told.
B) The nurse allows time for the partner to ask questions.
C) The nurse allows the mother and father to make choices when possible.
D) The nurse informs the family about what is going to happen.
E) The nurse tells the client's sister,who is a nurse,that she cannot be in the room during the delivery.

Question 8

Which statement best exemplifies contemporary maternity nursing?

A) Use of midwives for all vaginal deliveries
B) Family-centered care
C) Free-standing birth clinics
D) Physician-driven care

Question 9

A 23-year-old African-American woman is pregnant with her first child.Based on current statistics for infant mortality,which intervention is most important for the nurse to include in the client's plan of care?

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 10

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?

A) Inexperienced maternity nurse was assigned to care for the client.
B) Client was past her due date by 3 days.
C) Standard of care was not met.
D) Client refused electronic fetal monitoring.

Question 11

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

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

Question 12

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? (Select all that apply. )

A) Insurance affordability
B) Improve public health
C) Treatment of illness
D) Elimination of Medicare and Medicaid
E) Cost containment

Question 13

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?

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

Question 14

Which methods help alleviate the problems associated with access to health care for the maternity client? (Select all that apply. )

A) Provide transportation to prenatal visits.
B) Provide child care to enable a pregnant woman to keep prenatal visits.
C) Increase the number of providers that will care for Medicaid clients.
D) Provide low-cost or no-cost health care insurance.
E) Provide job training.

Question 15

Using 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) Violation of client privacy and confidentiality
B) Institutions and colleagues who may be cast in an unfavorable light
C) Unintended negative consequences for using social media
D) Lack of institutional policy governing online contact

Question 16

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

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 declining.
C) Cigarette smoking among pregnant women continues to increase.
D) Rates of pregnancy and abortion among teenagers are lower in the United States than in any other industrialized country.

Question 17

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

A) Maternity nursing care is derived from the Nursing Intervention Classification.
B) Maternity nursing care is known as evidence-based practice.
C) Maternity nursing care is at odds with the Cochrane School of traditional nursing.
D) Maternity nursing care is an outgrowth of telemedicine.

Question 18

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

A) Standard of care
B) Risk management
C) Sentinel event
D) Failure to rescue

Question 19

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

A) Situation,background,assessment,recommendation
B) Situation,baseline,assessment,recommendation
C) Subjective,background,analysis,recommendation
D) Subjective,background,analysis,review