Deck 30: Guidelines for Medical Consultation During Pregnancy

Question 1

Match each pregnant woman with the appropriate type of prenatal care for her clinical condition, using each option just once
A woman with worsening antepartum complications

A) Care from a women's health or family nurse practitioner, or a nurse-midwife.
B) Comanagement in an interprofessional collaborative practice
C) Care from a physician specialist

Answer 1

C

Question 2

Match each pregnant woman with the appropriate type of prenatal care for her clinical condition, using each option just once A healthy childbearing woman

A) Care from a women's health or family nurse practitioner, or a nurse-midwife.
B) Comanagement in an interprofessional collaborative practice
C) Care from a physician specialist

Answer 2

A

Question 3

Match each pregnant woman with the appropriate type of prenatal care for her clinical condition, using each option just once A woman with stable chronic health conditions

A) Care from a women's health or family nurse practitioner, or a nurse-midwife.
B) Comanagement in an interprofessional collaborative practice
C) Care from a physician specialist

Answer 3

B

Question 4

M.S. is a 30-year-old woman whose seizure disorder is well controlled with medication. Which of the following would be appropriate management for her?

A) Interprofessional collaborative practice
B) Midwifery/nurse practitioner care
C) Obstetric physician care

Question 5

E.B. is a 38-year-old woman with chronic hypertension that has been in poor control with her medication regimen. Which of the following would be appropriate management for her?

A) Interprofessional collaborative practice
B) Midwifery/nurse practitioner care
C) Obstetric physician care

Question 6

C.D. is a 17-year-old who is pregnant with her second child. Which of the following would be appropriate management for her?

A) Interprofessional collaborative practice
B) Midwifery/nurse practitioner care
C) Obstetric physician care

Question 7

You are a nurse practitioner at San Francisco General Hospital caring for a 20-year-old woman pregnant with her first child. At the beginning of the third trimester she developed persistent proteinuria with a normal physical exam and laboratory studies. Several weeks later you note she has severe hypertension and order repeat labs, which are pending. Refer to Table 28-1 to determine what the guidelines recommend you do in this situation:

A) Consult and collaborate to provide interprofessional team-based care with nurse-midwife colleagues.
B) Refer this woman to the obstetrician caseload for specialty medical care.
C) Consult and collaborate to provide interprofessional team-based care with obstetrician colleagues.
D) Consult with a collaborating obstetrician to inform the plan of care and provide nurse-midwifery care for this woman.

Question 8

What type of communication is required for successful comanagement during interprofessional collaborative practice?

A) In person
B) Ongoing
C) Written

Question 9

Nurse-midwives and nurse practitioners care only for pregnant women at low risk for perinatal complications.

Question 10

Interprofessional clinical practices that include nurse -practitioners and nurse-midwives contribute to public health in which of the following ways?

A) Comprehensive physiologic and psychosocial support services
B) Facilitation of normal childbirth
C) Decreased use of obstetric interventions
D) All of the above
E) None of the above