Deck 1: Contemporary Maternity Nursing

Question 1

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?

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

Answer 1

The standards of care were not met.

Question 2

The nurse should be cognizant that one accurate example of a U.S. societal trend is:

A)The moral climate has caused companies to discourage breastfeeding on the job.
B)Federal law allows women to breastfeed in federal buildings and on federal property.
C)The Family and Medical Leave Act of 1993 provides up to 6 weeks of unpaid leave for births.
D)The incidence of acquired immunodeficiency syndrome (AIDS) among infants has continued to rise.

Answer 2

Federal law allows women to breastfeed in federal buildings and on federal property.

Question 3

Alternative and complementary therapies:

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.

Answer 3

Recognize the value of clients' input into their health care.

Question 4

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?

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 5

Recent trends in childbirth practice indicate that:

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 6

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

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

Question 7

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

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

Question 8

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

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 9

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

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 10

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:

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

Question 11

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

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 12

Maternity nurses can work to dispel the health disparities among women through:

A)Increased education for mothers.
B)Late prenatal care.
C)Increased number of cesarean sections.
D)Making all women take more vitamins.

Question 13

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

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 14

The nurse knows that teaching to increase self-care has been effective when the client makes what comment?

A)"I'll do whatever you say;you're the nurse."
B)"I don't think I can quit smoking."
C)"I exercise for 30 minutes 3 days a week."
D)"What do you think I should do?"

Question 15

Managed care has gained in popularity. The nurse should understand that this rise in popularity is most often guided by which consideration?

A)Concern for the quality of care
B)Means of controlling costs of care
C)Greater access to physicians
D)Allowance for early discharge

Question 16

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

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 17

The role of the professional nurse has evolved to emphasize:

A)Providing care to clients directly at the bedside.
B)Planning client care to cover longer hospital stays.
C)Leading the activities of a team of interdisciplinary health care providers.
D)Managing care to cure health problems once they have occurred.

Question 18

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

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 19

When providing care for the pregnant woman,the nurse should be aware that one of the most frequently reported maternal medical risk factors is:

A)Diabetes mellitus.
B)Mitral valve prolapse (MVP).
C)Chronic hypertension.
D)Anemia.

Question 20

The nurse caring for the 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 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 21

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:

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."

Question 22

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

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

Question 23

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

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 24

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?

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 25

Healthy People 2010 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:

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 26

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

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

Question 27

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

A)The nurse commands the mother 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.