Question 1

Healthy People 2020 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:

Accepted Answer

Trends in maternal child health indicate that progress has been made in relation to reduced infant and fetal deaths and increased prenatal care.Notable gaps remain in the rates of low birth weight and preterm births.According to the March of Dimes,persistent disparities still exist between African Americans and non-Hispanic Caucasians.Many of these negative outcomes are preventable through access to prenatal care and the use of preventive health practices.This demonstrates the need for comprehensive community-based care for all mothers,infants,and families.

Question 2

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

Accepted Answer

Including the partner in the care process and allowing the couple to make choices are important elements of family-centered care.The nurse should never tell the mother what to do.Family-centered care involves collaboration between the health care team and the client.Unless an institutional policy limits the number of attendants at a delivery,the client should be allowed to have whomever she wants present (except when the situation is an emergency and guests are asked to leave).

Question 3

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Hand hygiene

Accepted Answer

Hand hygiene is a fundamental practice for preventing the spread of infections in healthcare settings, and compliance with CDC (Centers for Disease Control and Prevention) guidelines is essential for ensuring effective hand hygiene.

Question 4

Which interventions would help alleviate the problems associated with access to health care for maternity patients (Select all that apply)?

Accepted Answer

Lack of transportation to visits,lack of childcare,and lack of affordable health insurance are prohibitive factors associated with lack of prenatal care.House calls are not a cost-effective approach to health care.Although job training may result in employment and income,the likelihood of significant changes during the time frame of the pregnancy is remote.

Question 5

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 patient is:

Accepted Answer

"The extent of your circumcision will affect the potential for complications" is the most appropriate response.The patient may experience pain,bleeding,scarring,or infection and may require surgery before childbirth.With the growing number of immigrants from countries where FGM is practiced,nurses will increasingly encounter women who have undergone the procedure.Although this practice is not prevalent in the United States,it is very common in many African and Middle Eastern countries for religious reasons.Responding with,"This is a very abnormal practice and rarely seen in the United States" is culturally insensitive.The infibulation may have occurred during infancy or childhood.The client will have little to no recollection of the event.She would have considered this to be a normal milestone during her growth and development.The International Council of Nurses has spoken out against this procedure as harmful to a woman's health.

Question 6

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Culture measurement,feedback,and intervention

Accepted Answer

Promoting interventions that will reduce patient risk aligns with the concept of culture measurement, feedback, and intervention, as it involves assessing and improving safety culture within healthcare settings.

Question 7

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

Accepted Answer

This patient will be able to participate actively in all decisions related to the birth process and is likely to receive fewer interventions during the birth process.Midwifery services are available to all low-risk pregnant women,regardless of the type of insurance they have.Midwifery care in all developed countries is strictly regulated by a governing body,which ensures that core competencies are met.In the United States,this body is the American College of Nurse-Midwives.Midwives can provide care and delivery at home,in freestanding birth centers,and in community and teaching hospitals.

Question 8

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Pediatric imaging

Accepted Answer

Pediatric patients are more sensitive to radiation than adults, and excessive exposure can lead to long-term health effects. By reducing exposure to radiation during imaging, nurses can minimize the risks to their patients.

Answer: D 
 Nurses should work with healthcare teams to develop and implement interventions that can reduce patient risk, such as implementing medication reconciliation processes or reducing patient falls. By promoting these interventions, nurses can help ensure that patients are receiving safe and effective care.

Note: While the other options (A, B, and C) are important safe practices, they are not directly related to reducing medical errors in pediatric imaging specifically.

Question 9

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Informed consent

Accepted Answer

Informed consent involves ensuring that the patient understands their treatment plan and risks. Asking the patient to "teach back" is a safe practice that nursing can promote to ensure that the patient has fully understood their treatment plan. Complying with CDC guidelines, ensuring timely documentation, promoting interventions to reduce patient risk, and reducing exposure to radiation are all important safe practices, but they do not specifically relate to informed consent as the question asks.

Question 10

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 is acceptable for use?

Accepted Answer

The abbreviations "i.u." and "I.U." are no longer acceptable because they could be misread as "I.V." or the number "10." The abbreviation "q.o.d.or Q.O.D." should be written out as "every other day." The period after the "Q" could be mistaken for an "I"; the "o" could also be mistaken for an "i." With MSO₄ or MgSO₄,it is too easy to confuse one medication for another.These medications are used for very different purposes and could put a client at risk for an adverse outcome.They should be written as morphine sulfate and magnesium sulfate.The decimal point should never be missed before a number to avoid confusion (i.e.,0.4 rather than .4).

Question 11

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement.

-Patient care information

Accepted Answer

Timely documentation of patient care information ensures that all healthcare providers have access to the most up-to-date and accurate information about a patient's condition, treatment plan, and medications. This can help reduce errors and improve patient outcomes.

Answer: A
 Asking the patient to "teach back" what they have learned or been told about their care can help ensure that they have understood the information correctly. This can reduce the risk of miscommunication and errors in care.

Answer: B
 Complying with CDC (Centers for Disease Control and Prevention) guidelines for infection prevention and control can help prevent the spread of infections in healthcare settings. This can reduce the risk of harm to patients and healthcare workers.

Answer: D
 Promoting interventions that will reduce patient risk, such as fall prevention, medication reconciliation, and pressure ulcer prevention, can help improve patient safety and reduce the risk of harm.

Answer: E
 Reducing exposure to radiation can help prevent unnecessary harm to patients, particularly in imaging and diagnostic procedures. Healthcare providers should use the minimum necessary dose of radiation to achieve the desired diagnostic image.

Quiz 1: 21st Century Maternity Nursing

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

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Hand hygiene

Which interventions would help alleviate the problems associated with access to health care for maternity patients (Select all that apply) ?

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 patient is:

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Culture measurement,feedback,and intervention

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

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Pediatric imaging

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Informed consent

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 is acceptable for use?

Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. -Patient care information