Deck 1: Foundations of Maternity, Women’s Health, and Child Health Nursing

Question 1

Which situation reflects a potential ethical dilemma for the nurse?

A) A nurse administers analgesics to a patient with cancer as often as the provider's order allows.
B) A neonatal nurse provides nourishment and care to a newborn who has a defect that is incompatible with life.
C) A labor nurse, whose religion opposes abortion, is asked to assist with an elective abortion.
D) A postpartum nurse provides information about adoption to a new mother who feels she cannot adequately care for her infant.

Answer 1

A labor nurse, whose religion opposes abortion, is asked to assist with an elective abortion.

Question 2

The Women,Infants,and Children (WIC)program provides

A) well-child examinations for infants and children living at the poverty level.
B) immunizations for high-risk infants and children.
C) screening for infants with developmental disorders.
D) supplemental food supplies to low-income pregnant or breastfeeding women.

Answer 2

supplemental food supplies to low-income pregnant or breastfeeding women.

Question 3

In most states,adolescents who are not emancipated minors must have the permission of their parents before

A) treatment for drug abuse.
B) treatment for sexually transmitted diseases (STDs).
C) accessing birth control.
D) surgery.

Answer 3

surgery.

Question 4

When planning a parenting class,the nurse should explain that the leading cause of death in children 1 to 4 years of age in the United States is

A) premature birth.
B) congenital anomalies.
C) accidental death.
D) respiratory tract illness.

Question 5

Which woman would be most likely to seek prenatal care?

A) A 15-year-old who tells her friends, "I don't believe I'm pregnant."
B) A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
C) A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
D) A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.

Question 6

Which statement is true regarding the "quality assurance" or "incident" report?

A) The report assures the legal department that no problem exists.
B) Reports are a permanent part of the patient's chart.
C) The nurse's notes should contain, "Incident report filed, and copy placed in chart."
D) This report is a form of documentation of an event that may result in legal action.

Question 7

Which factor significantly contributed to the shift from home births to hospital births in the early 20th century?

A) Puerperal sepsis was identified as a risk factor in labor and delivery.
B) Forceps were developed to facilitate difficult births.
C) The importance of early parental-infant contact was identified.
D) Technologic developments became available to physicians.

Question 8

A nurse wishes to work to reduce infant mortality in the United States.Which activity would this nurse most likely participate in?

A) Creating pamphlets in several different languages using an interpreter.
B) Assisting women to enroll in Medicaid by their third trimester.
C) Volunteering to provide prenatal care at community centers.
D) Working as an intake counselor at a women's shelter.

Question 9

A nurse is floated to a different unit.The nurse does not know how to perform a treatment that has been prescribed for one of his or her assigned patients.What should the nurse's first action be?

A) Delay the treatment until another nurse can do it.
B) Make the child's parents aware of the situation.
C) Inform the nursing supervisor of the problem.
D) Arrange to have the child transferred to another unit.

Question 10

The maternity nurse should have a clear understanding of the correct use of a clinical pathway.One characteristic of clinical pathways is that they

A) are developed and implemented by nurses.
B) are used primarily in the pediatric setting.
C) set specific time lines for sequencing interventions.
D) are part of the nursing process.

Question 11

Family-centered care (FCC)describes safe,quality care that recognizes and adapts to both the physical and psychosocial needs of the family.Which nursing practice coincides with the principles of FCC?

A) The newborn is returned to the nursery at night so that the mother can receive adequate rest before discharge.
B) The father is encouraged to go home after the baby is delivered.
C) All patients are routinely placed on the fetal monitor.
D) The nurse's assignment includes both mom and baby and increases the nurse's responsibility for education.

Question 12

Family-centered maternity care developed in response to

A) demands by physicians for family involvement in childbirth.
B) the Sheppard-Towner Act of 1921.
C) parental requests that infants be allowed to remain with them rather than in a nursery.
D) changes in pharmacologic management of labor.

Question 13

A woman who delivered her baby 6 hours ago complains of headache and dizziness.The nurse administers an analgesic but does not perform any assessments.The woman then has a tonic-clonic seizure,falls out of bed,and fractures her femur.How would the actions of the nurse be interpreted in relation to standards of care?

A) Negligent: the nurse failed to assess the woman for possible complications
B) Negligent: because the nurse medicated the woman
C) Not negligent: the woman had signed a waiver concerning the use of side rails
D) Not negligent: the woman did not inform the nurse of her symptoms as soon as they occurred

Question 14

The intrapartum woman sees no need for a routine admission fetal monitoring strip.If she continues to refuse,what is the first action the nurse should take?

A) Consult the family of the woman.
B) Notify the provider of the situation.
C) Document the woman's refusal in the nurse's notes.
D) Make a referral to the hospital ethics committee.

Question 15

As a result of changes in health care delivery and funding,a current trend seen in the pediatric setting is

A) increased hospitalization of children.
B) decreased number of children living in poverty.
C) an increase in ambulatory care.
D) decreased use of managed care.

Question 16

Elective abortion is considered an ethical issue because

A) abortion law is unclear about a woman's constitutional rights.
B) the Supreme Court ruled that life begins at conception.
C) a conflict exists between the rights of the woman and the rights of the fetus.
D) it requires third-party consent.

Question 17

The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she could provide information regarding the recommended amount of television viewing time for her daughter.The nurse responds that the appropriate amount of time a child should be watching television is

A) 1 to 2 hours per day.
B) 2 to 3 hours per day.
C) 3 to 4 hours per day.
D) 4 hours or more.

Question 18

The fastest growing group of homeless people is

A) men and women preparing for retirement.
B) migrant workers.
C) single women and their children.
D) intravenous (IV) substance abusers.

Question 19

Which setting for childbirth allows the least amount of parent-infant contact?

A) Labor/delivery/recovery/postpartum room
B) Birth center
C) Traditional hospital birth
D) Home birth

Question 20

Which patient situation fails to meet the first requirement of informed consent?

A) The patient does not understand the physician's explanations.
B) The physician gives the patient only a partial list of possible side effects and complications.
C) The patient is confused and disoriented.
D) The patient signs a consent form because her husband tells her to.

Question 21

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 22

Maternity nursing care that is based on knowledge gained through research is known as

A) nurse-sensitive indicators.
B) evidence-based practice.
C) case management.
D) outcomes management.

Question 23

When counseling the newly pregnant woman regarding the option of using a free-standing birth center for care,the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.)

A) Less expensive than acute-care hospitals
B) Access to follow-up care for 6 weeks postpartum
C) Equipped for obstetric emergencies
D) Safe, home-like births in a familiar setting
E) Staffing by lay midwives

Question 24

A student nurse has been studying Healthy People 2020.What information about this initiative does the student understand? (Select all that apply.)

A) It is a new agenda for health care and research priorities.
B) None of the priorities in this document pertains to pregnant women or children.
C) Objectives are aimed at keeping people healthy with a good quality of life.
D) Ensuring that 77.9% of women receive prenatal care in the first trimester is one goal.
E) Increasing to 100% the proportion of people with health insurance.

Question 25

Which statement related to nursing care of the child at home is most correct?

A) The technology-dependent infant can safely be cared for at home.
B) Home care increases readmissions to the hospital for a child with chronic conditions.
C) There is increased stress for the family when a sick child is being cared for at home.
D) The family of the child with a chronic condition is likely to be separated from their support system if the child is cared for at home.

Question 26

A school nurse is working with unlicensed assistive personnel (UAPs).What aspects of delegation should the nurse incorporate into his or her practice in this setting?

A) The registered nurse is always responsible for assessment.
B) Uncomplicated medication administration can be performed by the UAP.
C) The nurse does not need to supervise UAPs in this setting.
D) The nurse must work within school district policies when delegating.
E) Understanding the complexity of the child's needs is a consideration when delegating.