Deck 1: The Past, Present, and Future

Question 1

The nurse explains that the clinical pathway or critical pathway improves quality of care by:

A) listing diagnosis-specific implementations.
B) outlining expected progress with stated timelines.
C) prioritizing effective nursing diagnoses.
D) describing common complications.

Answer 1

outlining expected progress with stated timelines.

Question 2

The certified nurse-midwife (CNM)clarifies to the pregnant patient that the CNM's scope of practice includes:

A) practice independent from medical supervision.
B) comprehensive prenatal care.
C) attendance at all deliveries.
D) cesarean sections.

Answer 2

comprehensive prenatal care.

Question 3

A pregnant woman who has recently immigrated to the United States comments to the nurse,"I am afraid of childbirth.It is so dangerous.I am afraid I will die." A nursing response reflecting cultural sensitivity would be:

A) "Maternal mortality in the United States is extremely low. "
B) "Anesthesia is available to relieve pain during labor and childbirth. "
C) "Tell me why you are afraid of childbirth. "
D) "Your condition will be monitored during labor and delivery. "

Answer 3

"Tell me why you are afraid of childbirth. "

Question 4

When the patient asks the nurse to explain what is meant by "gene therapy," the nurse's best response would be that gene therapy:

A) can replace missing genes.
B) evaluates the parent's genes.
C) can change the sex of the fetus.
D) supports the regeneration of defective genes.

Question 5

A nursing student has reviewed a hospitalized child's chart,interviewed her mother,and collected admission data.The next step in developing a nursing care plan for this child is to:

A) identify measurable outcomes with a timeline.
B) choose specific nursing interventions for the child.
C) determine appropriate nursing diagnoses.
D) state nursing actions related to the child's medical diagnosis.

Question 6

Guidelines that define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision are known as:

A) clinical pathways.
B) nursing outcome criteria.
C) standards of care.
D) nursing care plan.

Question 7

Current maternity practice focuses on:

A) hospital births for the majority of women.
B) the traditional family unit.
C) separation of labor rooms from delivery rooms.
D) a quality family experience for each patient.

Question 8

Current legislation allows a hospital stay of how many hours for a postpartum patient who has delivered vaginally without complications?

A) 24
B) 48
C) 36
D) 72

Question 9

The government program implemented to increase the educational exposure of preschool children is:

A) WIC.
B) Title XIX of Medicaid.
C) The Children's Charter.
D) Head Start.

Question 10

The medical pioneer who discovered the relationship between the incidence of puerperal fever and unwashed hands was:

A) Karl Credé.
B) Ignaz Semmelweis.
C) Louis Pasteur.
D) Joseph Lister.

Question 11

The nurse clarifies to the patient that charting in an electronic health record supports accurate and comprehensive documentation by requiring:

A) a uniform style of chart.
B) certain responses before allowing the user to progress.
C) documentation reflective of the nursing care plan.
D) a daily audit by the charge nurse.

Question 12

An example of a Nursing Interventions Classification (NIC)intervention is the:

A) patient will ambulate in the hall independently for 10 minutes three times a day.
B) nurse will report temperature elevations to the charge nurse.
C) nurse will offer extra liquids at all meals.
D) patient will express pain relief after massage.

Question 13

The nurse clarifies to a patient that diagnosis related groups (DRGs)are designed to contain medical care costs by:

A) determining payment based on diagnosis.
B) requiring two medical opinions to confirm a diagnosis.
C) organizing HMOs.
D) defining a person who will require hospitalization.

Question 14

An urban area has been reported to have a high perinatal mortality rate.The nurse explains that this statistic refers to:

A) maternal and infant deaths per 100,000 live births per year.
B) deaths of fetuses weighing more than 500 g per 10,000 births per year.
C) deaths of infants up to 1 year of age per 1000 live births per year.
D) fetal and neonatal deaths per 1000 live births per year.

Question 15

As a result of research done in the 1930s by the Children's Bureau:

A) children with heart problems are now cared for by pediatric cardiologists.
B) the Child Abuse and Prevention Act was passed.
C) hot lunch programs were established in many schools.
D) children's asylums were founded.

Question 16

In 1884,Karl Credé recommended that:

A) all women should be delivered in a hospital setting.
B) chemical means should be used to combat infection.
C) podalic version be done on all fetuses.
D) silver nitrate be placed in the eyes of newborns.

Question 17

The nurse reminds family members that the philosophy of family-centered care is to give them control over their health care decisions.This control is called:

A) empowerment.
B) insight.
C) regulation.
D) organization.

Question 18

The White House Conference on Children and Youth is held every 10 years to:

A) set criteria for normal growth patterns.
B) examine the number of live births in minority populations.
C) raise money to support well-child clinics in rural areas.
D) promote comprehensive child welfare.

Question 19

A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice.The nurse directs the student to contact the:

A) American Nurses Association.
B) State's board of nursing.
C) Joint Commission.
D) Association of Women's Health, Obstetric and Neonatal Nurses.

Question 20

The individual who advocated the establishment of the Children's Bureau was:

A) Lillian Wald.
B) Florence Nightingale.
C) Florence Kelly.
D) Clara Barton.

Question 21

The nurse points out some non-family-centered policies prevalent in the 1960s.What are they? Select all that apply.

A) Waiting room for fathers
B) Sedation of mother during labor
C) Delay of reunion of mother and infant
D) Lenient visiting hours
E) Restrictions of visitations by minor children

Question 22

The nurse who is very conscientious about hand hygiene is following the concepts set out by ____________________ and ____________________.

Question 23

What services does the nurse know that birthing centers are able to provide? Select all that apply.

A) Prenatal care
B) Labor and delivery services
C) Classes for new mothers
D) Adoption referrals
E) Family planning

Question 24

The nurse is aware that there is a legal responsibility to report certain diseases and conditions to county or state health authorities.Which would be included? Select all that apply.

A) Tuberculosis
B) Child abuse
C) Industrial accidents
D) Sexually transmitted diseases
E) Food-borne infections

Question 25

The first White House Conference on Children and Youth was called by President ______________ ________________.

Question 26

The nurse reviewing the specific recovery goals set out on a clinical pathway observed that two goals were not met by their designated timeline.The nurse records a negative _____________ for these two goals.

Question 27

A patient in the prenatal clinic is concerned about losing her job because of her pregnancy.The nurse instructs her that the Family Medical Leave Act (FMLA)allows an employee to be absent from work without pay for ______ weeks to recover from childbirth or care for a sick family member without loss of benefits or pay status.

A) 4
B) 6
C) 10
D) 12

Question 28

One of the major advantages to the application of critical thinking is that it results in:

A) problem-free care.
B) limited approaches to care.
C) less need for assessment.
D) problem prevention.

Question 29

What developments in the early 20th century encouraged women to seek hospitalization for childbirth? Select all that apply.

A) Use of specialized obstetric instruments
B) Use of anesthesia
C) Physicians' closer relationships with hospitals
D) Focus on family-centered care
E) Insurance coverage

Question 30

The nurse who is able to adapt health care practices to meet needs of various cultures is said to be culturally:

A) aware.
B) sensitive.
C) competent.
D) adaptive.