Deck 1: The Past, Present, and Future

Question 1

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

Answer 1

Ignaz Semmelweis

Question 2

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 1,000 live births per year
D) Fetal and neonatal deaths per 1,000 live births per year

Answer 2

Fetal and neonatal deaths per 1,000 live births per year

Question 3

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

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

Answer 3

Head Start

Question 4

Current maternity practices focus on:

A) Hospital births for the majority of women
B) The traditional family unit
C) Teaching the proper attitudes toward childbearing
D) A quality family experience for each patient

Question 5

The nurse clarifies to the patient that computer charting 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 6

A nursing student on an obstetrical rotation questions the floor nurse where the LVN/LPN scope of practice is defined. The nurse directs the student to contact the:

A) American Nurses Association
B) State Board of Nursing
C) Joint Commission on Accreditation of Healthcare Organizations
D) Association of Women's Obstetric and Neonatal Nurses

Question 7

The delivery room nurse remarks that 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 8

White House Conferences on Children and Youth are held every _____ years.

A) 2
B) 3
C) 5
D) 10

Question 9

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) Simple surgical techniques

Question 10

The nurse takes into consideration in designing the nursing care plan for a vaginally delivered postpartum patient that the patient will be hospitalized a minimum of ____ hours.

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

Question 11

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."

Question 12

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 13

The nurse explains that guidelines that define multidisciplinary patient care in terms of expected outcome and timeframe are known as:

A) Clinical pathways
B) Nursing outcome criteria
C) Standards of care
D) Nursing care plan

Question 14

An example of an NIC is:

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

Question 15

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

A) Identify measurable outcomes with a time line
B) Identify specific nursing implementations for the child
C) Determine appropriate nursing diagnoses
D) State nursing actions related to the child's medical diagnosis

Question 16

The nurse clarifies that family-centered care focuses on: Select all that apply.

A) Family integrity
B) Family as caregivers
C) Family as decision makers
D) Empowerment of the family
E) Cultural values of the family
F) None of the above

Question 17

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 parent's genes
C) Can change the sex of the fetus
D) Supports the regeneration of defective genes

Question 18

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 time lines
C) Prioritizing effective nursing diagnoses
D) Describing common complications

Question 19

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 20

The nurse explains that 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 first White House Conference on Children and Youth was called by ______________________________.

Question 22

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

Question 23

The nurse points out that some non-family-centered policies of hospital in the 1960s were: Select all that apply.

A) Waiting room for fathers
B) Sedation of mother during labor
C) Delay of reunion of mother and baby
D) Stringent visiting hours
E) Restrictions of visitations by minor children
F) None of the above

Question 24

The nurse explains that the developments in the early 20th century that focused on hospitalization for childbirth were: Select all that apply.

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