Deck 1: Contemporary Maternal, Newborn, and Child Health Nursing

Question 1

What is the role of the certified nurse-midwife (CNM)? Select all that apply.
1) Give primary care for healthy newborns.
2) Be educated in two disciplines of nursing.
3) Give primary care for high-risk clients who are in hospital settings.
4) Obtain a physician consultation for all technical procedures at delivery.
5) Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth.

Answer 1

1, 2, 5

Question 2

Which family might find cord blood banking to be especially useful?
1) A family with a history of leukemia
2) A family with a history of infertility
3) A family that wishes to select the sex of a future child
4) A family that wishes to avoid a future intrauterine fetal surgery

Answer 2

1

Question 3

The nurse is evaluating telephone calls made by the mothers of newborns in a community clinic. Which calls should the nurse make a priority? Select all that apply.
1) Mother who is 16 years old
2) Mother who is breastfeeding
3) Mother who is a single parent
4) Mother who gave birth to twins 2 weeks ago
5) Mother whose baby was born at 30 weeks' gestation

Answer 3

1, 3, 4, 5

Question 4

A nurse is providing guidance to a group of parents of children in the infant-to-preschool age group. After reviewing statistics on the most common cause of death in this age group, what information should the nurse include about prevention?
1) Reduce the use of pesticides in the home to prevent cancer.
2) Review swimming pool and traffic accidents to prevent accidental injury.
3) Incorporate heart-healthy foods into the child's diet to prevent heart disease.
4) Provide a diet high in vitamin C from fruits and vegetables to prevent pneumonia.

Question 5

The nurse is establishing criteria for a medical or healthcare home for children. What should the nurse include when planning this approach to care? Select all that apply.
1) Providers partner with the family.
2) Children are known by the provider.
3) Home visits are made when necessary.
4) Specialty care can be accessed if necessary.
5) Communication with family occurs routinely.

Question 6

Which practices characterize the basic competencies related to evidence-based practice? Select all that apply.
1) Clinical practice supported by data
2) Clinical practice that promotes quality
3) Clinical practice supported by good evidence
4) Clinical practice supported by intuitive evidence
5) Clinical practice that provides a useful approach to problem solving

Question 7

During the hospital admission process, a child's parent asks for information about family-centered care. What should the nurse explain to this parent?
1) Mother is the principal caregiver in each family.
2) Father is the leader in each home; thus, all communications should include him.
3) Family serves as the constant influence and continuing support in the child's life.
4) Child's physician is the key person in ensuring the health of a child is maintained.

Question 8

A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the nurse do to encourage the family to consider enrolling the child in this program?
1) Assessment of the details of the family's income and expenditures
2) Case management to limit costly, unnecessary duplication of services
3) Advocacy for the child by encouraging the family to investigate its CHIP eligibility
4) Education of the family about the need for keeping regular well-child visit appointments

Question 9

What is the major focus of the nurse practitioner (NP)?
1) Leadership
2) Tertiary prevention
3) Physical and psychosocial clinical assessment
4) Independent care of the high-risk, pregnant client

Question 10

A female client is considering ovulation-inducing medications to achieve pregnancy. What should the nurse explain as potential adverse effects of this type of assisted reproductive technology (ART)? Select all that apply.
1) Miscarriage
2) Preterm birth
3) Neonatal morbidity
4) Multifetal pregnancy
5) Pelvic inflammatory disease

Question 11

The nurse manager is considering adopting clinical practice guidelines to care for clients experiencing abruptio placentae. What advantages of these guidelines should the manager discuss with the nursing staff? Select all that apply.
1) Limit the cost of care.
2) Help evaluate the effectiveness of care.
3) Reduce the number of nurses needed to provide care.
4) Reduce variations when caring for clients with the same health problem.
5) Provide sequence and timing of interventions to help achieve expected client outcomes.

Question 12

The nurse tells family members the sex of a newborn baby without first consulting the parents. Which act did this nurse commit?
1) Negligence
2) Malpractice
3) A breach of ethics
4) Breach of privacy

Question 13

The nurse is assisting with the design of a study to analyze changes in maternal mortality. What should the nurse keep in mind when planning the design? Select all that apply.
1) The marital status of maternity clients
2) The use of hospitals by maternity clients
3) The prevention of infection with antibiotics
4) The availability of blood products for transfusions
5) The establishment of care centers for high-risk mothers

Question 14

A nurse is examining different nursing roles. Which statement best illustrates an advanced practice nursing role?
1) A registered nurse who is the manager of a large obstetric unit
2) A clinical nurse specialist working as a staff nurse on a mother-baby unit
3) A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
4) A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring for high-risk infants

Question 15

The nurse is reviewing the 1973 Supreme Court decision in Roe v. Wade for a patient asking about an abortion. What should the nurse explain about the induction of a legal abortion?
1) It must be performed at a federally funded clinic.
2) It must be performed before the period of viability.
3) It must be performed at a military hospital overseas.
4) It must be performed to provide tissue for therapeutic research.

Question 16

The nurse is coordinating a clinical research trial with pediatric clients. From which clients should the nurse seek assent to participate in the research? Select all that apply.
1) A 9-year-old client who qualifies to test a medication for muscular dystrophy
2) A precocious 4-year-old starting as a participant in a cystic fibrosis research study
3) A 10-year-old starting in an investigative study for clients with precocious puberty
4) A 7-year-old client with leukemia who has elected to receive a newly developed trial medication
5) A 13-year-old client beginning participation in a research program for attention deficit/hyperactivity disorder (ADHD) treatments

Question 17

A 12-year-old pediatric client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure?
1) The nurse
2) The physician
3) The social worker
4) The unit secretary

Question 18

What is the maternity nurse's best defense against an accusation of malpractice or negligence?
1) Follows the physician's written orders
2) Acts on the advice of the nurse manager
3) Becomes certified as a nurse-midwife or nurse practitioner
4) Meets the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) standards of practice

Question 19

The maternal-child nurse is caring for a teenager who is 16 weeks pregnant. What actions should the nurse perform when advocating for this client? Select all that apply.
1) Understand what the client needs.
2) Know the needs of the client's family.
3) Compile a list of community resources.
4) Coordinate services to meet quality measures.
5) Examine policies to ensure meeting the client's needs.