Question 1

When moving to a new state,the nurse learns the scope of practice in the new state by doing what?&#10;A) Reading the Nurse Practice Act on the Board of Nursing Web site&#10;B) Asking other nurses with the same credentials what they are allowed to do&#10;C) Following the scope of practice learned in nursing school&#10;D) Reviewing research articles to find evidence of best practices&#10;

Accepted Answer

The Nurse Practice Act outlines the scope of practice for nurses in each state and is available on the Board of Nursing website. This is the most reliable source of information to ensure that the nurse is practicing within their legal scope of practice in the new state. Asking other nurses or following nursing school scope of practice may not be accurate or up to date for the new state. Reviewing research articles is not the most reliable way to learn about the legal scope of practice in a new state.

Question 2

What was the motivating factor for advancing nursing roles in the care of women in the early 20th century?&#10;A) Lack of access to health care for poor women and those in rural areas&#10;B) Patients' modesty and desire to be cared for by a woman&#10;C) Fear of death if attended by a physician&#10;D) Changes in laws and regulations&#10;

Accepted Answer

The lack of access to health care for poor women and those in rural area was a major motivating factor for advancing nursing roles in the care of women in the early 20th century. Nurses were able to provide care to these underserved populations and improve their health outcomes.

Question 3

Which statement made by a nursing student to a patient indicates the need for the nursing instructor to clarify the student's role in providing maternity care?&#10;A) &#34;I've had three children,and I know from experience how helpful Lamaze breathing is to pain control.&#34;&#10;B) &#34;You're not allowed to have anything to eat this close to delivery,but let me get you some ice chips.&#34;&#10;C) &#34;You're doing really great.You're almost fully dilated,so it won't be much longer now.Hang in there.&#34;&#10;D) &#34;You said you wanted to deliver without taking pain medications.Are you sure you want to change your mind now?&#34;&#10;

Accepted Answer

The statement indicates that the nursing student may be assuming the role of a childbirth educator or doula, rather than a registered nurse providing clinical care. The nursing instructor may need to clarify the student's role in providing maternity care.

Question 4

The nurse working in an acute care facility makes it a point to never look at the declaration page showing the patient's insurance or lack of insurance because of a belief that all patients should be treated equally.This demonstrates which ethical principle?

A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice

Accepted Answer

This scenario demonstrates the ethical principle of justice, which emphasizes the fair and equal treatment of all patients regardless of their insurance status or other demographic factors. By refraining from looking at the insurance declaration page, the nurse is ensuring that all patients are treated equally and receive the same quality of care. This principle is an important aspect of healthcare ethics and is essential for promoting fairness and equality in healthcare.

Question 5

A patient asks the student nurse whether a medication is safe to take during pregnancy.The student thinks it is an approved medication during pregnancy.Which is the student's best response?&#10;A) &#34;I'm pretty sure it is a safe medication.&#34;&#10;B) &#34;I'm not qualified to answer that question.&#34;&#10;C) &#34;I will ask your obstetric provider.&#34;&#10;D) &#34;I really don't know.&#34;&#10;

Accepted Answer

As a student nurse, it is important to acknowledge one's limitations and refer the patient to the obstetric provider who is more qualified to answer questions regarding medication safety during pregnancy. This ensures that the patient receives accurate and reliable information from a healthcare professional who has the appropriate knowledge and training.

Question 6

The provider explains the need for an amniocentesis,but the patient declines the procedure.The nurse supports the patient's right to make this decision,demonstrating an understanding of which ethical principle?

A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice

Accepted Answer

The ethical principle at play in this scenario is autonomy, which refers to the patient's right to make decisions about their own healthcare without coercion or influence from others. The nurse in this case is respecting the patient's autonomy by supporting their decision to decline the procedure. Beneficence (doing good) and nonmaleficence (doing no harm) are also important ethical principles, but they are not the primary concern in this scenario. Justice (fairness) does not apply in this situation either.

Question 7

What impact did moving births to hospitals in the early 20th century have on the rate of complications and deaths?&#10;A) Dramatic decline&#10;B) Slow decline&#10;C) Slight increase&#10;D) Drastic increase&#10;

Accepted Answer

The answer of What impact did moving births to hospitals...

Question 8

A patient is admitted to the labor and delivery unit,and a plan of care based on that patient's needs is developed by which member of the health-care team?&#10;A) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)&#10;B) Registered nurse (RN)&#10;C) Nurse practitioner&#10;D) Certified nurse midwife&#10;

Accepted Answer

The registered nurse (RN) is typically responsible for developing the plan of care for a patient admitted to the labor and delivery unit. While nurse practitioners and certified nurse midwives may be involved in the patient's care, the RN is usually the one to oversee and coordinate the overall plan of care. Licensed practical nurses (LPNs)/licensed vocational nurses (LVNs) may also be part of the team, but they typically work under the supervision of the RN and would not be responsible for developing the plan of care.

Question 9

The nurse joins a community outreach program to promote vaccination of children,demonstrating which ethical principle?&#10;A) Autonomy&#10;B) Beneficence&#10;C) Nonmaleficence&#10;D) Justice&#10;

Accepted Answer

The nurse is demonstrating the ethical principle of beneficence by promoting the vaccination of children which would prevent them from contracting preventable diseases and promoting their well-being.

Question 10

How does a nurse practitioner's role differ from that of a certified nurse midwife with regard to maternity care?&#10;A) The nurse practitioner does not usually deliver babies but cares for women before and after delivery.&#10;B) The certified nurse midwife cannot prescribe medications,but a nurse practitioner does have prescribing privileges.&#10;C) The certified nurse midwife is hired by the hospital,whereas a nurse practitioner practices independently and does not have hospital privileges.&#10;D) The certified nurse midwife and the nurse practitioner have very similar roles with little difference between the two.&#10;

Accepted Answer

A nurse practitioner's role in maternity care typically involves providing prenatal and postpartum care, monitoring fetal health, and assisting during delivery, but they do not typically deliver babies themselves. Certified nurse midwives, on the other hand, are specifically trained in providing both routine and high-risk maternity care, including labor and delivery, and are often the primary care provider for women during their pregnancy and childbirth.

Question 11

Which organization establishes standards of care for maternity nursing?&#10;A) American Nurses Association&#10;B) American Academy of Pediatrics&#10;C) Association of Women's Health,Obstetric and Neonatal Nurses&#10;D) National League for Nursing&#10;

Accepted Answer

The answer of Which organization establishes standards of care for...

Question 12

Which statement most accurately describes how maternity nursing has changed over the last 50 years?&#10;A) Nurses have assumed many duties once assigned to physicians.&#10;B) Nurses no longer assist physicians in caring for the laboring patient.&#10;C) Nurses are reducing infant mortality by taking on greater responsibilities.&#10;D) Nurses are responsible for delivering more infants than physicians are.&#10;

Accepted Answer

The answer of Which statement most accurately describes how maternity...

Question 13

The nurse wants to establish an evidence-based practice.Where can evidence be found to support a change in the way a procedure is performed?&#10;A) Past experience&#10;B) Facility procedure manual&#10;C) Nursing research&#10;D) Nursing organizations&#10;

Accepted Answer

The answer of The nurse wants to establish an evidence-based...

Deck 2: Introduction to Maternity Nursing