Question 1

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.

Accepted Answer

The scope of practice of the LVN/LPN is published by the State's board of nursing.

Question 2

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.

Accepted Answer

DRGs determine the amount of payment and length of hospital stay based on the diagnosis.

Question 3

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.

Accepted Answer

Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient care across disciplines. Expected progress within a specified timeline is identified.

Question 4

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.

Accepted Answer

Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is called a variance.

Question 5

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.

Accepted Answer

Head Start programs were established to increase educational exposure of preschool children.

Question 6

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.

Accepted Answer

The CNM provides comprehensive prenatal and postnatal care and attends uncomplicated deliveries and ensures that a backup physician is available in case of unforeseen problems.

Question 7

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."

Accepted Answer

Asking the patient about her concerns helps promote understanding and individualizes patient care.

Question 8

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.

Accepted Answer

The perinatal mortality rate includes both fetal and neonatal deaths per 1000 live births per year.

Question 9

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.

Accepted Answer

Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students.

Question 10

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.

Accepted Answer

School hot lunch programs were developed as a result of research by the Children's Bureau on the effects of economic depression on children.

Question 11

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

Accepted Answer

Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours, patients who have had a cesarean delivery usually stay 4 days.

Question 12

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.

Accepted Answer

Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.

Question 13

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.

Accepted Answer

The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.

Question 14

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.

Accepted Answer

NIC is a guide to nursing actions.

Question 15

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.

Accepted Answer

Gene therapy can replace missing or defective genes.

Question 16

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.

Accepted Answer

White House Conferences on Children and Youth are held every 10 years to promote comprehensive child welfare.

Question 17

The individual who advocated the establishment of the Children's Bureau was:
A) Lillian Wald.
B) Florence Nightingale.
C) Florence Kelly.
D) Clara Barton.

Accepted Answer

Lillian Wald is credited with suggesting the establishment of a federal Children's Bureau.

Question 18

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.

Accepted Answer

Comprehensive electronic documentation is ensured by requiring specific input in designated categories before the user can progress through the system.

Question 19

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.

Accepted Answer

In 1884, Karl Credé recommended the use of 2% silver nitrate to be placed in the eyes of newborns to reduce the incidence of blindness. The practice is still current, but uses 1% silver nitrate.

Question 20

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.

Accepted Answer

The term "empowerment" refers to the control a family has over its own health care decisions.

Quiz 1: The Past, Present, and Future

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:

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

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

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

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

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

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:

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

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

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

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

Current maternity practice focuses on:

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:

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

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

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

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

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

In 1884, Karl Credé recommended that:

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: