Question 1

Who advocated the establishment of the Children's Bureau?

Accepted Answer

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

Question 2

How does electronic charting ensure comprehensive charting more effectively than handwritten charting?

Accepted Answer

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

Question 3

What was the result of research done in the 1930s by the Children's Bureau?

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 4

An urban area has been reported to have a high perinatal mortality rate.What information does this provide?

Accepted Answer

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

Question 5

The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs).What is the nurse's best response when the patient asks how DRGs reduce medical care costs?

Accepted Answer

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

Question 6

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." What is the best nursing response reflecting cultural sensitivity?

Accepted Answer

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

Question 7

What government program was implemented to increase the educational exposure of preschool children?

Accepted Answer

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

Question 8

Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands?

Accepted Answer

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

Question 9

What is the focus of current maternity practice?

Accepted Answer

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

Question 10

How does the clinical pathway or critical pathway improve quality of care?

Accepted Answer

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

Question 11

A nursing student has reviewed a hospitalized pediatric patient chart,interviewed her mother,and collected admission data.What is the next step the student will take to develop a nursing care plan for this child?

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 12

How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without complications?

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 13

What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision?

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 14

The nurse reminds family members that the philosophy of family-centered care is to provide control to the family over health care decisions.What is the appropriate term for this type of control?

Accepted Answer

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

Question 15

What is the purpose of the White House Conference on Children and Youth?

Accepted Answer

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

Question 16

What was recommended by Karl Credé in 1884?

Accepted Answer

In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of blindness.

Question 17

A patient asks the nurse to explain what is meant by "gene therapy." What is the nurse's best response?

Accepted Answer

Gene therapy can replace missing or defective genes.

Question 18

A patient chooses to have the certified nurse-midwife (CNM)provide care during her pregnancy.What does the CNM's scope of practice include?

Accepted Answer

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

Question 19

A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice.What resource can the nurse suggest to the student?

Accepted Answer

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

Question 20

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.How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family member without loss of benefits or pay status?

Accepted Answer

The FMLA allows for employees to leave work for up to 12 weeks to recover from childbirth or to care for an ill family member without losing benefits or pay status.

Quiz 1: The Past, Present, and Future