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Maternity And Women’s Health Care Today

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Question 1
Free
Multiple Choice

A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?

Choose correct answer/s
A

The Sheppard-Towner Act of 1921 promoted family-centered care.

B

Changes in pharmacologic management of labor prompted family-centered care.

C

Demands by physicians for family involvement in childbirth increased the practice of family-centered care.

D

Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.

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Question 2
Free
Multiple Choice

Expectant parents ask a prenatal nurse educator, "Which setting for childbirth limits the amount of parent-infant interaction?" Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?

Choose correct answer/s
A

Birth center

B

Home birth

C

Traditional hospital birth

D

Labor, birth, and recovery room

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Question 3
Free
Multiple Choice

Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room?

Choose correct answer/s
A

The family is in a familiar environment.

B

They are less expensive than traditional hospital rooms.

C

The infant is removed to the nursery to allow the mother to rest.

D

The woman's support system is encouraged to stay until discharge.

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Question 4
Free
Multiple Choice

Which nursing intervention is an independent function of the professional nurse?

Choose correct answer/s
A

Administering oral analgesics

B

Requesting diagnostic studies

C

Teaching the patient perineal care

D

Providing wound care to a surgical incision

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Question 5
Free
Multiple Choice

Which response by the nurse is the most therapeutic when the patient states, "I'm so afraid to have a cesarean birth"?

Choose correct answer/s
A

"Everything will be OK."

B

"Don't worry about it. It will be over soon."

C

"What concerns you most about a cesarean birth?"

D

"The physician will be in later and you can talk to him."

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Question 6
Multiple Choice

In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?

Choose correct answer/s
A
Planning
B
Evaluation
C
Assessment
D
Intervention
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Question 7
Multiple Choice

Which goal is most appropriate for the collaborative problem of wound infection?

Choose correct answer/s
A
The patient will not exhibit further signs of infection.
B
Maintain the patient's fluid intake at 1000 mL/8 hour.
C
The patient will have a temperature of 98.6°F within 2 days.
D
Monitor the patient to detect therapeutic response to antibiotic therapy.
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Question 8
Multiple Choice

Which nursing intervention is written correctly?

Choose correct answer/s
A
Force fluids as necessary.
B
Observe interaction with the infant.
C
Encourage turning, coughing, and deep breathing.
D
Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
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Question 9
Multiple Choice

The patient makes the statement: "I'm afraid to take the baby home tomorrow." Which response by the nurse would be the most therapeutic?

Choose correct answer/s
A
"You're afraid to take the baby home?"
B
"Don't you have a mother who can come and help?"
C
"You should read the literature I gave you before you leave."
D
"I was scared when I took my first baby home, but everything worked out."
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Question 10
Multiple Choice

The nurse is writing an expected outcome for the nursing diagnosis-acute pain related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale of 10. Which expected outcome is correctly stated for this problem?

Choose correct answer/s
A
Patient will state that pain is a 2 on a scale of 10.
B
Patient will have a reduction in pain after administration of the prescribed analgesic.
C
Patient will state an absence of pain 1 hour after administration of the prescribed analgesic.
D
Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic.
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Question 11
Multiple Choice

Which nursing diagnosis should the nurse identify as a priority for a patient in active labor?

Choose correct answer/s
A
Risk for anxiety related to upcoming birth
B
Risk for imbalanced nutrition related to NPO status
C
Risk for altered family processes related to new addition to the family
D
Risk for injury (maternal) related to altered sensations and positional or physical changes
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Question 12
Multiple Choice

Regarding advanced roles of nursing, which statement related to clinical practice is the most accurate?

Choose correct answer/s
A
Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting.
B
Clinical nurse specialists (CNSs) provide primary care to obstetric patients.
C
Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants.
D
A certified nurse midwife (CNM) is not considered to be an advanced practice nurse.
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Question 13
Multiple Choice

Which statement is true regarding the shortage of nurses in the United States?

Choose correct answer/s
A
There are a larger proportion of younger nurses in the workforce as compared with older nurses.
B
As a result of decreased RN-to-patient ratios, there is a decrease in patient mortality in the clinical setting.
C
Nursing programs are turning away qualified applicants.
D
There are adequate classroom and clinical facilities for training RNs.
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Question 14
Multiple Choice

A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?

Choose correct answer/s
A
There is stratification of communication in a directed manner between nursing staff and administration.
B
There is increased job satisfaction of nurses, with a lower staff turnover rate.
C
Physicians are certified in their respective specialty areas.
D
All nurses have baccalaureate degrees and certification in their clinical specialty area.
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Question 15
Multiple Choice

Which of the following statements highlights the nurse's role as a researcher?

Choose correct answer/s
A
Reading peer-reviewed journal articles
B
Working as a member of the interdisciplinary team to provide patient care
C
Helping patient to obtain home care postdischarge from the hospital
D
Delegating tasks to unlicensed personnel to allow for more teaching time with patients
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Question 16
Multiple Choice

Which patient could safely be cared for by a certified nurse-midwife?

Choose correct answer/s
A
Gravida 3, para 2, with no complications
B
Gravida 1, para 0, with mild hypertension
C
Gravida 2, para 1, with insulin-dependent diabetes
D
Gravida 1, para 0, with borderline pelvic measurements
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Question 17
Multiple Choice

A primipara patient asks about possible support options for her during the labor process. She is apprehensive that her family members will not be prepared to assist her during this time. Which option would be most effective for this patient?

Choose correct answer/s
A
Reassure the patient that the labor and birth staff consists of highly trained nurses who are well educated to take care of laboring patients so that should be sufficient.
B
Encourage the patient to take prepared childbirth classes with her husband because that should provide the best support by a family member.
C
Provide information to the patient about obtaining a doula during the labor process.
D
Tell the patient that this is a normal feeling based on fear of the unknown and that it will subside once she starts the labor process.
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Question 18
Multiple Choice

The nurse states to the newly pregnant patient, "Tell me how you feel about being pregnant." Which communication technique is the nurse using with this patient?

Choose correct answer/s
A
Clarifying
B
Paraphrasing
C
Reflection
D
Structuring
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Question 19
Multiple Choice

When reviewing a new patient's birth plan, the nurse notices that the patient will be bringing a doula to the hospital during labor. What does the nurse think that this means?

Choose correct answer/s
A
The patient will have her grandmother as a support person.
B
The patient will bring a paid, trained labor support person with her during labor.
C
The patient will have a special video she will play during labor to assist with relaxation.
D
The patient will have a bag that contains all the approved equipment that may help with the labor process.
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Question 20
Multiple Choice

In consideration of the historic evolution of maternity care, which treatment options were used over the past century? (Select all that apply.)

Choose correct answer/s
A
During the nineteenth century, women of privilege were delivered by midwives in a hospital setting.
B
Granny midwives received their training through a period of apprenticeship.
C
The recognition of improved obstetric outcomes was related to increased usage of hygienic practices.
D
A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth.
E
The use of chloroform by midwives led to decreased pain during birth.
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