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chapter 1 questions midwifery, Exams of Advanced Education

Abilene Christian University (ACU)Advanced Education

chapter 1 questions midwifery---

Typology: Exams

2025/2026

Available from 02/13/2026

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chapter 1 questions
1) The nurse is speaking to students about changes in maternal-newborn care. One
change is that self-care has gained wide acceptance with clients and the healthcare
community due to research findings that suggest that it has which effect?
A) Shortens newborn length of stay
B) Decreases use of home health agencies
C) Decreases healthcare costs
D) Decreases the number of emergency department visits - correct answer B)
Decreases healthcare costs
1) Care delivered by nurse-midwives can be safe and effective and can represent a
positive response to the healthcare provider shortage. Nurse-midwives tend to use
less technology, which often results in which of the following?
A) There is less trauma to the mother.
B) More childbirth education classes are available.
C) They are instrumental in providing change in the birth environment at work.
D) They advocate for more home healthcare agencies. - correct answer A) There is
less trauma to the mother.
1) The nurse is telling a new client how advanced technology has permitted the
physician to do which of the following?
A) Treat the fetus and monitor fetal development.
B) Deliver at home with a nurse-midwife and doula.
C) Have the father act as the coach and cut the umbilical cord.
D) Breastfeed a new baby on the delivery table. - correct answer A) Treat the fetus
and monitor fetal development.
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chapter 1 questions

  1. The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with clients and the healthcare community due to research findings that suggest that it has which effect? A) Shortens newborn length of stay B) Decreases use of home health agencies C) Decreases healthcare costs D) Decreases the number of emergency department visits - correct answer B) Decreases healthcare costs
  2. Care delivered by nurse-midwives can be safe and effective and can represent a positive response to the healthcare provider shortage. Nurse-midwives tend to use less technology, which often results in which of the following? A) There is less trauma to the mother. B) More childbirth education classes are available. C) They are instrumental in providing change in the birth environment at work. D) They advocate for more home healthcare agencies. - correct answer A) There is less trauma to the mother.
  3. The nurse is telling a new client how advanced technology has permitted the physician to do which of the following? A) Treat the fetus and monitor fetal development. B) Deliver at home with a nurse-midwife and doula. C) Have the father act as the coach and cut the umbilical cord. D) Breastfeed a new baby on the delivery table. - correct answer A) Treat the fetus and monitor fetal development.
  1. A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role? A) A registered nurse who is the manager of a large obstetrical unit B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections) C) A clinical nurse specialist working as a staff nurse on a mother-baby unit D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants - correct answer D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants
  2. A nursing student investigating potential career goals is strongly considering becoming a nurse practitioner (N P). The major focus of the N P is on which of the following? A) Leadership B) Physical and psychosocial clinical assessment C) Independent care of the high-risk pregnant client D) Tertiary prevention - correct answer D) Tertiary prevention
  3. The nurse manager is consulting with a certified nurse-midwife about a client. What is the role of the C N M? Select all that apply. A) Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth. B) Give primary care for high-risk clients who are in hospital settings. C) Give primary care for healthy newborns. D) Obtain a physician consultation for any technical procedures at delivery. Be educated in two disciplines of nursing. - correct answer A) Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth. C) Give primary care for healthy newborns. E) Be educated in two disciplines of nursing.

becoming more aware of the vitally important role nurses play in providing excellent care to clients and families

  1. For prenatal care, the client is attending a clinic held in a church basement. The client's care is provided by registered nurses and a certified nurse-midwife. What is this type of prenatal care? A) Secondary care B) Tertiary care C) Community care D) Unnecessarily costly care - correct answer C) Community care
  2. The nurse at an elementary school is performing T B screenings on all of the students. Permission slips were returned for all but the children of one family. When the nurse phones to obtain permission, the parent states in clearly understandable English that permission cannot be given because the grandmother is out of town for 2 more weeks. Which cultural element is contributing to the dilemma that faces the nurse? A) Permissible physical contact with strangers B) Beliefs about the concepts of health and illness C) Religion and social beliefs D) Presence and influence of the extended family - correct answer D) Presence and influence of the extended family
  3. A maternity client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure? A) The nurse B) The physician C) The unit secretary D) The social worker - correct answer B) The physician
  1. A nurse who tells family members the sex of a newborn baby without first consulting the parents would have committed which of the following? A) A breach of privacy B) Negligence C) Malpractice D) A breach of ethics - correct answer A) A breach of privacy
  2. The nursing instructor explains to the class that according to the 1973 Supreme Court decision in Roe v. Wade, abortion is legal if induced: A) Before the 30th week of pregnancy. B) Before the period of viability. C) To provide tissue for therapeutic research. D) Can be done any time if mother, doctor, and hospital all agree. - correct answer B) Before the period of viability.
  3. The nurse reviewing charts for quality improvement notes that a client experienced a complication during labor. The nurse is uncertain whether the labor nurse took the appropriate action during the situation. What is the best way for the nurse to determine what the appropriate action should have been? A) Call the nurse manager of the labor and delivery unit and ask what the nurse should have done. B) Ask the departmental chair of the obstetrical physicians what the best nursing action would have been. C) Examine other charts to find cases of the same complication, and determine how it was handled in those situations. D) Look in the policy and procedure book, and examine the practice guidelines published by a professional nursing organization - correct answer D) Look in the policy and procedure book, and examine the practice guidelines published by a professional nursing organization

B) Intrauterine fetal surgery C) Cesarean section D) Sterilization - correct answer B) Intrauterine fetal surgery

  1. 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, the nurse includes information about prevention of which of the following? A) Cancer by reducing the use of pesticides in the home B) Accidental injury by reducing the risk of pool and traffic accidents C) Heart disease by incorporating heart-healthy foods into the child's diet D) Pneumonia by providing a diet high in vitamin C from fruits and vegetables - correct answer B) Accidental injury by reducing the risk of pool and traffic accidents
  2. The nurse is preparing a report on the number of births by three service providers at the facility (certified nurse-midwives, family practitioners, and obstetricians). What is this an example of? A) Inferential statistics B) Descriptive statistics C) Evidence-based practice D) Secondary use of data - correct answer B) Descriptive statistics
  3. The nurse is explaining the difference between descriptive statistics and inferential statistics to a group of student nurses. To illustrate descriptive statistics, what would the nurse use as an example? A) A positive correlation between breastfeeding and infant weight gain B) The infant mortality rate in the state of Oklahoma C) A causal relationship between the number of sexual partners and sexually transmitted infections

D) The total number of spontaneous abortions in drug-abusing women as compared with non-drug-abusing women - correct answer B) The infant mortality rate in the state of Oklahoma

  1. The nurse manager is examining the descriptive statistics of increasing teen pregnancy rates in the community. Which inferential statistical research question would the nurse manager find most useful in investigating the reasons for increased frequency of teen pregnancy? A) What providers do pregnant teens see for prenatal care? B) What are the ages of the parents of pregnant teens in the community? C) Do pregnant teens drink caffeinated beverages? D) What do pregnant teens do for recreation? - correct answer A) What providers do pregnant teens see for prenatal care? The Quality and Safety Education for Nurses (Q S E N) project focused on competencies in which areas? Select all that apply. A) Client-centered care B) Teamwork and collaboration C) Evidence-based practice D) Family planning E) Injury and violence prevention - correct answer A) Client-centered care B) Teamwork and collaboration C) Evidence-based practice
  2. The nurse is serving on a panel to evaluate the hospital staff's reliance on evidence-based practice in their decision-making processes. Which practices characterize the basic competencies related to evidence-based practice? Select all that apply. A) Recognizing which clinical practices are supported by good evidence B) Recognizing and including clinical practice supported by intuitive evidence C) Using data in clinical work to evaluate outcomes of care
  1. Safety
  2. Informatics
  3. Patient-centered care
  4. Quality improvement
  5. Evidence-based practice
  6. Teamwork and collaboration - correct answer 3, 6, 5, 4, 1, 2
  1. The nurse is ensuring that a patient has provided informed consent before agreeing to an amniocentesis. In which order should the nurse validate that informed consent was provided by the patient?
  1. Information provides risk and benefits
  2. Information provided clearly and concisely
  3. Information included treatment alternatives
  4. Information explaining the right to refuse treatment
  5. Information reviews consequences if no treatment provided - correct answer 2, 1, 3, 5, 4
  1. The manager of a maternal-child care area is preparing information to share with nursing staff regarding the leading causes of infant death in the United States. In which order, from most to least frequent, should the manager provide this information?
  1. S I D S
  2. Low birth weight
  3. Unintentional injuries
  4. Maternal complications
  5. Congenital malformation - correct answer 5, 2, 1, 4, 3