Maternity and Women's Health Nursing Exam 2023-2024, Exams of Nursing

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chapter 1-test bank 21st century

maternity and womens health nursing

2023 to 2024 exam

1. To assess a mothers risk of having a low-birth-weight (LBW) infant, what is the most important factor for the nurse to consider?

a. African-American race

b. Cigarette smoking

c. Poor nutritional status

d. Limited maternal education - a. For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodifiable risk factor.

2. What is the primary role of practicing nurses in the research process?

a. Designing research studies

b. Collecting data for other researchers

c. Identifying researchable problems

d. Seeking funding to support research studies - c. When problems are identified, research can be conducted properly. Research of health care issues leads to evidence-based practice guidelines.

The nurse should be aware that a statistic widely used to compare the health status of different populations is the:

a. Incidence of specific infections, such as acquired immunodeficiency syndrome (AIDS) and tuberculosis

b. Infant mortality rate

c. Maternal morbidity rate

d. Incidence of low-birth-weight (LBW) infants - b. City, county, and state health departments provide annual reports of births and deaths. Maternal and infant death rates are particularly important because they reflect health outcomes that may be preventable. Infant mortality continues to be a concern in all populations.

Alternative and complementary therapies:

a. Replace conventional Western modalities of treatment

b. Are used by only a small number of American adults

c. Allow for more client autonomy

d. Focus primarily on the disease an individual is experiencing - c.

Contemporary maternity nursing is exemplified by:

a. The use of midwives for all vaginal deliveries

b. Family-centered care

c. Free-standing birth clinics

d. Physician-driven care - b

The nurses working at a newly established birthing center have begun to compare their performance in providing maternal-newborn care against clinical standards. This comparison process, designed to improve the quality of client care, is called:

a. Best practices network

b. Clinical benchmarking

c. Outcomes-oriented care

d. Evidence-based practice - c

A 38-year-old Hispanic woman delivered a 9-lb, 6-oz baby girl vaginally after being in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman have a legitimate legal case for negligence?

a. She is Hispanic.

b. She delivered a girl.

c. If the standards of care were not met.

d. She refused fetal monitoring. - c

The National Quality Forum has issued a list of never events pertaining specifically to maternal and child health. These include all except:

a. Infant discharged to the wrong person

b. Kernicterus associated with failure to identify and treat hyperbilirubinemia

c. Artificial insemination with wrong donor sperm or egg

d. Foreign object retained after surgery - d

An important development that concerns maternity nursing is integrative health care, which:

a. Seeks to provide the same health care for all racial and ethnic groups

b. Blends complementary and alternative therapies with conventional Western treatment

c. Focuses on the disease or condition rather than the clients background

d. Has been mandated by Congress - b

A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?

a. Births to unmarried women are more likely to have less favorable outcomes.

b. Birth rates for women 40 to 44 years of age are declining.

c. Cigarette smoking among pregnant women continues to increase.

d. The rates of pregnancy and abortion among teens are lower in the United States than in any other industrialized country. - a

The high cost of health care in the United States is most likely a result of:

a Early postpartum discharge policies

b. Midwifery care

c. The involvement of nurses in the politics of cost containment

d. An emphasis on the use of advanced technology in care - d

Maternity nursing care that is based on knowledge gained through research and clinical trials is:

a. Derived from the Nursing Intervention Classification

b. Known as evidence-based practice

c. At odds with the Cochrane School of traditional nursing

d. An outgrowth of telemedicine - b

The level of practice a reasonably prudent nurse provides is called:

a. The standard of care

b. Risk management

c. A sentinel event

d. Failure to rescue - a

While obtaining a detailed history from a woman who has recently immigrated from Somalia, the nurse realizes that the client has undergone female genital mutilation. The nurses best response to this client is:

a. This is a very abnormal practice and rarely seen in the United States.

b. Are you aware of who performed this so that it can be reported to the authorities?

c. We will be able to fully restore your circumcision after delivery.

d. The extent of your circumcision will affect the poten - d

In order to ensure client safety, the practicing nurse must have knowledge of The Joint Commissions current Do Not Use list of abbreviations. Which term is acceptable for use regarding medication administration?

a. q.o.d. or Q.O.D

b. MSO4 or MgSO

c. International Unit

d. Lack of a leading zero - c

Maternity nurses can enhance communication among health care providers by utilizing the SBAR technique. This acronym stands for:

a. Situation, Background, Assessment, Recommendation

b. Situation, Baseline, Assessment, Recommendation

c. Subjective, Background, Analysis, Recommendation

d. Subjective, Background, Analysis, Review - a

Examples of alternative healing modalities include (choose all that apply):

a. Acupuncture

b. Meditation

c. Yoga

d. Antibiotics

e. Chelation therapy - A, B, C, E

Which methods help alleviate the problems associated with access to health care for the maternity client? Choose all that apply.

a. Provide transportation to prenatal visits.

b. Provide child care so that a pregnant woman may keep prenatal visits.

c. Increase the number of providers that will care for Medicaid clients.

d. Provide low-cost or no-cost health care insurance.

e. Provide job training. - A, B, C, D