Question 1

Which step of the nursing process is being used when the nurse decides whether an ethical dilemma exists?

Accepted Answer

A)  Analysis 
B)  Planning 
C)  Evaluation 
D)  Assessment 
A)  Analysis 
B)  Planning 
C)  Evaluation 
D)  Assessment A

Question 2

The nurse is providing care to a patient who was just admitted to the labor and birth unit in active labor at term. The patient informed the nurse that she has not received any prenatal care because "I cannot afford to go to the doctor. And, this is my third baby, so I know what to expect." What is the nurse's primary concern when developing the patient's plan of care?

Accepted Answer

A)  Low birth weight 
B)  Oligohydramnios 
C)  Gestational diabetes 
D)  Gestational hypertension 
A)  Low birth weight 
B)  Oligohydramnios 
C)  Gestational diabetes 
D)  Gestational hypertension A

Question 3

A nurse is admitting a client to the labor and birth unit in early labor who was sent to the facility following her checkup with her health care provider in the office. The client is a gravida 1, para 0, and is at term. No health issues are discerned from the initial assessment, and the nurse prepares to initiate physician orders based on standard procedures. Which action is warranted by the nurse manager in response to this situation?

Accepted Answer

A)  No action is indicated because the nurse is acting within the scope of practice. 
B)  The nurse manager should intervene and ask the nurse to clarify admission orders directly with the physician. 
C)  The nurse manager should review standard procedures with the nurse to validate that orders are being carried out accurately. 
D)  The nurse manger should review the admission procedure with the nurse. 
A)  No action is indicated because the nurse is acting within the scope of practice. 
B)  The nurse manager should intervene and ask the nurse to clarify admission orders directly with the physician. 
C)  The nurse manager should review standard procedures with the nurse to validate that orders are being carried out accurately. 
D)  The nurse manger should review the admission procedure with the nurse. A

Question 4

Match each term with the correct definition.
-Duty

Accepted Answer

A) The nurse's breach of duty caused harm. 
B) The nurse has a responsibility to give care to the client. 
C) An actual injury or harm to the client occurred because of the nurse's breach of duty. 
A) The nurse's breach of duty caused harm. 
B) The nurse has a responsibility to give care to the client. 
C) An actual injury or harm to the client occurred because of the nurse's breach of duty.

Question 5

Which client will most likely seek prenatal care?

Accepted Answer

A)  Janice, 15 years old, tells her friends, "I don't believe I am pregnant." 
B)  Carol, 28 years old, is in her second pregnancy and abuses drugs and alcohol. 
C)  Margaret, 20 years old, is in her first pregnancy and has access to a free prenatal clinic. 
D)  Glenda, 30 years old, is in her fifth pregnancy and delivered her last infant at home with the help of her mother and sister. 
A)  Janice, 15 years old, tells her friends, "I don't believe I am pregnant." 
B)  Carol, 28 years old, is in her second pregnancy and abuses drugs and alcohol. 
C)  Margaret, 20 years old, is in her first pregnancy and has access to a free prenatal clinic. 
D)  Glenda, 30 years old, is in her fifth pregnancy and delivered her last infant at home with the help of her mother and sister.

Question 6

Which of the following statements is true regarding late preterm infants?

Accepted Answer

A)  These infants are born before 32 weeks' gestation and thus are at higher risk than LBW infants. 
B)  These infants do better than LBW infants because their weight provides added protection against physiologic stressors. 
C)  Care of these infants has led to increased health care costs compared with LBW infants. 
D)  These infants suffer fewer respiratory problems than LBW infants. 
A)  These infants are born before 32 weeks' gestation and thus are at higher risk than LBW infants. 
B)  These infants do better than LBW infants because their weight provides added protection against physiologic stressors. 
C)  Care of these infants has led to increased health care costs compared with LBW infants. 
D)  These infants suffer fewer respiratory problems than LBW infants.

Question 7

A nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, -1 station, and vertex with membranes intact. The client asks the nurse "if she can break her water so that her labor can go faster?" The nurse's response, based on the ethical principle of nonmaleficence, is which of the following?

Accepted Answer

A)  Tell the client that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy. 
B)  Have the client write down her request and then call the physician for an order to implement the amniotomy. 
C)  Instruct the client that only a physician or certified midwife can perform this procedure. 
D)  Give the client an enema to stimulate labor. 
A)  Tell the client that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy. 
B)  Have the client write down her request and then call the physician for an order to implement the amniotomy. 
C)  Instruct the client that only a physician or certified midwife can perform this procedure. 
D)  Give the client an enema to stimulate labor.

Question 8

A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse give to the couple? (Select all that apply.)

Accepted Answer

A)  Donated embryos can be implanted into the surrogate mother. 
B)  The surrogate mother needs to have carried one previous birth to term. 
C)  You both need to be infertile to be eligible for surrogate parenting. 
D)  Conception can take place outside the surrogate mother's body and then implanted. 
E)  The surrogate mother can be inseminated artificially with sperm from the intended father. 
A)  Donated embryos can be implanted into the surrogate mother. 
B)  The surrogate mother needs to have carried one previous birth to term. 
C)  You both need to be infertile to be eligible for surrogate parenting. 
D)  Conception can take place outside the surrogate mother's body and then implanted. 
E)  The surrogate mother can be inseminated artificially with sperm from the intended father.

Question 9

A medical surgical nurse is asked to float to a women's health unit to care for clients who are scheduled for therapeutic abortions. The nurse refuses to accept this assignment and expresses her personal beliefs as being incongruent with this medical practice. The nursing supervisor states that the unit is short-staffed and that they could really use her expertise because it just involves taking care of clients who have undergone a surgical procedure. In consideration of legal and ethical practices, can the nursing supervisor enforce this assignment?

Accepted Answer

A)  The staff nurse has the responsibility of accepting any assignment that is made while working for a health care unit, so the nursing supervisor is within his or her rights to enforce this assignment. 
B)  Because the unit is short-staffed, the staff nurse should accept the assignment to provide care by benefit of her or his experience to clients who need care. 
C)  The staff nurse has expressed a legitimate concern based on his or her feelings; the nursing supervisor does not have the authority to enforce this assignment. 
D)  The nursing supervisor should emphasize that this assignment requires care of a surgical client for which the staff nurse is adequately trained and should therefore enforce the assignment. 
A)  The staff nurse has the responsibility of accepting any assignment that is made while working for a health care unit, so the nursing supervisor is within his or her rights to enforce this assignment. 
B)  Because the unit is short-staffed, the staff nurse should accept the assignment to provide care by benefit of her or his experience to clients who need care. 
C)  The staff nurse has expressed a legitimate concern based on his or her feelings; the nursing supervisor does not have the authority to enforce this assignment. 
D)  The nursing supervisor should emphasize that this assignment requires care of a surgical client for which the staff nurse is adequately trained and should therefore enforce the assignment.

Question 10

A nurse who works in the emergency department (ED) is assigned to a client who is experiencing heavy vaginal bleeding at 12 weeks' gestation. An ultrasound has confirmed the absence of a fetal heart rate, and the client is scheduled for a dilation and evacuation of the pregnancy. The nurse refuses to provide any further care for this client based on moral principles. What is the nurse manager's initial response to the nurse?

Accepted Answer

A)  "I recall you sharing that information in your interview. I will arrange for another nurse to take report on this client." 
B)  "Because we are shorthanded today, you have to continue to provide care. There is no one else available to provide care for this client." 
C)  "I understand your point of view. You were hired to work here in the ED so you had to know this situation was possible." 
D)  "Abandonment is a serious issue. I have to advise you to continue to provide care for this client." 
A)  "I recall you sharing that information in your interview. I will arrange for another nurse to take report on this client." 
B)  "Because we are shorthanded today, you have to continue to provide care. There is no one else available to provide care for this client." 
C)  "I understand your point of view. You were hired to work here in the ED so you had to know this situation was possible." 
D)  "Abandonment is a serious issue. I have to advise you to continue to provide care for this client."

Question 11

The RN is delegating tasks to the unlicensed assistive personnel (UAP). Which tasks can the nurse delegate? (Select all that apply.)

Accepted Answer

A)  Teaching the client about breast care 
B)  Assessment of a client's lochia and perineal area 
C)  Assisting a client to the bathroom for the first time after birth 
D)  Vital signs on a postpartum client who delivered the night before 
E)  Assisting a postpartum client to take a shower on the second postpartum day 
A)  Teaching the client about breast care 
B)  Assessment of a client's lochia and perineal area 
C)  Assisting a client to the bathroom for the first time after birth 
D)  Vital signs on a postpartum client who delivered the night before 
E)  Assisting a postpartum client to take a shower on the second postpartum day

Question 12

Match each term with the correct definition.
-Damage

Accepted Answer

A) The nurse's breach of duty caused harm. 
B) The nurse has a responsibility to give care to the client. 
C) An actual injury or harm to the client occurred because of the nurse's breach of duty. 
A) The nurse's breach of duty caused harm. 
B) The nurse has a responsibility to give care to the client. 
C) An actual injury or harm to the client occurred because of the nurse's breach of duty.

Question 13

Which of the following complications are associated with late preterm infants? (Select all that apply.)

Accepted Answer

A)  Hyperglycemia 
B)  Tachycardia 
C)  Jaundice 
D)  Thermoregulation problems 
E)  Require mechanical ventilation
F) Feeding problems 
A)  Hyperglycemia 
B)  Tachycardia 
C)  Jaundice 
D)  Thermoregulation problems 
E)  Require mechanical ventilation
F) Feeding problems

Question 14

The nurse is interviewing a 6-week pregnant client. The client asks the nurse, "Why is elective abortion considered an ethical issue?" Which is the best response that the nurse should make?

Accepted Answer

A)  Abortion requires third-party consent. 
B)  The U.S. Supreme Court ruled that life begins at conception. 
C)  Abortion law is unclear about a woman's constitutional rights. 
D)  There is a conflict between the rights of the woman and the rights of the fetus. 
A)  Abortion requires third-party consent. 
B)  The U.S. Supreme Court ruled that life begins at conception. 
C)  Abortion law is unclear about a woman's constitutional rights. 
D)  There is a conflict between the rights of the woman and the rights of the fetus.

Question 15

A charge nurse is working on a postpartum unit and discovers that one of the clients did not receive AM care during her shift assessment. The charge nurse questions the nurse assigned to provide care and finds out that the nurse thought that "the client should just do it by herself because she will have to do this at home." On further questioning of the nurse, it is determined that the rest of her assigned clients were provided AM care. The assigned nurse has violated which ethical principle?

Accepted Answer

A)  Justice 
B)  Truth 
C)  Confidentiality 
D)  Autonomy 
A)  Justice 
B)  Truth 
C)  Confidentiality 
D)  Autonomy

Question 16

The United States ranks 27th in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?

Accepted Answer

A)  Providing more women's shelters 
B)  Ensuring early and adequate prenatal care 
C)  Resolving all language and cultural differences 
D)  Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy 
A)  Providing more women's shelters 
B)  Ensuring early and adequate prenatal care 
C)  Resolving all language and cultural differences 
D)  Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy

Question 17

Which statement is true regarding the quality assurance or incident report?

Accepted Answer

A)  Reports are a permanent part of the patient's chart. 
B)  The report assures the legal department that there is no problem. 
C)  The nurse's notes should contain this statement: "Incident report filed and copy placed in chart." 
D)  This report is a form of documentation of an event that may result in legal action. 
A)  Reports are a permanent part of the patient's chart. 
B)  The report assures the legal department that there is no problem. 
C)  The nurse's notes should contain this statement: "Incident report filed and copy placed in chart." 
D)  This report is a form of documentation of an event that may result in legal action.

Question 18

At the present time, surrogate parenting is governed by which of the following?

Accepted Answer

A)  State law 
B)  Federal law 
C)  Individual court decision 
D)  Protective child services 
A)  State law 
B)  Federal law 
C)  Individual court decision 
D)  Protective child services

Question 19

A nurse is entering information on the client's electronic health record (EHR) and is called to assist in an emergency situation with regard to another client in the labor and birth suite. The nurse rushes to the scene to assist but leaves the chart open on the computer screen. The emergent client situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager's concerns?

Accepted Answer

A)  The nurse acknowledges that she should have made sure that her client was safe before assisting with the emergency. 
B)  The nurse states that she should have logged out of the EHR prior to attending to the emergency. 
C)  The nurse indicates that the unit was understaffed. 
D)  The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality. 
A)  The nurse acknowledges that she should have made sure that her client was safe before assisting with the emergency. 
B)  The nurse states that she should have logged out of the EHR prior to attending to the emergency. 
C)  The nurse indicates that the unit was understaffed. 
D)  The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.

Question 20

A nurse is working with a labor client who is in preterm labor and is designated as a high-risk client. The client is very apprehensive and asks the nurse, "Is everything going to be all right?" The nurse tells the client, "Everything will be okay." Following birth via an emergency cesarean section, the newborn undergoes resuscitation and does not survive. The client is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?

Accepted Answer

A)  Autonomy 
B)  Fidelity 
C)  Beneficence 
D)  Accountability 
A)  Autonomy 
B)  Fidelity 
C)  Beneficence 
D)  Accountability

Exam 3: Ethical, Social, and Legal Issues

Which step of the nursing process is being used when the nurse decides whether an ethical dilemma exists?

Match each term with the correct definition. -Duty

Which client will most likely seek prenatal care?

Which of the following statements is true regarding late preterm infants?

A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse give to the couple? (Select all that apply.)

The RN is delegating tasks to the unlicensed assistive personnel (UAP). Which tasks can the nurse delegate? (Select all that apply.)

Match each term with the correct definition. -Damage

Which of the following complications are associated with late preterm infants? (Select all that apply.)

The nurse is interviewing a 6-week pregnant client. The client asks the nurse, "Why is elective abortion considered an ethical issue?" Which is the best response that the nurse should make?

The United States ranks 27th in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?

Which statement is true regarding the quality assurance or incident report?

At the present time, surrogate parenting is governed by which of the following?

Maternity and Women's Health Care Today

The Nurse's Role in Maternity and Women's Health Care

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

Conception and Prenatal Development

Physiologic Adaptations to Pregnancy

Psychosocial Adaptations to Pregnancy

Nutrition for Childbearing

Antepartum Fetal Assessment

Perinatal Education

Processes of Birth

Nursing Care During Labor and Birth

Intrapartum Fetal Surveillance

Pain Management During Childbirth

Nursing Care During Obstetric Procedures

Postpartum Physiologic Adaptations

Postpartum Psychosocial Adaptations

Normal Newborn: Processes of Adaptation

Assessment of the Normal Newborn

Care of the Normal Newborn

Infant Feeding

Home Care of the Infant

The Childbearing Family with Special Needs

Complications of Pregnancy

Concurrent Disorders During Pregnancy

Intrapartum Complications

Postpartum Maternal Complications

High-Risk Newborn: Complications Associated with Gestational Age and Development

High-Risk Newborn: Acquired and Congenital Conditions

Family Planning

Infertility

Preventive Care for Women

Women's Health Problems

Infertility

Preventive Care for Women

Women's Health Problems

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