Question 1

The maternal-newborn nurse recognizes that cord-blood banking has ethical issues related to which of the following questions?

Accepted Answer

A)  Who owns the blood? 
B)  How is informed consent obtained? 
C)  How will confidentiality be maintained? 
D)  Will standards of care be met fairly? 
E)  What external agents force or restrict a therapy? 
A)  Who owns the blood? 
B)  How is informed consent obtained? 
C)  How will confidentiality be maintained? 
D)  Will standards of care be met fairly? 
E)  What external agents force or restrict a therapy?

Question 2

The nurse is reviewing care of patients on a mother-baby unit. Which situation should be reported to the supervisor?

Accepted Answer

A)  A 2-day-old infant has breastfed every 3 hours and voided 4 times. 
B)  An infant was placed in the wrong crib after examination by the physician. 
C)  The patient who delivered by cesarean birth yesterday received oral narcotics. 
D)  A primiparous patient who delivered today is requesting discharge within 24 hours. 
A)  A 2-day-old infant has breastfed every 3 hours and voided 4 times. 
B)  An infant was placed in the wrong crib after examination by the physician. 
C)  The patient who delivered by cesarean birth yesterday received oral narcotics. 
D)  A primiparous patient who delivered today is requesting discharge within 24 hours.

Question 3

The registered nurse who has completed a master's degree program and passed a national certification exam has clinic appointments with patients who are pregnant or seeking well-woman care. The role of this nurse would be considered:

Accepted Answer

A)  Professional nurse. 
B)  Certified registered nurse (RN
C) . 
C)  Clinical nurse specialist. 
D)  Nurse practitioner. 
A)  Professional nurse. 
B)  Certified registered nurse (RN
C) . 
C)  Clinical nurse specialist. 
D)  Nurse practitioner.

Question 4

The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with patients, the healthcare community, and third-party payers due to research findings that suggest that it:

Accepted Answer

A)  Shortens newborn length of stay. 
B)  Decreases use of home health agencies. 
C)  Reduces healthcare costs. 
D)  Decreases the number of emergency department visits. 
A)  Shortens newborn length of stay. 
B)  Decreases use of home health agencies. 
C)  Reduces healthcare costs. 
D)  Decreases the number of emergency department visits.

Question 5

The nursing instructor is preparing clinical pathways to use in class because they provide:

Accepted Answer

A)  Essential nursing activities. 
B)  Basic guidelines for outcomes. 
C)  Information that allows the nurse to evaluate patient responses. 
D)  Examples of all steps of the nursing process. 
E)  For the organizing of patient care. 
A)  Essential nursing activities. 
B)  Basic guidelines for outcomes. 
C)  Information that allows the nurse to evaluate patient responses. 
D)  Examples of all steps of the nursing process. 
E)  For the organizing of patient care.

Question 6

A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role?

Accepted Answer

A)  A registered nurse who is the manager of a large obstetrical unit 
B)  A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections) 
C)  A clinical nurse specialist working as a staff nurse on a motherbaby unit 
D)  A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants 
A)  A registered nurse who is the manager of a large obstetrical unit 
B)  A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections) 
C)  A clinical nurse specialist working as a staff nurse on a motherbaby unit 
D)  A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants

Question 7

The nurse manager is consulting with a certified nurse-midwife about a patient. The role of the CNM is to:

Accepted Answer

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 patients who are in hospital settings. 
C)  Give primary care for healthy newborns. 
D)  Obtain a physician consultation for any technical procedures at delivery. 
E)  Be educated in two disciplines of nursing. 
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 patients who are in hospital settings. 
C)  Give primary care for healthy newborns. 
D)  Obtain a physician consultation for any technical procedures at delivery. 
E)  Be educated in two disciplines of nursing.

Question 8

The maternal-child nurse stresses to the recently graduated nurse that primary care focuses on:

Accepted Answer

A)  Health promotion. 
B)  Illness prevention. 
C)  Hospital care. 
D)  Skilled nursing care. 
E)  Curing disease. 
A)  Health promotion. 
B)  Illness prevention. 
C)  Hospital care. 
D)  Skilled nursing care. 
E)  Curing disease.

Question 9

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:

Accepted Answer

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. 
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.

Question 10

A nurse who tells family members the sex of a newborn baby without first consulting the parents would have committed:

Accepted Answer

A)  A breach of privacy. 
B)  Negligence. 
C)  Malpractice. 
D)  A breach of ethics. 
A)  A breach of privacy. 
B)  Negligence. 
C)  Malpractice. 
D)  A breach of ethics.

Question 11

The nurse manager is examining the descriptive statistics of increasing teen pregnancy rates in the community. Which inferential statistical research would the nurse manager find most useful in investigating the reasons for increased frequency of teen pregnancy?

Accepted Answer

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? 
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?

Question 12

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). This is an example of:

Accepted Answer

A)  Inferential statistics. 
B)  Descriptive statistics. 
C)  Evidence-based practice. 
D)  Secondary use of data. 
A)  Inferential statistics. 
B)  Descriptive statistics. 
C)  Evidence-based practice. 
D)  Secondary use of data.

Question 13

Therapeutic insemination has legal concerns for the donor of the sperm. To eliminate legal issues, the clinic nurse will have the donor:

Accepted Answer

A)  Sign a form waiving all parental rights. 
B)  Furnish accurate health information. 
C)  Agree to adopt the child. 
D)  Furnish a complete family tree. 
E)  Sign an agreement if married to the recipient. 
A)  Sign a form waiving all parental rights. 
B)  Furnish accurate health information. 
C)  Agree to adopt the child. 
D)  Furnish a complete family tree. 
E)  Sign an agreement if married to the recipient.

Question 14

Based on research comparing home and hospital births, the nurse understands that questions remain to be answered about outcomes, such as:

Accepted Answer

A)  Does nutrition affect home birth outcomes? 
B)  Does exercise affect home birth outcomes? 
C)  Do mortality and morbidity rates differ for home versus hospital births? 
D)  Do multiparous women have more problems than first-time mothers? 
E)  Do high-risk births cause fewer complications with a home birth? 
A)  Does nutrition affect home birth outcomes? 
B)  Does exercise affect home birth outcomes? 
C)  Do mortality and morbidity rates differ for home versus hospital births? 
D)  Do multiparous women have more problems than first-time mothers? 
E)  Do high-risk births cause fewer complications with a home birth?

Exam 1: Current Issues in Maternal-Newborn Nursing

The maternal-newborn nurse recognizes that cord-blood banking has ethical issues related to which of the following questions?

The nurse is reviewing care of patients on a mother-baby unit. Which situation should be reported to the supervisor?

The registered nurse who has completed a master's degree program and passed a national certification exam has clinic appointments with patients who are pregnant or seeking well-woman care. The role of this nurse would be considered:

The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with patients, the healthcare community, and third-party payers due to research findings that suggest that it:

The nursing instructor is preparing clinical pathways to use in class because they provide:

A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role?

The nurse manager is consulting with a certified nurse-midwife about a patient. The role of the CNM is to:

The maternal-child nurse stresses to the recently graduated nurse that primary care focuses on:

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:

A nurse who tells family members the sex of a newborn baby without first consulting the parents would have committed:

The nurse manager is examining the descriptive statistics of increasing teen pregnancy rates in the community. Which inferential statistical research would the nurse manager find most useful in investigating the reasons for increased frequency of teen pregnancy?

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). This is an example of:

Therapeutic insemination has legal concerns for the donor of the sperm. To eliminate legal issues, the clinic nurse will have the donor:

Based on research comparing home and hospital births, the nurse understands that questions remain to be answered about outcomes, such as:

Care of the Family in a Culturally Diverse Society

Complementary and Alternative Therapies

Health Promotion of Women Across the Lifespan

Womens Health: Family Planning

Womens Health: Commonly Occurring Infections

Womens Health Problems

Womens Care: Social Issues

Violence Against Women

The Reproductive System

Conception and Fetal Development

Special Reproductive Concerns: Infertility and Genetics

Preparation for Parenthood

Physical and Psychologic Changes of Pregnancy

Antepartum Nursing Assessment

The Expectant Family: Needs and Care

Adolescent Pregnancy

Maternal Nutrition

Pregnancy at Risk: Pregestational Problems

Pregnancy at Risk: Gestational Onset

Assessment of Fetal Well-Being

Processes and Stages of Labor and Birth

Intrapartum Nursing Assessment

The Family in Childbirth: Needs and Care

Pain Management During Labor

Childbirth at Risk: Prelabor Complications

Childbirth at Risk: Labor-Related Complications

Birth-Related Procedures

Physiologic Responses of the Newborn to Birth

Nursing Assessment of the Newborn

The Normal Newborn: Needs and Care

Newborn Nutrition

The Newborn at Risk: Conditions Present at Birth

The Newborn at Risk: Birth-Related Stressors

Postpartum Family Adaptation and Nursing Assessment

The Postpartum Family: Needs and Care

Home Care of the Postpartum Family

Grief and Loss in the Childbearing Family

The Postpartum Family at Risk

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