Deck 1: Maternity and Women's Health Care Today

Question 1

The use of "twilight sleep" during the labor and birth process:

A) provided inadequate pain relief during the labor and birth process.
B) facilitated bonding between mother and infant.
C) resulted in a decreased incidence of puerperal infections.
D) affected the maternal level of consciousness.

Answer 1

affected the maternal level of consciousness.

Question 2

Which situation is most representative of an extended family?

A) It includes adoptive children.
B) It is headed by a single parent.
C) It contains children from previous marriages.
D) It is composed of children, parents, and grandparents living in the same house.

Answer 2

It is composed of children, parents, and grandparents living in the same house.

Question 3

Which statement explains why below poverty level African-Americans have the highest infant mortality rate in the United States?

A) Their diets are deficient in protein.
B) Infectious diseases are more prevalent.
C) More African-American infants are born with congenital anomalies.
D) Inadequate prenatal care is associated with low-birth-weight infants.

Answer 3

Inadequate prenatal care is associated with low-birth-weight infants.

Question 4

A woman giving birth in the 1960s may have been given a narcotic plus scopolamine for pain control. What is the major problem with this medication regimen?

A) It lacked continuous pain control.
B) It was expensive and available only to women who could afford the medications.
C) The father had to assume the role of decision maker while the mother was on medication.
D) It caused confusion and disorientation so that the mother could not see the infant for several hours postbirth.

Question 5

Which factor significantly contributed to the shift from home births to hospital births in the early twentieth century?

A) The number of hospital births decreased.
B) Forceps were developed to facilitate difficult births.
C) The importance of early parent-infant contact was identified.
D) Puerperal sepsis was identified as a risk factor in labor and birth.

Question 6

Which method would not be used by hospitals to control costs during perinatal health care for prospective birth management?

A) Diagnosis-related groups (DRGs)
B) Prospective form of payment
C) Negotiated length of stay (LOS) of 12 hours postbirth
D) Acceptance of capacitation

Question 7

The nurse is reviewing the principles of family-centered care with a primipara. Which client statement will the nurse need to correct?

A) "Remaining focused on my family will help benefit me and my baby."
B) "Most of the time, childbirth is uncomplicated and a healthy event for the family."
C) "Because childbirth is normal, after my baby's birth our family dynamics will not change."
D) "With correct information, I am able to make decisions regarding my health care while I am pregnant."

Question 8

The nurse is assessing a client's use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)

A) Practicing yoga daily
B) Drinking green tea in the morning
C) Taking omeprazole (Prilosec) once a day
D) Using aromatherapy during a relaxing bath
E) Wearing a lower back brace when lifting heavy objects

Question 9

A client who had a vaginal birth 12 hours ago without complications wants to go home. Typical discharge orders at this facility call for discharge to occur at 48 hours postbirth. The newborn and mother are considered to be stable and an order is written for discharge, with follow-up by home health. What type of variance would this discharge indicate?

A) Positive
B) Negative
C) Equivocal
D) Without incidence

Question 10

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

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.

Question 11

Which is an advantage to labor, birth, recovery, and postpartum (LDRP) rooms?

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.

Question 12

The nurse is reviewing a health history of a newly pregnant woman at a local health fair. Which statement made by the nurse will most likely improve the woman's outcome for a healthy pregnancy?

A) "Make sure you eat four servings of calcium-rich foods like milk, cheese, or yogurt every day."
B) "Include 30 minutes of walking three times per week to make sure you get enough exercise."
C) "Report any changes in vision or headaches that do not subside to your health care provider."
D) "Throughout your pregnancy, it is important to see your health care provider as scheduled."

Question 13

A single client who has just delivered a baby asks the nurse where she can receive help in getting formula for her baby. Which is the nurse's best response?

A) Medicaid can help with buying formula.
B) Head Start is a program that helps provide formula.
C) The Women, Infants, and Children (WIC) program can assist you in getting formula.
D) The National Center for Family Planning has a program that helps with obtaining formula.

Question 14

The prenatal clinic nurse is assessing a newly pregnant Hispanic client. Her husband is present. Which communication techniques should the nurse use with regard to the client's culture? (Select all that apply.)

A) Establish full eye contact.
B) Begin the assessment with some small talk.
C) Ask the client if the family uses a curandero.
D) Ask the husband to wait in the waiting area until the assessment is completed.
E) Determine the client's understanding of English and explain that a Spanish interpreter can be available, if needed.

Question 15

A client at 36 weeks of gestation states, "Why can't I have an induction now? My sister delivered at 36 weeks and her baby is fine." Which information about infants born at 34 to 36 weeks should the nurse consider when answering?

A) Birth by induction is low for this gestational age.
B) Infants born at 34 to 36 weeks have mature lungs and do well at birth.
C) The birth of infants between 34 to 36 weeks has declined as more births are going to term or post term.
D) Infants born at 34 to 36 weeks are immature and have more health complications than infants born at term.

Question 16

A nurse 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?

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.

Question 17

The nurse is teaching a parenting class to new parents. Which statement should the nurse include in the teaching session about the characteristics of a healthy family?

A) Adults agree on the majority of basic parenting principles.
B) The parents and children have rigid assignments for all the family tasks.
C) Young families assume total responsibility for the parenting tasks, refusing any assistance.
D) The family is overwhelmed by the significant changes that occur as a result of childbirth.

Question 18

Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant client regarding this option, the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.)

A) Staffing by lay midwives
B) Equipped for obstetric emergencies
C) Less expensive than acute care hospitals
D) Safe, homelike births in a familiar setting
E) Access to follow-up care for 6 weeks postpartum

Question 19

The Grantly Dick-Read method of prepared childbirth allows for:

A) the use of medication to control pain.
B) advocating for the role of the father and/or significant other as labor coach.
C) the use of chloroform as an analgesic during the birthing process.
D) focusing on the ability of the mother to control fear of impending labor through knowledge.

Question 20

Expectant parents ask a prenatal nurse educator, "Which setting for childbirth allows for the least amount of parent-infant interaction?" Which answer should the nurse give to the parents?

A) Birth center
B) Home birth
C) Traditional hospital birth
D) Labor, birth, and recovery room

Question 21

Match each term with the correct definition.

Capitated care

A)This includes health maintenance organizations (HMOs), point of service plans (POSs), and preferred provider organizations (PPOs).
B)The payer of the health insurance (usually the employer or the government) pays a set amount of money each year to a network of primary care providers (PCPs).
C)Medical diagnoses are classified based on the type of complexity of services generally required.

Question 22

Match each term with the correct definition.

Diagnosis-related groups

A)This includes health maintenance organizations (HMOs), point of service plans (POSs), and preferred provider organizations (PPOs).
B)The payer of the health insurance (usually the employer or the government) pays a set amount of money each year to a network of primary care providers (PCPs).
C)Medical diagnoses are classified based on the type of complexity of services generally required.

Question 23

Match each term with the correct definition.

Managed care

A)This includes health maintenance organizations (HMOs), point of service plans (POSs), and preferred provider organizations (PPOs).
B)The payer of the health insurance (usually the employer or the government) pays a set amount of money each year to a network of primary care providers (PCPs).
C)Medical diagnoses are classified based on the type of complexity of services generally required.

Question 24

Match each term with the correct definition.

Evidence-based care

A)A practice model that uses a systematic approach to identify specific patients and manage their care in a coordinated way
B)Identifies desired patient outcomes, specifies timelines for achievement of those outcomes, directs appropriate interventions and sequencing of interventions, includes interventions from a variety of disciplines, promotes collaboration, and involves a comprehensive approach to care
C)Develops clinical practice guidelines to provide safe and effective care

Question 25

Match each term with the correct definition.

Clinical pathways

A)A practice model that uses a systematic approach to identify specific patients and manage their care in a coordinated way
B)Identifies desired patient outcomes, specifies timelines for achievement of those outcomes, directs appropriate interventions and sequencing of interventions, includes interventions from a variety of disciplines, promotes collaboration, and involves a comprehensive approach to care
C)Develops clinical practice guidelines to provide safe and effective care

Question 26

Match each term with the correct definition.

Case management

A)A practice model that uses a systematic approach to identify specific patients and manage their care in a coordinated way
B)Identifies desired patient outcomes, specifies timelines for achievement of those outcomes, directs appropriate interventions and sequencing of interventions, includes interventions from a variety of disciplines, promotes collaboration, and involves a comprehensive approach to care
C)Develops clinical practice guidelines to provide safe and effective care