Deck 2: The Nurse's Role in Maternity and Women's Health Care

Question 1

The client makes the statement: "I'm afraid to take the baby home tomorrow." Which response by the nurse would be the most therapeutic?

A) "You're afraid to take the baby home?"
B) "Don't you have a mother who can come and help?"
C) "You should read the literature I gave you before you leave."
D) "I was scared when I took my first baby home, but everything worked out."

Answer 1

"You're afraid to take the baby home?"

Question 2

Which nursing intervention is an independent function of the nurse?

A) Administering oral analgesics
B) Requesting diagnostic studies
C) Teaching the client perineal care
D) Providing wound care to a surgical incision

Answer 2

Teaching the client perineal care

Question 3

The nurse is writing an expected outcome for the nursing diagnosis-acute pain related to trauma of tissue, secondary to vaginal birth, as evidenced by client stating pain of 8 on a scale of 10. Which is a correctly stated expected outcome for this problem?

A) Client will state that pain is a 2 on a scale of 10.
B) Client will have a reduction in pain after administration of the prescribed analgesic.
C) Client will state an absence of pain 1 hour after administration of the prescribed analgesic.
D) Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic.

Answer 3

Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic.

Question 4

Which of the following indicates a nurse's role as a researcher?

A) Reading peer-reviewed journal articles
B) Working as a member of the interdisciplinary team to provide client care
C) Helping client to obtain home care post-discharge from the hospital
D) Delegating tasks to unlicensed personnel to allow for more teaching time with clients

Question 5

A 16-year-old primipara has just completed her first prenatal visit with the health care provider. The nurse is preparing to teach her about nutrition during pregnancy. What must the nurse include in the patient's teaching plan?

A) Provide her with pictures of dairy products.
B) Ask her, "Are you ready to hear this information now?"
C) Read directly from the pamphlet prepared for teen mothers.
D) Provide a comfortable and warm setting after she has put on her street clothes.

Question 6

Which nursing diagnosis should the nurse set as a priority for a laboring client?

A) Risk for anxiety related to upcoming birth
B) Risk for imbalanced nutrition related to NPO status
C) Risk for altered family processes related to new addition to the family
D) Risk for injury (maternal) related to altered sensations and positional or physical changes

Question 7

Which is the step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis?

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

Question 8

Which nursing intervention is correctly written?

A) Force fluids as necessary.
B) Observe interaction with the infant.
C) Encourage turning, coughing, and deep breathing.
D) Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.

Question 9

You are taking care of a couple postbirth who are very eager to learn about bathing techniques that they can use for their newborn. Which teaching technique could the nurse use to facilitate parents learning about giving a bath to their newborn infant?

A) Provide direct, step-by-step demonstration to each parent separately to foster individual retention and comprehension.
B) Present information to parents prior to discharge so that the information will be current.
C) Have each parent bathe the newborn each time the infant comes to the room and provide commentary after the skill repetition.
D) Demonstrate bathing techniques on the newborn infant with parents in attendance.

Question 10

A nurse is reviewing teaching and learning principles. Which situation is most conducive to learning?

A) An auditorium is being used as a classroom for 300 students.
B) A teacher who speaks very little Spanish is teaching a class of Hispanic students.
C) A class is composed of students of various ages and educational backgrounds.
D) An Asian nurse provides nutritional information to a group of pregnant Asian women.

Question 11

Which action should the nurse take to evaluate the client's learning about performing infant care?

A) Demonstrate infant care procedures.
B) Allow the client to verbalize the procedure.
C) Routinely assess the infant for cleanliness.
D) Observe the client as she performs the procedure.

Question 12

Which most therapeutic response to the client's statement, "I'm afraid to have a cesarean birth" should be made by the nurse?

A) "Everything will be OK."
B) "Don't worry about it. It will be over soon."
C) "What concerns you most about a cesarean birth?"
D) "The physician will be in later and you can talk to him."

Question 13

Which principle of teaching should the nurse use to ensure learning in a family situation?

A) Motivate the family with praise and positive feedback.
B) Learning is best accomplished with the lecture format.
C) Present complex subject material first while the family is alert and ready to learn.
D) Families should be taught using medical jargon so they will be able to understand the technical language used by physicians.

Question 14

Which goal is most appropriate for the collaborative problem of wound infection?

A) The client will not exhibit further signs of infection.
B) Maintain the client's fluid intake at 1000 mL/8 hr.
C) The client will have a temperature of 98.6° F within 2 days.
D) Monitor the client to detect therapeutic response to antibiotic therapy.

Question 15

Which statement is true regarding the shortage of nurses in the United States?

A) There are a larger proportion of younger nurses in the workforce as compared with older nurses.
B) As a result of decreased RN-to-client ratios, there is a decrease in client mortality in the clinical setting.
C) Increased needs for baccalaureate nurses are not being met by current enrollment.
D) There are adequate classroom and clinical facilities for training RNs.

Question 16

The nurse states to the newly pregnant patient, "Tell me how you feel about being pregnant." Which communication technique is the nurse using with this patient?

A) Clarifying
B) Paraphrasing
C) Reflection
D) Structuring

Question 17

Regarding advanced roles of nursing, which statement is true with regard to clinical practice?

A) Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting.
B) Clinical nurse specialists provide primary care to obstetric clients.
C) Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants.
D) A certified nurse midwife (CNM) is not considered to be an advanced practice nurse.

Question 18

The pregnant woman tells the nurse, "I think something may be wrong with my pregnancy." Which statement by the nurse demonstrates therapeutic communication?

A) "Most women worry; I felt the same way when I was pregnant."
B) "Tell me more about what concerns you about this pregnancy."
C) "That is a very common concern, but your pregnancy will turn out just fine."
D) "You should focus on taking care of yourself and not worry so much."

Question 19

A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?

A) There is stratification of communication in a directed manner between nursing staff and administration.
B) There is increased job satisfaction of nurses, with a low staff turnover rate.
C) Physicians are certified in their respective specialty areas.
D) All nurses have baccalaureate degrees and certification in their clinical specialty area.

Question 20

The nurse is formulating a nursing care plan for a postpartum client. Which actions by the nurse indicate use of critical thinking skills when formulating the care plan? (Select all that apply).

A) Using a standardized postpartum care plan
B) Determining priorities for each diagnosis written
C) Writing interventions from a nursing diagnosis book
D) Reflecting and suspending judgment when writing the care plan
E) Clustering data during the assessment process according to normal versus abnormal

Question 21

Match each term with the correct definition.

Paraphrasing

A)Calling attention to differences or inconsistencies in statements
B)Using nonverbal responses or succinct comments to encourage the person to continue
C)Restating in words other than those used by the woman what she seems to express; a form of clarification

Question 22

Match each term with the correct definition.

Pinpointing

A)Calling attention to differences or inconsistencies in statements
B)Using nonverbal responses or succinct comments to encourage the person to continue
C)Restating in words other than those used by the woman what she seems to express; a form of clarification

Question 23

The nurse is teaching a group of nursing students about behaviors that can block or open lines of communication. Which behaviors open the lines of communication? (Select all that apply).

A) Sitting at the bedside
B) Leaning forward with arms relaxed
C) Acknowledging the client's comments or feelings
D) Self-disclosing about your personal birth experience
E) Holding a laptop computer in front of your body during an interview

Question 24

Match each term with the correct definition.

Directing

A)Calling attention to differences or inconsistencies in statements
B)Using nonverbal responses or succinct comments to encourage the person to continue
C)Restating in words other than those used by the woman what she seems to express; a form of clarification