Deck 1: Maternity and Women’s Health Care Today

Question 1

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

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

Answer 1

Monitor the patient to detect therapeutic response to antibiotic therapy.

Question 2

Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room?

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.

Answer 2

The woman's support system is encouraged to stay until discharge.

Question 3

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

Answer 3

Clarifying

Question 4

When reviewing a new patient's birth plan, the nurse notices that the patient will be bringing a doula to the hospital during labor. What does the nurse think that this means?

A) The patient will have her grandmother as a support person.
B) The patient will bring a paid, trained labor support person with her during labor.
C) The patient will have a special video she will play during labor to assist with relaxation.
D) The patient will have a bag that contains all the approved equipment that may help with the labor process.

Question 5

Which nursing intervention is an independent function of the professional nurse?

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

Question 6

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

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

Question 7

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-patient ratios, there is a decrease in patient mortality in the clinical setting.
C) Nursing programs are turning away qualified applicants.
D) There are adequate classroom and clinical facilities for training RNs.

Question 8

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

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

Question 9

Which patient could safely be cared for by a certified nurse-midwife?

A) Gravida 3, para 2, with no complications
B) Gravida 1, para 0, with mild hypertension
C) Gravida 2, para 1, with insulin-dependent diabetes
D) Gravida 1, para 0, with borderline pelvic measurements

Question 10

The patient 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."

Question 11

In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?

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

Question 12

Which response by the nurse is the most therapeutic when the patient states, "I'm so afraid to have a cesarean birth"?

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

Expectant parents ask a prenatal nurse educator, "Which setting for childbirth limits the amount of parent-infant interaction?" Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?

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

Question 14

Which nursing diagnosis should the nurse identify as a priority for a patient in active labor?

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 15

A nurse educator 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 16

In consideration of the historic evolution of maternity care, which treatment options were used over the past century? (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 17

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 lower 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 18

Which nursing intervention is written correctly?

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 19

A primipara patient asks about possible support options for her during the labor process. She is apprehensive that her family members will not be prepared to assist her during this time. Which option would be most effective for this patient?

A) Reassure the patient that the labor and birth staff consists of highly trained nurses who are well educated to take care of laboring patients so that should be sufficient.
B) Encourage the patient to take prepared childbirth classes with her husband because that should provide the best support by a family member.
C) Provide information to the patient about obtaining a doula during the labor process.
D) Tell the patient that this is a normal feeling based on fear of the unknown and that it will subside once she starts the labor process.

Question 20

Regarding advanced roles of nursing, which statement related to clinical practice is the most accurate?

A) Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting.
B) Clinical nurse specialists (CNSs) provide primary care to obstetric patients.
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 21

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 patient 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 22

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

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

Question 23

The nurse is formulating a nursing care plan for a postpartum patient. 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 24

The nurse is assessing a patient'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