PRACTICE QUESTIONS FOR MATERNAL CHILD NURSING UNIT 1

PRACTICE QUESTIONS FOR MATERNAL CHILD NURSING UNIT 1 1/1 When providing care for a pregnant woman, the nurse should be aware that one of the most frequently reported maternal medical risk factors is: a. Diabetes mellitus. c. Chronic hypertension. b. Mitral valve prolapse (MVP). d. Anemia. - CORRECT ANSWER-A 1/2 To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym? a. Situation, baseline assessment, response b. Situation, background, assessment, recommendation c. Subjective background, assessment, recommendation d. Situation, background, anticipated recommendation - CORRECT ANSWER-B 1/3 The role of the professional nurse caring for childbearing families has evolved to emphasize: a. Providing care to patients directly at the bedside. b. Primarily hospital care of maternity patients. c. Practice using an evidence-based approach. d. Planning patient care to cover longer hospital stays. - CORRECT ANSWER-C. 1/4 A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant mortality, which plan is most important for the nurse to implement? a. Perform a nutrition assessment. b. Refer the woman to a social worker. c. Advise the woman to see an obstetrician, not a midwife. d. Explain to the woman the importance of keeping her prenatal care appointments. - CORRECT ANSWER-D 1/5 During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to: a. Use maternity jargon in order for the patient to become familiar with these terms. b. Speak quickly and efficiently to expedite the visit. c. Provide the patient with handouts. d. Assess whether the patient understands the discussion. - CORRECT ANSWER-D 1/6 When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the most significant barrier to access to care is the pregnant woman's: a. Age. c. Educational level. b. Minority status. d. Inability to pay. - CORRECT ANSWER-D 1/7 What is the primary role of practicing nurses in the research process? a. Designing research studies b. Collecting data for other researchers c. Identifying researchable problems d. Seeking funding to support research studies - CORRECT ANSWER-C 1/8 When the nurse is unsure about how to perform a patient care procedure, the best action would be to: a. Ask another nurse. b. Discuss the procedure with the patient's physician. c. Look up the procedure in a nursing textbook. d. Consult the agency procedure manual and follow the guidelines for the procedure. - CORRECT ANSWER-D 1/9 From the nurse's perspective, what measure should be the focus of the health care system to reduce the rate of infant mortality further? a. Implementing programs to ensure women's early participation in ongoing prenatal care b. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days c. Expanding the number of neonatal intensive care units (NICUs) d. Mandating that all pregnant women receive care from an obstetrician - CORRECT ANSWER-A 1/10 Alternative and complementary therapies: a. Replace conventional Western modalities of treatment. b. Are used by only a small number of American adults. c. Recognize the value of clients' input into their health care. d. Focus primarily on the disease an individual is experiencing. - CORRECT ANSWERC 1/12 A newly graduated nurse is attempting to understand the reason for increasing health care spending in the United States. Her research finds that these costs are much higher compared with other developed countries as a result of: a. A higher rate of obesity among pregnant women. b. Limited access to technology. c. Increased usage of health care services along with lower prices. d. Homogeneity of the population. - CORRECT ANSWER-A 1/15 An important development that affects maternity nursing is integrative health care, which: a. Seeks to provide the same health care for all racial and ethnic groups. b. Blends complementary and alternative therapies with conventional Western treatment. c. Focuses on the disease or condition rather than the background of the client. d. Has been mandated by Congress. - CORRECT ANSWER-B 1/16 Recent trends in childbirth practices in the United States indicate that: a. More than 15% of mothers had late or no prenatal care. b. The percentage of Hispanics, non-Hispanic African Americans, and Caucasians who received prenatal care was essentially the same. c. Births occurring in the hospital accounted for 99% of births. d. Cesarean births have been declining as a percentage of live births. - CORRECT ANSWER-C 1/18 The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend? a. Births to unmarried women are more likely to have less favorable outcomes. b. Birth rates for women 40 to 44 years old are beginning to decline. c. Cigarette smoking among pregnant women continues to increase. d. The rates of maternal death owing to racial disparity are elevated in the United States. - CORRECT ANSWER-A 1/21 During a prenatal intake interview, the client informs the nurse that she would prefer a midwife to provide her care during pregnancy and deliver her infant. What information would be most appropriate for the nurse to share with this patient? a. Midwifery care is available only to clients who are uninsured because their services are less expensive than an obstetrician. Costs are often lower than an obstetric provider. b. The client will receive fewer interventions during the birth process. c. The client should be aware that midwives are not certified. d. Delivery can take place only at the client's home or in a birth center. - CORRECT ANSWER-B 1/22 While obtaining a detailed history from a woman who has recently emigrated from Somalia, the nurse realizes that the client has undergone female genital mutilation (FGM). The nurse's best response to this patient is: a. "This is a very abnormal practice and rarely seen in the United States." b. "Do you know who performed this so that it can be reported to the authorities?" c. "We will be able to restore your circumcision fully after delivery." d. "The extent of your circumcision will affect the potential for complications." - CORRECT ANSWER-D 1/24 Healthy People 2020 has established national health priorities that focus on a number of maternal-child health indicators. Nurses are assuming greater roles in assessing family health and providing care across the perinatal continuum. Therefore it is important for the nurse to be aware that significant progress has been made in: a. The reduction of fetal deaths and use of prenatal care. b. Low birth weight and preterm birth. c. Elimination of health disparities based on race. d. Infant mortality and the prevention of birth defects. - CORRECT ANSWER-A 2/2 In what form do families tend to be most socially vulnerable? a. Married-blended family c. Nuclear family b. Extended family d. Single-parent family - CORRECT ANSWER-D 2/3 Health care functions carried out by families to meet their members' needs include: a. Developing family budgets. b. Socializing children. c. Meeting nutritional requirements. d. Teaching family members about birth control. - CORRECT ANSWER-C 2/4 The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family: a. Rituals and customs. c. Boundaries and channels. b. Values and beliefs. d. Socialization processes. - CORRECT ANSWER-B 2/5 Using the family stress theory as an intervention approach for working with families experiencing parenting, the nurse can help the family change internal context factors. These include: a. Biologic and genetic makeup. b. Maturation of family members. c. The family's perception of the event. d. The prevailing cultural beliefs of society. - CORRECT ANSWER-C 2/6 While working in the prenatal clinic, you care for a very diverse group of patients. When planning interventions for these families, you realize that acceptance of the interventions will be most influenced by: a. Educational achievement. c. Subcultural group. b. Income level. d. Individual beliefs. - CORRECT ANSWER-D 2/7 The nurse's care of a Hispanic family includes teaching about infant care. When developing a plan of care, the nurse bases interventions on the knowledge that in traditional Hispanic families: a. Breastfeeding is encouraged immediately after birth. b. Male infants typically are circumcised. c. The maternal grandmother participates in the care of the mother and her infant. d. Special herbs mixed in water are used to stimulate the passage of meconium. - CORRECT ANSWER-C 2/9 The nurse should be aware that during the childbearing experience an AfricanAmerican woman is most likely to: a. Seek prenatal care early in her pregnancy.