Questions and Answers
A group of nurses are discussing trends in health care. What would the nurses identify
as not being a trend in the delivery of health care in the United States?
A. Acute care is increasingly provided through home-based services.
B. Greater emphasis has been placed on curing disease and disability than on
preventing them.
C. Hospital stays for many conditions have been shortened.
D. Hospital-based nurses are increasingly involved in follow-up care after discharge. -
ANSWER -B. Greater emphasis has been placed on curing disease and disability than
on preventing them.
A 23-year-old African-American woman is pregnant with her first child. On the basis of
the statistics for infant mortality, which plan is most important for the nurse to
implement?
A. Refer the woman to a social worker.
B. Perform a nutrition assessment.
C. Advise the woman to see an obstetrician, not a midwife.
D. Explain to the woman the importance of keeping her prenatal care appointments. -
ANSWER -D. Explain to the woman the importance of keeping her prenatal care
appointments.
When caring for pregnant women, the nurse should keep in mind that violence during
pregnancy:
A. Has decreased in incidence as a result of better assessment techniques and record-
keeping.
B. Increases a pregnant woman's risk for gestational hypertension.
C. Affects more than 25% of pregnant women in the United States.
D. May be associated with substance abuse by both the pregnant woman and her
partner. - ANSWER -D. May be associated with substance abuse by both the pregnant
woman and her partner.
Which condition would a nurse identify as not contributing to an increase in maternity-
related health care costs?
A. Early postpartum discharges
B. The use of high-tech equipment
C. The cost of care for low-birth-weight (LBW) infants
, D. Maternal medical risk factors, such as diabetes - ANSWER -A. Early postpartum
discharges
From the nurse's perspective, what measure should be the focus of the health care
system in order to reduce the rate of infant mortality further?
a. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
b. Mandating that all pregnant women receive care from an obstetrician
c. Expanding the number of neonatal intensive care units (NICUs)
d. Implementing programs to ensure women's early participation in ongoing prenatal
care - ANSWER -d. Implementing programs to ensure women's early participation in
ongoing prenatal care
The term used to describe professional interaction among health care providers in the
clinical nursing practice is:
a. Evaluation
b. Collegiality
c. Accountability
d. Ethics - ANSWER -b. Collegiality
A nurse is reviewing maternal medical risk factors. Which of the following would the
nurse identify as being the two most frequently reported maternal medical risk factors?
a. Behaviors and lifestyles.
b. Drug use and alcohol abuse.
c. Hypertension associated with pregnancy and diabetes.
d. Homelessness and lack of insurance. - ANSWER -c. Hypertension associated with
pregnancy and diabetes.
Which action taken by the nurse would indicate that he or she is practicing appropriate
family-centered care techniques?
a. The father is discouraged from accompanying his wife during a cesarean birth.
b. The nurse encourages the mother and father to make choices whenever possible.
c. The nurse updates the family about what is going to happen but instructs the client's
sister that she cannot be present in the room during the birth.
d. The nurse believes that he or she is acting in the best interest of the client and
commands her what to do throughout labor. - ANSWER -b. The nurse encourages the
mother and father to make choices whenever possible.
Providing treatment and rehabilitation for people who have developed disease is part of:
a. Primordial preventive care.
b. Primary preventive care.
c. Secondary preventive care.