WITH NGN QUESTIONS AND CORRECT ANSWERS
1. When addressing the questions of a newly pregnant woman, the nurse can explain that the
certified nurse-midwife is qualified to perform: a. regional anesthesia.
b. cesarean deliveries.
c. vaginal deliveries.
d. internal versions.
ANS: C
The nurse-midwife is qualified to deliver infants vaginally in uncomplicated pregnancies. The other
procedures must be performed by a physician or other medical provider.
2. What situation is most conducive to learning?
a. A teacher who speaks very little Spanish is teaching a class of Latino students.
b. A class is composed of students of various ages and educational backgrounds.
c. An auditorium is being used as a classroom for 300 students.
d. An Asian nurse provides nutritional information to a group of pregnant Asian women.
ANS: D
Teaching is a vital function of the professional nurse. A patient‘s language and culture influence the
learning process; thus a situation that is most conducive to learning is one in which the teacher has
knowledge and understanding of the patient‘s language and cultural beliefs. The ability to understand
the language in which teaching is done determines how much the patient learns. Patients for whom
English is not their primary language may not understand idioms, nuances, slang terms, informal usage
of words, or medical words. The teacher should be fluent in the language of the student. Developmental
levels and educational levels influence how a person learns best. In order for the teacher to best present
information, the class should be composed of the same levels. A large class is not conducive to learning.
It does not allow for questions, and the teacher is not able to see the nonverbal cues from the students
to ensure understanding.
3. Which nursing intervention is an independent (nurse-driven) function of the nurse? a.
Administering oral analgesics b. Teaching the woman perineal care
, c. Requesting diagnostic studies
d. Providing wound care to a surgical incision
ANS: B
Nurses are responsible for various independent functions, including teaching, counseling, and
intervening in nonmedical problems. Interventions initiated by the physician and carried out by the
nurse are called dependent functions. Administering oral analgesics is a dependent function; it is
initiated by a physician or other provider and carried out by the nurse. Requesting diagnostic studies is a
dependent function. Providing wound care is a dependent function; it is usually initiated by the
physician or other provider through direct orders or protocol.
4. Which response by the nurse to the woman‘s statement, ―I‘m afraid to have a cesarean birth,‖
would be the most therapeutic?
a. ―What concerns you most about a cesarean birth?‖
b. ―Everything will be OK.‖
c. ―Don‘t worry about it. It will be over soon.‖
d. ―The doctor will be in later, and you can talk to him.‖
ANS: A
Focusing on what the woman is saying and asking for clarification are the most therapeutic responses.
Stating that ―everything will be ok‖ or ―don‘t worry about it‖ belittles the woman‘s feelings and might
be providing false hope. Telling the patient to talk to the doctor does not allow the woman to verbalize
her feelings when she desires.
5. To evaluate the woman‘s learning about performing infant care, the nurse should
a. demonstrate infant care procedures.
b. allow the woman to verbalize the procedure.
c. observe the woman as she performs the procedure.
d. routinely assess the infant for cleanliness.
ANS: C
The woman‘s ability to perform the procedure correctly under the nurse‘s supervision is the best
method of evaluation. Demonstration is an excellent teaching method but not an evaluation method.
During verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is
not the best tool for evaluation. Observing the infant for cleanliness does not ensure the proper
procedure is carried out. The nurse may miss seeing unsafe techniques being used.