MCN 273 OB EXAM 1 QUESTIONS AND
ANSWERS53
A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later
time. The nurse is teaching the parents about signs and symptoms that need to be reported.
The nurse determines that the parents have understood the instructions when they state that
they will report which of the following? (Select all that apply.)
A) Weight loss
B) Pale skin
C) Fever
D) Absence of edema
E) Increased respiratory rate - ANSWERS -B) Pale skin
When developing the plan of care for a newborn with an acquired condition, which of the
following would the nurse include to promote participation by the parents?
A) Use verbal instructions primarily for explanations
B) Assist with decision making process
C) Provide personal views about their decisions
D) Encourage them to refrain from showing emotions - ANSWERS -B) Assist with decision
making process
A nurse is assisting in the resuscitation of a newborn. The nurse would expect to stop
resuscitation efforts when the newborn has no heartbeat and respiratory effort after which time
frame?
A) 5 minutes
B) 10 minutes
C) 15 minutes
,D) 20 minutes - ANSWERS -B) 10 minutes
A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn,
which of the following would the nurse expect to find? (Select all that apply.)
A) Pigeon chest
B) Prolonged tachypnea
C) Intercostal retractions
D) High blood pH level
E) Coarse crackles on auscultation - ANSWERS -C) Intercostal retractions
D) High blood pH level
E) Coarse crackles on auscultation
The United States ranks 50th in the world for maternal mortality and 41st among industrialized
nations for infant mortality rate. When developing programs to assist in decreasing these rates,
which factor would most likely need to be addressed as having the greatest impact?
A)Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women's shelters
D)Encouraging all women to eat a balanced diet - ANSWERS -B) Assuring early and adequate
prenatal care
When integrating the principles of family-centered care, the nurse would include which of the
following? A)Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D)Families require little information to make appropriate decisions - ANSWERS -C) Childbirth
results in changes in relationships
,When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing
events of the 20th century?
A)Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D)Creation of free-standing birth centers - ANSWERS -D)Creation of free-standing birth centers
After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading
cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection - ANSWERS -B) Embolism
The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer - ANSWERS -B) Heart disease
When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
, B) Health care workers attitudes
C) Transportation
D) Finances - ANSWERS -D) Finances
After teaching a group of nursing students about the issue of informed consent. Which of the
following, if identified by the student, would indicate an understanding of a violation of
informed consent?
A)Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D)Getting verbal consent over the phone for emergency procedures - ANSWERS -A)Performing a
procedure on a 15-year-old without consent
The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His
parents are out of town on vacation, and the child is staying with a neighbor. Which action
would be the priority?
A)Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the childs aunt or uncle to obtain their consent
D)Advocating for termination of parental rights for this situation - ANSWERS -A)Getting
telephone consent with two people listening to the verbal consent
After teaching nursing students about the basic concepts of family-centered care, the instructor
determines that the teaching was successful when the students state which of the following?
A)Childbirth affects the entire family, and relationships will change.
B) Families are not capable of making health care decisions for themselves.
C) Mothers are the family members affected by childbirth.
D)Childbirth is a medical procedure. - ANSWERS -A)Childbirth affects the entire family, and
relationships will change.
ANSWERS53
A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later
time. The nurse is teaching the parents about signs and symptoms that need to be reported.
The nurse determines that the parents have understood the instructions when they state that
they will report which of the following? (Select all that apply.)
A) Weight loss
B) Pale skin
C) Fever
D) Absence of edema
E) Increased respiratory rate - ANSWERS -B) Pale skin
When developing the plan of care for a newborn with an acquired condition, which of the
following would the nurse include to promote participation by the parents?
A) Use verbal instructions primarily for explanations
B) Assist with decision making process
C) Provide personal views about their decisions
D) Encourage them to refrain from showing emotions - ANSWERS -B) Assist with decision
making process
A nurse is assisting in the resuscitation of a newborn. The nurse would expect to stop
resuscitation efforts when the newborn has no heartbeat and respiratory effort after which time
frame?
A) 5 minutes
B) 10 minutes
C) 15 minutes
,D) 20 minutes - ANSWERS -B) 10 minutes
A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn,
which of the following would the nurse expect to find? (Select all that apply.)
A) Pigeon chest
B) Prolonged tachypnea
C) Intercostal retractions
D) High blood pH level
E) Coarse crackles on auscultation - ANSWERS -C) Intercostal retractions
D) High blood pH level
E) Coarse crackles on auscultation
The United States ranks 50th in the world for maternal mortality and 41st among industrialized
nations for infant mortality rate. When developing programs to assist in decreasing these rates,
which factor would most likely need to be addressed as having the greatest impact?
A)Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women's shelters
D)Encouraging all women to eat a balanced diet - ANSWERS -B) Assuring early and adequate
prenatal care
When integrating the principles of family-centered care, the nurse would include which of the
following? A)Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D)Families require little information to make appropriate decisions - ANSWERS -C) Childbirth
results in changes in relationships
,When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing
events of the 20th century?
A)Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D)Creation of free-standing birth centers - ANSWERS -D)Creation of free-standing birth centers
After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading
cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection - ANSWERS -B) Embolism
The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer - ANSWERS -B) Heart disease
When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
, B) Health care workers attitudes
C) Transportation
D) Finances - ANSWERS -D) Finances
After teaching a group of nursing students about the issue of informed consent. Which of the
following, if identified by the student, would indicate an understanding of a violation of
informed consent?
A)Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D)Getting verbal consent over the phone for emergency procedures - ANSWERS -A)Performing a
procedure on a 15-year-old without consent
The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His
parents are out of town on vacation, and the child is staying with a neighbor. Which action
would be the priority?
A)Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the childs aunt or uncle to obtain their consent
D)Advocating for termination of parental rights for this situation - ANSWERS -A)Getting
telephone consent with two people listening to the verbal consent
After teaching nursing students about the basic concepts of family-centered care, the instructor
determines that the teaching was successful when the students state which of the following?
A)Childbirth affects the entire family, and relationships will change.
B) Families are not capable of making health care decisions for themselves.
C) Mothers are the family members affected by childbirth.
D)Childbirth is a medical procedure. - ANSWERS -A)Childbirth affects the entire family, and
relationships will change.
