, Joseph Lister
Ignaz Semmelweis deduced that puerperal fever was septic, contagious,
and transmitted by the unwashed hands of physicians and medical
students.
Question 3 pts
A pregnant woman who has recently immigrated to the United States
comments to the nurse, "I am afraid of childbirth. It is so dangerous. I am afraid
I will die." What is the best nursing response reflecting cultural sensitivity?
"Maternal mortality in the United States is extremely low:•
"Anesthesia is available to relieve pain during labor and childbirth."
➔ "Tell me why you are afraid of childbirth:'
"Your condition will be monitored during labor and delivery."
Asking the patient about her concerns helps promote understanding and
individualizes patient care.
Question 4 pts
An urban area has been reported to have a high perinatal mortality rate. What
information does this provide?
Maternal and infant deaths per 100,000 live births per year
Deaths of fetuses weighing more than 500 g per 10,000 births per year
Deaths of infants up to 1 year of age per 1000 live births per year
➔ Fetal and neonatal deaths per 1000 live births per year
The perinatal mortality rate includes fetal and neonatal deaths per 1000
live births per year.
Question 5 pts
What is the focus of current maternity practice?
Hospital births for the majority of women
The traditional family unit
Separation of labor rooms from delivery rooms
➔ A quality family experience for each patient
Current maternity practice focuses on a high-quality family experience
for all families, traditional or otherwise.
,Question 6 pts
Who advocated the establishment of the Children's Bureau?
➔ Lillian Wald
Florence Nightingale
Florence Kelly
Clara Barton
Lillian Wald is credited with suggesting the establishment of a federal
Children's Bureau.
Question 7 pts
What was the result of research done in the 1930s by the Children's Bureau?
Children with heart problems are now cared for by pediatric cardiologists.
The Child Abuse and Prevention Act was passed.
➔ Hot lunch programs were established in many schools.
Children's asylums were founded.
School hot lunch programs were developed as a result of research by the
Children's Bureau on the effects of economic depression on children.
_J
Question 8 pts
What government program was implemented to increase the educational
exposure of preschool children?
WIC
Title XIX of Medicaid
The Children's Charter
➔ Head Start
Head Start programs were established to increase educational exposure
of preschool children.
Question 9 pts
What guidelines define multidisciplinary patient care in terms of expected
outcome and timeframe from different areas of care provision?
➔ Clinical pathways
Nursing outcome criteria
, Nursing care plan
Clinical pathways, also known as critical pathways or care maps, are
collaborative guidelines that define patient care across disciplines.
Expected progress within a specified timeline is identified.
Question 10 pts
A nursing student has reviewed a hospitalized pediatric patient chart,
interviewed her mother, and collected admission data. What is the next step
the student will take to develop a nursing care plan for this child?
Identify measurable outcomes with a timeline.
Choose specific nursing interventions for the child.
➔ Determine appropriate nursing diagnoses.
State nursing actions related to the child's medical diagnosis.
The nurse uses assessment data to select appropriate nursing diagnoses.
Outcomes and interventions are then developed to address the relevant
nursing diagnoses.
Question 11 pts
A nursing student on an obstetric rotation questions the floor nurse about the
definition of the LVN/LPN scope of practice. What resource can the nurse
suggest to the student?
American Nurses Association
➔ State's Board of Nursing
Joint Commission
Association of Women's Health, Obstetric and Neonatal Nurses
The scope of practice of the LVN/LPN is published by the state's board
of nursing.
Question 12 pts
What was recommended by Karl Crede in 1884?
All women should be delivered in a hospital setting.
Chemical means should be used to combat infection.
Podalic version should be done on all fetuses.
➔ Silver nitrate should be placed in the eyes of newborns.
In 1884 Karl Crede recommended the use of 2% silver nitrate in the
eyes of newborns to reduce the incidence of blindness.
Ignaz Semmelweis deduced that puerperal fever was septic, contagious,
and transmitted by the unwashed hands of physicians and medical
students.
Question 3 pts
A pregnant woman who has recently immigrated to the United States
comments to the nurse, "I am afraid of childbirth. It is so dangerous. I am afraid
I will die." What is the best nursing response reflecting cultural sensitivity?
"Maternal mortality in the United States is extremely low:•
"Anesthesia is available to relieve pain during labor and childbirth."
➔ "Tell me why you are afraid of childbirth:'
"Your condition will be monitored during labor and delivery."
Asking the patient about her concerns helps promote understanding and
individualizes patient care.
Question 4 pts
An urban area has been reported to have a high perinatal mortality rate. What
information does this provide?
Maternal and infant deaths per 100,000 live births per year
Deaths of fetuses weighing more than 500 g per 10,000 births per year
Deaths of infants up to 1 year of age per 1000 live births per year
➔ Fetal and neonatal deaths per 1000 live births per year
The perinatal mortality rate includes fetal and neonatal deaths per 1000
live births per year.
Question 5 pts
What is the focus of current maternity practice?
Hospital births for the majority of women
The traditional family unit
Separation of labor rooms from delivery rooms
➔ A quality family experience for each patient
Current maternity practice focuses on a high-quality family experience
for all families, traditional or otherwise.
,Question 6 pts
Who advocated the establishment of the Children's Bureau?
➔ Lillian Wald
Florence Nightingale
Florence Kelly
Clara Barton
Lillian Wald is credited with suggesting the establishment of a federal
Children's Bureau.
Question 7 pts
What was the result of research done in the 1930s by the Children's Bureau?
Children with heart problems are now cared for by pediatric cardiologists.
The Child Abuse and Prevention Act was passed.
➔ Hot lunch programs were established in many schools.
Children's asylums were founded.
School hot lunch programs were developed as a result of research by the
Children's Bureau on the effects of economic depression on children.
_J
Question 8 pts
What government program was implemented to increase the educational
exposure of preschool children?
WIC
Title XIX of Medicaid
The Children's Charter
➔ Head Start
Head Start programs were established to increase educational exposure
of preschool children.
Question 9 pts
What guidelines define multidisciplinary patient care in terms of expected
outcome and timeframe from different areas of care provision?
➔ Clinical pathways
Nursing outcome criteria
, Nursing care plan
Clinical pathways, also known as critical pathways or care maps, are
collaborative guidelines that define patient care across disciplines.
Expected progress within a specified timeline is identified.
Question 10 pts
A nursing student has reviewed a hospitalized pediatric patient chart,
interviewed her mother, and collected admission data. What is the next step
the student will take to develop a nursing care plan for this child?
Identify measurable outcomes with a timeline.
Choose specific nursing interventions for the child.
➔ Determine appropriate nursing diagnoses.
State nursing actions related to the child's medical diagnosis.
The nurse uses assessment data to select appropriate nursing diagnoses.
Outcomes and interventions are then developed to address the relevant
nursing diagnoses.
Question 11 pts
A nursing student on an obstetric rotation questions the floor nurse about the
definition of the LVN/LPN scope of practice. What resource can the nurse
suggest to the student?
American Nurses Association
➔ State's Board of Nursing
Joint Commission
Association of Women's Health, Obstetric and Neonatal Nurses
The scope of practice of the LVN/LPN is published by the state's board
of nursing.
Question 12 pts
What was recommended by Karl Crede in 1884?
All women should be delivered in a hospital setting.
Chemical means should be used to combat infection.
Podalic version should be done on all fetuses.
➔ Silver nitrate should be placed in the eyes of newborns.
In 1884 Karl Crede recommended the use of 2% silver nitrate in the
eyes of newborns to reduce the incidence of blindness.
