NURS 370 - OB Practice Questions With Trusted
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Terms in this set (292)
Which medical risk factor contributes C. Chronic hypertension
to a higher infant mortality rate?
Poor maternal health or chronic conditions such as
a. Diabetes mellitus hypertension are important contributors to a high
b. Mitral valve prolapse (MVP) infant mortality rate. Although diabetes mellitus, MVP,
c. Chronic hypertension and anemia are concerns in pregnancy, they are not
d. Anemia one of the most frequently reported maternal
medical risk factors that contribute to a higher infant
mortality.
Which woman would be most at risk C. An Inuit woman in her mid-20s with no high school
for the poorest perinatal outcome? education
a. A 25-year-old single mother on Both the Canadian Perinatal Surveillance System
maternity leave with two existing (CPSS) and the Maternity Experiences Survey note
children that poor women, Aboriginal women, and young
b. An unemployed 32-year-old lawyer women with less education consistently have the
in an inner city neighbourhood poorest perinatal outcomes.
c. An Inuit woman in her mid-20s with
no high school education
d. A 19-year-old college student who
lives at home with her parents
,Which is the main characteristic of the C. Leading the activities of a team of interdisciplinary
evolved role of the professional health care providers
perinatal nurse?
Professional nurses are part of the team of health
a. Providing care to patients directly at and social care providers who collaboratively care
the bedside for perinatal patients and their families. Providing
b. Planning patient care to cover care to patients directly at the bedside is one of a
longer hospital stays nurse's tasks, but it does not encompass the concept
c. Leading the activities of a team of of the evolved professional nurse. Patient hospital
interdisciplinary health care providers stays are decreasing in length of time rather than
d. Managing care to cure health becoming longer stays. Nurses do not cure health
problems once they have occurred problems; they work to promote well-being.
Ms. Kiyawasew, a 23-year-old First D. Explain to the woman the importance of keeping
Nations woman, is pregnant with her her prenatal care appointments.
first child. Based on the statistics for
infant mortality, which intervention is Consistent prenatal care is the best method of
most important for the nurse to preventing or controlling risk factors associated with
implement? infant mortality. Nutritional status is an important
modifiable risk factor, but it is not the most important
a. Perform a nutrition assessment. action a nurse should take in this situation. The patient
b. Refer the woman to a social worker. may need assistance from a social worker at some
c. Advise the woman to see an time during her pregnancy, but a referral to a social
obstetrician, not a midwife. worker is not the most important aspect the nurse
d. Explain to the woman the should address at this time. If the woman has
importance of keeping her prenatal identifiable high-risk problems, her health care may
care appointments. need to be provided by a physician. However, it
cannot be assumed that all First Nations women have
high-risk issues. In addition, advising the woman to
see an obstetrician is not the most important aspect
on which the nurse should focus at this time.
,The nurse knows that teaching to C. "I exercise for 30 minutes, 3 days a week."
promote healthy living has been
effective when the patient makes "I exercise for 30 minutes, 3 days a week" indicates
which comment? the patient's willing participation and understanding
of healthy living behaviours. Doing is different from
a. "I'll do whatever you say; you're the comprehension. The goal of teaching about healthy
nurse." living is to make sure the patient understands the
b. "I don't think I can quit smoking." factors associated with her care. Smoking cessation is
c. "I exercise for 30 minutes, 3 days a only one behaviour associated with healthy living in
week." pregnancy. The patient's question, "What do you think
d. "What do you think I should do?" I should do?" indicates that she does not understand
what measures she can take to practice healthy living
behaviours.
When managing health care for D. Geographic location
pregnant women at a prenatal clinic,
which barrier to access prenatal care The most significant barrier to health care access is
is considered most significant? geographic location. Inequities in access to good
quality prenatal care have developed particularly in
a. Age rural, remote, inner city, and Aboriginal communities.
b. Minority status Although adolescent pregnant patients statistically
c. Educational level receive less prenatal care, age is not the most
d. Geographic location significant barrier. Significant disparities in morbidity
and mortality rates exist for minority women;
however, minority status is not the most significant
barrier to access of care. Disparities in educational
level are associated with morbidity and mortality
rates; however, educational level is not the most
significant barrier to access of care.
What is the primary role of practicing C. Identifying areas for further research
nurses in the research process?
The primary role of the practicing nurse is to identify
a. Designing research studies areas for further research. When problems are
b. Collecting data for other identified, research can be conducted properly.
researchers Research of health care issues leads to evidence-
c. Identifying areas for further informed practice guidelines. Designing research
research studies is only one factor of the research process.
d. Seeking funding to support Data collection is one factor of research. Financial
research studies support is necessary to conduct research, but it is not
the primary role of the nurse in the research process.
, Which event shifted the focus of the B. Emergence of avian influenza
Public Health Agency of Canada
(PHAC) away from a population health The emergence of the avian influenza shifted the
and health promotion focus? focus of the PHAC from population health and a
health promotion focus to a focus on planning for a
a. Shift to home births pandemic. There has been no shift to home births
b. Emergence of avian influenza from hospital births in Canada. The United Nations
c. United Nations Millennium Goals Millennium Goals did not cause a focal shift for the
d. Increase in the maternal mortality PHAC. There has not been an increase in the
rate maternal mortality rate.
From the nurse's perspective, what A. Implementing programs that focus on health
measure should be the focus of the promotion and preventive care
health care system to further reduce
the rate of infant mortality? To address factors that are associated with infant
mortality, there needs to be a shift from the current
a. Implementing programs that focus emphasis on highly technological medical
on health promotion and preventive intervention toward a focus on health promotion and
care preventive care. An increased length of stay has
b. Increasing the length of stay in a been shown to foster improved self-care and
hospital after vaginal birth from 2 to 3 parental education; however, it does not prevent the
days incidence of leading causes of infant mortality rates
c. Expanding the number of neonatal such as low birth weight. NICUs offer care to high-
intensive care units (NICUs) risk infants after they are born; therefore, expanding
d. Mandating that all pregnant women the number of NICUs would offer better access for
receive care from an obstetrician high-risk care, but this factor is not the primary focus
for further reduction of infant mortality rates. A
mandate that all pregnant women receive obstetric
care would be nearly impossible to enforce.
Solutions
Save
Terms in this set (292)
Which medical risk factor contributes C. Chronic hypertension
to a higher infant mortality rate?
Poor maternal health or chronic conditions such as
a. Diabetes mellitus hypertension are important contributors to a high
b. Mitral valve prolapse (MVP) infant mortality rate. Although diabetes mellitus, MVP,
c. Chronic hypertension and anemia are concerns in pregnancy, they are not
d. Anemia one of the most frequently reported maternal
medical risk factors that contribute to a higher infant
mortality.
Which woman would be most at risk C. An Inuit woman in her mid-20s with no high school
for the poorest perinatal outcome? education
a. A 25-year-old single mother on Both the Canadian Perinatal Surveillance System
maternity leave with two existing (CPSS) and the Maternity Experiences Survey note
children that poor women, Aboriginal women, and young
b. An unemployed 32-year-old lawyer women with less education consistently have the
in an inner city neighbourhood poorest perinatal outcomes.
c. An Inuit woman in her mid-20s with
no high school education
d. A 19-year-old college student who
lives at home with her parents
,Which is the main characteristic of the C. Leading the activities of a team of interdisciplinary
evolved role of the professional health care providers
perinatal nurse?
Professional nurses are part of the team of health
a. Providing care to patients directly at and social care providers who collaboratively care
the bedside for perinatal patients and their families. Providing
b. Planning patient care to cover care to patients directly at the bedside is one of a
longer hospital stays nurse's tasks, but it does not encompass the concept
c. Leading the activities of a team of of the evolved professional nurse. Patient hospital
interdisciplinary health care providers stays are decreasing in length of time rather than
d. Managing care to cure health becoming longer stays. Nurses do not cure health
problems once they have occurred problems; they work to promote well-being.
Ms. Kiyawasew, a 23-year-old First D. Explain to the woman the importance of keeping
Nations woman, is pregnant with her her prenatal care appointments.
first child. Based on the statistics for
infant mortality, which intervention is Consistent prenatal care is the best method of
most important for the nurse to preventing or controlling risk factors associated with
implement? infant mortality. Nutritional status is an important
modifiable risk factor, but it is not the most important
a. Perform a nutrition assessment. action a nurse should take in this situation. The patient
b. Refer the woman to a social worker. may need assistance from a social worker at some
c. Advise the woman to see an time during her pregnancy, but a referral to a social
obstetrician, not a midwife. worker is not the most important aspect the nurse
d. Explain to the woman the should address at this time. If the woman has
importance of keeping her prenatal identifiable high-risk problems, her health care may
care appointments. need to be provided by a physician. However, it
cannot be assumed that all First Nations women have
high-risk issues. In addition, advising the woman to
see an obstetrician is not the most important aspect
on which the nurse should focus at this time.
,The nurse knows that teaching to C. "I exercise for 30 minutes, 3 days a week."
promote healthy living has been
effective when the patient makes "I exercise for 30 minutes, 3 days a week" indicates
which comment? the patient's willing participation and understanding
of healthy living behaviours. Doing is different from
a. "I'll do whatever you say; you're the comprehension. The goal of teaching about healthy
nurse." living is to make sure the patient understands the
b. "I don't think I can quit smoking." factors associated with her care. Smoking cessation is
c. "I exercise for 30 minutes, 3 days a only one behaviour associated with healthy living in
week." pregnancy. The patient's question, "What do you think
d. "What do you think I should do?" I should do?" indicates that she does not understand
what measures she can take to practice healthy living
behaviours.
When managing health care for D. Geographic location
pregnant women at a prenatal clinic,
which barrier to access prenatal care The most significant barrier to health care access is
is considered most significant? geographic location. Inequities in access to good
quality prenatal care have developed particularly in
a. Age rural, remote, inner city, and Aboriginal communities.
b. Minority status Although adolescent pregnant patients statistically
c. Educational level receive less prenatal care, age is not the most
d. Geographic location significant barrier. Significant disparities in morbidity
and mortality rates exist for minority women;
however, minority status is not the most significant
barrier to access of care. Disparities in educational
level are associated with morbidity and mortality
rates; however, educational level is not the most
significant barrier to access of care.
What is the primary role of practicing C. Identifying areas for further research
nurses in the research process?
The primary role of the practicing nurse is to identify
a. Designing research studies areas for further research. When problems are
b. Collecting data for other identified, research can be conducted properly.
researchers Research of health care issues leads to evidence-
c. Identifying areas for further informed practice guidelines. Designing research
research studies is only one factor of the research process.
d. Seeking funding to support Data collection is one factor of research. Financial
research studies support is necessary to conduct research, but it is not
the primary role of the nurse in the research process.
, Which event shifted the focus of the B. Emergence of avian influenza
Public Health Agency of Canada
(PHAC) away from a population health The emergence of the avian influenza shifted the
and health promotion focus? focus of the PHAC from population health and a
health promotion focus to a focus on planning for a
a. Shift to home births pandemic. There has been no shift to home births
b. Emergence of avian influenza from hospital births in Canada. The United Nations
c. United Nations Millennium Goals Millennium Goals did not cause a focal shift for the
d. Increase in the maternal mortality PHAC. There has not been an increase in the
rate maternal mortality rate.
From the nurse's perspective, what A. Implementing programs that focus on health
measure should be the focus of the promotion and preventive care
health care system to further reduce
the rate of infant mortality? To address factors that are associated with infant
mortality, there needs to be a shift from the current
a. Implementing programs that focus emphasis on highly technological medical
on health promotion and preventive intervention toward a focus on health promotion and
care preventive care. An increased length of stay has
b. Increasing the length of stay in a been shown to foster improved self-care and
hospital after vaginal birth from 2 to 3 parental education; however, it does not prevent the
days incidence of leading causes of infant mortality rates
c. Expanding the number of neonatal such as low birth weight. NICUs offer care to high-
intensive care units (NICUs) risk infants after they are born; therefore, expanding
d. Mandating that all pregnant women the number of NICUs would offer better access for
receive care from an obstetrician high-risk care, but this factor is not the primary focus
for further reduction of infant mortality rates. A
mandate that all pregnant women receive obstetric
care would be nearly impossible to enforce.
