OB exam 1 NR 327 Exam Questions with 100% Correct Answers

Which factor significantly contributed to the shift from home births to hospital births in the early 20th century? a. Puerperal sepsis was identified as a risk factor in labor and delivery. b. Forceps were developed to facilitate difficult births. c. The importance of early parental-infant contact was identified. d. Technologic developments became available to physicians. Correct Answer d Family-centered maternity care developed in response to: a. Demands by physicians for family involvement in childbirth b. The Sheppard-Towner Act of 1921 c. Parental requests that infants be allowed to remain with them rather than in a nursery d. Changes in pharmacologic management of labor Correct Answer c As a result of changes in health care delivery and funding, a current trend seen in the pediatric setting is: a. Increased hospitalization of children b. Decreased number of children living in poverty c. An increase in ambulatory care d. Decreased use of managed care Correct Answer c The maternity nurse should have a clear understanding of the correct use of a clinical pathway. One characteristic of clinical pathways is that they: a. Are developed and implemented by nurses b. Are used primarily in the pediatric setting c. Set specific time lines for sequencing interventions d. Are part of the nursing process Correct Answer c The intrapartum woman sees no need for an admission fetal monitoring strip. If she continues to refuse, what is the first action the nurse should take? a. Consult the family of the woman. b. Notify the physician. c. Document the woman's refusal in the nurse's notes. d. Make a referral to the hospital ethics committee. Correct Answer b Which patient situation fails to meet the first requirement of informed consent? a. The patient does not understand the physician's explanations. b. The physician gives the patient only a partial list of possible side effects and complications. c. The patient is confused and disoriented. d. The patient signs a consent form because her husband tells her to. Correct Answer c