OB Exam 1 Questions With Complete Solutions

A group of nurses are discussing the reasons for the United States' low rankings for infant and maternal mortality (27% and 21% respectively) and what impact they could make on them in their practice. Which action could nurses implement to reduce these rates? A)ensuring that all pregnant clients receive their immunizations B)assuring early and adequate prenatal care C)providing more extensive women's shelters D)encouraging all women to eat a balanced diet B When integrating the principles of family-centered care into the birthing process, the nurse would base his or her care upon which belief? A)Birth is viewed as a medical event. B)Families are unable to make informed choices due to stress. C)Birth results in changes in relationships. D)Families require little information to make appropriate decisions for care. C When preparing a teaching plan for a group of women during their first pregnancy, the nurse reviews how maternity care has changed over the years. Which information would the nurse include when discussing events occurring in the 20th century? A)epidemics of puerperal fever B)performance of the first cesarean birth C)X-ray developed to assess pelvic size D)development of free-standing birth centers D The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition as the priority? A)smoking B)heart disease C)diabetes D)cancer B When assessing a family for possible barriers to health care, the mother reports several problems she has been having when coming to her local clinic. The nurse would consider which reported problem as having the greatest impact on this family's health care? A)language barrier B)health care workers' attitudes C)transportation to the clinic D)family finances D A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issue of informed consent. The nurse determines that the teaching was effective when the group identifies which situation as a violation of informed consent? A)performing a procedure on a 15-year-old without parental consent B)serving as a witness to the signature process on an operative permit C)asking whether the client understands what she is signing following receiving education D)getting verbal consent over the phone for an emergency procedure from the spouse of a unconscious woman A 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 child's aunt or uncle to obtain their consent D)asking the courts to grant permission on the child's behalf A A nurse is conducting an in-service program for a group of nurses on the health of women and their families, incorporating information from Healthy People 2020. The nurse determines that additional discussion and clarification is needed when the group makes which statement? A)"Obesity, drug use, and smoking are major problems." B)"Maintaining a physically active lifestyle is strongly encouraged" C)"Immunizations may be the cause of some illnesses being seen currently." D)"Environmental quality is directly related to health care." C A nurse is assigned to care for an Asian American client. The nurse plans his care recognizing that which statement best explains an Asian American's view of illness?