NURS 354- OB Final Practice Questions
& Answers 100% Correct!!
The nurse is speaking to students about changes in maternal-newborn care. One
change is that self-care has gained wide acceptance with clients and the healthcare
community due to research findings that suggest that it has which effect? (chap 1)
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits - ANSWERS3. Decreases
healthcare costs
Care delivered by nurse-midwives can be safe and effective and can represent a
positive response to the healthcare provider shortage. Nurse midwives tend to use less
technology, which often results in which of the following? (chap 1)
1. There is less trauma to the mother.
2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at work.
4. They advocate for more home healthcare agencies. - ANSWERS1. There is less
trauma to the mother.
The nurse is telling a new client how advanced technology has permitted the physician
to do which of the following? (chap 1)
1. Treat the fetus and monitor fetal development.
2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table. - ANSWERS1. Treat the fetus and
monitor fetal development.
A nurse is examining different nursing roles. Which example best illustrates an
advanced practice nursing role? (chap 1)
,1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean
sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring
for high-risk infants - ANSWERS4. A clinical nurse specialist with whom other nurses
consult for her expertise in caring for high-risk infants
A nursing student investigating potential career goals is strongly considering becoming
a nurse practitioner (NP). The major focus of the NP is on which of the following? (chap
1)
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention - ANSWERS2. Physical and psychosocial clinical assessment
The nurse manager is consulting with a certified nurse-midwife about a client. What is
the role of the CNM? (chap 1)
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Be prepared to manage independently the care of women at low risk for
complications during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
5. Be educated in two disciplines of nursing. - ANSWERS1. Be prepared to manage
independently the care of women at low risk for complications during pregnancy and
birth.
3. Give primary care for healthy newborns.
,5. Be educated in two disciplines of nursing.
The registered nurse who has completed a masters degree program and passed a
national certification exam has clinic appointments with clients who are pregnant or
seeking well-woman care. What would the role of this nurse be considered? (chap 1)
1. Professional nurse
2. Certified registered nurse (RNC)
3. Clinical nurse specialist
4. Nurse practitioner - ANSWERS4. Nurse practitioner
Several student nurses are discussing advanced practice, and know that the term
advanced practice nurse includes which of the following types of nurses? (chap 1)
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Nurse practitioners
2. Certified nurse-midwives
3. Clinical nurse specialists
4. Certified registered nurses
5. Professional nurses - ANSWERS1. Nurse practitioners
2. Certified nurse-midwives
3. Clinical nurse specialists
While a child is being admitting to the hospital, the parent receives information about the
pediatric units goals, including the statement that the unit practices family-centered
care. The parent asks why that is important. The nurse responds that what
communication dynamic is characteristic of the family-centered care paradigm? (chap 1)
1. The mother is the principal caregiver in each family.
2. The childs physician is the key person in ensuring the health of a child is maintained.
3. The family serves as the constant influence and continuing support in the childs life.
, 4. The father is the leader in each home; thus, all communications should include him. -
ANSWERS3. The family serves as the constant influence and continuing support in the
childs life.
The current emphasis on healthcare reform and the implementation of the Affordable
Care Act has yielded what unexpected benefit? (chap 1)
1. Assessment of the details of the familys income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. Many healthcare providers and consumers are becoming more aware of the vitally
important role nurses play in providing excellent care to clients and families
4. Education of the family about the need for keeping regular well-child visit
appointments - ANSWERS3. Many healthcare providers and consumers are becoming
more aware of the vitally important role nurses play in providing excellent care to clients
and families
For prenatal care, the client is attending a clinic held in a church basement. The clients
care is provided by registered nurses and a certified nurse-midwife. What is this type of
prenatal care? (chap 1)
1. Secondary care
2. Tertiary care
3. Community care
4. Unnecessarily costly care - ANSWERS3. Community care
The nurse at an elementary school is performing TB screenings on all of the students.
Permission slips were returned for all but the children of one family. When the nurse
phones to obtain permission, the parent states in clearly understandable English that
permission cannot be given because the grandmother is out of town for 2 more weeks.
Which cultural element is contributing to the dilemma that faces the nurse? (chap 1)
1. Permissible physical contact with strangers
2. Beliefs about the concepts of health and illness
3. Religion and social beliefs
4. Presence and influence of the extended family - ANSWERS4. Presence and
influence of the extended family
& Answers 100% Correct!!
The nurse is speaking to students about changes in maternal-newborn care. One
change is that self-care has gained wide acceptance with clients and the healthcare
community due to research findings that suggest that it has which effect? (chap 1)
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits - ANSWERS3. Decreases
healthcare costs
Care delivered by nurse-midwives can be safe and effective and can represent a
positive response to the healthcare provider shortage. Nurse midwives tend to use less
technology, which often results in which of the following? (chap 1)
1. There is less trauma to the mother.
2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at work.
4. They advocate for more home healthcare agencies. - ANSWERS1. There is less
trauma to the mother.
The nurse is telling a new client how advanced technology has permitted the physician
to do which of the following? (chap 1)
1. Treat the fetus and monitor fetal development.
2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table. - ANSWERS1. Treat the fetus and
monitor fetal development.
A nurse is examining different nursing roles. Which example best illustrates an
advanced practice nursing role? (chap 1)
,1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean
sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring
for high-risk infants - ANSWERS4. A clinical nurse specialist with whom other nurses
consult for her expertise in caring for high-risk infants
A nursing student investigating potential career goals is strongly considering becoming
a nurse practitioner (NP). The major focus of the NP is on which of the following? (chap
1)
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention - ANSWERS2. Physical and psychosocial clinical assessment
The nurse manager is consulting with a certified nurse-midwife about a client. What is
the role of the CNM? (chap 1)
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Be prepared to manage independently the care of women at low risk for
complications during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
5. Be educated in two disciplines of nursing. - ANSWERS1. Be prepared to manage
independently the care of women at low risk for complications during pregnancy and
birth.
3. Give primary care for healthy newborns.
,5. Be educated in two disciplines of nursing.
The registered nurse who has completed a masters degree program and passed a
national certification exam has clinic appointments with clients who are pregnant or
seeking well-woman care. What would the role of this nurse be considered? (chap 1)
1. Professional nurse
2. Certified registered nurse (RNC)
3. Clinical nurse specialist
4. Nurse practitioner - ANSWERS4. Nurse practitioner
Several student nurses are discussing advanced practice, and know that the term
advanced practice nurse includes which of the following types of nurses? (chap 1)
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Nurse practitioners
2. Certified nurse-midwives
3. Clinical nurse specialists
4. Certified registered nurses
5. Professional nurses - ANSWERS1. Nurse practitioners
2. Certified nurse-midwives
3. Clinical nurse specialists
While a child is being admitting to the hospital, the parent receives information about the
pediatric units goals, including the statement that the unit practices family-centered
care. The parent asks why that is important. The nurse responds that what
communication dynamic is characteristic of the family-centered care paradigm? (chap 1)
1. The mother is the principal caregiver in each family.
2. The childs physician is the key person in ensuring the health of a child is maintained.
3. The family serves as the constant influence and continuing support in the childs life.
, 4. The father is the leader in each home; thus, all communications should include him. -
ANSWERS3. The family serves as the constant influence and continuing support in the
childs life.
The current emphasis on healthcare reform and the implementation of the Affordable
Care Act has yielded what unexpected benefit? (chap 1)
1. Assessment of the details of the familys income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. Many healthcare providers and consumers are becoming more aware of the vitally
important role nurses play in providing excellent care to clients and families
4. Education of the family about the need for keeping regular well-child visit
appointments - ANSWERS3. Many healthcare providers and consumers are becoming
more aware of the vitally important role nurses play in providing excellent care to clients
and families
For prenatal care, the client is attending a clinic held in a church basement. The clients
care is provided by registered nurses and a certified nurse-midwife. What is this type of
prenatal care? (chap 1)
1. Secondary care
2. Tertiary care
3. Community care
4. Unnecessarily costly care - ANSWERS3. Community care
The nurse at an elementary school is performing TB screenings on all of the students.
Permission slips were returned for all but the children of one family. When the nurse
phones to obtain permission, the parent states in clearly understandable English that
permission cannot be given because the grandmother is out of town for 2 more weeks.
Which cultural element is contributing to the dilemma that faces the nurse? (chap 1)
1. Permissible physical contact with strangers
2. Beliefs about the concepts of health and illness
3. Religion and social beliefs
4. Presence and influence of the extended family - ANSWERS4. Presence and
influence of the extended family
