CHAPTER 1 MATERNITY EXAM
QUESTIONS WITH CORRECT ANSWERS
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?
a. American Nurses Association
b. State's board of nursing
c. Joint Commission
d. Association of Women's Health, Obstetric and Neonatal Nurses - Answer-ANS: B
The scope of practice of the LVN/LPN is published by the state's board of nursing.
What was recommended by Karl Credé in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns. - Answer-ANS: D
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns
to reduce the incidence of blindness.
What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare. - Answer-ANS: D
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare
. How many hours of hospital stay does legislation currently allow for a postpartum
patient who has delivered vaginally without complications?
a. 24
b. 48
c. 36
d. 72 - Answer-ANS: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48
hours; patients who have had a cesarean delivery usually stay 4 days.
How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications - Answer-ANS: B
Critical pathways outline expected progress with stated timelines. Any deviation from
those timelines is called a variance
, A patient asks the nurse to explain what is meant by "gene therapy." What is the nurse's
best response?
a. Gene therapy can replace missing genes.
b. Gene therapy evaluates the parent's genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes. - Answer-ANS: A
Gene therapy can replace missing or defective genes.
The nurse is clarifying information to a patient regarding diagnosis-related groups
(DRGs). What is the nurse's best response when the patient asks how DRGs reduce
medical care costs?
a. By determining payment based on diagnosis
b. By requiring two medical opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who will require hospitalization - Answer-ANS: A
DRGs determine the amount of payment and length of hospital stay based on the
diagnosis
How does electronic charting ensure comprehensive charting more effectively than
handwritten charting?
a. Provides a uniform style of chart
b. Requires certain responses before allowing the user to progress
c. All documentation is reflective of the nursing care plan.
d. Requires a daily audit by the charge nurse - Answer-ANS: B
Comprehensive electronic documentation is ensured by requiring specific input in
designated categories before the user can progress through the system.
The nurse reminds family members that the philosophy of family-centered care is to
provide control to the family over health care decisions. What is the appropriate term for
this type of control?
a. Empowerment
b. Insight
c. Regulation
d. Organization - Answer-ANS: A
The term empowerment refers to the control a family has over its own health care
decisions.
A patient in the prenatal clinic is concerned about losing her job because of her
pregnancy. The nurse instructs her that the Family Medical Leave Act (FMLA) allows an
employee to be absent from work without pay. How many weeks does the FMLA allow a
woman to recover from childbirth or care for a sick family member without loss of
benefits or pay status?
a. 4
b. 6
c. 10
d. 12 - Answer-ANS: D
QUESTIONS WITH CORRECT ANSWERS
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?
a. American Nurses Association
b. State's board of nursing
c. Joint Commission
d. Association of Women's Health, Obstetric and Neonatal Nurses - Answer-ANS: B
The scope of practice of the LVN/LPN is published by the state's board of nursing.
What was recommended by Karl Credé in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns. - Answer-ANS: D
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns
to reduce the incidence of blindness.
What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare. - Answer-ANS: D
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare
. How many hours of hospital stay does legislation currently allow for a postpartum
patient who has delivered vaginally without complications?
a. 24
b. 48
c. 36
d. 72 - Answer-ANS: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48
hours; patients who have had a cesarean delivery usually stay 4 days.
How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications - Answer-ANS: B
Critical pathways outline expected progress with stated timelines. Any deviation from
those timelines is called a variance
, A patient asks the nurse to explain what is meant by "gene therapy." What is the nurse's
best response?
a. Gene therapy can replace missing genes.
b. Gene therapy evaluates the parent's genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes. - Answer-ANS: A
Gene therapy can replace missing or defective genes.
The nurse is clarifying information to a patient regarding diagnosis-related groups
(DRGs). What is the nurse's best response when the patient asks how DRGs reduce
medical care costs?
a. By determining payment based on diagnosis
b. By requiring two medical opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who will require hospitalization - Answer-ANS: A
DRGs determine the amount of payment and length of hospital stay based on the
diagnosis
How does electronic charting ensure comprehensive charting more effectively than
handwritten charting?
a. Provides a uniform style of chart
b. Requires certain responses before allowing the user to progress
c. All documentation is reflective of the nursing care plan.
d. Requires a daily audit by the charge nurse - Answer-ANS: B
Comprehensive electronic documentation is ensured by requiring specific input in
designated categories before the user can progress through the system.
The nurse reminds family members that the philosophy of family-centered care is to
provide control to the family over health care decisions. What is the appropriate term for
this type of control?
a. Empowerment
b. Insight
c. Regulation
d. Organization - Answer-ANS: A
The term empowerment refers to the control a family has over its own health care
decisions.
A patient in the prenatal clinic is concerned about losing her job because of her
pregnancy. The nurse instructs her that the Family Medical Leave Act (FMLA) allows an
employee to be absent from work without pay. How many weeks does the FMLA allow a
woman to recover from childbirth or care for a sick family member without loss of
benefits or pay status?
a. 4
b. 6
c. 10
d. 12 - Answer-ANS: D
