MOTHER-BABY EXAM 1 QUESTIONS & ANSWERS
A group of nurses are discussing trends in health care. What would the nurses identify
as not being a trend in the delivery of health care in the United States?
a. Greater emphasis has been placed on curing disease and disability than on
preventing them.
b. Hospital stays for many conditions have been shortened.
c. Acute care is increasingly provided through home-based services.
d. Hospital-based nurses are increasingly involved in follow-up care after discharge. -
Answer -a. Greater emphasis has been placed on curing disease and disability than on
preventing them.
Prevention now is emphasized. Hospitalization has been shortened to reduce cost.
Acute care is increasingly done at home. Nurses now are more involved in post-
discharge follow-up care.
Social media is frequently used by clients to inform them about their health care. How
can nurses use social media when caring for clients?
a. Nurses should discourage clients from using social media.
b.Social media is largely full of disinformation and should not be used by nurses.
c.Nurses can teach clients how to discern accurate information and utilize the standards
provided by the National Council of State Boards of Nursing.
d.Social media use is on the decline, therefore it is not relevant when discussing health
care information sources with clients. - Answer -Nurses can teach clients how to
discern accurate information and utilize the standards provided by the National Council
of State Boards of Nursing.
Social media can be integrated into nursing practice, facilitating communication among
nurses and between nurses and other health care providers and clients. However, there
are pitfalls for nurses using this technology. Client privacy and confidentiality can be
violated, and institutions and colleagues can be cast in unfavorable lights with negative
consequences for those posting the information.
Which condition would a nurse identify as not contributing to an increase in maternity-
related health care costs?
a. Early postpartum discharges
b. Maternal medical risk factors, such as diabetes
c. The use of high-tech equipment
d. The cost of care for low-birth-weight (LBW) infants - Answer -a. Early postpartum
discharges
Early postpartum discharges are associated with decreased health care costs. High-risk
factors and high-tech equipment both increase such costs. Clinical evidence indicates
that maternity-related health care costs are increased for LBW and high-risk infants.
,From the nurse's perspective, what measure should be the focus of the health care
system in order to reduce the rate of infant mortality further?
a. Implementing programs to ensure women's early participation in ongoing prenatal
care
b. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
c. Expanding the number of neonatal intensive care units (NICUs)
d. Mandating that all pregnant women receive care from an obstetrician - Answer -a.
Implementing programs to ensure women's early participation in ongoing prenatal care
Early prenatal care allows for early diagnosis and appropriate interventions to reduce
the rate of infant mortality.
The term used to describe professional interaction among health care providers in the
clinical nursing practice is
a.collegiality.
b.ethics.
c.evaluation.
d.accountability. - Answer -a. collegiality
Collegiality refers to a working relationship with one's colleagues and contribution to the
development of peers, students, and others.
A nurse is reviewing maternal medical risk factors. Which of the following would the
nurse identify as being the two most frequently reported maternal medical risk factors?
a.Hypertension associated with pregnancy and diabetes
b.Drug use and alcohol abuse
c.Homelessness and lack of insurance
d.Behaviors and lifestyles - Answer -a. Hypertension associated with pregnancy and
diabetes
Which action taken by the nurse would indicate that he or she is practicing appropriate
family-centered care techniques?
a. The nurse encourages the parents to make choices whenever possible.
b. The nurse updates the family about what is going to happen but instructs the client's
sister that she cannot be present in the room during the birth.
c.The nurse believes that he or she is acting in the best interest of the client and
commands her what to do throughout labor.
d.The father is discouraged from accompanying his wife during a cesarean birth. -
Answer -a.The nurse encourages the parents to make choices whenever possible.
With family-centered care (FCC), it is important to allow for choices for the couple and
to include the partner in the care process.
, A pregnant woman has presented to the hospital with complaints of vaginal bleeding.
She states she has saturated 4 peri pads in 1 hour. The client is stabilized with 5 units
of blood. The nurse knows they must complete an occurrence report because Joint
Commission considers this an unexpected occurrence involving serious severe
temporary harm. This is called a/an
a.sentinel event.
b.ethical issue.
c.standard of care.
d.failure to rescue. - Answer -a. sentinel event.
The Joint Commission defines a sentinel event as any event that is not due to
underlying conditions or natural courses of a client's condition that affects a client,
resulting in death, permanent harm, or severe temporary harm
Which of the following actions, if demonstrated by a nursing student, could lead to
dismissal from the health program? (Select all that apply.)
a. a student nurse offers her phone number to a client so that they can remain in touch.
b. Nursing students go out for lunch following a clinical rotation to a local restaurant
while still in uniform.
c.A nursing student posts pictures of clinical site experiences on her Facebook page.
d.Student nurses share their thoughts about their clinical site experiences on Twitter. -
Answer -c. A nursing student posts pictures of clinical site experiences on her Facebook
page.
d.Student nurses share their thoughts about their clinical site experiences on Twitter.
The nursing student has been asked to write a paper using the Cochrane Pregnancy
and Childbirth Database. The student understands that this is a good resource because
(Select all that apply.)
a. it contains systematic reviews of randomized control trials.
b. it is considered an evidence-based database.
c. the studies are ranked in six categories.
d. of a grading system on feasibility, appropriateness, meaningfulness, and
effectiveness. - Answer -a. it contains systematic reviews of randomized control trials.
b. it is considered an evidence-based database.
c. the studies are ranked in six categories.
Cochrane Pregnancy and Childbirth is a database that contains up-to-date information
in randomized control trials of health care and helps disseminate these reviews making
it an evidence-based resource for future nurses looking at research to back their
information. It also contains six categories to help the nurse differentiate between useful
and useless information. Joanna Briggs Institute is a collaborative resource that uses a
grading system of feasibility, appropriateness, meaningfulness, and effectiveness to
grade resources as strong support that merits application, moderate support, and not
supported.
A group of nurses are discussing trends in health care. What would the nurses identify
as not being a trend in the delivery of health care in the United States?
a. Greater emphasis has been placed on curing disease and disability than on
preventing them.
b. Hospital stays for many conditions have been shortened.
c. Acute care is increasingly provided through home-based services.
d. Hospital-based nurses are increasingly involved in follow-up care after discharge. -
Answer -a. Greater emphasis has been placed on curing disease and disability than on
preventing them.
Prevention now is emphasized. Hospitalization has been shortened to reduce cost.
Acute care is increasingly done at home. Nurses now are more involved in post-
discharge follow-up care.
Social media is frequently used by clients to inform them about their health care. How
can nurses use social media when caring for clients?
a. Nurses should discourage clients from using social media.
b.Social media is largely full of disinformation and should not be used by nurses.
c.Nurses can teach clients how to discern accurate information and utilize the standards
provided by the National Council of State Boards of Nursing.
d.Social media use is on the decline, therefore it is not relevant when discussing health
care information sources with clients. - Answer -Nurses can teach clients how to
discern accurate information and utilize the standards provided by the National Council
of State Boards of Nursing.
Social media can be integrated into nursing practice, facilitating communication among
nurses and between nurses and other health care providers and clients. However, there
are pitfalls for nurses using this technology. Client privacy and confidentiality can be
violated, and institutions and colleagues can be cast in unfavorable lights with negative
consequences for those posting the information.
Which condition would a nurse identify as not contributing to an increase in maternity-
related health care costs?
a. Early postpartum discharges
b. Maternal medical risk factors, such as diabetes
c. The use of high-tech equipment
d. The cost of care for low-birth-weight (LBW) infants - Answer -a. Early postpartum
discharges
Early postpartum discharges are associated with decreased health care costs. High-risk
factors and high-tech equipment both increase such costs. Clinical evidence indicates
that maternity-related health care costs are increased for LBW and high-risk infants.
,From the nurse's perspective, what measure should be the focus of the health care
system in order to reduce the rate of infant mortality further?
a. Implementing programs to ensure women's early participation in ongoing prenatal
care
b. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
c. Expanding the number of neonatal intensive care units (NICUs)
d. Mandating that all pregnant women receive care from an obstetrician - Answer -a.
Implementing programs to ensure women's early participation in ongoing prenatal care
Early prenatal care allows for early diagnosis and appropriate interventions to reduce
the rate of infant mortality.
The term used to describe professional interaction among health care providers in the
clinical nursing practice is
a.collegiality.
b.ethics.
c.evaluation.
d.accountability. - Answer -a. collegiality
Collegiality refers to a working relationship with one's colleagues and contribution to the
development of peers, students, and others.
A nurse is reviewing maternal medical risk factors. Which of the following would the
nurse identify as being the two most frequently reported maternal medical risk factors?
a.Hypertension associated with pregnancy and diabetes
b.Drug use and alcohol abuse
c.Homelessness and lack of insurance
d.Behaviors and lifestyles - Answer -a. Hypertension associated with pregnancy and
diabetes
Which action taken by the nurse would indicate that he or she is practicing appropriate
family-centered care techniques?
a. The nurse encourages the parents to make choices whenever possible.
b. The nurse updates the family about what is going to happen but instructs the client's
sister that she cannot be present in the room during the birth.
c.The nurse believes that he or she is acting in the best interest of the client and
commands her what to do throughout labor.
d.The father is discouraged from accompanying his wife during a cesarean birth. -
Answer -a.The nurse encourages the parents to make choices whenever possible.
With family-centered care (FCC), it is important to allow for choices for the couple and
to include the partner in the care process.
, A pregnant woman has presented to the hospital with complaints of vaginal bleeding.
She states she has saturated 4 peri pads in 1 hour. The client is stabilized with 5 units
of blood. The nurse knows they must complete an occurrence report because Joint
Commission considers this an unexpected occurrence involving serious severe
temporary harm. This is called a/an
a.sentinel event.
b.ethical issue.
c.standard of care.
d.failure to rescue. - Answer -a. sentinel event.
The Joint Commission defines a sentinel event as any event that is not due to
underlying conditions or natural courses of a client's condition that affects a client,
resulting in death, permanent harm, or severe temporary harm
Which of the following actions, if demonstrated by a nursing student, could lead to
dismissal from the health program? (Select all that apply.)
a. a student nurse offers her phone number to a client so that they can remain in touch.
b. Nursing students go out for lunch following a clinical rotation to a local restaurant
while still in uniform.
c.A nursing student posts pictures of clinical site experiences on her Facebook page.
d.Student nurses share their thoughts about their clinical site experiences on Twitter. -
Answer -c. A nursing student posts pictures of clinical site experiences on her Facebook
page.
d.Student nurses share their thoughts about their clinical site experiences on Twitter.
The nursing student has been asked to write a paper using the Cochrane Pregnancy
and Childbirth Database. The student understands that this is a good resource because
(Select all that apply.)
a. it contains systematic reviews of randomized control trials.
b. it is considered an evidence-based database.
c. the studies are ranked in six categories.
d. of a grading system on feasibility, appropriateness, meaningfulness, and
effectiveness. - Answer -a. it contains systematic reviews of randomized control trials.
b. it is considered an evidence-based database.
c. the studies are ranked in six categories.
Cochrane Pregnancy and Childbirth is a database that contains up-to-date information
in randomized control trials of health care and helps disseminate these reviews making
it an evidence-based resource for future nurses looking at research to back their
information. It also contains six categories to help the nurse differentiate between useful
and useless information. Joanna Briggs Institute is a collaborative resource that uses a
grading system of feasibility, appropriateness, meaningfulness, and effectiveness to
grade resources as strong support that merits application, moderate support, and not
supported.
