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Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE po
1. A patient chooses to have the certified nurse-midwife (CNM) provide care
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during her pregnancy. What does the CNM‘s scope of practice
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include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care po po
c. Attendance at all deliveries po p o p o
d. Cesarean sections po
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends
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uncomplicated deliveries, and ensures that a backup physician is available
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in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5po po p o
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step:
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Implementation MSC:
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Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of
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puerperal fever and unwashed hands?
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a. Karl Credé po
b. Ignaz Semmelweis po
c. Louis Pasteur po
d. Joseph Lister po
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted
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by the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: p o p o p o
1 TOP: The Past
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Process
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Step: N/A p o
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States
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the nurse, ―I am afraid of childbirth. It is so dangerous. I am afraid
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I will die.‖ What is the best nursing response reflecting cultural
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sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖po po po po po po po po
b. ―Anesthesia is available to relieve pain during labor and childbirth.‖
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c. ―Tell me why you are afraid of childbirth.‖
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d. ―Your condition will be monitored during labor and delivery.‖
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ANS: C
Asking the patient about her concerns helps promote understanding and
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individualizes patient care.
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,DIF: Cognitive Level: Application
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TOP: Cross-Cultural Care
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, Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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