Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell Ruggiero Test Bank

Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell Ruggiero Test Bank Chapter 1. Core Concepts of Maternal and Pediatric Healthcare Across the Continuum MULTIPLE CHOICE A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CNMs scope of practice include? • Practice independent from medical supervision • Comprehensive prenatal care • Attendance at all deliveries • Cesarean sections ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of unforeseen problems. REF: Page 6 Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands? • Karl Cred • Ignaz Semmelweis • Louis Pasteur • Joseph List ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students. A pregnant woman who has recently immigrated to the United States comments to the nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural sensitivity? • Maternal mortality in the United States is extremely low. • Anesthesia is available to relieve pain during labor and childbirth. • Tell me why you are afraid of childbirth. • Your condition will be monitored during labor and delivery. ANS: C - Asking the patient about her concerns helps promote understanding and individualizes patient care. • An urban area has been reported to have a high perinatal mortality rate. What information does this provide? • Maternal and infant deaths per 100,000 live births per year • Deaths of fetuses weighing more than 500 g per 10,000 births per year • Deaths of infants up to 1 year of age per 1000 live births per year • Fetal and neonatal deaths per 1000 live births per year ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. • What is the focus of current maternity practice? • Hospital births for the majority of women • The traditional family unit • Separation of labor rooms from delivery rooms • A quality family experience for each patient ANS: D - Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise. : REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance • Who advocated the establishment of the Children’s Bureau? • Lillian Wald • Florence Nightingale • Florence Kelly • Clara Barton ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau. • What was the result of research done in the 1930s by the Children’s Bureau? • Children with heart problems are now cared for by pediatric cardiologists. • The Child Abuse and Prevention Act was passed. • Hot lunch programs were established in many schools. • Childrens asylums were founded. ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on The effects of economic depression on children. • What government program was implemented to increase the educational exposure of preschool children? • WIC • Title XIX of Medicaid • The Childrens Charter • Head Start ANS:D - Head Start programs were established to increase educational exposure of preschool children. • What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision? • Clinical pathways • Nursing outcome criteria • Standards of care • Nursing care plan ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient care across disciplines. Expected progress within a specified timeline is identified. • A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child? • Identify measurable outcomes with a timeline. • Choose specific nursing interventions for the child. • Determine appropriate nursing diagnoses. • State nursing actions related to the childs medical diagnosis. ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses. • 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? • American Nurses Association • States board of nursing • Joint Commission • Association of Womens Health, Obstetric and Neonatal Nurses ANS: B - The scope of practice of the LVN/LPN is published by the states board of nursing. • What was recommended by Karl Cred in 1884? • All women should be delivered in a hospital setting. • Chemical means should be used to combat infection. • Podalic version should be done on all fetuses. • Silver nitrate should be placed in the eyes of newborns. ANS: D - In 1884 Karl Cred 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? • Set criteria for normal growth patterns. • Examine the number of live births in minority populations. • Raise money to support well-child clinics in rural areas. • Promote comprehensive child welfare. 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? • 24 • 48 • 36 • 72 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? • Lists diagnosis-specific implementations • Outlines expected progress with stated timelines • Prioritizes effective nursing diagnoses • Describes common complications ANS: B - Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is called a variance.