OB Exam 1, ch 1, 2, 3, 4 Maternity and Women's Health Care Today, Social.

Preparation for advanced practice nursing requires at least a(n) associate degree in nursing. bachelor's degree in nursing. master's degree in nursing. doctoral degree in nursing. master's degree in nursing A newly pregnant woman is trying to choose a health care provider for her pregnancy and birth. She desires to have the health care provider to care for her during the pregnancy, be with her during the labor process, deliver the baby, and care for her and the baby afterward. The best choice for her would be a(n) certified nurse-midwife. nurse practitioner. obstetrician. family practice physician. certified nurse-midwife Evidence-based practice is best defined as clinical practice using guidelines based on research. clinical practice using guidelines based on past successes. clinical practice using guidelines based on cost containment. clinical practice using guidelines based on research. During the prenatal interview, the patient states her wish to deliver in a facility other than a hospital setting because of the lower cost. The nurse is aware that the patient is referring to a labor, birth, recovery, and postpartum room. birth center. labor, birth, and recovery room. birth center When assessing a patient, the nurse states, "Tell me more about your last labor." This is the communication technique of clarifying. paraphrasing. reflecting. summarizing. clarifying The patient states to the nurse, "I wonder if today will be better than yesterday." Which one of the following statements by the nurse would be therapeutic? "Today is always better than yesterday." "Was yesterday so bad?" "It's normal to be depressed after giving birth." "Tell me what you mean about yesterday." "Tell me what you mean about yesterday." The nurse meets with the dietitian to develop a plan to increase the nutritional intake of a patient. The nurse at this point is acting in the role of a(an) collaborator. researcher. advocate. manager. collaborator The postpartum patient complains of pain, and the nurse collects the following data: pain located in perineum is sharp and is a 7 (on a scale of 1 to 10). The nurse is using which level of the nursing process? Assessment Analysis Planning Evaluation Assessment The nurse administers pain medication to the patient who complained of pain. The nurse is in which step of the nursing process during this procedure? Assessment Planning Implementation Evaluation Implementation One hour after administering pain medication to the patient, the nurse assesses that the pain level has been reduced from a 7 (on a scale of 1 to 10) to a 2. The nurse is using which step of the nursing process? Assessment Planning Implementation Evaluation Evaluation Select which one(s) of the following statements are principles of teaching and learning. (Select all that apply.) A. Assessing readiness of the patient to learn B. Developing goals should be the nurse’s responsibility. C. Repetition increases competence. D. To motivate the learner; positive or negative feedback may be used. E. Teaching should proceed from the simple to the complex. A. Assessing readiness of the patient to learn C. Repetition increases competence. E. Teaching should proceed from the simple to the complex. Select the series of steps of critical thinking. (Select all that apply.) A. Recognizing assumptions B. Examining biases C. Determining the need for closure D. Avoiding reflective skepticism E. Recognizing ambiguity F. Becoming skillful in data management G. Evaluation of how emotions and environmental factors may interfere with critical thinking A. Recognizing assumptions B. Examining biases C. Determining the need for closure F. Becoming skillful in data management G. Evaluation of how emotions and environmental factors may interfere with critical thinking An advanced practice RN who provides wellness-focused, primary, reproductive, and gynecologic care for women from adolescents to older adults is termed a _____________. Women's health nurse practitioner A major concern about the use of complementary and alternative medicine is ___________________________. safety Hand gestures, body posture, stance, and voice tones are all examples of _________________ communication. nonverbal The process directed toward finding solutions or forming opinions is termed _____________. critical thinking A newly admitted infant girl lives with her mother, stepfather, and two stepbrothers. The nurse understands that this family is considered a traditional family. single parent family. blended family. blended family During patient teaching, the nurse notices that a new mother of Southeast Asian descent continues to look down at the floor and speaks softly only when asked direct questions. The nurse interprets this behavior as disinterest in the teaching. a cultural behavior. a feeling of inferiority. a cultural behavior. A patient is severely injured in an accident. The physician states that the patient will be in a vegetative state for the rest of her life. The decision was made to maintain the patient's life, regardless of cost. The theory used to decide this ethical dilemma was deontologic. utilitarian. deontologic In applying ethical principles, the nurse should always show respect to the patient, provide privacy, and ensure the patient has the information needed to make decisions. This is called beneficence. nonmaleficence. autonomy. justice. autonomy In applying ethical principles, the nurse should treat all patients equally, regardless of disease or social or economic status. This is termed beneficence. nonmaleficence. autonomy. justice. justice A nurse is hired as relief staff in an abortion clinic. The first night on duty, the new nurse informs the charge nurse that abortion is against her religious beliefs and she will not assist in the procedure. The charge nurse should be aware that this is a(n) legal issue and the new nurse can be charged with negligence for not caring for the patient. ethical issue. The new nurse should have informed the hiring committee of her beliefs prior to being hired. ethical issue. The new nurse should have informed the hiring committee of her beliefs prior to being hired. The nursing committee is discussing ways to decrease pregnancy rates among the mentally handicapped patients in their mental health clinic. Which one of the following suggestions is the most ethical in this situation? To give hormone injections on all the women of childbearing age To encourage strongly surgical sterilization of women and men To withdraw monthly income if a pregnancy occurs To individualize a family planning teaching plan for each patient to ensure understanding and compliance To individualize a family planning teaching plan for each patient to ensure understanding and compliance The Health Insurance Portability and Accountability Act not only aids in the reduction of fraud in the insurance industry but also prevents insurability of individuals with certain long-term diseases. protects personal medical privacy. prevents patients from having access to their medical records belonging to hospitals and certain clinics. protects the medical records from patients attempting to correct their records. protects personal medical privacy A nurse in Virginia is allowed to administer intravenous medications to a patient. This procedure is allowed according to the nurse practice act. standard of care. policy of the employing agency. nurse practice act Before signing a permission slip for treatment, the patient states to the nurse, "I know the doctor wants me to do this, but I am not real sure about going through the pain." The next appropriate action by the nurse should be to explain the procedure in greater detail. notify the physician prior to the patient signing the permission form. encourage the patient to sign the form because previous verbal approval had already been given. notify the physician prior to the patient signing the permission form. The patient has signed permission to have a bilateral tubal ligation. Before surgery, the patient states to the nurse, "I think this is the best thing for me. Anyway, I can always take a pill later if I want more children." The next appropriate action by the nurse should be to listen to the patient's concern until time for the surgery. notify the physician that the patient has misinformation concerning the surgery. notify the ethics committee that misinformation has been given the patient. explain to the patient that this surgery is permanent and cannot be reversed. notify the physician that the patient has misinformation concerning the surgery. A woman who is 8 months pregnant is admitted to the maternity unit after being kicked in the abdomen by her boyfriend. The boyfriend is visiting the next day and tells the woman, "I am so sorry. It will never, never happen again. Please come back to me." The nurse is aware that this is an example of which phase of the cycle of violence? Tension-building phase Battering incident Honeymoon phase honeymoon phase The main goal when caring for a battered woman is to emphasize that she has the right not to be hurt. help her identify her role in the family better. encourage her to ask her partner about counseling. limit her ability to return to the abusive partner. emphasize that she has the right not to be hurt. Select which one(s) of the following statements are stipulated in the Roe v. Wade decision. (Select all that apply.) A. A woman can obtain an abortion at any time during the first trimester. B. A woman can obtain an abortion at any time during the pregnancy when both mother and father sign releases. C. The state can regulate abortions during the second trimester only to protect the woman's health. D. The state can regulate or prohibit abortion during the third trimester, except when the mother's life might be jeopardized by continuing the pregnancy. E. Late-term abortions are banned. A. A woman can obtain an abortion at any time during the first trimester. C. The state can regulate abortions during the second trimester only to protect the woman's health. D. The state can regulate or prohibit abortion during the third trimester, except when the mother's life might be jeopardized by continuing the pregnancy.