NR 327 OB EXAM QUESTIONS NAD ANSWERS LATEST UPDATE 2023/2024

Which factor significantly contributed to the shift from home births to hospital births in the early 20th century? a. Puerperal sepsis was identified as a risk factor in labor and delivery. b. Forceps were developed to facilitate difficult births. c. The importance of early parental-infant contact was identified. d. Technologic developments became available to physicians.: d 2. Family-centered maternity care developed in response to: a. Demands by physicians for family involvement in childbirth b. The Sheppard-Towner Act of 1921 c. Parental requests that infants be allowed to remain with them rather than in a nursery d. Changes in pharmacologic management of labor: c 3. As a result of changes in health care delivery and funding, a current trend seen in the pediatric setting is: a. Increased hospitalization of children b. Decreased number of children living in poverty c. An increase in ambulatory care d. Decreased use of managed care: c 4. The maternity nurse should have a clear understanding of the correct use of a clinical pathway. One characteristic of clinical pathways is that they: a. Are developed and implemented by nurses b. Are used primarily in the pediatric setting c. Set specific time lines for sequencing interventions d. Are part of the nursing process: c 5. The intrapartum woman sees no need for an admission fetal monitoring strip. If she continues to refuse, what is the first action the nurse should take? a. Consult the family of the woman. b. Notify the physician. c. Document the woman's refusal in the nurse's notes. d. Make a referral to the hospital ethics committee.: b 6. Which patient situation fails to meet the first requirement of informed consent? a. The patient does not understand the physician's explanations. b. The physician gives the patient only a partial list of possible side effects and complications. c. The patient is confused and disoriented. d. The patient signs a consent form because her husband tells her to.: c 7. The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she could provide information regarding the recommended amount of television viewing time for her daughter. The nurse responds that the appropriate amount of time a child should be watching television is: a. 1-2 hours per day b. 2-3 hours per day c. 3-4 hours per day d. 4 hours or more: a 8. Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant woman regarding this option, the nurse should be aware that this type of care setting includes which advantages? Select all that apply. a. Less expensive than acute-care hospitals b. Access to follow-up care for 6 weeks postpartum c. Equipped for obstetric emergencies d. Safe, home-like births in a familiar setting e. Staffing by lay midwives: a,b,d