,
,
, Chapter 01: The Past, Present, and Future
n n n n n n
MULTIPLE CHOICE n
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her
n n n n n n n n n n n n
n pregnancy. What does the CNM’s scope of practice include?n n n n n n n n
a. Practice independent from medical supervision n n n n
b. Comprehensive prenatal care n n
c. Attendance at all deliveries n n n
d. Cesarean sections n
ANS: B n
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
n n n n n n n n n
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
n n n n n n n n n n n n n n
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 n n n n n n n
TOP: Advance Practice Nursing Roles
n KEY: Nursing Process Step: Implementation n n n n n n n
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
n n n n n n n n n n n
Disease
n
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
n n n n n n n n n n n
n and unwashed hands?
n n
a. Karl Credé n
b. Ignaz Semmelweis n
c. Louis Pasteur n
d. Joseph Lister n
ANS: B n
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
n n n n n n n n n n n n
nunwashed hands of physicians and medical students. n n n n n n
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: n n n n
n1 TOP: The Past KEY: Nursing Process Step: N/A
n n n n n n n
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
n n n n n n n n n
3. A pregnant woman who has recently immigrated to the United States comments to the nurse,
n n n n n n n n n n n n n n
n“I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
n n n n n n n n n n n n n n n n n n n
nresponse reflecting cultural sensitivity? n n n
a. “Maternal mortality in the United States is extremely low.” n n n n n n n n
b. “Anesthesia is available to relieve pain during labor and childbirth.” n n n n n n n n n
c. “Tell me why you are afraid of childbirth.”
n n n n n n n
d. “Your condition will be monitored during labor and delivery.”
n n n n n n n n
ANS: C n
Asking the patient about her concerns helps promote understanding and individualizes patient
n n n n n n n n n n n
care.
n
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 n n n n n n n
TOP: Cross-Cultural Care
n KEY: Nursing Process Step: n n n n
Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
n n n n n n n
,
, Chapter 01: The Past, Present, and Future
n n n n n n
MULTIPLE CHOICE n
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her
n n n n n n n n n n n n
n pregnancy. What does the CNM’s scope of practice include?n n n n n n n n
a. Practice independent from medical supervision n n n n
b. Comprehensive prenatal care n n
c. Attendance at all deliveries n n n
d. Cesarean sections n
ANS: B n
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
n n n n n n n n n
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
n n n n n n n n n n n n n n
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 n n n n n n n
TOP: Advance Practice Nursing Roles
n KEY: Nursing Process Step: Implementation n n n n n n n
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
n n n n n n n n n n n
Disease
n
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
n n n n n n n n n n n
n and unwashed hands?
n n
a. Karl Credé n
b. Ignaz Semmelweis n
c. Louis Pasteur n
d. Joseph Lister n
ANS: B n
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
n n n n n n n n n n n n
nunwashed hands of physicians and medical students. n n n n n n
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: n n n n
n1 TOP: The Past KEY: Nursing Process Step: N/A
n n n n n n n
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
n n n n n n n n n
3. A pregnant woman who has recently immigrated to the United States comments to the nurse,
n n n n n n n n n n n n n n
n“I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
n n n n n n n n n n n n n n n n n n n
nresponse reflecting cultural sensitivity? n n n
a. “Maternal mortality in the United States is extremely low.” n n n n n n n n
b. “Anesthesia is available to relieve pain during labor and childbirth.” n n n n n n n n n
c. “Tell me why you are afraid of childbirth.”
n n n n n n n
d. “Your condition will be monitored during labor and delivery.”
n n n n n n n n
ANS: C n
Asking the patient about her concerns helps promote understanding and individualizes patient
n n n n n n n n n n n
care.
n
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 n n n n n n n
TOP: Cross-Cultural Care
n KEY: Nursing Process Step: n n n n
Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
n n n n n n n
