Maternal and Child Nursing Unit 1|Nur
2513 Exam Questions and Correct
Answers Rated A+
A patient chooses to have the certified nurse midwife (CNM) provide care during her
pregnancy. What does the CNM's scope of practice include?
A. Practice independent from medical supervision
B. Comprehensive prenatal care
C. Attendance at all devices
D. Cesarean sections - ANSWERS-B. Comprehensive prenatal care
Feedback: The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available in case of
unforeseen problems. (pg. 6)
Which medical pioneer discovered the relationship between the incidence of puerperal
fever and unwashed hands?
A. Karl Crede
B. Ignaz Semmelweis
C. Louis Pasteur
D. Joseph Lister - ANSWERS-B. Ignaz Semmelweis
Feedback: Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and
transmitted by the unwashed hands of physicians and medical students. (pg. 2)
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?
A. "Maternal mortality in the United States is extremely low"
B. "Anesthesia is available to relieve pain during labor and childbirth"
C. "Tell me why you are afraid of childbirth"
D. "Your condition will be monitored during labor and delivery" - ANSWERS-C. "Tell me
why you are afraid of childbirth"
Feedback: Asking the patient about her concerns helps promote understand and
individualizes patient care. (pg. 7-8)
An urban area has been reported to have a high perinatal mortality rate. What
information does this provide?
A. Maternal and infant deaths per 100,000 live births per year
B. Deaths of fetuses weighing more than 500 g per 10,000 births per year
C. Deaths of infants up to 1 year of age per 100 live births per year
D. Fetal and neonatal deaths per 1000 live births per year - ANSWERS-D. Fetal and
neonatal deaths per 1000 live births per year
Feedback: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
births per year. (pg. 12, Box 1-6)
,What is the focus of current maternity practice?
A. Hospital births for the majority of women
B. The traditional family unit
C. Separation of labor rooms from delivery rooms
D. A quality family experience for each patient - ANSWERS-D. A quality family
experience for each patient
Feedback: Current maternity practice focuses on a high-quality family experience for all
families, traditional or otherwise. (pg. 6)
Who advocated the establishment of the Children's Bureau?
A. Lillian Wald
B. Florence Nightingale
C. Florence Kelly
D. Clara Barton - ANSWERS-A. Lillian Wald
Feedback: Lillian Wald is credited with suggesting the establishment of a federal
Children's Bureau. (pg. 4)
What was the result of research done in the 1930s by the Children's Bureau?
A. Children with heart problems are now cared for by pediatric cardiologists
B. The Child Abuse and Prevention Act was passed
C. Hot lunch programs were established in many schools
D. Children's asylums were founded - ANSWERS-C. Hot lunch programs were
established in many schools
Feedback: School hot lunch programs were developed as a result of research by the
Children's Bureau on the effects of economic depression on children. (pg. 4)
What government program was implemented to increase the educational exposure of
preschool children?
A. WIC
B. Title XIX of Medicaid
C. The Children's Charter
D. Head Start - ANSWERS-D. Head Start
Feedback: Head start programs were established to increase educational exposure of
preschool children. (pg. 3)
What guidelines define multidisciplinary patient care in terms of expected outcome and
timeframe from different areas of care provision?
A. Clinical pathways
B. Nursing outcome criteria
C. Standards of care
D. Nursing care plan - ANSWERS-A. Clinical pathways
Feedback: Clinical pathways, also known as critical pathways or care map, are
collaborative guidelines that define patient care across disciplines. Expected progress
within a specified timeline is identified. (pg. 12)
,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?
A. Identify measurable outcomes with a timeline
B. Choose specific nursing interventions for the child
C. Determine appropriate nursing diagnoses
D. State nursing related to the child's medical diagnosis - ANSWERS-C. Determine
appropriate nursing diagnoses
Feedback: 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. (pg. 11)
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?
A. American Nurses Association
B. State's board of nursing
C. Joint Commission
D. Association of Women's Health, Obstetric and Neonatal Nurses - ANSWERS-B.
State's board of nursing
Feedback: The scope of practice of the LVN/LPN is published by the state's board of
nursing. (pg. 3)
What was recommended by Karl Crede in 1884?
A. All women should be delivered in a hospital setting
B. Chemical means should be used to combat infection
C. Podalic version should be done on all fetuses
D. Silver nitrate should be placed in the eyes of newborns - ANSWERS-D. Silver nitrate
should be placed in the eyes of newborns
Feedback: In 1884 Karl Crede recommended the use of 2% silver nitrate in the eyes of
newborns to reduce the incidence of blindness. (pg. 2)
What is the purpose of the White House Conference on Children and Youth?
A. Set criteria for normal growth patterns
B. Examine the number of live births in minority populations
C. Raise money to support well-child clinics in rural areas
D. Promote comprehensive child welfare - ANSWERS-D. Promote comprehensive child
welfare
Feedback: White House Conferences on Children and Youth are held every 10 years to
promote comprehensive child welfare. (pg. 4)
How many hours of hospital stay does legislation currently allow for a postpartum
patient who has delivered vaginally without complications?
A. 24
B. 48
C. 36
D. 72 - ANSWERS-B. 48
, Feedback: Postpartum patients who deliver vaginally stay in the hospital for an average
48 hours; patients who have had a cesarean delivery usually stay 4 days. (pg. 6)
How does the clinical pathway or critical pathway improve quality of care?
A. Lists diagnosis-specific implementations
B. Outlines expected progress with stated timelines
C. Prioritizes effective nursing diagnoses
D. Describes common complications - ANSWERS-B. Outlines expected progress with
stated timelines
Feedback: Critical pathways outline expected progress with stated timelines. Any
deviation from those timelines is called a variance. (pg. 12)
A patient asks the nurse to explain what is meant by "gene therapy." What is the nurse's
best response?
A. Gene therapy can replace missing genes
B. Gene therapy evaluates the parent's genes
C. Gene therapy can change the sex of the fetus
D. Gene therapy supports the regeneration of defective genes - ANSWERS-A. Gene
therapy can replace missing genes
Feedback: Gene therapy can replace missing or defective genes. (pg. 8)
The nurse is clarifying information to a patient regarding diagnosis-related groups
(DRGs). What is the nurse's best response when the patient asks how DRGs reduce
medical care costs?
A. By determining payment based on diagnosis
B. By requiring two medical opinions to confirm a diagnosis
C. By organizing HMOs
D. By defining a person who will require hospitalization - ANSWERS-A. By determining
payment based on diagnosis
Feedback: DRGs determine the amount of payment and length of hospital stay based
on the diagnosis. (pg. 8)
What is the best example of a Nursing Interventions Classification (NIC) intervention?
A. Patient will ambulate in the hall independently for 10 minutes three times a day
B. Nurse will report temperature elevations to the charge nurse
C. Nurse will offer extra liquids at all meals
D. Patient will express pain relief after massage - ANSWERS-C. Nurse will offer extra
liquids at all meals
Feedback: NIC is a guide to nursing actions. (pg. 12/14)
How does electronic charting ensure comprehensive charting more effectively than
handwritten charting?
A. Provides a uniform style of chart
B. Requires certain responses before allowing the user to progress
C. All documentation is reflective of the nursing care plan
2513 Exam Questions and Correct
Answers Rated A+
A patient chooses to have the certified nurse midwife (CNM) provide care during her
pregnancy. What does the CNM's scope of practice include?
A. Practice independent from medical supervision
B. Comprehensive prenatal care
C. Attendance at all devices
D. Cesarean sections - ANSWERS-B. Comprehensive prenatal care
Feedback: The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available in case of
unforeseen problems. (pg. 6)
Which medical pioneer discovered the relationship between the incidence of puerperal
fever and unwashed hands?
A. Karl Crede
B. Ignaz Semmelweis
C. Louis Pasteur
D. Joseph Lister - ANSWERS-B. Ignaz Semmelweis
Feedback: Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and
transmitted by the unwashed hands of physicians and medical students. (pg. 2)
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?
A. "Maternal mortality in the United States is extremely low"
B. "Anesthesia is available to relieve pain during labor and childbirth"
C. "Tell me why you are afraid of childbirth"
D. "Your condition will be monitored during labor and delivery" - ANSWERS-C. "Tell me
why you are afraid of childbirth"
Feedback: Asking the patient about her concerns helps promote understand and
individualizes patient care. (pg. 7-8)
An urban area has been reported to have a high perinatal mortality rate. What
information does this provide?
A. Maternal and infant deaths per 100,000 live births per year
B. Deaths of fetuses weighing more than 500 g per 10,000 births per year
C. Deaths of infants up to 1 year of age per 100 live births per year
D. Fetal and neonatal deaths per 1000 live births per year - ANSWERS-D. Fetal and
neonatal deaths per 1000 live births per year
Feedback: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
births per year. (pg. 12, Box 1-6)
,What is the focus of current maternity practice?
A. Hospital births for the majority of women
B. The traditional family unit
C. Separation of labor rooms from delivery rooms
D. A quality family experience for each patient - ANSWERS-D. A quality family
experience for each patient
Feedback: Current maternity practice focuses on a high-quality family experience for all
families, traditional or otherwise. (pg. 6)
Who advocated the establishment of the Children's Bureau?
A. Lillian Wald
B. Florence Nightingale
C. Florence Kelly
D. Clara Barton - ANSWERS-A. Lillian Wald
Feedback: Lillian Wald is credited with suggesting the establishment of a federal
Children's Bureau. (pg. 4)
What was the result of research done in the 1930s by the Children's Bureau?
A. Children with heart problems are now cared for by pediatric cardiologists
B. The Child Abuse and Prevention Act was passed
C. Hot lunch programs were established in many schools
D. Children's asylums were founded - ANSWERS-C. Hot lunch programs were
established in many schools
Feedback: School hot lunch programs were developed as a result of research by the
Children's Bureau on the effects of economic depression on children. (pg. 4)
What government program was implemented to increase the educational exposure of
preschool children?
A. WIC
B. Title XIX of Medicaid
C. The Children's Charter
D. Head Start - ANSWERS-D. Head Start
Feedback: Head start programs were established to increase educational exposure of
preschool children. (pg. 3)
What guidelines define multidisciplinary patient care in terms of expected outcome and
timeframe from different areas of care provision?
A. Clinical pathways
B. Nursing outcome criteria
C. Standards of care
D. Nursing care plan - ANSWERS-A. Clinical pathways
Feedback: Clinical pathways, also known as critical pathways or care map, are
collaborative guidelines that define patient care across disciplines. Expected progress
within a specified timeline is identified. (pg. 12)
,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?
A. Identify measurable outcomes with a timeline
B. Choose specific nursing interventions for the child
C. Determine appropriate nursing diagnoses
D. State nursing related to the child's medical diagnosis - ANSWERS-C. Determine
appropriate nursing diagnoses
Feedback: 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. (pg. 11)
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?
A. American Nurses Association
B. State's board of nursing
C. Joint Commission
D. Association of Women's Health, Obstetric and Neonatal Nurses - ANSWERS-B.
State's board of nursing
Feedback: The scope of practice of the LVN/LPN is published by the state's board of
nursing. (pg. 3)
What was recommended by Karl Crede in 1884?
A. All women should be delivered in a hospital setting
B. Chemical means should be used to combat infection
C. Podalic version should be done on all fetuses
D. Silver nitrate should be placed in the eyes of newborns - ANSWERS-D. Silver nitrate
should be placed in the eyes of newborns
Feedback: In 1884 Karl Crede recommended the use of 2% silver nitrate in the eyes of
newborns to reduce the incidence of blindness. (pg. 2)
What is the purpose of the White House Conference on Children and Youth?
A. Set criteria for normal growth patterns
B. Examine the number of live births in minority populations
C. Raise money to support well-child clinics in rural areas
D. Promote comprehensive child welfare - ANSWERS-D. Promote comprehensive child
welfare
Feedback: White House Conferences on Children and Youth are held every 10 years to
promote comprehensive child welfare. (pg. 4)
How many hours of hospital stay does legislation currently allow for a postpartum
patient who has delivered vaginally without complications?
A. 24
B. 48
C. 36
D. 72 - ANSWERS-B. 48
, Feedback: Postpartum patients who deliver vaginally stay in the hospital for an average
48 hours; patients who have had a cesarean delivery usually stay 4 days. (pg. 6)
How does the clinical pathway or critical pathway improve quality of care?
A. Lists diagnosis-specific implementations
B. Outlines expected progress with stated timelines
C. Prioritizes effective nursing diagnoses
D. Describes common complications - ANSWERS-B. Outlines expected progress with
stated timelines
Feedback: Critical pathways outline expected progress with stated timelines. Any
deviation from those timelines is called a variance. (pg. 12)
A patient asks the nurse to explain what is meant by "gene therapy." What is the nurse's
best response?
A. Gene therapy can replace missing genes
B. Gene therapy evaluates the parent's genes
C. Gene therapy can change the sex of the fetus
D. Gene therapy supports the regeneration of defective genes - ANSWERS-A. Gene
therapy can replace missing genes
Feedback: Gene therapy can replace missing or defective genes. (pg. 8)
The nurse is clarifying information to a patient regarding diagnosis-related groups
(DRGs). What is the nurse's best response when the patient asks how DRGs reduce
medical care costs?
A. By determining payment based on diagnosis
B. By requiring two medical opinions to confirm a diagnosis
C. By organizing HMOs
D. By defining a person who will require hospitalization - ANSWERS-A. By determining
payment based on diagnosis
Feedback: DRGs determine the amount of payment and length of hospital stay based
on the diagnosis. (pg. 8)
What is the best example of a Nursing Interventions Classification (NIC) intervention?
A. Patient will ambulate in the hall independently for 10 minutes three times a day
B. Nurse will report temperature elevations to the charge nurse
C. Nurse will offer extra liquids at all meals
D. Patient will express pain relief after massage - ANSWERS-C. Nurse will offer extra
liquids at all meals
Feedback: NIC is a guide to nursing actions. (pg. 12/14)
How does electronic charting ensure comprehensive charting more effectively than
handwritten charting?
A. Provides a uniform style of chart
B. Requires certain responses before allowing the user to progress
C. All documentation is reflective of the nursing care plan
