Ch 1 and 2

Question 1

Ch1
1.
The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact?
A)
Resolving all language and cultural differences
B)
Assuring early and adequate prenatal care
C)
Providing more extensive women’s shelters
D)
Encouraging all women to eat a balanced diet

Answer 1

Assuring early and adequate prenatal care

Question 2

2.
When integrating the principles of family-centered care, the nurse would include which of the following?
A)
Childbirth is viewed as a procedural event
B)
Families are unable to make informed choices
C)
Childbirth results in changes in relationships
D)
Families require little information to make appropriate decisions

Answer 2

Childbirth results in changes in relationships

Question 3

3.
When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century?
A)
Epidemics of puerperal fever
B)
Performance of the first cesarean birth
C)
Development of the x-ray to assess pelvic size
D)
Creation of free-standing birth centers

Answer 3

Creation of free-standing birth centers

Question 4

4.
After teaching a group of students about pregnancy-related mortality, the instructor determines that additional teaching is needed when the students identify which condition as a leading cause?
A)
Hemorrhage
B)
Embolism
C)
Obstructed labor
D)
Infection

Answer 4

Embolism

Question 5

5.
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem?
A)
Smoking
B)
Heart disease
C)
Diabetes
D)
Cancer

Answer 5

Heart disease

Question 6

6.
When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important?
A)
Language
B)
Health care workers' attitudes
C)
Transportation
D)
Finances

Answer 6

Finances

Question 7

7.
After teaching a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent?
A)
Performing a procedure on a 15-year-old without consent
B)
Serving as a witness to the signature process
C)
Asking whether the client understands what she is signing
D)
Getting verbal consent over the phone for emergency procedures

Answer 7

Performing a procedure on a 15-year-old without consent

Question 8

8.
The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority?
A)
Getting telephone consent with two people listening to the verbal consent
B)
Providing emergency care without parental consent
C)
Contacting the child’s aunt or uncle to obtain their consent
D)
Advocating for termination of parental rights for this situation

Answer 8

Getting telephone consent with two people listening to the verbal consent

Question 9

9.
After teaching nursing students about the basic concepts of family-centered care, the instructor determines that the teaching was successful when the students state which of the following?
A)
ìChildbirth affects the entire family, and relationships will change.î
B)
ìFamilies are not capable of making health care decisions for themselves.î
C)
ìMothers are the family members affected by childbirth.î
D)
ìChildbirth is a medical procedure.î

Answer 9

Childbirth affects the entire family, and relationships will change

Question 10

10.
A nursing instructor is preparing a class discussion on the trends in health care and health care delivery over the past several centuries. When discussing the changes during the past century, which of the following would the instructor be least likely to include?
A)
Disease prevention
B)
Health promotion
C)
Wellness
D)
Analysis of morbidity and mortality

Answer 10

Analysis of morbidity and mortality

Question 11

11.
A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the understanding that based on this client's cultural background, the client most likely views illness as which of the following?
A)
Caused by supernatural forces.
B)
A punishment for sins.
C)
Due to spirits or demons.
D)
From an imbalance of yin and yang

Answer 11

From an imbalance of yin and yang

Question 12

12.
A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, and childbirth. Which of the following would be most important for the nurse to incorporate into that plan?
A)
Adhering to strict, specific routines
B)
Involving a pediatric physician
C)
Educating the client about the importance of a support person
D)
Assigning several nurses as a support team

Answer 12

Educating the client about the importance of a support person

Question 13

13.
A nursing instructor is preparing a class discussion on case management in maternal and newborn health care. Which of the following would the instructor include as a key component? Select all that apply.
A)
Advocacy
B)
Coordination
C)
Communication
D)
Resource management
E)
Event managed care

Answer 13

Advocacy
Coordination
Communication
Resource management

Question 14

14.
After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when the students state which of the following?
A)
ìThe rate includes accidental causes for deaths.î
B)
ìIt addresses pregnancy-related causes.î
C)
ìThe duration of the pregnancy is not a concern.î
D)
ìThe time frame is typically for a specified year.î

Answer 14

The rate includes accidental causes for deaths

Question 15

15.
A group of students are reviewing the historical aspects about childbirth. The students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during which time frame?
A)
1700s
B)
1800s
C)
1900s
D)
2000s

Answer 15

1900s

Question 16

16.
A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would least likely demonstrate application of the concept of family-centered care?
A)
Focusing on the birth as a normal healthy event for the family
B)
Creating opportunities for the family to make informed decisions
C)
Encouraging the woman to keep her other children at home
D)
Fostering a sense of respect for the mother and the family

Answer 16

Encouraging the woman to keep her other children at home

Question 17

17.
When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which of the following would the nurse most likely include? Select all that apply.
A)
Chromosomal abnormalities
B)
Malnutrition
C)
Preterm cervical dilation
D)
Underlying disease condition
E)
Poor placental attachment

Answer 17

Malnutrition
Preterm cervical dilation
Underlying disease condition

Question 18

18.
A nurse is preparing a presentation for a local community group about health status and children's health. Which of the following would the nurse include as one of the most significant measures?
A)
Fetal mortality rate
B)
Neonatal mortality rate
C)
Infant mortality rate
D)
Maternal mortality rate

Answer 18

Infant mortality rate

Question 19

19.
A group of students are reviewing an article describing information related to indicators for women's health and the results of a national study. Which of the following would the students identify as being satisfactory for women? Select all that apply.
A)
Smoking cessation
B)
Colorectal cancer screening
C)
Violence against women
D)
Health insurance coverage
E)
Mammograms

Answer 19

Colorectal cancer screening

Mammograms

Question 20

20.
A nurse is preparing a presentation for a local women’s group about heart disease and women. Which of the following would the nurse expect to address when discussing measures to promote health.
A)
Women have similar symptoms as men for a heart attack.
B)
Heart disease is no longer viewed as a ìman’s disease.î
C)
Women experiencing a heart attack are at greater risk for dying.
D)
Heart attacks in women are more easily diagnosed.

Answer 20

Women experiencing a heart attack are at greater risk for dying

Question 21

21.
A nurse is working to develop a health education program for a local community to address breast cancer awareness. Which of the following would the nurse expect to include when describing this problem to the group? Select all that apply.
A)
White women have higher rates of breast cancer than African American women.
B)
African American women are more likely to die from breast cancer at any age.
C)
Survival at any stage is worse among white women.
D)
Women living in South America have the highest rates of breast cancer.
E)
Breast cancer is the leading cause of cancer mortality in women.

Answer 21

White women have higher rates of breast cancer than African American women.
African American women are more likely to die from breast cancer at any age.

Question 22

22.
A group of nursing students are reviewing information about factors affecting maternal, newborn, and women's health. The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply.
A)
Literacy
B)
Employment opportunities
C)
Mobility
D)
Political representation
E)
Skills

Answer 22

Literacy
Employment opportunities
Mobility
Political representation
Skills

Question 23

Ch 2
1.
The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care?
A)
Softening unpleasant information or prognoses
B)
Evaluating and changing the nursing plan of care
C)
Collaborating with the child and family as equals
D)
Showing respect for the family’s beliefs and wishes

Answer 23

Softening unpleasant information or prognoses

Question 24

2.
The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention?
A)
Arranging for a physical therapy session
B)
Teaching parents to administer albuterol
C)
Reminding parent to give a full course of antibiotics
D)
Giving a DTaP vaccination at the proper interval

Answer 24

Arranging for a physical therapy session

Question 25

3.
A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason?
A)
Serves as a communication tool for the interdisciplinary team.
B)
Demonstrates education the family has received if legal matters arise.
C)
Permits others access to allow refusal of medical insurance coverage.
D)
Verifies meeting client education standards set by the Joint Commission.

Answer 25

Permits others access to allow refusal of medical insurance coverage.

Question 26

4.
A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information?
A)
ìI like having the privacy, but it might be too expensive for me to set up in my home.î
B)
ìI want to have more control, but I am concerned if an emergency would arise.î
C)
ìIt is safer because I will have a midwife.î
D)
ìThe midwife is trained to resolve any emergency, and she can bring any pain meds.î

Answer 26

I want to have more control, but I am concerned if an emergency would arise

Question 27

5.
The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, ìI’m pretty tired. And with this pain, I haven’t been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby.î Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client?
A)
Impaired skin integrity related to cesarean birth incision
B)
Fatigue related to effects of surgery and caretaking activities
C)
Imbalanced nutrition, less than body requirements related to poor fluid and food intake
D)
Acute pain related to incision and cesarean birth

Answer 27

Acute pain related to incision and cesarean birth

Question 28

6.
When caring for childbearing families from cultures different from one’s own, which of the following must be accomplished first?
A)
Adapt to the practices of the family’s culture
B)
Determine similarities between both cultures
C)
Assess personal feelings about that culture
D)
Learn as much as possible about that culture

Answer 28

Assess personal feelings about that culture

Question 29

7.
After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful?
A)
Increase in community settings for care
B)
Decrease in family poverty level
C)
Increase in hospitalization of children
D)
Decrease in managed care

Answer 29

Increase in community settings for care

Question 30

8.
The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women?
A)
Calcium
B)
Folic acid
C)
Vitamin C
D)
Iron

Answer 30

Folic acid

Question 31

9.
Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection?
A)
Provide treatment for clients who test positive for HIV
B)
Monitor viral load counts periodically
C)
Educate clients in how to practice safe sex
D)
Offer testing for clients who practice unsafe sex

Answer 31

Educate clients in how to practice safe sex

Question 32

10.
When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following?
A)
Confer with the client’s mother
B)
Teach new self-care skills to the client
C)
Determine if there is a need for back-up power
D)
Discuss coverage with the insurance company

Answer 32

Determine if there is a need for back-up power

Question 33

11.
When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include?
A)
Increased time available for education
B)
Improved access to resources
C)
Decision making in isolation
D)
Greater environmental structure

Answer 33

Decision making in isolation

Question 34

12.
After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in community-based health care?
A)
Teaching women to take folic acid supplements to prevent neural tube defects
B)
Working with women who are victims of domestic violence
C)
Working with clients at an HIV clinic to provide nutritional and CAM therapies
D)
Teaching hypertensive clients to monitor blood pressure

Answer 34

Teaching hypertensive clients to monitor blood pressure

Question 35

13.
A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay?
A)
24ñ48 hours or less
B)
72ñ96 hours or less
C)
48ñ72 hours or less
D)
96ñ120 hours or less

Answer 35

24ñ48 hours or less

Question 36

14.
Which of the following statements is accurate regarding women’s health care in today’s system?
A)
Women spend 95 cents of every dollar spent on health care.
B)
Women make almost 90% of all health care decisions.
C)
Women are still the minority in the United States.
D)
Men use more health services than women.

Answer 36

Women make almost 90% of all health care decisions.

Question 37

15.
A nurse is educating a client about a care plan. Which of the following statements would be appropriate to assess the client’s learning ability?
A)
ìDid you graduate from high school; how many years of schooling did you have?î
B)
ìDo you have someone in your family who would understand this information?î
C)
ìMany people have trouble remembering information; is this a problem for you?î
D)
ìWould you prefer that the doctor give you more detailed medical information?î

Answer 37

Many people have trouble remembering information; is this a problem for you?

Question 38

16.
A nurse is developing cultural competence. Which of the following indicates that the nurse is in the process of developing cultural knowledge? Select all that apply.
A)
Examining personal sociocultural heritage
B)
Reviewing personal biases and prejudices
C)
Seeking resources to further understanding of other cultures
D)
Becoming familiar with other culturally diverse lifestyles
E)
Performing a competent cultural assessment
F)
Advocating for social justice to eliminate disparities.

Answer 38

Seeking resources to further understanding of other cultures

Becoming familiar with other culturally diverse lifestyles

Question 39

17.
A nurse is engaged in providing family-centered care for a woman and her family. The nurse is providing instrumental support with which activity?
A)
Explaining to the woman and family what to expect during the birth process.
B)
Assisting the woman in breathing techniques to cope with labor contractions.
C)
Reinforcing the woman’s role as a mother after birth
D)
Helping the family obtain extra financial help for prescribed phototherapy

Answer 39

Helping the family obtain extra financial help for prescribed phototherapy

Question 40

18.
A nurse is considering a change in employment from the acute care setting to community-based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply.
A)
Urgent care center
B)
Hospice care
C)
Immunization clinic
D)
Physician's office
E)
Day surgery center
F)
Nursing home

Answer 40

Urgent care center
Physician’s office
Day surgery center

Question 41

19.
A nursing instructor is presenting a class for a group of students about community-based nursing interventions. The instructor determines that additional teaching is needed when the students identify which of the following?
A)
Conducting childbirth education classes
B)
Counseling a pregnant teen with anemia
C)
Consulting with a parent of a child who is vomiting
D)
Performing epidemiologic investigations

Answer 41

Performing epidemiologic investigations

Question 42

20.
During class, a nursing student asks, ìI read an article that was talking about integrative medicine. What is that?î Which response by the instructor would be most appropriate?
A)
ìIt refers to the use of complementary and alternative medicine in place of traditional therapies for a condition.î
B)
ìIt means that complementary and alternative medicine is used together with conventional therapies to reduce pain or discomfort.î
C)
ìIt means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective.î
D)
ìIt refers to situations when a client and his or her family prefer to use an unproven method of treatment over a proven one.î

Answer 42

It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective.

Question 43

21.
While a nurse is obtaining a health history, the client tells the nurse that she practices aromatherapy. The nurse interprets this as which of the following?
A)
Use of essential oils to stimulate the sense of smell to balance the mind and body
B)
Application of pressure to specific points to allow self-healing
C)
Use of deep massage of areas on the foot or hand to rebalance body parts
D)
Participation in chanting and praying to promote healing.

Answer 43

Use of essential oils to stimulate the sense of smell to balance the mind and body

Question 44

22.
A pregnant woman asks the nurse about giving birth in a birthing center. She says, ìI’m thinking about using one but I’m not sure.î Which of the following would the nurse need to integrate into the explanation about this birth setting? (Select all that apply.)
A)
An alternative for women who are uncomfortable with a home birth.
B)
The longer length of stay needed when compared to hospital births
C)
Focus on supporting women through labor instead of managing labor
D)
View of labor and birth as a normal process requiring no intervention
E)
Care provided primarily by obstetricians with midwives as backup care

Answer 44

An alternative for women who are uncomfortable with a home birth.
Focus on supporting women through labor instead of managing labor
View of labor and birth as a normal process requiring no intervention

Question 45

23.
A nurse practicing in the community is preparing a presentation for a group of nursing students about this practice setting. Which of the following would the nurse include as characteristic of this role?
A)
Greater emphasis on direct physical care
B)
Broader assessment to include the environment
C)
Increased dependency on physician
D)
Limited decision making and support

Answer 45

Broader assessment to include the environment

Question 46

24.
A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the client's learning? (Select all that apply.)
A)
Teach "survival skills" first
B)
Use simple, nonmedical language
C)
Refrain from using a hands-on approach
D)
Avoid repeating information
E)
Use visual materials such as photos and videos

Answer 46

Teach “survival skills” first
Use simple, nonmedical language
Use visual materials such as photos and videos

Question 47

25.
A group of nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step?
A)
Cultural knowledge
B)
Cultural skills
C)
Cultural encounter
D)
Cultural awareness

Answer 47

Cultural encounter