Evolve Chap 1 and 5 Flashcards
The nurse understands the importance of a walking survey because this tool:
a. Determines how much exercise expectant mothers have been getting to help inform patient care decisions.
b. Usually takes place on the maternity ward but can be expanded to other areas of the hospital.
c. Is a method of observing the resources and health-related environment of the community.
d. Is performed by government census takers as part of their canvas.
c. Is a method of observing the resources and health-related environment of the community.
The term used to describe legal and professional responsibility for practice for maternity nurses is:
a. Evaluation.
b. Accountability.
c. Ethics.
d. Collegiality.
b. Accountability.
The family structure consisting of parents and their dependent children living together is known as a(n):
a. Binuclear family.
b. Reconstituted family.
c. Nuclear family.
d. Extended family.
c. Nuclear family.
A woman is giving birth to her third child in a setting that allows her husband and other two children to be actively involved in the process. The nurse caring for the woman must also consider the husband and family as patients and work to meet their needs. This type of setting is termed:
a. Family-centered care.
b. Emergency care.
c. Hospice care.
d. Individual care.
a. Family-centered care.
What has had the greatest impact on reducing infant mortality in the United States?
a. Improvements in perinatal care
b. Decreased incidence of congenital abnormalities
c. Better maternal nutrition
d. Improved funding for health care
a. Improvements in perinatal care
The nurse admits Amanda to the labor unit. During the admission procedure, the nurse obtains Amanda’s blood pressure, pulse, respirations, temperature, and fetal heart rate. The nurse is using which part of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
a. Assessment
After admitting a new patient to the maternity unit, the nurse writes a plan of care. This process of determining outcomes and interventions is which stage of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
b. Planning
A Native-American woman gave birth to a baby girl 12 hours ago. The nurse notes that the woman keeps her baby in the bassinet except for feeding and states that she will wait until she gets home to begin breastfeeding. The nurse recognizes that this behavior is most likely a reflection of:
a. Delayed attachment.
b. Embarrassment.
c. Disappointment that the baby is a girl.
d. A belief that babies should not be fed colostrum.
d. A belief that babies should not be fed colostrum.
The nurse is planning care for a patient with a t cultural background different from her own. What would be an appropriate goal?
a. Strive to keep the patient’s cultural background from influencing health needs
b. Encourage the continuation of cultural practices in the hospital setting
c. In a nonjudgmental way, attempt to change the patient’s cultural beliefs
d. As necessary, adapt the patient’s cultural practices to her health needs
d. As necessary, adapt the patient’s cultural practices to her health needs
Which statement is descriptive of the family systems theory?
a. The family is viewed as the sum of individual members.
b. When the family system is disrupted, change can occur at any point in the system.
c. Change in one family member cannot create change in other members.
d. Individual family members are readily identified as the source of a problem.
b. When the family system is disrupted, change can occur at any point in the system.
What care would be included in the perinatal continuum of care available in a community?
a. Family planning, prenatal care, and newborn care
b. Alternative birthing centers, spiritual needs, and telephonic nursing care
c. Insurance reimbursement from prenatal to postpartum care
d. Infant care through adolescence period of childhood
a. Family planning, prenatal care, and newborn care
Which statement made by the nurse would indicate that she or he is practicing appropriate family-centered care techniques? Choose all appropriate responses.
a. The nurse allows the mother and father to make choices when possible.
b. The nurse informs the family about what is going to happen. The nurse instructs the patient’s sister, who is a nurse, that she cannot be in the room during the birth.
c. The nurse commands that the mother do as instructed.
d. The nurse provides time for the partner to ask questions.
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What best describes the pattern of genetic transmission known as autosomal recessive inheritance?
a. Disorders in which the abnormal gene for the trait is expressed even when the other member of the pair is normal
b. Disorders in which both genes of a pair must be abnormal for the disorder to be expressed
c. Disorders in which a single gene controls the particular trait
d. Disorders in which the abnormal gene is carried on the X chromosome
b. Disorders in which both genes of a pair must be abnormal for the disorder to be expressed
The student nurse is giving a presentation about milestones in embryonic development. Which information should he or she include?
a. At 8 weeks of gestation, primary lung and urethral buds appear.
b. At 12 weeks of gestation, the vagina is open or the testes are in position for descent into the scrotum.
c. At 20 weeks of age, the vernix caseosa and lanugo appear.
d. At 24 weeks of age, the skin is smooth, and subcutaneous fat is beginning to collect.
c. At 20 weeks of age, the vernix caseosa and lanugo appear.
With regard to chromosome abnormalities, nurses should be aware that:
a. They occur in approximately 10% of newborns.
b. Abnormalities of number are the leading cause of pregnancy loss.
c. Down syndrome is a result of an abnormal chromosome structure.
d. Unbalanced translocation results in a mild abnormality that the child will outgrow.
b. Abnormalities of number are the leading cause of pregnancy loss.
