OB Study Guide Ch. 1

11. A recently licensed nurse is orienting to a pediatric unit in an acute care facility. The nurse is discussing causes of infant mortality with her preceptor. Which of the following should be included as the leading cause of infant mortality?

Ans: Congenital anomalies.

9. A client is getting divorced and wants to be sure that her soon to be ex-husband cant have access to her medical information. Which would be the best instruction for the nurse to give the client?

Ans: "You have the right to say who can see your health records and who cant."

12. A group of women are attending a community presentation discussing the health concerns of women. Which of the following will be included as the leading cause of death for women?

Ans: Cardiovascular disease

1. A female client who has just given birth has been reading health reports and is alarmed at the high rate of infant mortality. She seems anxious about the health of her child and wants to know ways to keep her baby from getting an infection. Which of the following instructions should the nurse offer?

Ans: Breastfeed the infant.

8. The nurse is caring for a client with end stage breast cancer. When she takes chemotherapy medication into the client's room, the client states, "I'm too tired to fight any more. I don't want any more medication that may prolong my life." The client's husband is at the bedside and states, "No! You have to give my wife her medication. I cant let her go." What action by the nurse is most appropriate?

Ans: Explaining to the husband that his wife has the right to refuse medication and care.

7. The nurse is caring for an Arab American woman. Which approach would be most successful?

Ans: Dealing exclusively with the husband

6. It is important to be able to measure the health status of a group of people or a nation so that the number of people who die prematurely will decrease over time. How does the U.S. measure the health status of its people?

Ans: Examines mortality and morbidity data

14. The nurse is reviewing the family hx information in a newly admitted clients chart. The nurse notes that the client lives with is parents and grandparents. Which term best describes the clients family structure?

Ans: Extended family.

5. A nurse is caring for a critically ill female client who has recently been diagnosed with advanced lung cancer. Which of the following reasons could have contributed to the late detection and diagnosis?

Ans: Lung cancer has no early symptoms.

3. A nurse is caring for a client who wishes to undergo an abortion. The nurse has concerns because abortion is against her personal convictions, and this is interfering with her professional duty. Which of the following should the nurse do to follow American Nurses Association (ANA) code of ethics for nurses?

Ans: Make arrangements for alternate care providers.

13. The nursing instructor is discussing culture with a group of nursing students. Which of the following should be included in the discussion of this topic? Select all that apply.

Ans: Personal space Ans: Primary language spoken Ans: Religious beliefs

4. A female client who has just given birth arrives in a health care facility wanting to know of ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse provide?

Ans: Place the infant on his or her back to sleep.

10. A nurse is caring for a 31 years old pregnant client who is subjected to abuse by her partner. The client has developed a feeling of hopelessness and doesn't feel confident in dealing with the situation at home, which makes her feel suicidal. Which of the following nursing interventions should the nurse offer to help the client deal with her situation?

Ans: Provide emotional support to empower the client to help herself.

2. A group of nurses are running a campaign initiated by the Maternal and Child Health Bureau to educate women about better maternal and infant care. Which of the following measures should they advocate for the prevention of neural defects in infants?

Ans: Take folic acid supplements.

15. The nurse is caring for a laboring client for the Asian decent. The client appears to closely follow traditional cultural behaviors. Which of the following behaviors is most likely to be noted by the nurse?

Ans: The woman defers to her husband during interactions.