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A group of nursing students are comparing the various changes in maternity care over the course of history and discover that the development of what medical treatment was most influential in moving birth from the home into the hospital setting? A. Infection control and germ theory B. Planned cesarean birth C. Instruments to assist in birth of infants D. Anesthesia and analgesic therapy

D. Anesthesia and analgesic therapy

Which nursing intervention would best demonstrate evidence-based practice in maternal-child health care? A. Family-centered pediatric care B. Minimizing parental interaction with preterm infants C. Placing adults and children with similar diseases on the same unit D. Decentralizing care to allow clients to be closer to home

Placing adults and children with similar diseases on the same unit

A client with a history of type 1 diabetes mellitus is confirmed to be pregnant. The nurse determines this client will be best cared for under which practice model? A. Case management B. The nursing process C. A clinical pathway D. A health maintenance organization

A. Case management

What societal issues greatly influence delivery of maternal and pediatric health care? Select all that apply. A. Cost of health care B. Increase in surrogacy and adoption C. Low income of families D. Increased cultural and ethnic diversity of clients E. Increased number of children born in the U.S.

A. Cost of health care C. Low income of families D. Increased cultural and ethnic diversity of clients E. Increased number of children born in the U.S.

While preparing to teach a group of nursing students the history of maternity care, which factor will the instructor include to explain as the etiology of most infections in females after birthing in the 1700s? A. Reproductive tract infection B. Breast infection C. Kidney infection D. Urinary tract infection

A. Reproductive tract infection

A young couple are very excited to learn they are expecting their first child and question the nurse about which test they need to discover its gender. Which procedure will best provide this information to the couple? A. Ultrasound B. Amniocentesis C. Chorionic villus sampling D. HGP

A. Ultrasound

A nurse will conduct an information session for a group of parents who have children in elementary school. The session will focus on child growth and development. Which information about the parents would be important for the nurse to obtain before planning the session to promote the success of the session? Select all that apply. A. ages B. educational levels C. primary language(s) spoken D. cultural attitudes E. financial background

A. ages B. educational levels C. primary language(s) spoken D. cultural attitudes

The nursing instructor is teaching a session comparing the various steps of the nursing process. The instructor determines the session is successful when the students correctly choose which step as the first one? A. Nursing diagnosis B. Planning C. Assessment D. Evaluation

Assessment

A community-based nurse is part of an agency sponsoring a booth at a local health fair. An acute care nurse comes up to the booth and asks the community- based nurse, "How is your practice different from practice in a hospital?" Which response(s) by the community-based nurse would be appropriate? Select all that apply. A. "In the community, we rely on other disciplines for decision-making." B. "We are more autonomous when providing client care." C. "We tend to address the client's needs more holistically." D. "Our major focus is on illness and treatment." E. "We care for clients over a longer span of time."

B. "We are more autonomous when providing client care." C. "We tend to address the client's needs more holistically." E. "We care for clients over a longer span of time."

. A healthy client without a primary care provider is exploring the options available for a health care provider to assist with her pregnancy. Which health care provider can the nurse point out as a best option? A. Women's health nurse practitioner (NP) B. Certified nurse midwife C. Lay midwife D. Clinical nurse specialist (CNS

B. Certified nurse midwife

After completing an assessment, the nurse examines the information to develop a wellness diagnosis for the client to identify which potential goal? A. Acute health problems B. Potential problems C. The potential for improvement in health D. Chronic health problems

C) The potential for improvement in health

The nurse is teaching a client about lifestyle changes that could help the client reach a higher level of wellness. The nurse is engaged in which aspect of care? A. Infection prevention B. Cost containment C. Health promotion D. Illness treatment

C. Health promotion

. A nursing student is preparing a presentation illustrating the Human Genome Project. Which function will the student point out as being the primary focus? A. Genetic testing in adults B. Detection of genetic mutations in children C. Identification of human genes and functions D. Treatment of gene mutations

C. Identification of human genes and functions

When preparing a client for surgery, the nurse explains that the use of an antiseptic during the surgery has greatly improved client survival rates and was started by which physician? A. Louis Pasteur B. Ignaz Philip Semmelweis C. Joseph Lister D. Alexander Gordon

C. Joseph Lister

A nurse manager is orienting a group of new nurses to the maternity unit. During the orientation, the nurse manager emphasizes the need for accurate and complete documentation based on which reason? A. The facility could lose its standing in the community. B. The facility might not keep its accreditation. C. The records could be used in a legal action in the future. D. The records act as the main source of communication among team members.

C. The records could be used in a legal action in the future.

. After discussing the various options with a pregnant client and partner, they have chosen to stay with their newborn and receive care from one nurse at the time of birth. This is referred to as which type of care? A. Regionalized care B. Maternal-child care C. Centralized care D. Couplet care

D. Couplet care

A young female client is pregnant for the first time and is uncertain who to seek prenatal care from. The nurse should point out which health care provider as the likely choice? A. Perinatologist B. Neonatologist C. Family practitioner D. Obstetrician

D. Obstetrician

A family is seeking sources for payment of health care costs. When talking with the family, the nurse determines that the family makes too much money to qualify for the federal program. Which source would the nurse likely recommend? A. Medicaid B. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) C. Centers for Disease Control D. State Child Health Insurance Program

D. State Child Health Insurance Program

The nurse is organizing health information to teach a client basic principles that will help maintain wellness in the family. Which actions should the nurse prioritize in this teaching? A. encouraging yearly checkups for all clients. B. teaching insulin injection techniques C. medication administration D. assisting in understanding a treatment

encouraging yearly checkups for all clients.

The nurse reviews the client's plan of care (above). Which nursing action(s) does the nurse identify as independent? Select all that apply. A. assisting out of bed B. administering ibuprofen C. giving IV normal saline D. reinforcing breathing exercises E. offering oral fluids

A. assisting out of bed E. offering oral fluids

A nurse working at a child health clinic is involved in primary and secondary prevention activities. Which activity(ies) reflects secondary prevention? Select all that apply. A. vision screening at all well-child visits B. safety education for bicycles and skateboards C. administration of immunizations D. instructions for treatment of head lice E. drug education program

A. vision screening at all well-child visits D. instructions for treatment of head lice

The nursing instructor is preparing to teach a group of students about the history of maternity care. What major development will the instructor emphasize as greatly influencing the practice of maternity care in the United States over the past century? A. technologic advances and the use of forceps by primary care providers B. development of anesthesia and acceptance of the germ theory C. advent of birthing centers and the development of family-centered care D. development of pediatric specialty and replacement of midwives as primary birth attendants

B. development of anesthesia and acceptance of the germ theory

A nurse is developing a program for families to promote spending more time together. Which cause(s) of decreased family togetherness will the nurse incorporate into the program? Select all that apply. A. increase in families with one working parent B. rise in children participating in extracurricular activities C. increase in television use over discussion among family members D. rise in time spent sitting down to meals as a family E. greater focus on material things rather than relationship

B. rise in children participating in extracurricular activities C. increase in television use over discussion among family members E. greater focus on material things rather than relationship

An expectant mother states that she read that more black mothers die in childbirth than do white mothers. When responding to her questions about the reasons for this, the nurse accurately states that which is the major reason for the high maternal mortality rate? A. having formal education. B. being unmarried. C. income. D. lack of prenatal care.

D. lack of prenatal care.

A community-based nurse caring for a family gives the family information about free transportation services to medical appointments. Which skill is the nurse is using? A. nursing process B. data collection C. education D. client advocacy

D. client advocacy

3. Which statement correctly defines the term "infant death rate"? A. number of deaths in utero of fetuses 500 g or more per 1,000 live births B. number of deaths occurring in the first 28 days of life per 1,000 live births C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births D. death of a live-born child before his or her first birthday.

D. death of a live-born child before his or her first birthday.

The nursing instructor is teaching a group of students about the history of maternity and family care. The instructor determines the session is successful when the students correctly choose which major change resulting from research by Klaus and Kennell? A. Limited family visits for children in the hospital B. Family-centered care of today C. Rooming-in for maternity patients D. Isolation of children with infections

B. Family-centered care of today

. The opening up of hospital visiting policies for children and families likely resulted from the work of which individual? A. Joseph Brennaman B. John Bowlby C. Marshal Klaus D. John Kennell

B. John Bowlby

A group of nursing students are examining the data of the local hospitals to determine the potential maternal needs of the community. Which factor will be the best statistical indicator of the adequacy of prenatal care? A. Number of prenatal visits B. Maternal mortality rate C. Infant mortality rate D. Infant measurements at birth

B. Maternal mortality rate

The United States lags behind other industrialized countries regarding infant mortality. The main factor that contributes to this is: A. lack of available facilities for caring for the infants. B. older mothers having babies. C. the large number of preterm births in the U.S. D. more congenital anomalies in children born in the U.S.

C. the large number of preterm births in the U.S.