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Exam (elaborations)

NCLEX maternity questions

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  • Obstetrics
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  • Obstetrics

NCLEX maternity questions NCLEX maternity questions NCLEX maternity questions

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  • September 25, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Obstetrics
  • Obstetrics
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lectjoseph
NCLEX maternity questions
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 - ANS Family centered



What has had the greatest impact on infant mortality rates in the United States?



A. Increase in low-birth-weight babies

B. Decreased incidence of congenital abnormalities

C. Better maternal nutrition

D. Improved funding for health care - ANS Increase in low-birth-weight babies



Evidence-based practice is best described as



A. Gathering evidence of mortality and morbidity in children.

B. Meeting physical and psychosocial needs of the family in all areas of practice.

C. Using a professional code of ethics as a means for professional self-regulation.

D. Providing care based on evidence gained through research and clinical trials. - ANS Providing care
based on evidence gained through research and clinical trial



A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for
infant mortality, which plan is MOST important for the nurse to implement?



A. Perform a nutrition assessment.

B. Refer the woman to a social worker.

C. Advise the woman to see an obstetrician, not a midwife.

,D. Explain to the woman the importance of keeping her prenatal care appointments. - ANS Explain to
the woman the importance of keeping her prenatal care appointments



When a nurse is unsure about how to perform a patient care procedure, the BEST action would be to



A. Ask another nurse.

B. Discuss the procedure with the patient's physician.

C. Look up the procedure in a nursing textbook.

D. Consult the agency procedure manual and follow the guidelines for the procedure. - ANS Consult
the agency procedure manual and follow the guidelines for the procedure.



From the nurse's perspective, what measure should be the focus of the health care system to reduce
the rate of infant mortality further?



A. Implementing programs to ensure women's early participation in ongoing prenatal care

B. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days

C. Expanding the number of neonatal intensive care units (NICUs)

D. Mandating that all pregnant women receive care from an obstetrician - ANS Implementing
programs to ensure women's early participation in ongoing prenatal care



The two most frequently reported maternal medical risk factors are



A. Hypertension associated with pregnancy and diabetes.

B. Drug use and alcohol abuse.

C. Homelessness and lack of insurance.

D. Behaviors and lifestyles - ANS Hypertension associated with pregnancy and diabetes.



Which statement made by the nurse would indicate that he or she is practicing appropriate family-
centered care techniques?



A. The nurse encourages the mother and father to make choices whenever possible.

B. The nurse updates the family about what is going to happen but instructs the patient's sister that
she cannot be present in the room during the birth.

, C. The nurse believes that he or she is acting in the best interest of the patient and commands her
what to do throughout labor.

D. The father is discouraged from accompanying his wife during a cesarean birth - ANS The nurse
encourages the mother and father to make choices whenever possible.



The hospital risk management nurse is providing annual in-service training at the obstetrical unit
staff meeting. The risk management nurse should discuss which conditions included on the National
Quality Forum list that pertain to maternity nursing? (Select all that apply.)



A. Injury occurrence to mother during labor admission

B. Decreased incidence of urinary tract infections with catheter use

C. Neonatal death occurring during course of labor and delivery process

D. Foreign objects retained after delivery procedure.

E. Problem with artificial insemination procedure leading to the wrong donor egg being used - ANS
A. Injury occurrence to mother during labor admission



C. Neonatal death occurring during course of labor and delivery process



D. Foreign objects retained after delivery procedure.



E. Problem with artificial insemination procedure leading to the wrong donor egg being used



Which statement made by the nurse would indicate that she or he is practicing appropriate family-
centered care techniques? (Select all that apply.)



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.

C. The nurse commands the mother what to do.

D. The nurse provides time for the partner to ask questions.

E. The nurse instructs the patient's sister, who is a nurse, that she cannot be in the room during the
birth. - ANS a. The nurse allows the mother and father to make choices when possible.



D. The nurse provides time for the partner to ask questions.

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