,Chapter 1 Current Issues in Maternal-Newborn Nursing
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
1)
An experienced nurse is working with a new graduate. The experienced nurse suspects that the multiparous client is
going to deliver precipitously, while the new graduate is unaware that the labor is proceeding rapidly. One reason for this
difference in interpretation of the client situation is because experienced nurses are able to view situations more
holistically because they
A)
Know more about the pathophysiology of diseases.
B)
Need less supervision in managing complex clinical situations.
C)
Spend less time providing direct client care.
D)
Are more aware of subtle cues that indicate client changes.
Answer
D
2)
Self-care has gained wide acceptance with clients, the healthcare community, and third-party payors due to research
findings that suggest that it has
A)
Reduced health care costs.
B)
Decreased the number of emergency room visits.
C)
Decreased use of home health agencies.
D)
Shortened newborn length of stay.
Answer
A
3)
The new graduate is learning about advanced practice nursing. Which of the following situations best illustrates an
advanced practice nursing role? (Select all that apply.)
A)
An experienced registered nurse who is the manager of a large obstetrical unit
B)
A nurse-midwife attending vaginal deliveries of uncomplicated pregnancies.
C)
A registered nurse who is the circulating nurse at surgical (cesarean) deliveries
D)
A clinical nurse specialist who is working as a staff nurse on a mother-baby unit
E)
A nurse practitioner who is consulting with a physician in the newborn nursery
Answer
B, E
, 4)
The nurse at an elementary school is performing TB screenings on all of the students. Permission slips were returned for
all children except for the Nguyen children. When the nurse phones to obtain permission, the mother states in clearly-
understandable English that she is unable to give permission at this time because her grandmother is out of town for two
more weeks. Which of the following elements of culture is contributing to the dilemma that faces the nurse?
A)
Belief and understanding about the concepts of health and illness
B)
Permissible physical contact with strangers
C)
Presence and influence of the extended family
D)
Religion and social beliefs
Answer
C
5)
The insurance company is demanding that a client who is experiencing complications be discharged in two days, because
her benefits will run out. The physician and nurses who are involved in this client's care all feel that, because there is no
one at home to provide assistance, it is an ethical breach of duty to send this client home when she cannot care for herself.
Which of the six components of ethical decision making is the nurse considering when evaluating the driving and
restraining forces and assessing the likelihood of a successful outcome?
A)
Action and implementation
B)
Conflict resolution
C)
Data gathering
D)
Plan formulation
Answer
B
6)
The nurse is reviewing care of clients on a mother-baby unit. Which of the following situations should be reported to the
supervisor?
A)
The client who delivered by cesarean delivery yesterday received oral narcotics.
B)
An infant was placed in the wrong crib after examination by the physician.
C)
A 2-day-old infant has breastfed every three hours and voided four times.
D)
A primiparous client who delivered today is requesting discharge within 24 hours.
Answer
B
, 7)
The nurse manager is planning a presentation on ethical issues in caring for the childbearing families. Which of the
following should the nurse manager include as an example of maternal-fetal conflict?
A)
A 39-year-old nulliparous client undergoes therapeutic insemination.
B)
A cesarean delivery of a breech fetus is court-ordered after the client refuses.
C)
A family of a child with leukemia requests cord blood banking at this birth.
D)
A client chooses an abortion after her fetus is diagnosed with a genetic anomaly.
Answer
B
8)
The nurse is working at a community clinic. For which of the following clients must the nurse seek parental permission to
obtain informed consent?
A)
A 16-year-old who is seeking information on contraceptive use
B)
An emancipated minor who is requesting treatment for a urinary tract infection
C)
A 12-year-old with an ectopic (tubal) pregnancy who requires surgery
D)
A married 17-year-old who is recommended for a planned cesarean birth
Answer
C
9)
In explaining descriptive statistics to the student nurse, the experienced nurse should include which of the following
examples?
A)
Comparison of maternal mortality rates across racial groups
B)
Understanding the behavioral variations within a cultural group
C)
Determining why the infant mortality is declining in the United States
D)
Assessment of maternal nutrition with age and birth weight
Answer
A
10)
The nurse knows the birth rate by age group in the state. Which research question could be developed for further study
from this data?
A)
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