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NURS 415 EXAM 1 QUESTIONS AND ANSWERS STUDY GUIDE WITH COMPLETE SOLUTION!!
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NURS 415 EXAM 1 QUESTIONS AND ANSWERS STUDY GUIDE WITH COMPLETE SOLUTION!!
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NURS 415 EXAM 1 QUESTIONS AND ANSWERS STUDY GUIDEWITH COMPLETE SOLUTION!!
Maternity nurses can enhance communication among health care providers by
using the SBAR technique. The acronym SBAR stands for what?
Answers :A. Situation, background, assessment, recommendation
Rationale: SBAR is an easy-to-remember, useful, and concrete mechanism for
communicating important information that requires a clinician's immediate
attention. Baseline is not discussed as part of SBAR. Subjective and analysis are
not specific to the SBAR acronym. Subjective, analysis, and review are not
specific to the SBAR acronym.
In evaluating the level of a pregnant woman's risk of having a low-birth-weight
(LBW) infant, which factor is the most important for the nurse to consider?
Answers :Answer: African-American
Rationale: The rise in the overall LBW rates were due to increases in LBW births
to non-Hispanic black women (13.35%) and Hispanic women (7.21%); non-
Hispanic black infants are almost twice as likely as non-Hispanic white infants to
be of LBW and to die in the first year of life. Race is a nonmodifiable risk factor.
Cigarette smoking is an important factor in potential infant mortality rates, but it is
not the most important. Additionally, smoking is a modifiable risk factor. Poor
nutrition is an important factor in potential infant mortality rates, but it is not the
most important. Additionally, nutritional status is a modifiable risk factor. Maternal
,education is an important factor in potential infant mortality rates, but it is not the
most important. Additionally, maternal education is a modifiable risk factor.
A 23-year-old African-American woman is pregnant with her first child. Based on
current statistics for infant mortality, which intervention is most important for the
nurse to include in the client's plan of care?
Answers :Answer: Explain to the woman the importance of keeping her prenatal
care appointments.
Rationale: Consistent prenatal care is the best method of preventing or controlling
risk factors associated with infant mortality. Nutritional status is an important
modifiable risk factor, but it is not the most important action a nurse should take in
this situation. The client may need assistance from a social worker at some time
during her pregnancy, but a referral to a social worker is not the most important
aspect the nurse should address at this time. If the woman has identifiable high-risk
problems, then her health care may need to be provided by a physician. However, it
cannot be assumed that all African-American women have high-risk issues. In
addition, advising the woman to see an obstetrician is not the most important
aspect on which the nurse should focus at this time, and it is not appropriate for a
nurse to advise or manage the type of care a client is to receive.
During a prenatal intake interview, the nurse is in the process of obtaining an initial
assessment of a 21-year-old Hispanic client with limited English proficiency.
Which intervention is the most important for the nurse to implement?
Answers :Answer: Assess whether the client understands the discussion.
,Rationale: Nurses contribute to health literacy by using simple, common words,
avoiding jargon, and evaluating whether the client understands the discussion.
Speaking slowly and clearly and focusing on what is important will increase
understanding. Most client education materials are written at a level too high for
the average adult and may not be useful for a client with limited English
proficiency.
The nurses working at a newly established birthing center have begun to compare
their performance in providing maternal-newborn care against clinical standards.
This comparison process is most commonly known as what?
Answers :Answer: outcomes-oriented practice
Rationale: Outcomes-oriented practice measures the effectiveness of the
interventions and quality of care against benchmarks or standards. The term best
practice refers to a program or service that has been recognized for its excellence.
Clinical benchmarking is a process used to compare one's own performance against
the performance of the best in an area of service. The term evidence-based practice
refers to the provision of care based on evidence gained through research and
clinical trials.
Which statement best exemplifies contemporary maternity nursing?
Answers :Answer: Family-centered care
, Rationale: Contemporary maternity nursing focuses on the family's needs and
desires. Fathers, partners, grandparents, and siblings may be present for the birth
and participate in activities such as cutting the baby's umbilical cord. Both
midwives and physicians perform vaginal deliveries. Free-standing clinics are an
example of alternative birth options. Contemporary maternity nursing is driven by
the relationship between nurses and their clients.
A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl
after being in labor for 43 hours. The baby died 3 days later from sepsis. On what
grounds could the woman have a legitimate legal case for negligence?
Answers :Answer: Standard of care was not met.
Rationale: Not meeting the standard of care is a legitimate factor for a case of
negligence. An inexperienced maternity nurse would need to display competency
before being assigned to care for clients on his or her own. This client may have
been past her due date; however, a term pregnancy often goes beyond 40 weeks of
gestation. Although fetal monitoring is the standard of care, the client has the right
to refuse treatment. This refusal is not a case for negligence, but informed consent
should be properly obtained, and the client should have signed an against medical
advice form when refusing any treatment that is within the standard of care.
When the nurse is unsure how to perform a client care procedure that is high risk
and low volume, his or her best action in this situation would be what?
Answers :Answer: First consult the agency procedure manual
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