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Ch 1 - 21st Century Maternity Nursing EVOLVE NCLEX questions with answers.
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Ch 1 - 21st Century Maternity NursingEVOLVE NCLEX questions with answers.
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 - A. Family-centered care.
Family-centered care is any setting in which the pregnant woman and family are treated as one unit. The
nurse assumes a major role in teaching, counseling, and supporting the family. In emergency care
settings, the nurse deals primarily with the patient who is having difficulty. In hospice care settings, the
nurse deals with patients who have terminal illnesses. Individual care deals only with the patient and
does not include the family.
What has the greatest impact on reducing infant mortality in the United States?
A. Improvements in perinatal care
B. Decreased incidence of congenital abnormalities
C. Better maternal nutrition
D. Improved funding for health care ANS - A. Improvements in perinatal care
The improvements in perinatal care, particularly care of the mother-baby dyad before birth, have had
the greatest impact. There has been a decrease in some congenital anomalies, such as spina bifida, but
this has not had the greatest impact. This has had a positive influence but not the greatest overall
impact. Changes in funding have not had the greatest impact.
, 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 - D. Providing care
based on evidence gained through research and clinical trials
This will assist the nurse in determining areas of concern and potential involvement. It is not possible to
meet all needs of the patient and family in all areas of practice. The nurse is an advocate for the family.
This is part of professional role and licensure. Evidence-based practice is providing care based on
evidence gained through research and clinical trials. Practitioners must use the best available
information on which to base their interventions.
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. Advice the woman to see an obstetrician, not a midwife
D. Explain to the woman the importance of keeping her prenatal care appointments ANS - D. Explain to
the woman the importance of keeping her prenatal care appointments
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 this is not the most important aspect the nurse should address at this time. If the
woman has identifiable high risk problems, 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. Additionally, this
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. Consistent prenatal care is the
best method of preventing or controlling risk factors associated with infant mortality.
When a nurse is unsure about how to perform a client care procedure, the BEST action would be to:
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