1.vAvpatientvchoosesvtovhavevthevcertifiedvnursevmidwifev(CNM)vprovidevcarevduringvhervpregnancy.vWhatvdoesvt
hevCNMsvscopevofvpracticevinclude?
a. Practicev independentv fromv medicalv supervision
b. Comprehensivevprenatalvcare
c. Attendancevatvallvdeliveries
d. Cesareanvsections
ANS:v B
ThevCNMvprovidesvcomprehensivevprenatalvandvpostnatalvcare,vattendsvuncomplicatedvdeliveries,vandvensuresvth
atv av backupv physicianv isv availablev inv casev ofv unforeseenv problems.
2. Whichvmedicalvpioneervdiscoveredvthevrelationshipvbetweenvthevincidencevofvpuerperalvfevervandvunwashedvh
ands?
a. KarlvCred
b. Ignazv Semmelweis
c. Louisv Pasteur
d. Josephv Lister
ANS:v B
IgnazvSemmelweisvdeducedvthatvpuerperalvfevervwasvseptic,vcontagious,vandvtransmittedvbyvthevunwashedvhand
svofvphysiciansvandvmedicalvstudents.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev2vTO
P:vThevPastvKEY:vNursingv Processv Step:vN/A
MSC:vNCLEX:vSafe,vEffectivevCarevEnvironment:v Safetyv andv Infectionv Control
3. AvpregnantvwomanvwhovhasvrecentlyvimmigratedvtovthevUnitedvStatesvcommentsvtovthevnurse,vIvamvafraidvofvc
hildbirth.v Itv isv sov dangerous.v Iv amv afraidv Iv willv die.v Whatv isv thev bestv nursingv responsev reflectingv culturalvse
nsitivity?
a. MaternalvmortalityvinvthevUnitedvStatesvisvextremelyv low.
b. Anesthesiavisvavailablevtovrelievevpainvduringvlaborvandvchildbirth.
c. Tellvmevwhyvyouvarevafraidvofvchildbirth.
d. Yourvconditionvwillvbev monitoredvduringv laborvandvdelivery.
ANS:v C
Askingvthevpatientvaboutvherv concernsvhelpsvpromotevunderstandingv andvindividualizesv patientv care.
4. Anvurbanvareavhasvbeenvreportedvtov havevavhighv perinatalv mortalityvrate.vWhatvinformationv doesvthisvprovide?
a. Maternalvandvinfantvdeathsvperv100,000vlivev birthsvpervyear
b. Deathsvofvfetusesvweighingv morevthanv500vgvperv10,000vbirthsvperv year
c. Deathsvofvinfantsvupvtov1v yearvofvagevperv1000vlivevbirthsv pervyear
d. Fetalvandvneonatalvdeathsv perv1000vlivevbirthsvpervyear
ANS:v D
Thevperinatalvmortalityvratevincludesvfetalvandvneonatalvdeathsvperv1000vlivevbirthsvpervyear.v
, OBJ:v9vTOP:vThevPresent-ChildvCare
KEY:vNursingv Processv Step:v Implementation
MSC:vNCLEX:vSafe,vEffectivev CarevEnvironment:vCoordinatedv Care
5. Whatvisvthevfocusvofvcurrentv maternityvpractice?
a. Hospitalvbirthsvforvthev majorityvofvwomen
b. Thevtraditionalvfamilyvunit
c. Separationvofvlaborvroomsvfromvdeliveryv rooms
d. Avqualityvfamilyvexperiencevforveachvpatient
ANS:v D
Currentvmaternityv practicevfocusesv onvavhigh-qualityvfamilyv experiencevforvallvfamilies,v traditionalvorvotherwise.
8. Whatvgovernmentvprogramv wasvimplementedv tov increasevtheveducationalvexposurev ofv preschoolv children?
a. WIC
b. Titlev XIXv ofvMedicaid
c. Thev Childrensv Charter
d. HeadvStart
ANS:v D
HeadvStartvprogramsvwerev establishedvtov increaseveducationalvexposurev ofv preschoolv children.
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