Chapter 01: The Past, Present, and Future
r r r r
r
r r
r
MULTIPLEr CHOICE
1. Arpatientrchoosesrtorhaverthercertifiedrnursermidwifer(CNM)rprovidercarerduringrherrpregnancy.rWhatrdoesrtherC
NMsrscoperofrpracticerinclude?
a. Practicer independentr fromr medicalr supervision
b. Comprehensiver prenatalr care
c. Attendanceratrallr deliveries
d. Cesareanr sections
ANS:r B
TherCNMrprovidesrcomprehensiverprenatalrandrpostnatalrcare,rattendsruncomplicatedrdeliveries,randrensuresrthat
rarbackuprphysicianrisravailable rinrcaserofrunforeseenrproblems.
2. Whichrmedicalrpioneerrdiscoveredrtherrelationshiprbetweenrtherincidencerofrpuerperalrfeverrandrunwashedrhand
s?
a. KarlrCred
b. Ignazr Semmelweis
c. Louisr Pasteur
d. Josephr Lister
OBJ:r 9r TOP:r Ther Present-Childr Care
KEY:rNursingr Processr Step:r Implementation
MSC:r NCLEX:r Safe,r Effectiver Carer Environment:r Coordinatedr Care
5. Whatrisrtherfocusr ofr currentr maternityr practice?
a. Hospitalr birthsrforrther majorityr ofrwomen
b. Thertraditionalr familyr unit
c. Separationr ofr laborr roomsr fromr deliveryr rooms
d. Ar qualityrfamilyr experiencer forreachr patient
ANS:r D
Currentr maternityr practicer focusesr onr ar high-qualityr familyr experiencer forr allr families,r traditionalr orr otherwise.
8. Whatr governmentr programr wasr implementedr tor increaser ther educationalr exposurer ofr preschoolr children?
a. WIC
b. Titler XIXr ofr Medicaid
c. Ther Childrensr Charter
d. Headr Start
ANS:r D
Headr Startr programsr werer establishedr tor increaser educationalr exposurer ofr preschoolr children.
a. Clinicalr pathways
b. Nursingr outcomer criteria
c. Standardsr ofr care
d. Nursingr carer plan
ANS:r A
Clinicalrpathways,ralsorknownrasrcriticalrpathwaysrorrcarermaps,rarercollaborativerguidelinesrthatrdefinerpatientrc
areracrossrdisciplines.rExpectedrprogressrwithinrarspecifiedrtimelinerisridentified.
10. Arnursingrstudentrhasrreviewedrarhospitalizedrpediatricrpatientrchart,rinterviewedrherrmother,randrcollectedradmi
ssionrdata.rWhatrisrthernextrsteprtherstudentrwillrtakertordeveloprarnursingrcarerplanrforrthisrchild?
a. Identifyr measurabler outcomesr withr ar timeline.
b. Chooser specificr nursingr interventionsr forr ther child.
c. Determiner appropriater nursingr diagnoses.
d. Staternursingractionsrrelatedr tor therchildsr medicalr diagnosis.
ANS:r C
ThernurserusesrassessmentrdatartorselectrappropriaternursingrdiagnosesrfromrtherNANDA-
Irlist.rOutcomesrandrinterventionsrarerthenrdevelopedrtoraddressrtherrelevantrnursingrdiagnoses.
11. ArnursingrstudentronranrobstetricrrotationrquestionsrtherfloorrnurseraboutrtherdefinitionrofrtherLVN/LPNrscoper
ofr practice.r Whatr resourcer canr ther n urseNsUuRggS IeNstGtoT Bth. Ce OstM
ude nt?
a. Americanr Nursesr Association
b. Statesr boardrofr nursing
c. JointrCommission
d. Associationr ofr Womensr Health,r Obstetricr andrNeonatalr Nurses
12. Whatrwasr recommendedr byr KarlrCredr inr 1884?
a. Allrwomenr shouldr berdeliveredr inr ar hospitalr setting.
b. Chemicalrmeansrshouldr ber usedr tor combatr infection.
c. Podalicrversionr shouldr ber doner onr allr fetuses.
d. Silverr nitratershouldrber placedrinr ther eyesrofr newborns.
ANS:r D
Inr1884rKarlrCredrrecommendedrtheruserofr2%rsilverrnitraterinrthereyesrofrnewbornsrtorreducertherincidencerofrblind
ness.
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