3. Which setting for childbirth allows the least amount of parent-infant contact?
ll ll ll ll ll ll ll ll ll ll
a. Labor/delivery/recovery/postpartum room ll
b. Birth center ll
c. Traditional hospital birth ll ll
d. Home birth ll
.
, ANS: C ll
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
ll ll ll ll ll ll ll ll ll ll ll ll ll
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
parent-infant contact. Home births allow an increase in parent-infant contact.
ll ll ll ll ll ll ll ll ll ll
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
l l ll ll
REF: p. 2
ll OBJ: Nursing Process: Planning
l l ll l l ll ll
MSC: Client Needs: Health Promotion and Maintenance
l l ll ll ll ll ll
4. As a result of changes in health care delivery and funding, a current trend seen in the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
pediatric setting is
ll ll ll
a. increased hospitalization of children. ll ll ll
b. decreased number of children living in poverty. ll ll ll ll ll ll
c. an increase in ambulatory care. ll ll ll ll
d. decreased use of managed care. ll ll ll ll
ANS: C ll
One effect of managed care has been that pediatric health care delivery has shifted
ll ll ll ll ll ll ll ll ll ll ll ll ll
dramatically from the acute care setting to the ambulatory setting in order to provide more
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
cost-efficient care. The number of hospital beds being used has decreased as more care is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
given in outpatient settings and in the home. The number of children living in poverty has
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
increased over the past decade. One of the biggest changes in health care has been the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
growth of managed care.
ll ll ll ll
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
l l ll ll
REF: p. 5
ll OBJ: Nursing Process: Planning
l l ll l l ll ll
MSC: Client Needs: Safe and Effective Care Environment
l l ll ll ll ll ll ll
5. The Women, Infants, and Children (WIC) program provides
l ll ll ll ll ll ll
a. well-child examinations for infants and children living at the poverty level. ll ll ll ll ll ll ll ll ll ll
b. immunizations for high-risk infants and children. ll ll ll ll ll
c. screening for infants with developmental disorders. ll ll ll ll ll
d. supplemental food supplies to low-income pregnant or breastfeeding women. ll ll ll ll ll ll ll ll
ANS: D ll
WIC is a federal program that provides supplemental food supplies to low-income women
ll ll ll ll ll ll ll ll ll ll ll ll
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early and
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Periodic Screening, Diagnosis, and Treatment Program provides for well-child examinations
ll ll ll ll ll ll ll ll ll ll
and for treatment of any medical problems diagnosed during such checkups. Children in the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
WIC program are often referred for immunizations, but that is not the primary focus of the
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
program. Public Law 99-457 is part of the Individuals with Disabilities Education Act that
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
provides financial incentives to states to establish comprehensive early intervention services
ll ll ll ll ll ll ll ll ll ll ll
for infants and toddlers with, or at risk for, developmental disabilities.
ll ll ll ll ll ll ll ll ll ll ll
PTS: 1 DIF: CognitiveLevel:Comprehension
l l l l REF: p. 8 l l ll
OBJ: Integrated Process: Teaching-Learning
ll l l ll ll
MSC: Client Needs: Health Promotion and Maintenance
ll ll ll ll ll ll
6. In most states, adolescents who are not emancipated minors must have the permission of
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll their parents before ll ll
.
, a. treatment for drug abuse. ll ll ll
b. treatment for sexually transmitted diseases (STDs). ll ll ll ll ll
c. accessing birth control. ll ll
d. surgery.
ANS: D ll
Minors are not considered capable of giving informed consent, so a surgical procedure would
ll ll ll ll ll ll ll ll ll ll ll ll ll
require consent of the parent or guardian. Exceptions exist for obtaining treatment for drug
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
abuse or STDs or for getting birth control in most states.
ll ll ll ll ll ll ll ll ll ll ll
PTS: 1 lDIF: Cognitive Level: Knowledge/Remembering
l ll ll
REF: p. 17
ll OBJ: Nursing Process: Planning
l l ll l l ll ll
MSC: Client Needs: Safe and Effective Care Environment
l l ll ll ll ll ll ll
7. The maternity nurse should have a clear understanding of the correct use of a
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll clinical pathway. One characteristic of clinical pathways is that they
ll ll ll ll ll ll ll ll ll
a. are developed and implemented by nurses.
ll ll ll ll ll
b. are used primarily in the pediatric setting.
ll ll ll ll ll ll
c. set specific time lines for sequencing interventions.
ll ll ll ll ll ll
d. are part of the nursing process.
ll ll ll ll ll
ANS: C ll
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
ll ll ll ll ll ll ll ll ll ll ll ll
particular health problem. They are used to identify patient outcomes, specify time lines to
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
ll ll ll ll ll ll ll ll ll ll
include interventions from a variety of disciplines, promote collaboration, and involve a
ll ll ll ll ll ll ll ll ll ll ll ll
comprehensive approach to care. They are developed by multiple health care professionals
ll ll ll ll ll ll ll ll ll ll ll ll
and reflect interdisciplinary care. They can be used in multiple settings and for patients
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
throughout the life span. They are not part of the nursing process but can be used in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
conjunction with the nursing process to provide care to patients.
ll ll ll ll ll ll ll ll ll ll
PTS: 1 lDIF: Cognitive Level: Knowledge/Remembering
l ll ll
REF: p. 7
ll OBJ: Nursing Process: Planning
l l ll l l ll ll
MSC: Client Needs: Safe and Effective Care Environment
l l ll ll ll ll ll ll
8. The fastest growing group of homeless people is
ll ll ll ll ll ll ll
a. men and women preparing for retirement. ll ll ll ll ll
b. migrant workers. ll
c. single women and their children. ll ll ll ll
d. intravenous (IV) substance abusers. ll ll ll
ANS: C ll
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
ll ll ll ll ll ll ll ll ll ll l l ll
homeless. People preparing for retirement, migrant workers, and IV substance abusers are not
ll ll ll ll ll ll ll ll ll ll ll ll ll
among the fastest growing groups of homeless people.
ll ll ll ll ll ll ll ll
PTS: 1 lDIF: Cognitive Level: Knowledge/Remembering
l ll ll
REF: p. 14
ll OBJ: Nursing Process: Assessment
l l ll l l ll ll
MSC: Client Needs: Physiologic Integrity
l l ll ll ll
.
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