the united states ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate when developing programs to assist in decreasing these rates
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Chamberlain College Of Nursing
Maternity Newborn and Womens Health Nursing
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Maternity Final Exam Test - Bank
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health
Care
1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized
nations for infant mortality rate. When developing programs to assist in decreasing these rates,
which factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women's shelters
D)Encouraging all women to eat a balanced diet
2. When integrating the principles of family-centered care, the nurse would include which of the
following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that
additional teaching is needed when the students identify which condition as a leading cause?
A)Hemorrhage
B) Embolism
C) Obstructed labor
D)Infection
5. The nurse is working with a group of community health members to develop a plan to address the
special health needs of women. Which of the following conditions would the group address as the
major problem?
A) Smoking
B) Heart disease
C) Diabetes
D)Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
B) Health care workers attitudes
C) Transportation
,D) Finances
7. After teaching a group of nursing students about the issue of informed consent. Which of the
following, if identified by the student, would indicate an understanding of a violation of informed
consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His
parents are out of town on vacation, and the child is staying with a neighbor. Which action would be
the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the childs aunt or uncle to obtain their consent
D)Advocating for termination of parental rights for this situation
9. After teaching nursing students about the basic concepts of family-centered care, the instructor
determines that the teaching was successful when the students state which of the following?
A)Childbirth affects the entire family, and relationships will change.
B) Families are not capable of making health care decisions for themselves.
C) Mothers are the family members affected by childbirth.
D)Childbirth is a medical procedure.
10.A nursing instructor is preparing a class discussion on the trends in health care and health care
delivery
over the past several centuries. When discussing the changes during the past century, which of the
following would the instructor be least likely to include?
A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality
11.A nurse is assigned to care for an Asian American client. The nurse develops a plan of carewith
the
understanding that based on this clients cultural background, the client most likely views illness aswhich
of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
D) From an imbalance of yin and yang
12.A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy,
labor, and childbirth. Which of the following would be most important for the nurse toincorporate
into that plan?
A) Adhering to strict, specific routines
,B) Involving a pediatric physician
C) Educating the client about the importance of a support person
D) Assigning several nurses as a support team
13.A nursing instructor is preparing a class discussion on case management in maternal and newborn
health care. Which of the following would the instructor include as a key component?Select all that
apply.
A) Advocacy
B) Coordination
C) Communication
D) Resource management
E) Event managed care
14.After teaching a group of students about the concept of maternal mortality, the instructor
determines that additional teaching is needed when the students state which of the following?
A) The rate includes accidental causes for deaths.
B) It addresses pregnancy-related causes.
C) The duration of the pregnancy is not a concern.
D) The time frame is typically for a specified year.
15.A group of students are reviewing the historical aspects about childbirth. The studentsdemonstrate
understanding of the information when they identify the use of twilight sleep as a key eventduring
which
time frame?
A) 1700s
B) 1800s
C) 1900s
D) 2000s
16.A nurse is providing care to a woman who has just delivered a healthy newborn. Which actionwould
least likely demonstrate application of the concept of family-centered care?
A) Focusing on the birth as a normal healthy event for the family
B) Creating opportunities for the family to make informed decisions
C) Encouraging the woman to keep her other children at home
D) Fostering a sense of respect for the mother and the family
17.When discussing fetal mortality with a group of students, a nurse addresses maternal factors.
Which of the following would the nurse most likely include? Select all that apply.
A) Chromosomal abnormalities
B) Malnutrition
C) Preterm cervical dilation
D) Underlying disease condition
E) Poor placental attachment
, 18.A nurse is preparing a presentation for a local community group about health status and
children health. Which of the following would the nurse include as one of the most significant
measures?
A) Fetal mortality rate
B) Neonatal mortality rate
C) Infant mortality rate
D) Maternal mortality rate
19.A group of students are reviewing an article describing information related to indicators for
women's health and the results of a national study. Which of the following would the students
identify as being satisfactory for women? Select all that apply.
A) Smoking cessation
B) Colorectal cancer screening
C) Violence against women
D) Health insurance coverage
E) Mammograms
20.A nurse is preparing a presentation for a local women's group about heart disease and women.
Which of the following would the nurse expect to address when discussing measures topromote
health.
A) Women have similar symptoms as men for a heart attack.
B) Heart disease is no longer viewed as a man's disease.
C) Women experiencing a heart attack are at greater risk for dying.
D) Heart attacks in women are more easily diagnosed.
21.A nurse is working to develop a health education program for a local community to addressbreast
cancer awareness. Which of the following would the nurse expect to include when describing this
problem to the group? Select all that apply.
A) White women have higher rates of breast cancer than African American women.
B) African American women are more likely to die from breast cancer at any age.
C) Survival at any stage is worse among white women.
D) Women living in South America have the highest rates of breast cancer.
E) Breast cancer is the leading cause of cancer mortality in women.
22.A group of nursing students are reviewing information about factors affecting maternal,newborn,
and
women's health. The students demonstrate understanding of the information when they identifywhich
of
the following deficiencies as being associated with poverty? Select all that apply.
A) Literacy
B) Employment opportunities
C) Mobility
D) Political representation
E) Skills
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