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, During a prenatal intake interview, the client informs the nurse that she would prefer a midwife to
provide both her care during pregnancy and deliver the infant. Which information is most appropriate
for the nurse to share with this client about resulting care? She will receive fewer interventions
during the birth process.
While obtaining a detailed history from a woman who has recently immigrated from Somalia, the nurse
realizes that the client has undergone female genital mutilation. What is the nurse's most appropriate
response in this situation? "The extent of your circumcision will affect the potential for
complications"
Maternity nurses can enhance communication among health care providers by using the SBAR
technique. The acronym SBAR stands for what? Situation, background, assessment, recommendation
Greater than one third of women in the United States are now obese. Less than one quarter of women
in Canada exhibit the same BMI. Obesity in the pregnant woman increases both maternal medical risk
factors and negative outcomes for the infant. The nurse is about to perform an assessment on a client
who is 28 weeks pregnant and has a BMI of 35. What are the most frequently reported complications for
which the nurse must be alert while assessing this client? Diabetes
Hypertension
The Patient Protection and Affordable Care Act was signed into law by President Obama in early 2010.
The Act provides some immediate benefits, and other provisions will take place over the next several
years. The practicing nurse should have a thorough understanding of how these changes will benefit his
or her clients. Which outcomes are goals of the ACA? Insurance affordability
Improve public health
Cost containment
Which statements indicate that the nurse is practicing appropriate family-centered care techniques?
The nurse allows time or the partner to ask questions
The nurse allows the mother and father to make choices when possible
Which methods help alleviate the problems associated with access to health care for the maternity
client? Provide transportation to prenatal visits
Provide child care to enable a pregnant woman to keep prenatal visits
Increase the number of providers that will care for Medicaid clinets
Provide low-cost or no-cost health care insurance
In evaluating the the level of a pregnant woman's risk of having a low-birth-weight (LBW) infant, which
factor is the most important for the nurse to consider? African-American race
, A 23-year old African-American woman is pregnant with her first child. Based on current statistics for
infant mortality, which intervention is most important for the nurse to include in the client's plan of
care? Explain to the woman the importance of keeping her prenatal care appointments.
During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21
year old Hispanic client with limited English proficiency. Which intervention is the most important for
the nurse to implement? Assess whether the client understands the discussion.
The nurses working at a newly established birthing center have begun to compare their performance in
providing maternal-newborn care against clinical standards. This comparison is most commonly known
as what? Outcomes-oriented practice
Which statement best exemplifies contemporary maternity nursing? Family-centered care
A 38-year-old Hispanic woman vaginally delivered a 9 pound, 6 ounce baby girl after being in labor for
43 hours. The baby dies 3 days later from sepsis. On what grounds could the woman have a legitimate
legal case for negligence? Standard of care was not met.
When the nurse is unsure how to perform a client care procedure that is high risk and low volume, his or
her best action in this situation would be what? First consult the agency procedure manual.
A nurse caring for a pregnant client should be aware that the US birth rate shows what trend? Births
to unmarried women are more likely to have less favorable outcomes.
A recently graduated nurse is attempting to understand the reason for increasing health care spending
in the US. Which information gathered from research best explains the rationale for these higher costs
compared with other developed countries? Higher rate of obesity among pregnant women.
Which statement best describes maternity nursing care that is based on knowledge gained through
research and clinical trials? Maternity nursing care is known as evidence based practice
What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
Standard of care
Using social media technology, nurses can link with other nurses who may share similar interests,
insights about practice and advocate for clients. Which factor is the most concerning pitfall for nurses
using this technology? Violation of client privacy and confidentiality
A married couple lives in a single-family house with their newborn son and the husband's daughter from
a previous marriage. Based on this information, what family form best describes this family?
Married-blended family
Which key factors play the most powerful role in the behaviors of individuals and families? Beliefs
and values
What is the primary difference between hospital care and home health care? Home care is delivered
on an intermittent basis by professional staff
The woman's family members are present when the nurse arrives for a postpartum newborn visit. What
should the nurse do? Observe the family members' interactions with the newborn and one another
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