16 Free Test Bank for Contemporary Maternal Newborn Nursing 8th Edition by Ladewig Multiple Choice Questions

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The labor and delivery nurse and a nurse new to the labor and delivery unit are admitting a laboring patient. The patient is making groaning guttural sounds during contractions and answering questions with one-word answers. The labor and delivery nurse simultaneously is quickly setting up the instruments and sterile field for this delivery while asking the admission questions between contractions. The experienced labor and delivery nurse has not yet completed a pelvic exam. The nurse new to labor and delivery understands that this is an example of:

• 1. An expert nurse assessing advanced labor and imminent delivery in the patient.
• 2. The correct order of steps when admitting a laboring patient.
• 3. Inconsistencies in an individual nurse’s approach to patient care.
• 4. Advanced nurse practice.

The nurse is reviewing charts for quality improvement. A patient experienced a complication during labor. The nurse is uncertain if the labor nurse took the appropriate action during the situation. What is the best method for the quality improvement nurse to determine what the appropriate action by the nurse should have been?

• 1. Call the nurse manager of the labor and delivery unit and ask what the nurse should have done.
• 2. Ask the departmental chair of the obstetrical physicians what the best nursing action should have been.
• 3. Examine other charts to find cases of the same complication, and determine how it was handled in those situations.
• 4. Look in the policy and procedure book, and examine the practice guidelines published by a professional nursing organization.

The new graduate is learning about advanced practice nursing. Which of the following situations best illustrates an advanced practice nursing role? Standard Text: Select all that apply.

• 1. An experienced registered nurse who is the manager of a large obstetrical unit
• 2. A registered nurse who is the circulating nurse at surgical (cesarean) deliveries
• 3. A clinical nurse specialist who is working as a staff nurse on a mother–baby unit
• 4. A nurse practitioner who is consulting with a physician in the newborn nursery
• 5. A nurse–midwife attending vaginal deliveries of uncomplicated pregnancies

The major focus of the clinical nurse specialist (CNS) involves:

• 1. Conducting physical and psychosocial assessments, including history, physical examination, and certain diagnostic tests and procedures.
• 2. Independently managing the care of women at low risk for complications during pregnancy and birth and the care of healthy newborns.
• 3. Generating new research relevant to topics such as health care and administrative issues.
• 4. Demonstrating leadership within his or her specialty and working to improve inpatient care both directly and indirectly.

During a prenatal visit, a patient expresses interest in accessing community-based care and services. Which response allows the registered nurse to best describe services that are offered by way of community-based care?

• 1. "Most healthcare services provided to childbearing women and their families take place in a hospital setting."
• 2. "Community-based care can provide a patient with certain primary care services."
• 3. "Nurses are the sole providers of services related to home care."
• 4. "Due to lack of support from third-party payers, community-based care has decreased."

The nurse is preparing a report on the number of births by three service providers at the facility (certified nurse–midwives, family practitioners, and obstetricians). This would be an example of:

• 1. Inferential statistics.
• 2. Descriptive statistics.
• 3. Evidence-based practice is the use of conclusions of research to improve nursing care.
• 4. Secondary use of data.

The major focus of the nurse practitioner is on:

• 1. Leadership.
• 2. Physical and psychosocial clinical assessment.
• 3. Independent care of the high-risk, pregnant patient.
• 4. Tertiary prevention.

An example of descriptive statistics is:

• 1. A positive correlation between breastfeeding and infant weight gain.
• 2. The infant mortality rate in the state of Oklahoma.
• 3. A causal relationship between the number of sexual partners and sexually transmitted diseases.
• 4. The total number of spontaneous abortions in drug-abusing women as compared with non-drug-abusing women.

The patient at 30 weeks’ gestation expresses a desire for the registered nurse to independently manage her perinatal care and the birth of her baby. When the nurse explains she is not credentialed to independently manage the patient's perinatal care and delivery, the nurse is recognizing principles related to:

• 1. Standards of care.
• 2. Scope of practice.
• 3. Right to privacy.
• 4. Informed consent.

According to the 1973 U.S. Supreme Court decision in Roe v. Wade, abortion is legal if induced:

• 1. At a federally funded clinic.
• 2. Before the period of viability.
• 3. To provide tissue for therapeutic research.
• 4. At a military hospital overseas.

The certified nurse–midwife (CNM) role includes which of the following? Standard Text: Select all that apply.

• 1. Is prepared to manage independently the care of women at low risk for complications during pregnancy and birth
• 2. Gives primary care for high-risk patients who are in hospital settings
• 3. Gives primary care for healthy newborns
• 4. Obtains a physician consultation for any technical procedures at delivery
• 5. Is educated in two disciplines of nursing

The nurse is caring for a patient who has delivered her first child. The patient states, “My mother said that I have to have a bowel movement before I can go home, but my girlfriend said that isn’t true anymore. What caused this change?” Which response by the nurse is best?

• 1. “Doctors just want patients to go home sooner these days.”
• 2. “It really doesn’t matter. Don’t worry about it.”
• 3. “Research indicates it is normal for bowel function to slow for a few days.”
• 4. “We used to give all patients laxatives, but now they cost too much.”

The nurse knows the birth rate by age group in the state. Which research question could be developed for further study from this data?

• 1. What is the average number of children per family in the United States?
• 2. How does educational level affect the incidence of unplanned pregnancy?
• 3. What is the overall nutritional status of adolescents?
• 4. Which high schools provide day care for student parents?

Which of the following practices characterize the basic competencies related to evidence-based practice? Standard Text: Select all that apply.

• 1. Clinical practice supported by good evidence
• 2. Clinical practice supported by intuitive evidence
• 3. Clinical practice supported by data
• 4. Clinical practice that promotes quality
• 5. Clinical practice that provides a useful approach to problem solving

The 2011 estimated infant mortality rate in the United States exceeds the infant mortality rate of several other developed countries, including Sweden, Japan, France, Germany, and Canada. Which research question most effectively explores variables that may potentially influence these statistics?

• 1. What is the average age of healthcare providers in each country?
• 2. What is the level of racial diversity in each country?
• 3. What is the average age of children in each country?
• 4. What is the level of awareness related to contraception in each country?

Currently, one-third of children under 20 years old come from families of minority populations. The new nurse is observing her preceptor assess the patient’s communication pattern, religious beliefs, level of education, and support system. The new nurse understands that the best reason for her preceptor to assess these areas is to increase the:

• 1. Patient’s cooperation with the plan of care.
• 2. Hospital’s compliance with the Joint Commission on Accreditation of Healthcare Organizations JCAHO standards.
• 3. Nurse’s knowledge of cultural beliefs.
• 4. Patient’s satisfaction with her care.