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NUR 6560 Maternity Final TBs, Exams of Nursing

Los Angeles Pierce College Nursing

NUR 6560 Maternity Final TBs NUR 6560 Maternity Final TBs

Typology: Exams

2022/2023

Available from 08/24/2023

Peterr 🇺🇸

215 documents

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NUR 6560 Maternity Final TBs

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)

Diabet

es

D)Cancer

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Chapter 01: Perspectives on Maternal, Newborn, and Womens Health Care

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
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
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
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
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) Diabet es D)Cancer

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) Transportati on D)Finances
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
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
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

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 to incorporate 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 students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during 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 action would 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 to promote 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.

5. B

6. D

7. A

8. A

9. A

10. D

11. D

12. C

13. A, B, C, D

14. A

15. C

16. C

17. B, C, D

18. C

19. B, E

20. C

21. A, B

22. A, B, C, D, E

Chapter 02: Family-Centered Community-Based Care

The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family- centered care? A)Softening unpleasant information or prognoses B) Evaluating and changing the nursing plan of care C) Collaborating with the child and family as equals D)Showing respect for the familys beliefs and wishes
The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention? A)Arranging for a physical therapy session B) Teaching parents to administer albuterol C) Reminding parent to give a full course of antibiotics D)Giving a DTaP vaccination at the proper interval
A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason? A)Serves as a communication tool for the interdisciplinary team. B) Demonstrates education the family has received if legal matters arise. C) Permits others access to allow refusal of medical insurance coverage. D) Verifies meeting client education standards set by the Joint Commission.
A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information? A) I like having the privacy, but it might be too expensive for me to set up in my home. B) I want to have more control, but I am concerned if an emergency would arise. C) It is safer because I will have a midwife. D) The midwife is trained to resolve any emergency, and she can bring any pain meds.
The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, I'm pretty tired. And with this pain, I havent been drinking and eating like

B) Fatigue related to effects of surgery and caretaking activities C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake D) Acute pain related to incision and cesarean birth

When caring for childbearing families from cultures different from ones own, which of the following must be accomplished first? A) Adapt to the practices of the familys culture B) Determine similarities between both cultures C) Assess personal feelings about that culture D) Learn as much as possible about that culture
After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful? A)Increase in community settings for care B) Decrease in family poverty level C) Increase in hospitalization of children D)Decrease in managed care
The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women? A)Calcium B) Folic acid C) Vitamin C D)Iron
Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection? A) Provide treatment for clients who test positive for HIV B) Monitor viral load counts periodically C) Educate clients in how to practice safe sex D) Offer testing for clients who practice unsafe sex 10.When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following? A) Confer with the clients mother B) Teach new self-care skills to the client C) Determine if there is a need for back-up power D) Discuss coverage with the insurance company

11.When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community- based nursing. Which of the following would the nurse include? A) Increased time available for education B) Improved access to resources C) Decision making in isolation D) Greater environmental structure 12.After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in community-based health care? A) Teaching women to take folic acid supplements to prevent neural tube defects B) Working with women who are victims of domestic violence C) Working with clients at an HIV clinic to provide nutritional and CAM therapies D) Teaching hypertensive clients to monitor blood pressure 13.A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? A) 2448 hours or less B) 7296 hours or less C) 4872 hours or less D) 96120 hours or less

Which of the following statements is accurate regarding women's health care in todays system? A) Women spend 95 cents of every dollar spent on health care. B) Women make almost 90% of all health care decisions. C) Women are still the minority in the United States. D) Men use more health services than women. 15.A nurse is educating a client about a care plan. Which of the following statements would be appropriate to assess the clients learning ability? A) Did you graduate from high school; how many years of

B) Do you have someone in your family who would understand this information? C) Many people have trouble remembering information; is this a problem for you? D) Would you prefer that the doctor give you more detailed medical information? 16.A nurse is developing cultural competence. Which of the following indicates that the nurse is in the process of developing cultural knowledge? Select all that apply. A) Examining personal sociocultural heritage B) Reviewing personal biases and prejudices C) Seeking resources to further understanding of other cultures D) Becoming familiar with other culturally diverse lifestyles E) Performing a competent cultural assessment F) Advocating for social justice to eliminate disparities. 17.A nurse is engaged in providing family-centered care for a woman and her family. The nurse is providing instrumental support with which activity? A) Explaining to the woman and family what to expect during the birth process. B) Assisting the woman in breathing techniques to cope with labor contractions. C) Reinforcing the woman's role as a mother after birth D) Helping the family obtain extra financial help for prescribed phototherapy 18.A nurse is considering a change in employment from the acute care setting to community-based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply. A) Urgent care center B) Hospice care C) Immunization clinic D) Physicians office E) Day surgery center F) Nursing home 19.A nursing instructor is presenting a class for a group of students about community-based nursing interventions. The instructor determines that additional teaching is

needed when the students identify which of the following? A) Conducting childbirth education classes

the following would the nurse include as characteristic of this role? A) Greater emphasis on direct physical care B) Broader assessment to include the environment

C) Increased dependency on physician D) Limited decision making and support 24.A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the clients learning? (Select all that apply.) A) Teach survival skills first B) Use simple, nonmedical language C) Refrain from using a hands-on approach D) Avoid repeating information E) Use visual materials such as photos and videos 25.A group of nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step? A) Cultural knowledge B) Cultural skills C) Cultural encounter D) Cultural awareness Answer Key

A
A
C
B
D
C
A
B
C
C
C
A
A
B
C
C, D
D
A, D, E
D

C) Vagin a D)Vulva

After teaching a group of pregnant women about breast-feeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth? A)Placental estrogen B) Progesterone C) Gonadotropin-releasing hormone D)Prolactin
The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first? A)Evidence of pubic hair B) Development of breast buds C) Onset of menses D) Growth spurt
When describing the ovarian cycle to a group of students, which phase would the instructor include? A) Luteal phase B) Proliferative phase C) Menstrual phase D) Secretory phase
The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation? A) Estrogen B) Progesterone C) Follicle-stimulating hormone D)Luteinizing hormone
The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful? A) Testes B) Seminal vesicles C) Scrotum D) Prostate gland 10.The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the nurse to include as an accessory gland? A) Seminal vesicles B) Prostate gland