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CHAPTER 1 CONTEMPORARY MATERNITY NURSING

1-1 A woman has just learned that she is pregnant for the first time. She would like to have a midwife deliver her baby, but she is concerned about the safety of birth with a midwife as attendant. The nurse knows her teaching is effective when the woman makes which one of the following comments? a. "I am glad to hear of the research that found that midwifery care has as good an outcome as that of physicians." b. "I am grateful to learn that I had better go to an obstetrician if I want pain relief during labor." c. "I did not know that midwives could only deliver women who are on Medicaid." d. "I want a midwife because my husband can be with me during birth." 1-2 The role of the professional nurse has evolved to emphasize which of the following? a. Providing direct care to patients at the bedside b. Planning patient care to cover longer hospital stays c. Leading the activities of a team of interdisciplinary health care providers d. Managing care to cure health problems after they have occurred 1-3 To assess for the risk of having a low-birth-weight (LBW) infant, which one of the following factors is the most important for the nurse to consider? a. African-American race b. Cigarette smoking c. Poor nutritional status d. Limited maternal education 1-4 A 23-year-old African-American woman is pregnant with her first child. Based on knowledge of the statistics related to infant mortality, which one of the following plans is most important for the nurse to implement? a. Perform a nutrition assessment b. Refer the woman to a social worker c. Advise the woman to see an obstetrician and not a midwife d. Teach the woman about why keeping her prenatal care appointments is so important 1-5 When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that which of the following is the most significant barrier to access to care? a. Age b. Minority status c. Educational level d. Inability to pay 1-6 What is the primary role of practicing nurses in the research process? a. Designing research studies b. Identifying researchable problems and helping to collect data c. Seeking funding to support research studies d. They don't have a role, because only nurses in an academic setting are involved in research 1-7 A pregnant couple's fetus has been diagnosed with anencephaly. They have learned that this condition is incompatible with life. They asked the nurse for advice on what they should do. Which one of the following nursing plans is likely to be most therapeutic? a. Refer the couple to a genetic counselor b. Refer the couple to a minister
Copyright 2002 by Mosby, Inc. All rights reserved.

2 c. Refer the couple to an ethics committee d. Refer the couple to their physician 1-8 When the nurse is unsure about how to perform a patient care procedure, what would the nurse's best action be? a. Ask another nurse b. Discuss the procedure with the patient's physician c. Look up the procedure in a nursing textbook d. Consult the agency procedure book/manual and follow the guidelines for the procedure 1-9 Which of the following measures should be the focus of the health care system to further reduce the rate of infant mortality? a. Implement programs to ensure women's participation in early and ongoing prenatal care b. Increase the length of stay in a hospital after vaginal birth from 2 to 3 days c. Expand the number of neonatal intensive care units d. Mandate that all pregnant women receive care from an obstetrician 1-10 Which of the following statements about alternative and complementary therapies is true? a. They replace conventional Western modalities of treatment. b. They are used by only a small number of American adults. c. They recognize the value of the patient's input into his or her own health care. d. They focus primarily on the disease that an individual is experiencing.

Copyright 2002 by Mosby, Inc. All rights reserved.