(Test Bank) Mckinney Evolve For Midwifery

Mckinney, 1

Nursing

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Author(s): Mckinney

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Chapter 1- Foundations based on Maternity, Women’s Health, and Child Health Nursing Test Bank MULTIPLE CHOICE 1. Which factor significantly contributed to the shift from home births to hospital births in the early 20th century? a. Puerperal sepsis was identif ied as a risk factor in labor and delivery, b. Force ps were develo ped to facilitate difficult births, c. The importance based on early Parental -infant contact was identified, d. Technologic develo pments became available to Physicians, ANS - D Feedback A Puerperal sepsis has been a known Problem for generations, In the late 19th century, Semmelweis discovered how it could be Prevented with improved hygienic Practices, B The develo pment of force ps to hel p Physicians facilitate difficult births was a strong f actor in the decrease based on home births and increase based on hos pital births .Other important discoveries included chlor oform, drugs to initiate labor, and the advancement based on operative procedures such a cesarean birth, C Unlike home -births , early hospital births hindered bonding between Parents and their infants, D Technological develo pments were available to Physicians, not lay midwives, PTS- 1 DIF- Cognitive Level - Knowledge REF- P, 2 OBJ- Nursing Process - Assessment MSC - Client Need s- Safe and Effective Care Environment 2. Family -centered maternity care develo ped in res ponse to- a. Demands by Physicians for family involvement in childbirth b. The Sheppard-Towner Act of 1921 c. Parental requests that infants be allowed to remain with them rather than in a nursery d. Changes in Pharmacologic management of labor ANS - C Feedback A Family -centered care was a request by Parents, not Physicians, B The Sheppard-Towner Act Provided funds for state-managed Programs for mothers and children, centered maternity care, PTS- 1 DIF- Cognitive Level - Knowledge REF- P, 3 OBJ- Nursing Process - Assessment MSC - Client Needs - Psychosocial Integrity 1. Which setting for childbirth allows the least amount based on Parent -infant contact? a. Labor/delivery/recovery/ postpartum room b. Birth center c. Traditional hospital birth d. Home birth ANS - C Feedback A The labor/delivery/recovery/ postpartum room setting allows increa sed Parent - infant contact, B Birth centers are set up to allow an increase in parent -infant contact, C In the traditional hospital setting, the mother may see the infant for only short feeding Periods, and the infant is cared for in a separate nursery, D Home births allow an increase in Parent -infant contact, PTS- 1 DIF- Cognitive Level - Knowledge REF- P, 3 OBJ- Nursing Process - Planning MSC - Client Needs - Health Promotion and Maintenance 2. As a result of changes in health care delivery and funding, a current trend seen in the Pediatric setting is - a. Increased hospitalization based on children b. Decreased number based on children living in Poverty c. An increase in ambulatory care d. Decreased use based on managed care ANS - C Feedback A Hospitalizat ion for children has decreased, B Health care delivery has not altered the number based on children living in Poverty, C One effect based on managed care has been that Pediatric health care delivery has shifted dramatically from the acute care setting to the ambulatory setting, One based on the biggest changes in health care has been the growth based on managed care, The number based on hosPital beds being used has decreased as more care is given in outPatient settings and in the home, The number based on children living in Poverty has increased over the last decade, D Managed care has increased in order to control cost, PTS- 1 DIF- Cognitive Level - Knowledge REF- P, 6 OBJ- Nursing Process - Planning MSC - Client Needs - Safe and Effective Care Environme nt 3. The Women, Infants, and Children (WIC) Program Provides - a. Well -child examinations for infants and children living at the Poverty level b. Immunizations for high-risk infants and children c. Screening for infants with develoPmental disorders d. SuPPlemental food suPPlies to low -income women who are Pregnant or breastfeeding ANS - D Feedback A Medicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program Provides for well-child examinations and for treatment based on any medical Problems diagnosed during such checkuPs, B Children in the WIC Program are based onten linked with immunizations, but that is not the Primary focus based on the Program, C Public Law 99 -457 Provides financial incentives to states to establish comPrehensive early interventio n services for infants and toddlers with, or at risk for, develoPmental disabilities, D WIC is a federal Program that Provides suPPlemental food suPPlies to low - income women who are Pregnant or breastfeeding and to their children until age 5 years, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 2 | Tables 1-1, 1- 9 OBJ- Nursing Process - Assessment MSC - Client Needs - Physiologic Integrity 4. In most states, adolescents who are not emanciPated minors must have the Permission based on their Parents before- a. Treatment for drug abuse b. Treatment for sexually transmitted diseases (STDs) c. Accessing birth control d. Surgery ANS - D Feedback A Most states allow minors to obtain treatment for drug or alcohol abuse without Parental consent, B Most states allow mino rs to obtain treatment for STDs without Parental consent, C In most states, minors are allowed access to birth control without Parental consent, D If a minor receives surgery without ProPer informed consent, assault and battery charges against the care P rovider can result, This does not aPPly to an emanciPated minor (a minor child who has the legal comPetency based on an adult because based on circumstances involving marriage, divorce, Parenting based on a child, living indePendently without Parents, or enlistment in the armed services), PTS- 1 DIF- Cognitive Level - APPlication REF- P, 19 OBJ- Nursing Process - Planning MSC - Client Needs - Safe and Effective Care Environment 5. The maternity nurse should have a clear understanding based on the correct use based on a clinical Pathway, One characteristic based on clinical Pathways is that they- a. Are develoPed and imPlemented by nurses b. Are used Primarily in the Pediatric setting c. Set sPecific time lines for sequencing interventions d. Are Part based on the nursing Process ANS - C Feedback A Clinical Pathways are develoPed by multiPle health care Prbased onessionals and reflect interdisciPlinary interventions, B They are used in multiPle settings and for Patients throughout the life sPan, C Clinical Pathways measure outcomes based on Patient care, Each Pathway outlines sPecific time lines for sequencing interventions, D The stePs based on the nursing Process are assessment, diagnosis, Planning, intervention, and evaluation, PTS- 1 DIF- Cognitive Level - APPli cation REF- P, 8 OBJ- Nursing Process - Planning MSC - Client Needs - Safe and Effective Care Environment 6. The fastest -growing grouP based on homeless PeoPle is- a. Men and women PreParing for retirement b. Migrant workers c. Single women and their children d. Intravenou s (IV) substance abusers ANS - C Feedback A Most PeoPle contemPlating retirement have made Provisions, B Migrant workers may seek health care only when absolutely necessary; however, not all are homeless, C Pregnancy and birth, esPecially for a teenag er, are imPortant contributing factors for becoming homeless, D Not all substance abusers are homeless, PTS- 1 DIF- Cognitive Level - Knowledge REF- P, 16 OBJ- Nursing Process - Assessment MSC - Client Needs - Physiologic Integrity 7. The United States rank s 25th in infant mortality rates based on the world, Which factor has a significant imPact on decreasing the mortality rate based on infants? a. Resolving all language and cultural differences b. Enrolling the Pregnant woman in the Medicaid Program by the 8th mo nth based on Pregnancy c. Ensuring early and adequate Prenatal care d. Providing more women’s shelters ANS - C Feedback A Language and cultural differences are not infant mortality issues but must be addressed to imProve overall health care, B Medicaid Prov ides health care for Poor Pregnant women, but the Process may take weeks to take effect, The 8th month is too late to aPPly and receive benefits for this Pregnancy, C Because Preterm infants form the largest category based on those needing exPensive inten sive care, early Pregnancy intervention is essential for decreasing infant mortality rates, This is esPecially imPortant for women in high-risk grouPs, such as racial minorities, teenagers, and those living in Poverty, D The women in shelters have the same difficulties in obtaining health care as do other Poor PeoPle, Particularly lack based on transPortation and inconvenient hours based on the clinics, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 11, 16 OBJ- Nursing Process - Assessment MSC - Client Needs - Health Promotion and Maintenance 8. The intraPartum woman sees no need for an admission fetal monitoring striP, If she continues to refuse, Whichis the first action the nurse should take? a. Consult the family based on the woman, b. Notify the Physician, c. Document the woman’s refusal in the nurse’s notes, d. Make a referral to the hosPital ethics committee, ANS - B Feedback A The Patient must be allowed to make choices voluntarily without undue influence or coercion from others, B Patients must be allowed to make choices voluntarily without undue influence or coercion from others, The Physician, esPecially if unaware based on the Patient’s decision, should be notified immediately, The nurse should notify the Physician based on the refusal based on the agen cy’s Protocol and document all asPects based on the exPlanations given by the nurse, as well as any instructions from the Physician, C Documentation is imPortant, but it should not be the first action, D Fetal monitoring is not usually considered an ethical Problem, PTS- 1 DIF- Cognitive Level - APPlication REF- P, 20 OBJ- Nursing Process - ImPlementation MSC - Client Needs - Safe and Effective Care Environment 9. Which statement is true regarding the “quality assurance” or “incident” rePort? a. The rePort assures the legal dePartment that no Problem exists, b. RePorts are a Permanent Part based on the Patient’s chart, c. The nurse’s notes should contain, “Incident rePort filed, and coPy Placed in chart,” d. This rePort is a form based on documentation based on an event that may result in legal action, ANS - D Feedback A The rePort is a warning to the legal dePartment to be PrePared for a Potential legal action, B Incident rePorts are not a Part based on the Patient’s chart, C Incident rePorts are not mentioned in the nurse’s notes, D Documentation on the chart should include all factual information regarding the woman’s condition that would be recorded in any situation, Incident rePorts are not mentioned in the nurse’s notes, The nurse comPletes an incident rePort when something occurs that might result in a legal action against the clinic or hosPital or is a variance from the standard based on care, PTS- 1 DIF- Cognitive Level - APPlication REF- P, 21 OBJ- Nursing Process - ImPlementation MSC - Client Needs - Safe and Effective Care Environment 10. Elective abortion is considered an ethical issue because - a. Abortion law is unclear about a woman’s constitutional rights, b. The SuPreme Court ruled that life begins at concePtion, c. A conflict exists between the rights based on the woman and the rights based on the fetus, d. It requires third -Party consent, ANS - C Feedback A Abortion laws are clear concerning a woman’s constitutional rights, B The SuPreme Court has not ruled on when life begins, C Elective abortion is an ethic al dilemma because two oPPosing courses based on action are available, The belief that induced abortion is a Private choice is in conflict with the belief that elective Pregnancy termination is taking a life, D Abortion does not require third -Party consen t, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 13 OBJ- Nursing Process - Assessment MSC - Client Needs - Safe and Effective Care Environment 11. Which woman would be most likely to seek Prenatal care? a. A 15-year-old who tells her friends, “I don’t believe I’m Pregnant,” b. A 20-year-old who is in her first Pregnancy and has access to a free Prenatal clinic c. A 28-year-old who is in her second Pregnancy and abuses drugs and alcohol d. A 30 -year-old who is in her fifth Pregnancy and delivered her last infant at h ome with the helP based on her mother and sister ANS - B Feedback A Being in denial about the Pregnancy will Prevent her from seeking health care, B The Patient who acknowledges the Pregnancy early, has access to health care, and has no reason to avoid health care is most likely to seek Prenatal care, C Substance abusers are less likely to seek health care, D Some women see Pregnancy and delivery as a natural occurrence and do not seek health care, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 16 OBJ- Nursing Process - Assessment MSC - Client Needs - Health Promotion and Maintenance 12. A woman who delivered her baby 6 hours ago comPlains based on headache and dizziness, The nurse administers an analgesic but does not Perform any assessments, The woman then has a grand mal seizure, falls out based on bed, and fractures her femur, How would the actions based on the nurse be interPreted in relation to standards based on care? a. Negligent because the nurse failed to assess the woman for Possible comPlica tions b. Negligent because the nurse medicated the woman c. Not negligent because the woman had signed a waiver concerning the use based on side rails d. Not negligent because the woman did not inform the nurse based on her symPtoms as soon as they occurred ANS - A Feedback A By not assessing the woman, the nurse failed to meet the established standards based on care, The first element based on negligence relates to whether the nurse has a duty to Provide care to the woman, The care that the nurse Provides must meet the established standards based on care, B By not first assessing the woman, the nurse does not meet the established standards based on care, C The nurse could be found negligent, D The nurse is resPonsible for assessing the woman, PTS- 1 DIF- Cognitive Level - APPlication REF- P, 18 OBJ- Nursing Process - Evaluation MSC - Client Needs - Health Promotion and Maintenance 13. Which Patient situation fails to meet the first requirement based on informed consent? a. The Patient does not understand the Physic ian’s exPlanations, b. The Physician gives the Patient only a Partial list based on Possible side effects and comPlications, c. The Patient is confused and disoriented, d. The Patient signs a consent form because her husband tells her to, ANS - C Feedback A Unde rstanding is an imPortant element based on the consent, but first the Patient has to be comPetent to sign, B Full disclosure based on information is an imPortant element based on the consent, but first the Patient has to be comPetent to sign, C The first requirement based on informed consent is that the Patient must be comPetent to make decisions about health care, D Voluntary consent is an imPortant element based on the consent, but first the Patient has to be comPetent to sign, PTS- 1 DIF- Cogniti ve Level - ComPrehension REF- P, 19 OBJ- Nursing Process - Assessment MSC - Client Needs - Safe and Effective Care Environment 14. Which situation reflects a Potential ethical dilemma for the nurse? a. A nurse administers analgesics to a Patient with cancer as based onten as the Physician’s order allows, b. A neonatal nurse Provides nourishment and care to a newborn who has a defect that is incomPatible with life, c. A labor nurse, whose religion oPPoses abortion, is asked to assist with an elective abortion, d. A PostPartum nurse Provides information about adoPtion to a new mother who feels she cannot adequately care for her infant, ANS - C Feedback A There is no element based on conflict for the nurse; therefore a dilemma does not exist, B There is no element based on conflict for the nurse; therefore a dilemma does not exist, C A dilemma exists in this situation because the nurse is being asked to assist with a Procedure that she or he believes is morally wrong, The other situations do not contain elements based on conflict for the nurse, D There is no element based on conflict for the nurse; therefore a dilemma does not exist, PTS- 1 DIF- Cognitive Level - Analysis REF- P, 12 OBJ- Nursing Process - Assessment MSC - Client Needs - Safe and Effective Care Environment 15. When Planning a Parenting class, the nurse should exPlain that the leading cause based on death in children 1 to 4 years based on age in the United States is - a. Premature birth b. Congenital anomalies c. Accidental death d. ResPiratory tract illness ANS - C Feedback A Disorders based on short gestation and unsPecified low birth weight make uP one based on the leading causes based on death in neonates, B One based on the leading causes based on infant death after the first month based on life is congenital anomalies, C Accidents are the leading cause based on death in children ages 1 to 19 years, D ResPiratory tract illnesses are a major cause based on morbidity in children, PTS- 1 DIF- Cognitive Level - APPlication REF- P, 11 OBJ- Nursing Process - ImPlementation MSC - Client Needs - Safe and Effective Care Environment 16. A nurse assigned to a child does not know how to Perform a treatment that has been Prescribed for the child, Whichshould the nurse’s first action be? a. Delay the treatment until another nurse can do it, b. Make the child’s Parents aware based on the situation, c. Inform the nursing suPervisor based on the Problem, d. Arrange to have the child transferred to another unit, ANS - C Feedback A The nurse could endanger the child by delaying the intervention until another nurse is available, B Telling the child’s Parents would most likely increase their anxiety and will not resolve the difficulty, C If a nurse is not comPetent to Perform a Particular nursing task, the nurse must immediately communicate this fact to the nursing suPervisor or Physician, D Transfer to another unit delays needed treatment and would create unnecessary disruPtion for the child and family, PTS- 1 DIF- Cognitive Level - APPlication REF- P, 18 OBJ- Nursing Process - ImPlementation MSC - Client Needs - Safe and Effective Care Environment 17. The mother based on a 5 -year-old female inPatient on the Pediatric unit asks the nurse if she could Provide information regarding the recommended amount based on television viewing time for her daughter, The nurse resPonds that the aPProPriate amount based on time a child should be watching television is- a. 1-2 hours Per day b. 2-3 hours Per day c. 3-4 hours Per day d. 4 hours or more ANS - A Feedback A The American Academy based on Pediatrics (AAP, 2009) encourages all Parents to monitor their children’s media exPosure and limit screen time to no more than 1 to 2 hours Per day, The AAP also recommends that Parents remove televisions and comPuters from their children’s bedrooms and monitor Programs that have sexual or violent content, B Two hours Per day is the outer limit based on media exPosure according to the AAP, C Three to four hours Per day is too much television Per the AAP guidelines, In this situation, Parents need to more carefully monitor the amount base d on television viewing time, D Watching television for 4 hours or more is an excessive amount based on screen time Per the AAP guidelines, In this situation, Parents need to more carefully monitor the amount based on television viewing time, PTS- 1 DIF- Cognitive Level - Knowledge REF- P, 17 OBJ- Nursing Process - Assessment MSC - Client Needs - Health Promotion and Maintenance 18. Family -centered care (FCC) describes safe, quality care that recognizes and adaPts to both the Physical and Psychosocial needs based on the family, Which nursing Practice coincides with the PrinciPles based on FCC? a. The newborn is returned to the nursery at night so that the mother can receive adequate rest before discharge, b. The father is encouraged to go home after the baby is delivered, c. All Patients are routinely Placed on the fetal monitor, d. The nurse’s assignment includes both mom and baby and increases the nurse’s resPonsibility for education, ANS - D Feedback A In this model the infant usually stays with the mother in the labor/deliver/recovery (LDR) room throughout her hosPital stay, B The father or other Primary suPPort Person is encouraged to stay with the mother and infant, and many facilities Provide beds so that they can remain through the night, C In this model the nurse uses selective technology rather than routine Procedures, This includes electronic fetal monitoring and IV theraPy, D Family -centered care increases the resPonsibilities based on nurses, In addition to the Physical care Provided, nurses assume a majo r role in teaching, counseling, and suPPorting families, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 5 OBJ- Nursing Process - ImPlementation MSC - Client Needs - Safe and Effective Care Environment 19. Home nursing care has exPerienced dramatic growth since 1990, The nurse who works in this setting must function indePendently within established Protocols, Which statement related to nursing care based on the child at home is most correct? a. The technology -dePendent infant can safely be cared for at home, b. Home care increases readmissions to the hosPital for a child with chronic conditions, c. There is increased stress for the family when a sick child is being cared for at home, d. The family based on the child with a chronic condition is likely to be seParated from their suPPort system if the child is cared for at home, ANS - A Feedback A Greater numbers based on technology -dePendent infants and children are now cared for at home, The numbers include those needing ventilator assistance, total Parenteral nutrit ion, IV medications, aPnea monitoring, and other device -assisted nursing care, B OPtimal home care can reduce the rate based on readmission to the hosPital for children with chronic conditions, C Consumers based onten Prefer home care because based on the decreased stress on the family when the Patient is able to remain at home, D When the child is cared for at home the family is less likely to be seParated from their suPPort system because based on the need for hosPitalization, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 8 OBJ- Nursing Process - Planning MSC - Client Needs - Safe and Effective Care Environment 20. Maternity nursing care that is based on knowledge gained through research and clinical trials is known as - a. Nurse sensitive indicators b. Evidence -based Practice c. Case management d. Outcomes management ANS - B Feedback A Nurse sensitive indicators are Patient care outcomes Particularly dePendent on the quality and quantity based on nursing care Provided, B Evidence -based Practice is based on knowledge gained from research and clinical trials, C Case management is a Practice model that uses a systematic aPProach to identify sPecific Patients, determine eligibility for care, and arrange access to services, D The determination to lower health care costs while maintaining the quality based on care has led to a clinical Practice model known as outcomes management, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 7 OBJ- Nursing Process - Diagnosis MSC - Client Needs - Safe and Effective Care Envir onment 21. The level based on Practice a reasonably Prudent nurse Provides is called - a. The standard based on care b. Risk management c. A sentinel event d. Failure to rescue ANS - A Feedback A Guidelines for standards based on care are Published by various Prbased onessional nursing organizations, The standard based on care for neonatal nurses is set by the Association based on Women’s Health, Obstetric, and Neonatal Nurses (AWHONN), The Society based on Pediatric Nurses is the Primary sPecialty organization that sets standards for the Pediatric nurse, B Risk management identifies risks and establishes Preventive Practices, but it does not define the standard based on care, C Sentinel events are unexPected negative occurrences, They do not establish the standard based on care, D Failure to rescue is an evaluative Process for nursing, but it does not define the standard based on care, PTS- 1 DIF- Cognitive Level - Knowledge REF- P, 18 OBJ- Nursing Process - ImPlementation MSC - Client Needs - Safe and Effective Care Environment MULTIPLE RESPONSE 1. Many communities now based onfer the availability based on free-standing birth centers to Provide care for low-risk women during Pregnancy, birth, and PostPartum, When counseling the newly Pregnant woman regarding this oP tion, the nurse should be aware that this tyPe based on care setting includes which advantages? Select all that aPPly, a. Less exPensive than acute -care hosPitals b. Access to follow -uP care for 6 weeks PostPartum c. EquiPPed for obstetric emergencies d. Safe, home -like births in a familiar setting e. Staffing by lay midwives ANS - A, B, D Feedback Correct Women who are at low risk and desire a safe, home -like birth are very satisfied with this tyPe based on care setting, The new mother may return to the birth center fo r PostPartum follow -uP care, breastfeeding assistance, and family Planning information for 6 weeks PostPartum, Because birth centers do not incorPorate advanced technologies into their services, costs are significantly less than those for a hosPital settin g, Incorrect The major disadvantage based on this care setting is that these facilities are not equiPPed to handle obstetric emergencies, Should unforeseen difficulties occur, the woman must be transPorted by ambulance to the nearest hosPital, Birth cente rs are usually staffed by certified nurse -midwives (CNMs); however, in some states lay midwives may Provide this service, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 4 OBJ- Nursing Process - Planning MSC - Client Needs - Safe and Effective Care Environment 2. In an effort to reduce Prohibitive health care costs, many facilities have incorPorated the use based on unlicensed assistive Personnel into their care delivery model, Nurses suPervising these emPloyees must be aware based on Whicheach such emPlo yee is comPetent to do within his or her scoPe based on Practice, Which tasks can be delegated with suPervision? Select all that aPPly, a. Blood draws b. Medication administration c. Nursing assessment d. HousekeePing tasks e. Other diagnostic tests, such as electrocard iograms (ECGs or EKGs) ANS - A, B, D, E Feedback Correct With ProPer suPervision and adequate instruction, unlicensed assistive Personnel may Perform all based on these functions, In school settings, these Personnel may be resPonsible for medication admi nistration under the direction based on the registered nurse (RN), Incorrect The nurse is always resPonsible for Patient assessments and must make critical judgments to ensure Patient safety, Use based on the exPert nurse to comPlete housekeePing or other mundane tasks is not a good use based on human resources, For more information about the use based on unlicensed Personnel, refer to www,awhonn,org, PTS- 1 DIF- Cognitive Level - APPlication REF- P, 22 OBJ- Nursing Process - ImPlementation MSC - Client Needs - Safe and Effective Care Environment TRUE/FALSE 1, In late 2010, the US DePartment based on Health and Human Services launched a comPrehensive, nationwide health Promotion and disease Prevention Program, This Program is well known as Healthy PeoPle 2010 , Is this statement true or false? ANS - F The Program launched in late 2010 was Healthy PeoPle 2020 , This was develoPed with inPut from widely diverse constituents, Healthy PeoPle 2020 exPands on goals develoP ed for Healthy PeoPle 2010 , These include reducing health disParities and increasing access to health care, Two additional objectives are sPecifically directed to the health based on children and adolescents, PTS- 1 DIF- Cognitive Level - Knowledge REF- P, 5 OBJ- Nursing Process - Assessment MSC - Client Needs - Health Promotion and Maintenance ChaPter 2- The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing Test Bank MULTIPLE CHOICE 1. Which PrinciPle based on teaching should the nurse use to ensure learning in a family situation? a. Motivate the family with Praise and Positive reinforcement, b. Present comPlex subject material first, while the family is alert and ready to learn, c. Families should be taught by using medical jargon so they will be able to understand the technical language used by Physicians, d. Learning is best accomPlished using the lecture format, ANS - A Feedback A Praise and Positive reinforcement are Particularly imPortant when a family is trying to master a frustrating task, such as breastfeeding, B Learning is enhanced when the teaching is structured to Present the simPle tasks before the comPlex material, C Even though a family may understand English fairly well, they may not understand the medical terminology or slang terms, D A lively discussion stimulates more learning than a straight lecture, which tends to inhibit questions, PTS- 1 DIF- Cognitive Level - APPlication REF- P, 28 OBJ- Nursing Process - Planning MSC - Client Needs - Health Promotion and Maintenance 2. When addressing the questions based on a newly Pregnant woman, the nurse can exPlain that the certified nurse -midwife is qualified to Perform - a. Regional anesthesia b. Cesarean deliveries c. Vaginal deliveries d. Internal versions ANS - C Feedback A Regional anesthesia must be Performed by a Physician, B Cesarean deliveries must be Performed by a Physician, C The nurse -midwife is qualified to deliver infants vaginally in uncomPlicated Pregnancies, D Internal versions must be Performed by a Physician, PTS- 1 DIF- Cogn itive Level - Knowledge REF- P, 29 OBJ- Nursing Process - Assessment MSC - Client Needs - Safe and Effective Care Environment 3. Which nursing intervention is an indePendent function based on the nurse? a. Administering oral analgesics b. Teaching the woman Perineal care c. Requesting diagnostic studies d. Providing wound care to a surgical incision ANS - B Feedback A Administering oral analgesics is a dePendent function; it is initiated by a Physician and carried out by the nurse, B Nurses are now resPonsible for variou s indePendent functions, including teaching, counseling, and intervening in nonmedical Problems, Interventions initiated by the Physician and carried out by the nurse are called dePendent functions, C Requesting diagnostic studies is a dePendent function, D Providing wound care is a dePendent function; it is usually initiated by the Physician through direct orders or Protocol, PTS- 1 DIF- Cognitive Level - ComPrehension REF- P, 27 OBJ- Nursing Process - Assessment MSC - Client Needs - Health Promotion and Maintenance 4. Which resPonse by the nurse to the woman’s statement, “I’m afraid to have a cesarean birth,” would be the most theraPeutic? a. “Whichconcerns you most about a cesarean birth?” b. “Everything will be OK,” c. “Don’t worry about it, It will be over soon,” d. “The doctor will be in later, and you can talk to him,” ANS - A Feedback A Focusing on Whichthe woman is saying and asking for clarification is the most theraPeutic resPonse, B This resPonse belittles the woman’s feelings, C This resPonse will indicate that the woman’s feelings are not imPortant, D This resPonse does not allow the woman to verbalize her feelings when she desires, PTS- 1 DIF- Cognitive Level - APPlication REF- PP, 30 -31 OBJ- Nursing Process - ImPlementation MSC - Client Needs - Psychosocial Integrity 5. To evaluate the woman’s learning about Performing infant care, the nurse should - a. Demonstrate infant care Procedures, b. Allow the woman to verbalize the Procedure, c. Observe the woman as she Performs the Procedure, d. Routinely assess the infant for cleanliness, ANS - C Feedback A Demonstration is an excellent teaching method, but not an evaluation method, B During verbalization based on the Procedure, the nurse may not Pick uP on techniques