Chapter 01: The Past, Present, and Future

Chapter 01: The Past, Present, and Future

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CNM’s scope of practice include?

a.	Practice independent from medical supervision
b.	Comprehensive prenatal care
c.	Attendance at all deliveries
d.	Cesarean sections

 

 

ANS:  B

The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of unforeseen problems.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 6            OBJ:   12

TOP:   Advance Practice Nursing Roles      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands?

a.	Karl Credé
b.	Ignaz Semmelweis
c.	Louis Pasteur
d.	Joseph Lister

 

 

ANS:  B

Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 2            OBJ:   1

TOP:   The Past         KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

3. A pregnant woman who has recently immigrated to the United States comments to the nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting cultural sensitivity?

a.	“Maternal mortality in the United States is extremely low.”
b.	“Anesthesia is available to relieve pain during labor and childbirth.”
c.	“Tell me why you are afraid of childbirth.”
d.	“Your condition will be monitored during labor and delivery.”

 

 

ANS:  C

Asking the patient about her concerns helps promote understanding and individualizes patient care.

 

DIF:    Cognitive Level: Application           REF:   Page 7-8         OBJ:   8

TOP:   Cross-Cultural Care                         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Psychological Adaptation

 

4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?

a.	Maternal and infant deaths per 100,000 live births per year
b.	Deaths of fetuses weighing more than 500 g per 10,000 births per year
c.	Deaths of infants up to 1 year of age per 1000 live births per year
d.	Fetal and neonatal deaths per 1000 live births per year

 

 

ANS:  D

The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 12, Box 1-6

OBJ:   9                    TOP:   The Present-Child Care

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

5. What is the focus of current maternity practice?

a.	Hospital births for the majority of women
b.	The traditional family unit
c.	Separation of labor rooms from delivery rooms
d.	A quality family experience for each patient

 

 

ANS:  D

Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 6            OBJ:   7

TOP:   The Present-Maternity Care             KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Health Promotion and Maintenance