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Chapter 2: Introduction to Maternity Nursing

Safe Maternity Pediatric Nursing By Care Palmer Coats

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Chapter 2: Introduction to Maternity Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   What impact did moving births to hospitals in the early 20th century have on the rate of complications and deaths?

1) Dramatic decline
2) Slow decline
3) Slight increase
4) Drastic increase

 

 

____     2.   What was the motivating factor for advancing nursing roles in the care of women in the early 20th century?

1) Lack of access to health care for poor women and those in rural areas
2) Patients’ modesty and desire to be cared for by a woman
3) Fear of death if attended by a physician
4) Changes in laws and regulations

 

 

____     3.   Which statement most accurately describes how maternity nursing has changed over the last 50 years?

1) Nurses have assumed many duties once assigned to physicians.
2) Nurses no longer assist physicians in caring for the laboring patient.
3) Nurses are reducing infant mortality by taking on greater responsibilities.
4) Nurses are responsible for delivering more infants than physicians are.

 

 

____     4.   A patient is admitted to the labor and delivery unit, and a plan of care based on that patient’s needs is developed by which member of the health-care team?

1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  2

Chapter number and title: 2: Introduction to Maternity Nursing

Chapter learning objective: Discuss the history of maternity nursing.

Chapter page reference: 15

Heading: History of Maternity Nursing

Integrated processes: Caring

Client need: Safety and Infection Control

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 Moving the delivery of babies to the hospital did not result in a dramatic decline in birth-related complications and deaths.
2 After birthing was moved to hospitals, there was a slow decline in birth-related complications and deaths.
3 Complications and death rates did not increase after birthing was moved to hospitals.
4 There was no drastic increase in complications and death rates when more births occurred in hospitals.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1

Chapter number and title: 2: Introduction to Maternity Nursing

Chapter learning objective: Discuss the history of maternity nursing.

Chapter page reference: 15

Heading: History of Maternity Nursing

Integrated processes: Caring

Client need: Safety and Infection Control

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 There were few physicians in rural areas or physicians available to treat the poor, which motivated the advancement of nursing roles in caring for women.
2 Patient modesty did not play a role in advancing nursing roles in caring for women.
3 Women feared hospitals would cause death in the 19th century, but this fear was not significant in the 20th century.
4 Laws and regulations did not play a role in advancing nursing roles in caring for women.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1

Chapter number and title: 2: Introduction to Maternity Nursing

Chapter learning objective: Compare and contrast the roles of the LPN/LVN, RN, NP, CNS, and CNM.

Chapter page reference: 15-16

Heading: History of Maternity Nursing

Integrated processes: Caring

Client need: Coordinated Care

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 Today, nurses perform many of the duties that were once assigned to physicians, so this is a correct statement.
2 Nurses still assist physicians, but they also have an independent practice and make a significant, autonomous contribution to maternity nursing.
3 Unfortunately, infant mortality rates are not declining, largely because of barriers in accessing care; so this statement is not accurate.
4 Although nurses provide a great deal of care before and after delivery, physicians and other providers deliver most babies.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 2: Introduction to Maternity Nursing

Chapter learning objective: Compare and contrast the roles of the LPN/LVN, RN, NP, CNS, and CNM.

Chapter page reference: 16

Heading: Roles in Maternity Nursing

Integrated processes: Caring

Client need: Coordinated Care

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 The LPN/LVN is responsible for carrying out the plan of care but does not develop the plan of care.
2 The RN is responsible for developing the plan of care.
3 Nurse practitioners do not develop the plan of care but may contribute to the development if they wish.
4 Certified nurse midwives do not develop the plan of care but may contribute to the development if they wish.

 

 

PTS:   1                    CON:  Pregnancy

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