OpenStax Maternal
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Newborn Nursing
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TEST BANK
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Amy Gile
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Comprehensive Test Bank for Instructors
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and Students
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© Amy Gile.
All rights reserved. Reproduction or distribution
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without permission is prohibited.
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TEST BANK
© MEDCONNOISSEUR
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Test Bank — jiuhOpenStax Maternal–Newborn Nursing — Amy Giles
TABLE OF CONTENTS
UNIT 1: INTRODUCTION TO MATERNAL-NEWBORN AND WOMEN’S HEALTH
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NURSING
Chapter 1: Foundations in Maternal-Newborn and Women’s Health Nursing
Chapter 2: Culturally Competent Nursing Care
UNIT 2: WOMEN’S HEALTH THROUGH THE LIFESPAN
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Chapter 3: Health Promotion, Disease and Injury Prevention, and Well-Person Care
Chapter 4: Influences on Fertility
Chapter 5: Family Planning
Chapter 6: Structural and Tissue Disorders of the Reproductive System
Chapter 7: Commonly Occurring Reproductive and Genitourinary System Infections
Chapter 8: Disorders of the Breast
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Chapter 9: Violence Against Women
UNIT 3: CARE DURING PREGNANCY
Chapter 10: Pregnancy
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Chapter 11: Prenatal Care
Chapter 12: Pregnancy at Risk
Chapter 13: Prenatal Testing
Chapter 14: Childbirth Education Options
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UNIT 4: CARE DURING LABOR AND BIRTH
Chapter 15: Process of Labor and Birth
Chapter 16: Electronic Fetal and Uterine Contraction Monitoring
Chapter 17: Pain Management During Labor and Birth
Chapter 18: Nursing Care and Interventions During Labor and Birth
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Chapter 19: Complications of Labor and Birth
UNIT 5: CARE DURING THE POSTPARTUM PERIOD
Chapter 20: Postpartum Care
Chapter 21: Postpartum Complications
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UNIT 6: NEWBORN CARE
Chapter 22: Immediate Care of the Newborn
Chapter 23: Newborn Assessment
Chapter 24: Care of the Typical Newborn
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Chapter 25: Care of the Newborn at Risk
Chapter 26: Perinatal Bereavement
Chapter 27: Unfolding Case Study: Applying Clinical Judgment
© MEDCONNOISSEUR
, Chapter 1: Foundations in Maternal-Newborn and Women's
Health Nursing
1. A nurse is providing education to a 14-year-old patient during a wellness visit.
According to the American College of Obstetricians and Gynecologists (ACOG),
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which of the following is the primary reason for a person of this age to see a
gynecologic health-care provider?
A. To receive a first Papanicolaou (Pap) smear
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B. To discuss normal hormonal changes and menstrual cycle issues
C. To initiate permanent sterilization procedures
D. To undergo screening for menopause
Correct Answer: B
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Rationales: ACOG recommends that persons assigned female at birth (AFAB)
see a gynecologic provider between ages 13 and 15 to discuss hormonal
changes and menstruation. Pap smears, sterilization, and menopause
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screenings are not the primary focus for this age group.
2. A nurse is caring for a newborn in the initial recovery period. According to standard
professional staffing guidelines for perinatal units, what is the expected
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nurse-to-patient ratio for this newborn?
A. One nurse to one newborn
B. One nurse to four newborns
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C. One nurse to two parent-baby couplets
D. One nurse to six stable newborns
Correct Answer: A
Rationales: The textbook specifies that a newborn should have one-to-one
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nursing care during the initial recovery period to ensure safety and quality.
Ratios of 1:4 or 1:2 couplets are appropriate for later postpartum care but not
the immediate recovery period.
3. A nurse manager is reviewing "errors of omission" within a labor and birth unit.
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Which of the following documented actions represents an error of omission?
A. Administering an incorrect dose of an antihypertensive medication
B. Failing to record a patient’s intake and output measures
C. Using an infusion pump that has not been properly calibrated
D. Entering an incorrect patient name on a lab specimen
, Correct Answer: B
Rationales: An error of omission is defined as a treatment or assessment that
is not performed. Failing to record intake and output is specifically listed as a
common error of omission in perinatal care. The other options represent
errors of commission or equipment failure.
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4. A nurse is preparing a presentation on the Quality and Safety Education for Nurses
(QSEN) project. Which of the following is identified as one of the six primary QSEN
competencies?
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A. Professional Practice Evaluation
B. Environmental Health
C. Informatics
D. Resource Stewardship
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Correct Answer: C
Rationales: The six QSEN competencies include patient-centered care,
teamwork and collaboration, evidence-based practice, quality improvement,
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safety, and informatics. Professional practice evaluation and environmental
health are ANA Standards, not QSEN competencies.
5. A nurse is reviewing maternal mortality statistics in the United States. Which finding
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accurately reflects the data regarding racial disparities in maternal outcomes?
A. Maternal mortality is equal across all racial and ethnic groups.
B. Non-Hispanic Black persons have maternal mortality rates 2.6 times higher than
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non-Hispanic White persons.
C. Hispanic persons have the highest maternal mortality rate in the country.
D. Developed countries, including the U.S., have seen a total elimination of maternal
death.
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Correct Answer: B
Rationales: In the United States, maternal mortality occurs 2.6 times more
often in non-Hispanic Black persons than in non-Hispanic White persons. The
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U.S. actually has the highest maternal mortality rate of any developed
country.
6. A laboring patient from a patriarchal society arrives at the hospital late in the
second stage of labor. The nurse recognizes that the patient lacked the autonomy
to seek care until her partner was available to drive her. According to the "Three
Delays Model," which delay does this scenario primarily represent?