UNRS 402: Quiz #1 UPDATED ACTUAL Questions and
CORRECT Answers
What are programs that improve pt safety and quality of Joint Commission, Interprofessional collaboration and ED, Alliance for
care? Innovation on Maternal Health, and Womens Health and Perinatal Nursing Care
Quality Measures
What decisions do the families make when thinking Childbirth, choosing birth attendant, a birth setting, a support person for labor,
about childbirth? and the type of educational classes to attend
What has changed maternity care in the US? tech advances, increasing knowledge, gov involvement, cost containment
efforts, and consumer demands
How can interprofessional education improve client Interprofessional education can improve client safety and QOC by promoting
safety and care? interprofessional team-based client care
What is a client safety bundle? A set of evidence-based practices performed together to improve client
outcomes. In maternity is has developed for mental health, depression, anxiety,
obstetric hemmorhage, severe hypertension etc.
What are the Women's health and perinatal nursing care AWHONN's practice standards, which provide standardization and means to
quality measures? measure the quality of nursing care and practice beliefs
How do labor, delivery, and recovery rooms and labor, Birthing centers provide professional care during pregnancy and childbirth in a
delivery, recovery, and postpartum rooms differ from homelike environment for clients with low risk pregnancies. They are associated
birth centers and home in advantages with a nearby hospital to which the client can be transferred in case of an
emergency. The hospital rooms offer a comfortable setting that promotes
family involvement for birth but within hospital where unexpected events can
be handled right away.
How do labor, delivery, and recovery rooms and labor, Although the home setting provides comfort and closeness, if transfering to a
delivery, recovery, and postpartum rooms differ from hospital for complication is necessary the time can cause a problem. In
birth centers and home in disadvantages addition the client and family must make arragments for equipment and
supplies needed for the birth and care for themselves and their new infant.
What is the purpose of critical thinking? To help nurses make the best clinical judgment based on reason rather than
prejudice.
How do actual client problems differ from risk of client Actual client problems reflect health problems that can be validated by the
problems? presence of defining characteristics. Risk client problems indicate that risk
factors are present that make the person vulnerable to the development of a
problem that has not begun.
What is family centered care? safe and high quality care that recognizes and adapts to both the physical and
psychosocial needs of the family including the newborn
What are the four perinatal care measures? decrease the rate of elective deliveries, decrease the rate of primary cesarean
births, decrease the rate of newborns with unexpected complications, and
increase the rate of exclusive breastfeeding
, Before the 20th century how were babies delivered? Granny midwives helped women give birth at home but they were not nurses
and were sometimes associated with witchcraft
What birthing standard became popular in the late 19th Medical management emerged and more people began having hospital births
century? because of the developments help in hospitals; 1960 90% in hospital
What are the principles of family centered care? childbirth is usually a normal and healthy event, childbirth effects the whole
family, families making decisions about care, family and other support
What do nurse midwives do? (CNM) care for women with low risk for complications and refer them to a back
up physician if problems develop.
How do you become a nurse midwife? trained in nursing and midwifery and licensed by the state as an advanced
practice registered nurse.
What can CNM do? provide complete care during pregnancy, childbirth, and the postpartum
period.They counsel and support the childbearing family. Provide annual well
woman exams. Administer local anesthesia, first assist c sections, attend vaginal
deliveries, repair tears from birth, and prescribe narcotics.
What can and cant an NP do? Prenatal and newborn care. CANNOT PERFORM DELIVERIES
What can the physician do? OB/GYN trained surgeon or family medicine with obstetrics training. ALSO
CAN PERFORM DELIVERIES
Antepartum before onset of labor
Intrapartum time of labor and birth
postpartum first 6 weeks after birth
What is a clinical nurse specialist (CNS) have their master's or doctorate, care of childbearing women with
complex problems but do not provide primary care.
What are the CNS core competencies direct care consultation, systems leadership, collaboration, coaching, research,
and ethical decision making.
what are the different birth places? hospitals (LDR rooms and LDRP rooms) birth centers and home births
What is a LDR room? most common for vaginal birth. where normal labor delivery and recovery from
birth take place in one room. significant others may remain at bedside. remain
in the room after delivery for 2 hours then are transferred to mother baby unit
What is a LDRP room? labor delivery recovery and postpartum room and stays there until discharge.
Primary support person stays and sleeping is provided.
What is a birth center? for low risk clients, less expensive, home like setting, but will not have the
materials in case of am emergency.
What happens in a home birth? keeps the family together in a familiar environment throughout the birth but
need to be low risk parents in case of an emergency there will not be enough
time and the family needs to supply all the tools for the birth.
CORRECT Answers
What are programs that improve pt safety and quality of Joint Commission, Interprofessional collaboration and ED, Alliance for
care? Innovation on Maternal Health, and Womens Health and Perinatal Nursing Care
Quality Measures
What decisions do the families make when thinking Childbirth, choosing birth attendant, a birth setting, a support person for labor,
about childbirth? and the type of educational classes to attend
What has changed maternity care in the US? tech advances, increasing knowledge, gov involvement, cost containment
efforts, and consumer demands
How can interprofessional education improve client Interprofessional education can improve client safety and QOC by promoting
safety and care? interprofessional team-based client care
What is a client safety bundle? A set of evidence-based practices performed together to improve client
outcomes. In maternity is has developed for mental health, depression, anxiety,
obstetric hemmorhage, severe hypertension etc.
What are the Women's health and perinatal nursing care AWHONN's practice standards, which provide standardization and means to
quality measures? measure the quality of nursing care and practice beliefs
How do labor, delivery, and recovery rooms and labor, Birthing centers provide professional care during pregnancy and childbirth in a
delivery, recovery, and postpartum rooms differ from homelike environment for clients with low risk pregnancies. They are associated
birth centers and home in advantages with a nearby hospital to which the client can be transferred in case of an
emergency. The hospital rooms offer a comfortable setting that promotes
family involvement for birth but within hospital where unexpected events can
be handled right away.
How do labor, delivery, and recovery rooms and labor, Although the home setting provides comfort and closeness, if transfering to a
delivery, recovery, and postpartum rooms differ from hospital for complication is necessary the time can cause a problem. In
birth centers and home in disadvantages addition the client and family must make arragments for equipment and
supplies needed for the birth and care for themselves and their new infant.
What is the purpose of critical thinking? To help nurses make the best clinical judgment based on reason rather than
prejudice.
How do actual client problems differ from risk of client Actual client problems reflect health problems that can be validated by the
problems? presence of defining characteristics. Risk client problems indicate that risk
factors are present that make the person vulnerable to the development of a
problem that has not begun.
What is family centered care? safe and high quality care that recognizes and adapts to both the physical and
psychosocial needs of the family including the newborn
What are the four perinatal care measures? decrease the rate of elective deliveries, decrease the rate of primary cesarean
births, decrease the rate of newborns with unexpected complications, and
increase the rate of exclusive breastfeeding
, Before the 20th century how were babies delivered? Granny midwives helped women give birth at home but they were not nurses
and were sometimes associated with witchcraft
What birthing standard became popular in the late 19th Medical management emerged and more people began having hospital births
century? because of the developments help in hospitals; 1960 90% in hospital
What are the principles of family centered care? childbirth is usually a normal and healthy event, childbirth effects the whole
family, families making decisions about care, family and other support
What do nurse midwives do? (CNM) care for women with low risk for complications and refer them to a back
up physician if problems develop.
How do you become a nurse midwife? trained in nursing and midwifery and licensed by the state as an advanced
practice registered nurse.
What can CNM do? provide complete care during pregnancy, childbirth, and the postpartum
period.They counsel and support the childbearing family. Provide annual well
woman exams. Administer local anesthesia, first assist c sections, attend vaginal
deliveries, repair tears from birth, and prescribe narcotics.
What can and cant an NP do? Prenatal and newborn care. CANNOT PERFORM DELIVERIES
What can the physician do? OB/GYN trained surgeon or family medicine with obstetrics training. ALSO
CAN PERFORM DELIVERIES
Antepartum before onset of labor
Intrapartum time of labor and birth
postpartum first 6 weeks after birth
What is a clinical nurse specialist (CNS) have their master's or doctorate, care of childbearing women with
complex problems but do not provide primary care.
What are the CNS core competencies direct care consultation, systems leadership, collaboration, coaching, research,
and ethical decision making.
what are the different birth places? hospitals (LDR rooms and LDRP rooms) birth centers and home births
What is a LDR room? most common for vaginal birth. where normal labor delivery and recovery from
birth take place in one room. significant others may remain at bedside. remain
in the room after delivery for 2 hours then are transferred to mother baby unit
What is a LDRP room? labor delivery recovery and postpartum room and stays there until discharge.
Primary support person stays and sleeping is provided.
What is a birth center? for low risk clients, less expensive, home like setting, but will not have the
materials in case of am emergency.
What happens in a home birth? keeps the family together in a familiar environment throughout the birth but
need to be low risk parents in case of an emergency there will not be enough
time and the family needs to supply all the tools for the birth.
