NUR 416OB exam 1
OB Exam 1
Chapter 1: Contemporary Maternal, Newborn, and Child Health
Nursing
• Maternity nursing focuses on the care of child-bearing women and their families through all stages of pregnancy
and childbirth, as well as the first 4 weeks after birth.
• Registered Nurses Provide Care in a Wide Variety of Settings
o Inpatient and outpatient maternal-newborn facilities
▪ Nurses play major role in minimizing psychologic & physical distress associated with repro issues
o Collaborative care & Client education
o Case management: Coordinate cost-effective health care based on need.
1. A nurse examines different nursing roles. Which statement best illustrates an advanced practice nursing role?
a. A registered nurse who is the manager of a large obstetric unit
b. A clinical nurse specialist working as a staff nurse on a mother–baby unit
c. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
d. A clinical nurse specialist with whom other nurses consult for this nurse’s expertise in caring for high-
risk infants
• Nurse Practitioners Are Part of the Healthcare Team
o Focus on physical and psychosocial assessments:
▪ Conduct some diagnostic tests and procedures.
▪ Obtain historical information.
▪ Perform comprehensive physical examinations.
o Make clinical judgments based on assessment data.
o Treatment: Provide appropriate treatment regimens for diagnosed conditions.
o Collaborative practice: Seek healthcare provider consultation when necessary.
2. What is the major focus of the nurse practitioner (NP)?
a. Leadership
b. Tertiary prevention
c. Physical and psychosocial clinical assessment
d. Independent care of the high-risk, pregnant client
• Certified Nurse-Midwives Are Members of the Caring Team
o Manages independently
▪ Client with low-risk pregnancy
▪ Normal newborn
o Collaborative practice
▪ Refers high-risk cases to physician
▪ Consults with physician when in doubt
o Treatment: Provides treatment for childbirth-related problems
3. What is the role of the certified nurse–midwife (CNM)? Select all that apply.
a. Give primary care for healthy newborns.
b. Be educated in two disciplines of nursing.
c. Give primary care for high-risk clients who are in hospital settings.
d. Obtain a physician consultation for all technical procedures at delivery.
e. Be prepared to manage independently the care of women at low risk for complications during
pregnancy and birth.
• Clinical Nurse Specialists (CNS) Function in Maternal-Newborn Settings
o CNS have a master's degree and specialized knowledge; competent in specific clinical area.
o Often work with maternal-newborn clients on various units:
,NUR 416OB exam 1
▪ Mother-baby units
▪ Pediatric units
▪ Intensive care units
o Assist unit staff to provide evidenced-based care.
,NUR 416OB exam 1
• The Nurse Researcher
o Assumes a leadership role in generating new research
o Usually has advanced doctoral degree (PhD)
o Typically found in university settings
• Primary Care Is the Focus of Much Attention
o Services best provided in community-based settings; cost effective.
o Focus
▪ Health promotion
▪ Illness prevention
▪ Responsibility for one's own health
o Third-party payers and managed care organizations
▪ Beginning to recognize importance of primary care in containing costs.
o One challenge that managed care organizations face
▪ How to relate to essential community providers of care.
o Essential element of health care for uninsured or underinsured individuals
▪ Geared to needs of specific population.
• Places Where Community-Based Care Takes Place
o Clinics
o Offices
o Community-based organizations
o Private homes: Enables infants, children, and women to remain at home with conditions that formerly
would have required hospitalization
4. During the hospital admission process, a child’s parent asks for information about family-centered care.
What should the nurse explain to this parent?
a. Mother is the principal caregiver in each family.
b. Father is the leader in each home; thus, all communications should include him.
c. Family serves as the constant influence and continuing support in the child’s life.
d. Child’s physician is the key person in ensuring the health of a child is maintained.
• In 2012 children from birth to 19 years of age account for almost 27% of the total population of the US
• Limited Access to Health Care
o 2010, 18.2% of people in the US (roughly 48.3 million people) were without health insurance.
o In 2008, 70.7% of pregnant women in the US who had live births began prenatal care in first trimester.
o African American, Hispanic, and Native American women disproportionately less likely to receive early
and adequate prenatal care.
• Children Living in Poverty
o Children more likely to be uninsured than general population
▪ Most of them had trouble getting the most basic preventive health care, including vaccinations
• Availability of Insurance
o In 2010, 18.2% of people in the US or roughly 48.3 million people were without health insurance.
o For people living in poverty:
▪ Medicaid is most prevalent form of insurance.
▪ For people living in poverty, Medicaid & Children’s Health Insurance Program (CHIP) are the
most prevalent forms of insurance, covering 17% of the population under age 65.
5. A child is not enrolled in the Children’s Health Insurance Program (CHIP). What should the nurse do to
encourage the family to consider enrolling the child in this program?
a. Assessment of the details of the family’s income and expenditures
b. Case management to limit costly, unnecessary duplication of services
c. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
d. Education of the family about the need for keeping regular well-child visit appointments
, NUR 416OB exam 1
• Nurses May Want To:
o Identify types of clients who access services.
OB Exam 1
Chapter 1: Contemporary Maternal, Newborn, and Child Health
Nursing
• Maternity nursing focuses on the care of child-bearing women and their families through all stages of pregnancy
and childbirth, as well as the first 4 weeks after birth.
• Registered Nurses Provide Care in a Wide Variety of Settings
o Inpatient and outpatient maternal-newborn facilities
▪ Nurses play major role in minimizing psychologic & physical distress associated with repro issues
o Collaborative care & Client education
o Case management: Coordinate cost-effective health care based on need.
1. A nurse examines different nursing roles. Which statement best illustrates an advanced practice nursing role?
a. A registered nurse who is the manager of a large obstetric unit
b. A clinical nurse specialist working as a staff nurse on a mother–baby unit
c. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
d. A clinical nurse specialist with whom other nurses consult for this nurse’s expertise in caring for high-
risk infants
• Nurse Practitioners Are Part of the Healthcare Team
o Focus on physical and psychosocial assessments:
▪ Conduct some diagnostic tests and procedures.
▪ Obtain historical information.
▪ Perform comprehensive physical examinations.
o Make clinical judgments based on assessment data.
o Treatment: Provide appropriate treatment regimens for diagnosed conditions.
o Collaborative practice: Seek healthcare provider consultation when necessary.
2. What is the major focus of the nurse practitioner (NP)?
a. Leadership
b. Tertiary prevention
c. Physical and psychosocial clinical assessment
d. Independent care of the high-risk, pregnant client
• Certified Nurse-Midwives Are Members of the Caring Team
o Manages independently
▪ Client with low-risk pregnancy
▪ Normal newborn
o Collaborative practice
▪ Refers high-risk cases to physician
▪ Consults with physician when in doubt
o Treatment: Provides treatment for childbirth-related problems
3. What is the role of the certified nurse–midwife (CNM)? Select all that apply.
a. Give primary care for healthy newborns.
b. Be educated in two disciplines of nursing.
c. Give primary care for high-risk clients who are in hospital settings.
d. Obtain a physician consultation for all technical procedures at delivery.
e. Be prepared to manage independently the care of women at low risk for complications during
pregnancy and birth.
• Clinical Nurse Specialists (CNS) Function in Maternal-Newborn Settings
o CNS have a master's degree and specialized knowledge; competent in specific clinical area.
o Often work with maternal-newborn clients on various units:
,NUR 416OB exam 1
▪ Mother-baby units
▪ Pediatric units
▪ Intensive care units
o Assist unit staff to provide evidenced-based care.
,NUR 416OB exam 1
• The Nurse Researcher
o Assumes a leadership role in generating new research
o Usually has advanced doctoral degree (PhD)
o Typically found in university settings
• Primary Care Is the Focus of Much Attention
o Services best provided in community-based settings; cost effective.
o Focus
▪ Health promotion
▪ Illness prevention
▪ Responsibility for one's own health
o Third-party payers and managed care organizations
▪ Beginning to recognize importance of primary care in containing costs.
o One challenge that managed care organizations face
▪ How to relate to essential community providers of care.
o Essential element of health care for uninsured or underinsured individuals
▪ Geared to needs of specific population.
• Places Where Community-Based Care Takes Place
o Clinics
o Offices
o Community-based organizations
o Private homes: Enables infants, children, and women to remain at home with conditions that formerly
would have required hospitalization
4. During the hospital admission process, a child’s parent asks for information about family-centered care.
What should the nurse explain to this parent?
a. Mother is the principal caregiver in each family.
b. Father is the leader in each home; thus, all communications should include him.
c. Family serves as the constant influence and continuing support in the child’s life.
d. Child’s physician is the key person in ensuring the health of a child is maintained.
• In 2012 children from birth to 19 years of age account for almost 27% of the total population of the US
• Limited Access to Health Care
o 2010, 18.2% of people in the US (roughly 48.3 million people) were without health insurance.
o In 2008, 70.7% of pregnant women in the US who had live births began prenatal care in first trimester.
o African American, Hispanic, and Native American women disproportionately less likely to receive early
and adequate prenatal care.
• Children Living in Poverty
o Children more likely to be uninsured than general population
▪ Most of them had trouble getting the most basic preventive health care, including vaccinations
• Availability of Insurance
o In 2010, 18.2% of people in the US or roughly 48.3 million people were without health insurance.
o For people living in poverty:
▪ Medicaid is most prevalent form of insurance.
▪ For people living in poverty, Medicaid & Children’s Health Insurance Program (CHIP) are the
most prevalent forms of insurance, covering 17% of the population under age 65.
5. A child is not enrolled in the Children’s Health Insurance Program (CHIP). What should the nurse do to
encourage the family to consider enrolling the child in this program?
a. Assessment of the details of the family’s income and expenditures
b. Case management to limit costly, unnecessary duplication of services
c. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
d. Education of the family about the need for keeping regular well-child visit appointments
, NUR 416OB exam 1
• Nurses May Want To:
o Identify types of clients who access services.
