NR327 EXAM 1 LATEST 2023 ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
Which factor significantly contributed to the shift from home births to hospital births in
the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.-ANSWER-d
Family-centered maternity care developed in response to:
a. Demands by physicians for family involvement in childbirth
b. The Sheppard-Towner Act of 1921
c. Parental requests that infants be allowed to remain with them rather than in a nursery
d. Changes in pharmacologic management of labor-ANSWER-c
As a result of changes in health care delivery and funding, a current trend seen in the
pediatric setting is:
a. Increased hospitalization of children
b. Decreased number of children living in poverty
c. An increase in ambulatory care
d. Decreased use of managed care-ANSWER-c
The maternity nurse should have a clear understanding of the correct use of a clinical
pathway. One characteristic of clinical pathways is that they:
a. Are developed and implemented by nurses
b. Are used primarily in the pediatric setting
c. Set specific time lines for sequencing interventions
d. Are part of the nursing process-ANSWER-c
The intrapartum woman sees no need for an admission fetal monitoring strip. If she
continues to refuse, what is the first action the nurse should take?
a. Consult the family of the woman.
b. Notify the physician.
c. Document the woman's refusal in the nurse's notes.
d. Make a referral to the hospital ethics committee.-ANSWER-b
Which patient situation fails to meet the first requirement of informed consent?
a. The patient does not understand the physician's explanations.
b. The physician gives the patient only a partial list of possible side effects and
complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.-ANSWER-c
, NR327 EXAM 1 LATEST 2023 ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she
could provide information regarding the recommended amount of television viewing time
for her daughter. The nurse responds that the appropriate amount of time a child should
be watching television is:
a. 1-2 hours per day
b. 2-3 hours per day
c. 3-4 hours per day
d. 4 hours or more-ANSWER-a
Many communities now offer the availability of free-standing birth centers to provide
care for low-risk women during pregnancy, birth, and postpartum. When counseling the
newly pregnant woman regarding this option, the nurse should be aware that this type
of care setting includes which advantages? Select all that apply.
a. Less expensive than acute-care hospitals
b. Access to follow-up care for 6 weeks postpartum
c. Equipped for obstetric emergencies
d. Safe, home-like births in a familiar setting
e. Staffing by lay midwives-ANSWER-a,b,d
In an effort to reduce prohibitive health care costs, many facilities have incorporated the
use of unlicensed assistive personnel into their care delivery model. Nurses supervising
these employees must be aware of what each such employee is competent to do within
his or her scope of practice. Which tasks can be delegated with supervision? Select all
that apply.
a. Blood draws
b. Medication administration
c. Nursing assessment
d. Housekeeping tasks
e. Other diagnostic tests, such as electrocardiograms (ECGs or EKGs)-ANSWER-
a,b,d,e
Which most therapeutic response to the client's statement, "I'm afraid to have a
cesarean
birth" should be made by the nurse?
a. "Everything will be OK."
b. "Don't worry about it. It will be over soon."
c. "What concerns you most about a cesarean birth?"
d. "The physician will be in later and you can talk to him."-ANSWER-c
Which is the step of the nursing process in which the nurse determines the appropriate
interventions for the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention-ANSWER-a
, NR327 EXAM 1 LATEST 2023 ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
Which goal is most appropriate for the collaborative problem of wound infection?
a. The client will not exhibit further signs of infection.
b. Maintain the client's fluid intake at 1000 mL/8 hr.
c. The client will have a temperature of 98.6° F within 2 days.
d. Monitor the client to detect therapeutic response to antibiotic therapy.-ANSWER-d
Which nursing intervention is correctly written?
a. Force fluids as necessary.
b. Observe interaction with the infant.
c. Encourage turning, coughing, and deep breathing.
d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.-ANSWER-d
The nurse is writing an expected outcome for the nursing diagnosis—acute pain related
to
trauma of tissue, secondary to vaginal birth, as evidenced by client stating pain of 8 on
a scale
of 10. Which is a correctly stated expected outcome for this problem?
a. Client will state that pain is a 2 on a scale of 10.
b. Client will have a reduction in pain after administration of the prescribed
analgesic.
c. Client will state an absence of pain 1 hour after administration of the prescribed
analgesic.
d. Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of
the prescribed analgesic.-ANSWER-d
Regarding advanced roles of nursing, which statement is true with regard to clinical
practice?
a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital
setting.
b. Clinical nurse specialists provide primary care to obstetric clients.
c. Neonatal nurse practitioners provide emergency care in the postbirth setting to
high-risk infants.
d. A certified nurse midwife (CNM) is not considered to be an advanced practice
nurse.-ANSWER-c
The nurse is formulating a nursing care plan for a postpartum client. Which actions by
the
nurse indicate use of critical thinking skills when formulating the care plan? (Select all
that
apply).
a. Using a standardized postpartum care plan
b. Determining priorities for each diagnosis written
c. Writing interventions from a nursing diagnosis book
d. Reflecting and suspending judgment when writing the care plan
, NR327 EXAM 1 LATEST 2023 ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
e. Clustering data during the assessment process according to normal versus
abnormal-ANSWER-b,d,e
The nurse is teaching a group of nursing students about behaviors that can block or
open lines
of communication. Which behaviors open the lines of communication? (Select all that
apply).
a. Sitting at the bedside
b. Leaning forward with arms relaxed
c. Acknowledging the client's comments or feelings
d. Self-disclosing about your personal birth experience
e. Holding a laptop computer in front of your body during an interview-ANSWER-a,b,c
The nurse is preparing to perform Leopold's maneuvers. Why are Leopold's maneuvers
used by practitioners?
a. To determine the status of the membranes
b. To determine cervical dilation and effacement
c. To determine the best location to assess the fetal heart rate
d. To determine whether the fetus is in the posterior position-ANSWER-c
Which assessment finding could indicate hemorrhage in the postpartum patient?
a. Elevated pulse rate
b. Elevated blood pressure
c. Firm fundus at the midline
d. Saturation of two perineal pads in 4 hours-ANSWER-a
Which client at term should go to the hospital or birth center the soonest after labor
begins?
a. Gravida 2, para 1, who lives 10 minutes away
b. Gravida 1, para 0, who lives 40 minutes away
c. Gravida 2, para 1, whose first labor lasted 16 hours
d. Gravida 3, para 2, whose longest previous labor was 4 hours-ANSWER-d
A woman who is gravida 3, para 2, enters the intrapartum unit. The most important
nursing assessments are:
a. contraction pattern, amount of discomfort, and pregnancy history.
b. fetal heart rate, maternal vital signs, and the woman's nearness to birth.
c. last food intake, when labor began, and cultural practices the couple desires.
d. identification of ruptured membranes, the woman's gravida and para, and her support
person.-ANSWER-b
A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit.
The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30
seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
Which factor significantly contributed to the shift from home births to hospital births in
the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.-ANSWER-d
Family-centered maternity care developed in response to:
a. Demands by physicians for family involvement in childbirth
b. The Sheppard-Towner Act of 1921
c. Parental requests that infants be allowed to remain with them rather than in a nursery
d. Changes in pharmacologic management of labor-ANSWER-c
As a result of changes in health care delivery and funding, a current trend seen in the
pediatric setting is:
a. Increased hospitalization of children
b. Decreased number of children living in poverty
c. An increase in ambulatory care
d. Decreased use of managed care-ANSWER-c
The maternity nurse should have a clear understanding of the correct use of a clinical
pathway. One characteristic of clinical pathways is that they:
a. Are developed and implemented by nurses
b. Are used primarily in the pediatric setting
c. Set specific time lines for sequencing interventions
d. Are part of the nursing process-ANSWER-c
The intrapartum woman sees no need for an admission fetal monitoring strip. If she
continues to refuse, what is the first action the nurse should take?
a. Consult the family of the woman.
b. Notify the physician.
c. Document the woman's refusal in the nurse's notes.
d. Make a referral to the hospital ethics committee.-ANSWER-b
Which patient situation fails to meet the first requirement of informed consent?
a. The patient does not understand the physician's explanations.
b. The physician gives the patient only a partial list of possible side effects and
complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.-ANSWER-c
, NR327 EXAM 1 LATEST 2023 ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
The mother of a 5-year-old female inpatient on the pediatric unit asks the nurse if she
could provide information regarding the recommended amount of television viewing time
for her daughter. The nurse responds that the appropriate amount of time a child should
be watching television is:
a. 1-2 hours per day
b. 2-3 hours per day
c. 3-4 hours per day
d. 4 hours or more-ANSWER-a
Many communities now offer the availability of free-standing birth centers to provide
care for low-risk women during pregnancy, birth, and postpartum. When counseling the
newly pregnant woman regarding this option, the nurse should be aware that this type
of care setting includes which advantages? Select all that apply.
a. Less expensive than acute-care hospitals
b. Access to follow-up care for 6 weeks postpartum
c. Equipped for obstetric emergencies
d. Safe, home-like births in a familiar setting
e. Staffing by lay midwives-ANSWER-a,b,d
In an effort to reduce prohibitive health care costs, many facilities have incorporated the
use of unlicensed assistive personnel into their care delivery model. Nurses supervising
these employees must be aware of what each such employee is competent to do within
his or her scope of practice. Which tasks can be delegated with supervision? Select all
that apply.
a. Blood draws
b. Medication administration
c. Nursing assessment
d. Housekeeping tasks
e. Other diagnostic tests, such as electrocardiograms (ECGs or EKGs)-ANSWER-
a,b,d,e
Which most therapeutic response to the client's statement, "I'm afraid to have a
cesarean
birth" should be made by the nurse?
a. "Everything will be OK."
b. "Don't worry about it. It will be over soon."
c. "What concerns you most about a cesarean birth?"
d. "The physician will be in later and you can talk to him."-ANSWER-c
Which is the step of the nursing process in which the nurse determines the appropriate
interventions for the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention-ANSWER-a
, NR327 EXAM 1 LATEST 2023 ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
Which goal is most appropriate for the collaborative problem of wound infection?
a. The client will not exhibit further signs of infection.
b. Maintain the client's fluid intake at 1000 mL/8 hr.
c. The client will have a temperature of 98.6° F within 2 days.
d. Monitor the client to detect therapeutic response to antibiotic therapy.-ANSWER-d
Which nursing intervention is correctly written?
a. Force fluids as necessary.
b. Observe interaction with the infant.
c. Encourage turning, coughing, and deep breathing.
d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.-ANSWER-d
The nurse is writing an expected outcome for the nursing diagnosis—acute pain related
to
trauma of tissue, secondary to vaginal birth, as evidenced by client stating pain of 8 on
a scale
of 10. Which is a correctly stated expected outcome for this problem?
a. Client will state that pain is a 2 on a scale of 10.
b. Client will have a reduction in pain after administration of the prescribed
analgesic.
c. Client will state an absence of pain 1 hour after administration of the prescribed
analgesic.
d. Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of
the prescribed analgesic.-ANSWER-d
Regarding advanced roles of nursing, which statement is true with regard to clinical
practice?
a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital
setting.
b. Clinical nurse specialists provide primary care to obstetric clients.
c. Neonatal nurse practitioners provide emergency care in the postbirth setting to
high-risk infants.
d. A certified nurse midwife (CNM) is not considered to be an advanced practice
nurse.-ANSWER-c
The nurse is formulating a nursing care plan for a postpartum client. Which actions by
the
nurse indicate use of critical thinking skills when formulating the care plan? (Select all
that
apply).
a. Using a standardized postpartum care plan
b. Determining priorities for each diagnosis written
c. Writing interventions from a nursing diagnosis book
d. Reflecting and suspending judgment when writing the care plan
, NR327 EXAM 1 LATEST 2023 ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
e. Clustering data during the assessment process according to normal versus
abnormal-ANSWER-b,d,e
The nurse is teaching a group of nursing students about behaviors that can block or
open lines
of communication. Which behaviors open the lines of communication? (Select all that
apply).
a. Sitting at the bedside
b. Leaning forward with arms relaxed
c. Acknowledging the client's comments or feelings
d. Self-disclosing about your personal birth experience
e. Holding a laptop computer in front of your body during an interview-ANSWER-a,b,c
The nurse is preparing to perform Leopold's maneuvers. Why are Leopold's maneuvers
used by practitioners?
a. To determine the status of the membranes
b. To determine cervical dilation and effacement
c. To determine the best location to assess the fetal heart rate
d. To determine whether the fetus is in the posterior position-ANSWER-c
Which assessment finding could indicate hemorrhage in the postpartum patient?
a. Elevated pulse rate
b. Elevated blood pressure
c. Firm fundus at the midline
d. Saturation of two perineal pads in 4 hours-ANSWER-a
Which client at term should go to the hospital or birth center the soonest after labor
begins?
a. Gravida 2, para 1, who lives 10 minutes away
b. Gravida 1, para 0, who lives 40 minutes away
c. Gravida 2, para 1, whose first labor lasted 16 hours
d. Gravida 3, para 2, whose longest previous labor was 4 hours-ANSWER-d
A woman who is gravida 3, para 2, enters the intrapartum unit. The most important
nursing assessments are:
a. contraction pattern, amount of discomfort, and pregnancy history.
b. fetal heart rate, maternal vital signs, and the woman's nearness to birth.
c. last food intake, when labor began, and cultural practices the couple desires.
d. identification of ruptured membranes, the woman's gravida and para, and her support
person.-ANSWER-b
A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit.
The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30
seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced
