OB: exam #1 study questions part I (maternity & women’s health care 13th ed)
1. CH1: Century Maternity & Women's Health Nursing:
2. In evaluating the level of a pregnant woman's risk of having a low-birth-
weight (LBW) infant, which factor is the most important for the nurse to
consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education: A
For African-American births, the incidence of LBW infants is twice that of Caucasian
births. Race is a non-modifiable risk factor. Cigarette smoking is an important factor
in potential infant mortality rates, but it is not the most important. Additionally,
smoking is a modifiable risk factor. Poor nutrition is an important factor in potential
infant mortality rates, but it is not the most important. Additionally, nutritional status
is a modifiable risk factor. Maternal education is an important factor in potential
infant mortality rates, but it is not the most important. Additionally, maternal
education is a modifiable risk factor.
3. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies: C
When problems are identified, research can be properly conducted. Research of
health care issues leads to evidence-based practice guidelines. Designing research
studies is only one factor of the research process. Data collection is another factor
of research. Financial support is necessary to conduct research, but it is not the
primary role of the nurse in the research process.
4. A 23-year-old African-American woman is pregnant with her first child.
Based on the statistics for infant mortality, which plan is most important for
the nurse to implement?
, OB: exam #1 study questions part I (maternity & women’s health care 13th ed)
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appoint-
ments.: D
Consistent prenatal care is the best method of preventing or controlling risk factors
associated with infant mortality. Nutritional status is an important modifiable risk
factor, but it is not themost important action a nurse should take in this situation.
The client may need assistance from a social worker at some time during her
pregnancy, but a referral to a social worker is not the most important aspect the
nurse should address at this time. If the woman has identifiable high-risk problems,
then her health care may need to be provided by a physician. However, it cannot
be assumed that all African-American women have high-risk issues. In addition,
advising the woman to see an obstetrician is not the most important aspect on
whichthe nurse should focus at this time, and it is not appropriate for a nurse to
advise or manage the type of care a client is to receive.
5. During a prenatal intake interview, the nurse is in the process of obtaining
an initial assessment of a 21-year-old Hispanic client with limited English
proficiency. Which action is the most important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these
terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion.: D
Nurses contribute to health literacy by using simple, common words, avoiding
jargon, and
evaluating whether the client understands the discussion. Speaking slowly and
clearly and focusing on what is important will increase understanding. Most client
education materials are written at a level too high for the average adult and may
not be useful for a client with limited English proficiency.
6. The nurses working at a newly established birthing center have begun
to compare their performance in providing maternal-newborn care against
, OB: exam #1 study questions part I (maternity & women’s health care 13th ed)
clinical standards. This comparison process is most commonly known as
what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice: C
Outcomes-oriented practice measures the effectiveness of the interventions and
quality of care against benchmarks or standards. The term best practice refers to a
program or service that has been recognized for its excellence. Clinical
benchmarking is a process used to compare one's own performance against the
performance of the best in an area of service. The term evidence-based practice
refers to the provision of care based on evidence gained through research and
clinical trials.
7. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care: B
Contemporary maternity nursing focuses on the family's needs and desires.
Fathers, partners, grandparents, and siblings may be present for the birth and
participate in activities such as cutting the baby's umbilical cord. Both midwives and
physicians perform vaginal deliveries. Free-standing clinics are an example of
alternative birth options. Contemporary maternity nursing is driven by the
relationship between nurses and their clients.
8. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby
girl after being in labor for 43 hours. The baby died 3 days later from sepsis.
On what grounds could the woman have a legitimate legal case for
negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
, OB: exam #1 study questions part I (maternity & women’s health care 13th ed)
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
inexperienced maternity nurse would need to display competency before being
assigned to care for clients on his or her own. This client may have been past her
due date; however, term pregnancy often goes beyond 40 weeks of gestation.
Although fetal monitoring is the standard of care, the client has the right to refuse
treatment. This refusal is not a case for negligence, but informed consent should be
properly obtained, and the client should have signed an against medical advice form
when refusing any treatment that is within the standard of care.
9. When the nurse is unsure how to perform a client care procedure that is
high risk and low volume, his or her best action in this situation would be
what? a. Ask another nurse.
b. Discuss the procedure with the client's physician.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual, and follow the guidelines for the
procedure.: D
Following the agency's policies and procedures manual is always best when
seeking information on correct client procedures. These policies should reflect the
current standards of care and the individual state's guidelines. Each nurse is
responsible for his or her own practice. Relying on another nurse may not always
be a safe practice. Each nurse is obligated to follow the standards of care for safe
client care delivery. Physicians are responsible for their own client care activity.
Nurses may follow safe orders from physicians, but they are also responsible for
the activities that they, as nurses, are to carry out. Information provided in a nursing
textbook is basic information for general knowledge. Furthermore, the information
in a textbook may not reflect the current standard of care or the individual state or
hospital policies.
1. CH1: Century Maternity & Women's Health Nursing:
2. In evaluating the level of a pregnant woman's risk of having a low-birth-
weight (LBW) infant, which factor is the most important for the nurse to
consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education: A
For African-American births, the incidence of LBW infants is twice that of Caucasian
births. Race is a non-modifiable risk factor. Cigarette smoking is an important factor
in potential infant mortality rates, but it is not the most important. Additionally,
smoking is a modifiable risk factor. Poor nutrition is an important factor in potential
infant mortality rates, but it is not the most important. Additionally, nutritional status
is a modifiable risk factor. Maternal education is an important factor in potential
infant mortality rates, but it is not the most important. Additionally, maternal
education is a modifiable risk factor.
3. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies: C
When problems are identified, research can be properly conducted. Research of
health care issues leads to evidence-based practice guidelines. Designing research
studies is only one factor of the research process. Data collection is another factor
of research. Financial support is necessary to conduct research, but it is not the
primary role of the nurse in the research process.
4. A 23-year-old African-American woman is pregnant with her first child.
Based on the statistics for infant mortality, which plan is most important for
the nurse to implement?
, OB: exam #1 study questions part I (maternity & women’s health care 13th ed)
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appoint-
ments.: D
Consistent prenatal care is the best method of preventing or controlling risk factors
associated with infant mortality. Nutritional status is an important modifiable risk
factor, but it is not themost important action a nurse should take in this situation.
The client may need assistance from a social worker at some time during her
pregnancy, but a referral to a social worker is not the most important aspect the
nurse should address at this time. If the woman has identifiable high-risk problems,
then her health care may need to be provided by a physician. However, it cannot
be assumed that all African-American women have high-risk issues. In addition,
advising the woman to see an obstetrician is not the most important aspect on
whichthe nurse should focus at this time, and it is not appropriate for a nurse to
advise or manage the type of care a client is to receive.
5. During a prenatal intake interview, the nurse is in the process of obtaining
an initial assessment of a 21-year-old Hispanic client with limited English
proficiency. Which action is the most important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these
terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion.: D
Nurses contribute to health literacy by using simple, common words, avoiding
jargon, and
evaluating whether the client understands the discussion. Speaking slowly and
clearly and focusing on what is important will increase understanding. Most client
education materials are written at a level too high for the average adult and may
not be useful for a client with limited English proficiency.
6. The nurses working at a newly established birthing center have begun
to compare their performance in providing maternal-newborn care against
, OB: exam #1 study questions part I (maternity & women’s health care 13th ed)
clinical standards. This comparison process is most commonly known as
what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice: C
Outcomes-oriented practice measures the effectiveness of the interventions and
quality of care against benchmarks or standards. The term best practice refers to a
program or service that has been recognized for its excellence. Clinical
benchmarking is a process used to compare one's own performance against the
performance of the best in an area of service. The term evidence-based practice
refers to the provision of care based on evidence gained through research and
clinical trials.
7. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care: B
Contemporary maternity nursing focuses on the family's needs and desires.
Fathers, partners, grandparents, and siblings may be present for the birth and
participate in activities such as cutting the baby's umbilical cord. Both midwives and
physicians perform vaginal deliveries. Free-standing clinics are an example of
alternative birth options. Contemporary maternity nursing is driven by the
relationship between nurses and their clients.
8. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby
girl after being in labor for 43 hours. The baby died 3 days later from sepsis.
On what grounds could the woman have a legitimate legal case for
negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
, OB: exam #1 study questions part I (maternity & women’s health care 13th ed)
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
inexperienced maternity nurse would need to display competency before being
assigned to care for clients on his or her own. This client may have been past her
due date; however, term pregnancy often goes beyond 40 weeks of gestation.
Although fetal monitoring is the standard of care, the client has the right to refuse
treatment. This refusal is not a case for negligence, but informed consent should be
properly obtained, and the client should have signed an against medical advice form
when refusing any treatment that is within the standard of care.
9. When the nurse is unsure how to perform a client care procedure that is
high risk and low volume, his or her best action in this situation would be
what? a. Ask another nurse.
b. Discuss the procedure with the client's physician.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual, and follow the guidelines for the
procedure.: D
Following the agency's policies and procedures manual is always best when
seeking information on correct client procedures. These policies should reflect the
current standards of care and the individual state's guidelines. Each nurse is
responsible for his or her own practice. Relying on another nurse may not always
be a safe practice. Each nurse is obligated to follow the standards of care for safe
client care delivery. Physicians are responsible for their own client care activity.
Nurses may follow safe orders from physicians, but they are also responsible for
the activities that they, as nurses, are to carry out. Information provided in a nursing
textbook is basic information for general knowledge. Furthermore, the information
in a textbook may not reflect the current standard of care or the individual state or
hospital policies.
