Olds Maternal-Newborn nursing ch 1
) The student nurse working for a nurse researcher recognizes that the researcher will use
descriptive statistics to do which of the following?
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Describe a set of data.
2. Summarize a set of data.
3. Report the facts.
4. Identify certain trends.
5. Allow conclusions to be drawn.
6. Use a small sample size. - ANS-2, 3, 4
Explanation: 1. Descriptive statistics describe a set of data.
2. Descriptive statistics summarize a set of data.
3. Descriptive statistics report the facts.
4. Descriptive statistics identify certain trends.
\A fetus has been diagnosed with myelomeningocele. Which of the following surgeries would
be performed to correct this condition?
1. Tubal ligation
2. Intrauterine fetal surgery
3. Cesarean section
4. Sterilization - ANS-Answer: 2
Explanation: 2. Intrauterine fetal surgery, which is generally considered experimental, is a
therapy for anatomic lesions that can be corrected surgically and are incompatible with life if
not treated. Examples include surgery for myelomeningocele and some congenital cardiac
defects.
\A maternity client is in need of surgery. Which healthcare member is legally responsible for
obtaining informed consent for an invasive procedure?
1. The nurse
2. The physician
3. The unit secretary
4. The social worker - ANS-Answer: 2
Explanation: 2. Informed consent is a legal concept designed to allow clients to make
intelligent decisions regarding their own health care. Informed consent means that a client,
or a legally designated decision maker, has granted permission for a specific treatment or
procedure based on full information about that specific treatment or procedure as it relates to
that client under the specific circumstances of the permission. The individual who is
ultimately responsible for the treatment or procedure should provide the information
necessary to obtain informed consent. In most instances, this is a physician.
\A nurse is examining different nursing roles. Which example best illustrates an advanced
practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean
sections)
, 3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for
high-risk infants - ANS-Answer: 4
Explanation: 4. A clinical nurse specialist with whom other nurses consult for expertise in
caring for high-risk infants is working in an advanced practice nursing role. This nurse has
specialized knowledge and competence in a specific clinical area, and is master's prepared.
\A nurse is providing guidance to a group of parents of children in the infant-to-preschool age
group. After reviewing statistics on the most common cause of death in this age group, the
nurse includes information about prevention of which of the following?
1. Cancer by reducing the use of pesticides in the home
2. Accidental injury by reducing the risk of pool and traffic accidents
3. Heart disease by incorporating heart-healthy foods into the child's diet
4. Pneumonia by providing a diet high in vitamin C from fruits and vegetables - ANS-Answer:
2
Explanation: 2. Unintentional injuries cause death in infants more often than cancer, heart
disease, and pneumonia.
\A nurse who tells family members the sex of a newborn baby without first consulting the
parents would have committed which of the following?
1. A breach of privacy
2. Negligence
3. Malpractice
4. A breach of ethics - ANS-Answer: 1
Explanation: 1. A breach of privacy would have been committed in this situation, because
informing other family members of the gender without the parents' consent violates the
parents' right to privacy. The right to privacy is the right of a person to keep his person and
property free from public scrutiny (or even from other family members).
\A nursing student investigating potential career goals is strongly considering becoming a
nurse practitioner (NP). The major focus of the NP is on which of the following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention - ANS-Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major focus of the NP.
\As a clinician, the nurse must meet what basic competencies related to evidence-based
practice?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Recognize which clinical practices are supported by sound evidence.
2. Recognize that superiors, such as charge nurses, are the ones who know which clinical
practices are supported by sound evidence.
3. Use data in clinical work to evaluate outcomes of care.
4. Integrate scientific basics into practice.
5. Be able to identify which practices have no sound evidence to support their use. - ANS-:
1, 3, 4, 5
Explanation: 1. Knowing what is sound evidence is a function of nursing related to
evidence-based practice.
3. The nurse should always practice with the data that have proven to be sound.
4. This is a competency and responsibility for each nurse.
) The student nurse working for a nurse researcher recognizes that the researcher will use
descriptive statistics to do which of the following?
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Describe a set of data.
2. Summarize a set of data.
3. Report the facts.
4. Identify certain trends.
5. Allow conclusions to be drawn.
6. Use a small sample size. - ANS-2, 3, 4
Explanation: 1. Descriptive statistics describe a set of data.
2. Descriptive statistics summarize a set of data.
3. Descriptive statistics report the facts.
4. Descriptive statistics identify certain trends.
\A fetus has been diagnosed with myelomeningocele. Which of the following surgeries would
be performed to correct this condition?
1. Tubal ligation
2. Intrauterine fetal surgery
3. Cesarean section
4. Sterilization - ANS-Answer: 2
Explanation: 2. Intrauterine fetal surgery, which is generally considered experimental, is a
therapy for anatomic lesions that can be corrected surgically and are incompatible with life if
not treated. Examples include surgery for myelomeningocele and some congenital cardiac
defects.
\A maternity client is in need of surgery. Which healthcare member is legally responsible for
obtaining informed consent for an invasive procedure?
1. The nurse
2. The physician
3. The unit secretary
4. The social worker - ANS-Answer: 2
Explanation: 2. Informed consent is a legal concept designed to allow clients to make
intelligent decisions regarding their own health care. Informed consent means that a client,
or a legally designated decision maker, has granted permission for a specific treatment or
procedure based on full information about that specific treatment or procedure as it relates to
that client under the specific circumstances of the permission. The individual who is
ultimately responsible for the treatment or procedure should provide the information
necessary to obtain informed consent. In most instances, this is a physician.
\A nurse is examining different nursing roles. Which example best illustrates an advanced
practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean
sections)
, 3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for
high-risk infants - ANS-Answer: 4
Explanation: 4. A clinical nurse specialist with whom other nurses consult for expertise in
caring for high-risk infants is working in an advanced practice nursing role. This nurse has
specialized knowledge and competence in a specific clinical area, and is master's prepared.
\A nurse is providing guidance to a group of parents of children in the infant-to-preschool age
group. After reviewing statistics on the most common cause of death in this age group, the
nurse includes information about prevention of which of the following?
1. Cancer by reducing the use of pesticides in the home
2. Accidental injury by reducing the risk of pool and traffic accidents
3. Heart disease by incorporating heart-healthy foods into the child's diet
4. Pneumonia by providing a diet high in vitamin C from fruits and vegetables - ANS-Answer:
2
Explanation: 2. Unintentional injuries cause death in infants more often than cancer, heart
disease, and pneumonia.
\A nurse who tells family members the sex of a newborn baby without first consulting the
parents would have committed which of the following?
1. A breach of privacy
2. Negligence
3. Malpractice
4. A breach of ethics - ANS-Answer: 1
Explanation: 1. A breach of privacy would have been committed in this situation, because
informing other family members of the gender without the parents' consent violates the
parents' right to privacy. The right to privacy is the right of a person to keep his person and
property free from public scrutiny (or even from other family members).
\A nursing student investigating potential career goals is strongly considering becoming a
nurse practitioner (NP). The major focus of the NP is on which of the following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention - ANS-Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major focus of the NP.
\As a clinician, the nurse must meet what basic competencies related to evidence-based
practice?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Recognize which clinical practices are supported by sound evidence.
2. Recognize that superiors, such as charge nurses, are the ones who know which clinical
practices are supported by sound evidence.
3. Use data in clinical work to evaluate outcomes of care.
4. Integrate scientific basics into practice.
5. Be able to identify which practices have no sound evidence to support their use. - ANS-:
1, 3, 4, 5
Explanation: 1. Knowing what is sound evidence is a function of nursing related to
evidence-based practice.
3. The nurse should always practice with the data that have proven to be sound.
4. This is a competency and responsibility for each nurse.
