Test 1 Study Guide
Chapter 1 Contemporary Maternal-Newborn Nursing
1) The nurse is speaking to students about changes in maternal-newborn care. One change is that
self-care has gained wide acceptance with clients and the healthcare community due to research
findings that suggest that it has which effect?
A) Shortens newborn length of stay
B) Decreases use of home health agencies
C) Decreases healthcare costs
D) Decreases the number of emergency department visits
Answer: C
Explanation:
A) Length of stay is often determined by third-party payer (insurance company) policies as well
as the physiologic stability of the mother and newborn. Home healthcare agencies often are
involved in client care to decrease hospital stay time.
B) Home healthcare agencies often are involved in client care to decrease hospital stay time.
C) Research indicates that self-care significantly decreases healthcare costs.
D) Acute emergencies are addressed by emergency departments, and are not delayed by those
practicing self-care.
Page Ref: 3
2) Care delivered by nurse-midwives can be safe and effective and can represent a positive
response to the healthcare provider shortage. Nurse-midwives tend to use less technology, which
often results in which of the following?
A) There is less trauma to the mother.
B) More childbirth education classes are available.
C) They are instrumental in providing change in the birth environment at work.
D) They advocate for more home healthcare agencies.
Answer: A
Explanation:
A) Nurse-midwife models of care can be one way to ensure that mothers receive excellent
prenatal and intrapartum care.
,B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitals, to provide
childbirth classes for expectant families.
C) By working with other staff members and doctors, the nurse-midwife is able to implement
changes as needed within the birthing unit.
D) Clients are increasingly going home sooner, so there needs to be more follow-up in the home.
Page Ref: 3
3) The nurse is telling a new client how advanced technology has permitted the physician to do
which of the following?
A) Treat the fetus and monitor fetal development.
B) Deliver at home with a nurse-midwife and doula.
C) Have the father act as the coach and cut the umbilical cord.
D) Breastfeed a new baby on the delivery table.
Answer: A
Explanation:
A) The fetus is increasingly viewed as a patient separate from the mother, although treatment of
the fetus necessarily involves the mother
B) A nurse-midwife and a doula are not examples of technological care.
C) Fathers being present during labor and coaching their partners represents nontechnological
care during childbirth.
D) Breastfeeding is not an example of technology impacting care.
Page Ref: 2—3
4) A nurse is examining different nursing roles. Which example best illustrates an advanced
practice nursing role?
A) A registered nurse who is the manager of a large obstetrical unit
B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections)
C) A clinical nurse specialist working as a staff nurse on a mother-baby unit
D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-
risk infants
Answer: D
Explanation:
,A) A registered nurse who is the manager of a large obstetrical unit is a professional nurse who
has graduated from an accredited program in nursing and completed the licensure examination.
B) A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a
professional nurse who has graduated from an accredited program in nursing and completed the
licensure examination.
C) A clinical nurse specialist working as a staff nurse on a mother-baby unit might have the
qualifications for an advanced practice nursing staff member but is not working in that capacity.
D) 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.
Page Ref: 5
5) 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?
A) Leadership
B) Physical and psychosocial clinical assessment
C) Independent care of the high-risk pregnant client
D) Tertiary prevention
Answer: B
Explanation:
A) Leadership might be a quality of the NP, but it is not the major focus.
B) Physical and psychosocial clinical assessment is the major focus of the NP.
C) NPs cannot provide independent care of the high-risk pregnant client, but must work under a
physician's supervision.
D) The NP cannot do tertiary prevention as a major focus.
Page Ref: 5
6) The nurse manager is consulting with a certified nurse-midwife about a client. What is the
role of the CNM? Select all that apply.
A) Be prepared to manage independently the care of women at low risk for complications during
pregnancy and birth.
B) Give primary care for high-risk clients who are in hospital settings.
C) Give primary care for healthy newborns.
D) Obtain a physician consultation for any technical procedures at delivery
, E) Be educated in two disciplines of nursing.
Answer: A, C, E
Explanation:
A) A CNM is prepared to manage independently the care of women at low risk for complications
during pregnancy and birth and the care of healthy newborns.
B) CNMs cannot give primary care for high-risk clients who are in hospital settings. The
physician provides the primary care.
C) A CNM is prepared to manage independently the care of women at low risk for complications
during pregnancy and birth and the care of healthy newborns.
D) The CNM does not need to obtain a physician consultation for any technical procedures at
delivery.
E) The CNM is educated in the disciplines of nursing and midwifery.
Page Ref: 5
7) The registered nurse who has completed a master's degree program and passed a national
certification exam has clinic appointments with clients who are pregnant or seeking well-woman
care. What is the role of this nurse considered to be?
A) Professional nurse
B) Certified registered nurse (RNC)
C) Clinical nurse specialist
D) Nurse practitioner
Answer: D
Explanation:
A) A professional nurse is one who has completed an accredited basic educational program and
has passed the NCLEX-RN® exam.
B) A certified registered nurse (RNC) has shown expertise in the field and has taken a national
certification exam.
C) A clinical nurse specialist has completed a master's degree program, has specialized
knowledge and competence in a specific clinical area, and often is employed in hospitals on
specialized units.
D) A nurse practitioner has completed either a master's or doctoral degree in nursing and passed
a certification exam, and functions as an advanced practice nurse. Ambulatory care settings and
the community are common sites for nurse practitioners to provide client care.
Chapter 1 Contemporary Maternal-Newborn Nursing
1) The nurse is speaking to students about changes in maternal-newborn care. One change is that
self-care has gained wide acceptance with clients and the healthcare community due to research
findings that suggest that it has which effect?
A) Shortens newborn length of stay
B) Decreases use of home health agencies
C) Decreases healthcare costs
D) Decreases the number of emergency department visits
Answer: C
Explanation:
A) Length of stay is often determined by third-party payer (insurance company) policies as well
as the physiologic stability of the mother and newborn. Home healthcare agencies often are
involved in client care to decrease hospital stay time.
B) Home healthcare agencies often are involved in client care to decrease hospital stay time.
C) Research indicates that self-care significantly decreases healthcare costs.
D) Acute emergencies are addressed by emergency departments, and are not delayed by those
practicing self-care.
Page Ref: 3
2) Care delivered by nurse-midwives can be safe and effective and can represent a positive
response to the healthcare provider shortage. Nurse-midwives tend to use less technology, which
often results in which of the following?
A) There is less trauma to the mother.
B) More childbirth education classes are available.
C) They are instrumental in providing change in the birth environment at work.
D) They advocate for more home healthcare agencies.
Answer: A
Explanation:
A) Nurse-midwife models of care can be one way to ensure that mothers receive excellent
prenatal and intrapartum care.
,B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitals, to provide
childbirth classes for expectant families.
C) By working with other staff members and doctors, the nurse-midwife is able to implement
changes as needed within the birthing unit.
D) Clients are increasingly going home sooner, so there needs to be more follow-up in the home.
Page Ref: 3
3) The nurse is telling a new client how advanced technology has permitted the physician to do
which of the following?
A) Treat the fetus and monitor fetal development.
B) Deliver at home with a nurse-midwife and doula.
C) Have the father act as the coach and cut the umbilical cord.
D) Breastfeed a new baby on the delivery table.
Answer: A
Explanation:
A) The fetus is increasingly viewed as a patient separate from the mother, although treatment of
the fetus necessarily involves the mother
B) A nurse-midwife and a doula are not examples of technological care.
C) Fathers being present during labor and coaching their partners represents nontechnological
care during childbirth.
D) Breastfeeding is not an example of technology impacting care.
Page Ref: 2—3
4) A nurse is examining different nursing roles. Which example best illustrates an advanced
practice nursing role?
A) A registered nurse who is the manager of a large obstetrical unit
B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections)
C) A clinical nurse specialist working as a staff nurse on a mother-baby unit
D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-
risk infants
Answer: D
Explanation:
,A) A registered nurse who is the manager of a large obstetrical unit is a professional nurse who
has graduated from an accredited program in nursing and completed the licensure examination.
B) A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a
professional nurse who has graduated from an accredited program in nursing and completed the
licensure examination.
C) A clinical nurse specialist working as a staff nurse on a mother-baby unit might have the
qualifications for an advanced practice nursing staff member but is not working in that capacity.
D) 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.
Page Ref: 5
5) 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?
A) Leadership
B) Physical and psychosocial clinical assessment
C) Independent care of the high-risk pregnant client
D) Tertiary prevention
Answer: B
Explanation:
A) Leadership might be a quality of the NP, but it is not the major focus.
B) Physical and psychosocial clinical assessment is the major focus of the NP.
C) NPs cannot provide independent care of the high-risk pregnant client, but must work under a
physician's supervision.
D) The NP cannot do tertiary prevention as a major focus.
Page Ref: 5
6) The nurse manager is consulting with a certified nurse-midwife about a client. What is the
role of the CNM? Select all that apply.
A) Be prepared to manage independently the care of women at low risk for complications during
pregnancy and birth.
B) Give primary care for high-risk clients who are in hospital settings.
C) Give primary care for healthy newborns.
D) Obtain a physician consultation for any technical procedures at delivery
, E) Be educated in two disciplines of nursing.
Answer: A, C, E
Explanation:
A) A CNM is prepared to manage independently the care of women at low risk for complications
during pregnancy and birth and the care of healthy newborns.
B) CNMs cannot give primary care for high-risk clients who are in hospital settings. The
physician provides the primary care.
C) A CNM is prepared to manage independently the care of women at low risk for complications
during pregnancy and birth and the care of healthy newborns.
D) The CNM does not need to obtain a physician consultation for any technical procedures at
delivery.
E) The CNM is educated in the disciplines of nursing and midwifery.
Page Ref: 5
7) The registered nurse who has completed a master's degree program and passed a national
certification exam has clinic appointments with clients who are pregnant or seeking well-woman
care. What is the role of this nurse considered to be?
A) Professional nurse
B) Certified registered nurse (RNC)
C) Clinical nurse specialist
D) Nurse practitioner
Answer: D
Explanation:
A) A professional nurse is one who has completed an accredited basic educational program and
has passed the NCLEX-RN® exam.
B) A certified registered nurse (RNC) has shown expertise in the field and has taken a national
certification exam.
C) A clinical nurse specialist has completed a master's degree program, has specialized
knowledge and competence in a specific clinical area, and often is employed in hospitals on
specialized units.
D) A nurse practitioner has completed either a master's or doctoral degree in nursing and passed
a certification exam, and functions as an advanced practice nurse. Ambulatory care settings and
the community are common sites for nurse practitioners to provide client care.
