Test Bank - Chapter 01 Q1: A patient chooses to have the certified nurse-midwife (CNM) provide care during her pregnancy. What does the CNM’s scope of practice include? A. Practice independent from medical supervision B. Comprehensive prenatal care (Correct) C. Attendance at all deliveries D. Cesarean sections Rationale: The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of unforeseen problems.
Q2: Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands? A. Karl Crede■ B. Ignaz Semmelweis (Correct) C. Louis Pasteur D. Joseph Lister Rationale: Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students.
Q3: A pregnant woman who has recently immigrated to the United States comments to the nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting cultural sensitivity? A. “Maternal mortality in the United States is extremely low.” B. “Anesthesia is available to relieve pain during labor and childbirth.” C. “Tell me why you are afraid of childbirth.” (Correct) D. “Your condition will be monitored during labor and delivery.” Rationale: Asking the patient about her concerns helps promote understanding and individualizes patient care.
Q4: An urban area has been reported to have a high perinatal mortality rate. What information does this provide? A. Maternal and infant deaths per 100,000 live births per year B. Deaths of fetuses weighing more than 500 g per 10,000 births per year C. Deaths of infants up to 1 year of age per 1000 live births per year D. Fetal and neonatal deaths per 1000 live births per year (Correct) Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
Leifer's Introduction to Maternity and Pediatric Nursing 10e Cooper Test Bank