Review Questions
1
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What is one purpose of the Healthy People 2030 objectives?
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Stop world hunger.
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Prevent conflict and war in other countries.
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Address issues in health care to solve cancer.
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Recommend changes to increase health promotion and disease prevention.
2
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The nurse is caring for a pregnant person who is living in an underserved area of town with a history of childhood abuse, opioid use disorder, and asthma. What can the nurse do to decrease the risk of maternal mortality?
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Connect the patient to a counselor.
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Educate the patient on the risk factors for maternal mortality.
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Give prn albuterol for asthma.
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Discuss how they need to move out of the poor area of town.
3
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The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient has any problems with sexual dysfunction. Why is it important for the nurse to ask all patients this question?
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Some people may not bring up the topic of sex due to taboos and stigma.
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All patients will eventually have sexual problems.
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Nurses should ask because other health-care providers are not trained to ask those questions.
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Sexual dysfunction is a taboo only for persons AFAB.
4
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The nurse is answering the phone in the OB-GYN clinic. The person asks, “I am a lesbian. Can an OB-GYN provider care for me?” What is the nurse’s best response?
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“All LGBTQIA+ persons are welcome and can be treated by an OB-GYN provider.”
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“We can see you if you will be the person in the relationship that will get pregnant.”
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“We suggest you see a provider that specializes in LGBTQIA+ persons.”
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“Our OB-GYN provider can give you gynecologic care but not pregnancy care.”
5
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The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic provider see a person at this age?
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The person’s partner desires permanent sterilization.
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Their family told the person they had to get a Pap smear.
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The person was late starting care because the first visit should be before the age of 13.
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The person may want to discuss their menstrual cycle and hormonal changes.
6
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What is the best description of the history of gynecologic care in the United States over the past century?
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Reproductive health care has been under control of persons AFAB since the 1900s.
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The health-care system has always been fair to persons AFAB with regard to shared decision making.
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Activist groups are fighting sexism in health care.
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Researchers had to stop including persons AFAB in pharmacologic research trials.
7
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What occurred after childbirth migrated from the home to the hospital?
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Infection rates dropped in the hospital.
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Laboring persons were given greater support in labor.
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The childbirth model became a medical model.
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Pain relief allowed laboring persons to spend more time with their partners in labor.
8
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A nurse is working in a Level 4 hospital. What type of patient would the nurse expect to see?
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a first-time pregnant person with good fetal movement
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a pregnant person who needs neurosurgery
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a postpartum person with asthma
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a pregnant person who plans to birth in a birth center
9
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A community health nurse recognizes an increase in maternal mortality in the neighborhood. What could the community health nurse do?
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Conduct weekly prenatal appointments in their home.
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Draw blood on all pregnant persons to look for anemia.
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Assess the health of a baby using an ultrasound.
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Develop an educational pamphlet discussing signs of preeclampsia.
10
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The nurse is describing the difference between community-based nursing and community health nursing. What response best describes the difference?
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A community-based nurse would provide care in a mobile unit in the neighborhood.
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A community-based nurse only provides education.
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A community health nurse performs cardiac assessments.
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A community health nurse only provides hands-on care.
11
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What is the purpose of the standards of care for nurses?
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to guide hospital administration to promote nurses
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to ensure nurses are assessing patients
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to protect the public’s safety
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to protect the health-care providers
12
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What statement best describes risk management?
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identifying risk factors by analyzing processes and procedures
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creating disciplinary actions for nursing errors
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identifying health-care providers who are derogatory to patients
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implementing programs to keep errors secret
13
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The nurse makes an error of omission. What is an example of an error of omission?
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placing the fetal monitor incorrectly
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not recording input/output amounts
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not covering the computer screen when documenting
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removing an IV
14
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The nurse is discussing legal issues surrounding OB nursing. What statement might that nurse make?
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“Legal issues are the concern of the OB.”
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“I’m glad that people understand that all childbirth carries risk.”
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“Medical malpractice insurance is cheap.”
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“OB nurses are held to a standard of care and can be sued if proper care is not provided.”
15
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What is a good example of informed consent?
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The nurse hands the patient the stack of consents and asks them to sign them.
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The nurse tells the patient not to worry about reading the consents.
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The nurse alerts the OB that the patient has questions about the cesarean consent.
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The nurse explains that it is not their job to answer questions.
16
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What statement by the nurse demonstrates an understanding of an ethical maternal-newborn dilemma?
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“Female genital mutilation/cutting is a violation of human rights in the United States, but I can understand it is part of their culture.”
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“I can’t understand why the patient got mad when I checked her cervix. I just forgot to ask first.”
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“Surrogacy should not happen because the surrogate is just in it for the money.”
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“Every country should have abortion rights.”
17
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What is an example of maternal-fetal conflict?
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The pregnant person agrees to treatment no matter what happens to them.
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The pregnant person has cancer but cannot start treatment until the fetus is delivered.
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The fetus is in distress, and the pregnant person agrees to a cesarean birth.
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The parents of a fetus agree to a labor induction.