Answer KeyNCLEX Examination, Text

Leifer: Introduction to Maternity and Pediatric Nursing, 8th Edition

Chapter 01: The Past, Present, and Future

Answer Key—NCLEX Examination, Text

1. ANS: 1 and 2

The NIH and ANA deal with local health issues within the United States while the WHO and United Nations deal with global health.

Page reference: International year of the child

2. ANS: 4

Neonatal mortality rate is defined as the number of deaths of infants under age 1 year per 1000 live births. Birth rate and neonatal birth rate refer to the number of births per 1000 population in a year. Neonatal morbidity rate refers to illness.

REF: Box 1-6

3. ANS: 4

Assessment is the first step of the nursing process and includes the collection of subjective and objective patient data. Diagnosis is the second step of the nursing process. Preparing a plan of care refers to the fourth step: planning. Administering medications relates to implementation, which is the fifth step of the nursing process.

REF: Nursing tools

4. ANS: 2

The ANA develops standards of practice. The AMA is a medical association that is geared toward physicians. Utilization review committee reviews appropriateness of health care services and guidelines for physicians for treatment of illness, controlling management of care to achieve cost containment. The AAP is made up of pediatricians and establishes positions of leadership in setting standards of care for children.

REF: Obstetric and pediatric care in the US

5. ANS: 4

Evidence-based practice starts when the nurse uses the best evidence obtained from current, valid, published research. When the nurse combines that information

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NCLEX EXAMINATION,TEST

with his or her critical thinking process, experiences, and patients’ needs, it is then possible to plan safe, effective nursing care for the patient. The other answer options are not accurate.

REF: Evidence based practice

6. ANS: 4

Specific activities are listed by the state nurse practice act and nurses must practice within the limitations of the nurse practice act for their state. The other answer options are not sources that determine scope of practice.

REF: Obstetric and pediatric care in the US

7. ANS: 1

QSEN has to do with delivering quality care; American Academy of Pediatrics (AAP) is managed by physicians who set standards for pediatric care delivered by physicians. AWHONN and ANA set standards for nursing care.

REF: Obstetric and pediatric care in the US

Leifer: Introduction to Maternity and Pediatric Nursing, 8th Edition

Chapter 01: The Past, Present, and Future

Answer Key—Critical Thinking Questions Nursing Care Plan 1-1: Care of Childbearing Families Related to Potential or Actual Stress Caused by Cultural Diversity

• The first responsibility of the nurse is to the patient. Consent of the patient

should be obtained. An additional responsibility of the nurse is to prevent the spread of infection by ensuring that the extended family members are appropriately dressed with their hands washed and that there is an appropriate area in the labor and delivery room for them to stay without contaminating the sterile equipment. A culturally competent nurse respects and facilitates the cultural practices of patients whenever possible. The nurse should understand that male health care providers are prohibited in the labor and delivery room in some cultures. In those cases, the nurse should make every effort to find a female health care provider and be sure the patient is not alone in the room when a male physician is in attendance. This study source was downloaded by 100000842722785 from CourseHero.com on 09-23-2022 15:06:15 GMT -05:00 https://www.coursehero.com/file/41751782/NCLEX-CHAPTER-1-INTRO-TO-MATERNITY-AND-PEDIATRIC-NURSING-1docx/

Review Questions - NCLEX - Chapter 01 1.The experienced nurse is instructing the new nurse about communications concerning the patient. The nurse suggests using an SBAR method and lists the four elements included in the technique. Which four elements should be included in the instruction?a.Shift-end report, background, assessment, and reassessment b.Situation, background, assessment, and recommendation i.SBAR stands for situation, background, assessment, and recommendation.ii.The other options are not elements of SBAR.

REF: p. 16

c.Shift-end report, background, assessment, and recommendation d.Situation, background, actual nursing diagnoses, and remedy 2.A group of women are discussing childbirth experiences. Which statement would most likely indicate that the woman gave birth in the 1950s?a.“My husband stayed with me throughout labor and birth.” b.“The suite allowed me to deliver and recover in the same room.” c.“I was discharged from the hospital 1 week following delivery.” i.During the 1950s, the hospital stay for labor and delivery was 1 week. The other situations described would not have occurred until after 1960 with the natural childbirth movement.

REF: p. 6

d.“The birthing center rooms were decorated in a homelike fashion.” 3.The nurse admitting a 3-year-old patient with the medical diagnosis of pneumonia identifies congestion and inspiratory wheezes in both lungs. This information is considered part of which step of the nursing process?a.Diagnosis b.Evaluation c.Assessment i.Assessment involves collection of patient data. Diagnosis, implementation, and evaluation are other steps in the nursing process that involve analysis of data, carrying out interventions, and evaluating outcome progress. This study source was downloaded by 100000842722785 from CourseHero.com on 09-23-2022 15:06:15 GMT -05:00 https://www.coursehero.com/file/41751782/NCLEX-CHAPTER-1-INTRO-TO-MATERNITY-AND-PEDIATRIC-NURSING-1docx/

REF: p. 11

d.Implementation 4.Which government department is responsible for overseeing the administration of the WIC program?a.Social Security Administration b.Department of Health and Human Services c.Department of Public Health i.This department is responsible for improving the morbidity and mortality of children. The others do not have this responsibility.

REF: p. 4

d.Children’s Bureau 5.Which is a diagnosis that the nurse is legally responsible to report?a.Bronchiolitis b.Sexually transmitted infections i.All nurses have a legal and ethical responsibility to report sexually transmitted infections or other communicable diseases.

REF: p. 4

c.Acute otitis media d.Strep throat 6.What is true of family-centered care? (Select all that apply.) a.The nurse’s role is to enter into a partnership with the family.b.The health care professionals are the primary decision makers c.The family’s involvement during pregnancy and birth is seen as constructive necessary for bonding and support d.Families contribute their ability to accept and maintain control over the health care of family members.e.Families will benefit from decreasing fragmentation of care by not changing rooms during the hospital stay.i.Family-centered care recognizes the strength of the family as the core of planning and implementing health care. The family as caregivers and decision makers is integral to this care. The family accepts and maintains control over the health care of family members, and the nurse’s role is to enter into a contract or partnership with the family to achieve the goals of health for its members. The family’s involvement during pregnancy and birth is This study source was downloaded by 100000842722785 from CourseHero.com on 09-23-2022 15:06:15 GMT -05:00 https://www.coursehero.com/file/41751782/NCLEX-CHAPTER-1-INTRO-TO-MATERNITY-AND-PEDIATRIC-NURSING-1docx/