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A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child?
- A. Identify measurable outcomes with a timeline.
- B. Choose specific nursing interventions for the child.
- C. Determine appropriate nursing diagnoses.
- D. State nursing actions related to the child's medical diagnosis.
Correct Answer: C
Rationale: The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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A patient in the prenatal clinic is concerned about losing her job because of her pregnancy. The nurse instructs her that the Family Medical Leave Act (FMLA) allows an employee to be absent from work without pay. How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family member without loss of benefits or pay status?
- A. 4
- B. 6
- C. 10
- D. 12
Correct Answer: D
Rationale: The FMLA allows for employees to leave work for up to 12 weeks to recover from childbirth or to care for an ill family member without losing benefits or pay status.
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 $500 \mathrm{~g}$ 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 Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision?
- A. Clinical pathways
- B. Nursing outcome criteria
- C. Standards of care
- D. Nursing care plan
Correct Answer: A
Rationale: Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient care across disciplines. Expected progress within a specified timeline is identified.
What non-family-centered policies were prevalent in the 1960s? (Select all that apply.)
- A. Waiting room for fathers
- B. Sedation of mother during labor
- C. Delay of reunion of mother and infant
- D. Lenient visiting hours
- E. Restrictions of visitations by minor children
Correct Answer: A,B,C,E
Rationale: Hospital policies in the 1960s provided a separate waiting room for fathers while the mother went through labor in a sedated state. The reunion of mother and infant was delayed for several hours because of the sedation. Visiting hours were rigid and disallowed the visitation of minor children.
The nurse is aware that there is a legal responsibility to report certain diseases and conditions to county or state health authorities. Which would be included? (Select all that apply.)
- A. Tuberculosis
- B. Child abuse
- C. Industrial accidents
- D. Sexually transmitted diseases
- E. Foodborne infections
Correct Answer: A,B,D,E
Rationale: The nurse has a legal responsibility to report communicable diseases (such as tuberculosis and sexually transmitted diseases), foodborne infections, child abuse, and threats of suicide.