Nokea
A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice. What resource can the nurse suggest to the student?
- A. American Nurses Association
- B. State's Board of Nursing
- C. Joint Commission
- D. Association of Women's Health, Obstetric and Neonatal Nurses
Correct Answer: B
Rationale: The scope of practice of the LVN/LPN is published by the state's board of nursing.
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What services are birthing centers able to provide? (Select all that apply.)
- A. Prenatal care
- B. Labor and delivery services
- C. Classes for new mothers
- D. Adoption referrals
- E. Family planning
Correct Answer: A,B,C,E
Rationale: Birthing centers are capable of providing full-service obstetric care, classes for new mothers, and family planning. Birthing centers do not offer adoption services.
How does the clinical pathway or critical pathway improve quality of care?
- A. Lists diagnosis-specific implementations
- B. Outlines expected progress with stated timelines
- C. Prioritizes effective nursing diagnoses
- D. Describes common complications
Correct Answer: B
Rationale: Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is called a variance.
What was recommended by Karl Cred?© in 1884?
- A. All women should be delivered in a hospital setting.
- B. Chemical means should be used to combat infection.
- C. Podalic version should be done on all fetuses.
- D. Silver nitrate should be placed in the eyes of newborns.
Correct Answer: D
Rationale: In 1884 Karl Cred?© recommended the use of $2\%$ silver nitrate in the eyes of newborns to reduce the incidence of blindness.
What is one major advantage to the application of critical thinking?
- A. Problem-free care
- B. Limitation of approaches to care
- C. Decreased need for assessment
- D. Problem prevention
Correct Answer: D
Rationale: Critical thinking results in problem prevention in designing nursing care.
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.