Nokea
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
- C. Attendance at all deliveries
- D. Cesarean sections
Correct Answer: B
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.
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What term appropriately describes the nurse who is able to adapt health care practices to meet the needs of various cultures?
- A. Culturally aware
- B. Culturally sensitive
- C. Culturally competent
- D. Culturally adaptive
Correct Answer: C
Rationale: The nurse who is able to adapt health care to meet the needs of various cultures is said to be culturally competent.
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.
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.
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.
What is the purpose of the White House Conference on Children and Youth?
- A. Set criteria for normal growth patterns.
- B. Examine the number of live births in minority populations.
- C. Raise money to support well-child clinics in rural areas.
- D. Promote comprehensive child welfare.
Correct Answer: D
Rationale: White House Conferences on Children and Youth are held every 10 years to promote comprehensive child welfare.