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.
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The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the nurse's best response when the patient asks how DRGs reduce medical care costs?
- A. By determining payment based on diagnosis
- B. By requiring two medical opinions to confirm a diagnosis
- C. By organizing HMOs
- D. By defining a person who will require hospitalization
Correct Answer: A
Rationale: DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
What was the result of research done in the 1930s by the Children's Bureau?
- A. Children with heart problems are now cared for by pediatric cardiologists.
- B. The Child Abuse and Prevention Act was passed.
- C. Hot lunch programs were established in many schools.
- D. Children's asylums were founded.
Correct Answer: C
Rationale: School hot lunch programs were developed as a result of research by the Children's Bureau on the effects of economic depression on children.
Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands?
- A. Karl Cred?©
- B. Ignaz Semmelweis
- C. Louis Pasteur
- D. Joseph Lister
Correct Answer: B
Rationale: Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students.
What is the focus of current maternity practice?
- A. Hospital births for the majority of women
- B. The traditional family unit
- C. Separation of labor rooms from delivery rooms
- D. A quality family experience for each patient
Correct Answer: D
Rationale: Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
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.
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