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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.
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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.
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.
How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without complications?
- A. 24
- B. 48
- C. 36
- D. 72
Correct Answer: B
Rationale: Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have had a cesarean delivery usually stay 4 days.
What developments in the early 20th century encouraged women to seek hospitalization for childbirth? (Select all that apply.)
- A. Use of specialized obstetric instruments
- B. Use of anesthesia
- C. Physicians' closer relationships with hospitals
- D. Focus on family-centered care
- E. Insurance coverage
Correct Answer: A,B,C
Rationale: In the early 1900s, the development of specialized obstetric instruments, better modes of anesthesia, and the physician's reliance on hospital services were instrumental in encouraging women to seek hospitalization for childbirth.
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.