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What factors have played a role in meeting the goals of Healthy People 2030 as it relates to the goals for outcomes of pregnancy? (Select all that apply.)
- A. Early prenatal care
- B. Increased number of surgical births
- C. NICU care
- D. Use of prenatal glucocorticoids
- E. Fetal surgery
Correct Answer: A,C,D,E
Rationale: Early prenatal care, fetal surgery, use of prenatal glucocorticoids, technology, and NICU care have played a role in increasing the positive outcome of pregnancy, and the goals of Healthy People 2030 may well be met. Increase in surgical births and multiple gestations do not work toward meeting the goals of Healthy People 2030.
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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.
How does electronic charting ensure comprehensive charting more effectively than handwritten charting?
- A. Provides a uniform style of chart.
- B. Requires certain responses before allowing the user to progress.
- C. All documentation is reflective of the nursing care plan.
- D. Requires a daily audit by the charge nurse.
Correct Answer: B
Rationale: Comprehensive electronic documentation is ensured by requiring specific input in designated categories before the user can progress through the system.
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.
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.
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.