Who advocated the establishment of the Children's Bureau?
- A. Lillian Wald
- B. Florence Nightingale
- C. Florence Kelly
- D. Clara Barton
Correct Answer: A
Rationale: Lillian Wald is credited with suggesting the establishment of a federal Children's Bureau.
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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.
A community health nurse is providing specialized care to patients in the home setting. What kind of specialized care may this nurse be providing? (Select all that apply.)
- A. Glucose monitoring
- B. Heparin therapy
- C. Family education
- D. Total parenteral nutrition
- E. Provision of referral services
Correct Answer: A,B,D
Rationale: Glucose monitoring, heparin therapy, and total parenteral nutrition are categorized as specialized care that may be provided by the community health nurse. Family education and provision of referral are categorized as therapeutic care.
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.
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.
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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