Maternal Child Final Exam 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. (- ANS: D White House Conferences on Children and Youth are held every 10 years to promote comprehensive child welfare. 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 (- ANS: B 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. 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 (- ANS: B Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is called a variance 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 (- ANS: B Comprehensive electronic documentation is ensured by requiring specific input in designated categories before the user can progress through the system. A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother? a. Milk is produced in ducts and lobules regardless of breast size. b. Supplementing breastfeeding with formula allows the infant to receive adequate nutrition. c. Breast size can be increased with exercise. d. Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk. (- ANS: A Breast size does not influence the ability to secrete milk. The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is a factor that can decrease sperm production? a. Infrequent sexual intercourse b. The man not being circumcised c. The penis and testes being small d. The testes being too warm (- ANS: D The scrotum is suspended away from the perineum to lower the temperature of the testes for sperm production. The nurse is assisting with pelvic inlet measurements on a pregnant woman. What measurement will provide the nurse with information about whether the woman can deliver vaginally? a. Diagonal conjugate b. Obstetric conjugate c. Transverse diameter d. Anteroposterior diameter (- ANS: B This measurement determines if the fetus can pass through the birth canal. The nurse is aware that the diagonal conjugate is 12 centimeters. What is the measurement in centimeters of the obstetric conjugate? a. 10 to 10.5 b. 11 to 11.5 c. 12.5 to 13 d. 14 to 14.5 (- ANS: A The obstetric conjugate is approximately 1.5 to 2 centimeters shorter than the diagonal conjugate. How long does sperm remain viable in the female reproductive tract? a. 12 hours b. 1 day c. 2 days d. 4 days (- ANS: D Sperm can remain viable in the reproductive tract of the female for as long as 4 to 5 days. Which hormone initiates the maturation of the ovarian follicle? a. Estrogen b. Follicle-stimulating hormone c. Progesterone d. Luteinizing hormone (- ANS: B Follicle-stimulating hormone (FSH) stimulates the maturation of a follicle. The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What vessel(s) carry blood to the fetus? a. One umbilical vein b. Two umbilical veins c. One umbilical artery d. Two umbilical arteries (- ANS: A The umbilical vein transports richly oxygenated blood from the placenta to the fetus. During an ultrasound, two amnions and two placentas are observed. What will be the most likely result of this pregnancy? a. Dizygotic twins b. Monozygotic twins c. Conjoined twins d. High birth-weight twins