1. 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 ANS: B The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of unforeseen problems. DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands? a. Karl Credé b. Ignaz Semmelweis c. Louis Pasteur d. Joseph Lister ANS: B Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students. DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 TOP: The Past KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 3. A pregnant woman who has recently immigrated to the United States comments to the nurse, ―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response reflecting cultural sensitivity? a. ―Maternal mortality in the United States is extremely low.‖ b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ c. ―Tell me why you are afraid of childbirth.‖ d. ―Your condition will be monitored during labor and delivery.‖ ANS: C Asking the patient about her concerns helps promote understanding and individualizes patient care. DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation