Chapter 1
Contemporary Maternity Nursing

1-1 A woman has just learned that she is pregnant for the first time. She would like to have a midwife deliver her baby, but she is concerned about the safety of birth with a midwife as attendant. The nurse knows her teaching is effective when the woman makes which one of the following comments?
a. "I am glad to hear of the research that found that midwifery care has as good an outcome as that of physicians."
b. "I am grateful to learn that I had better go to an obstetrician if I want pain relief during labor."
c. "I did not know that midwives could only deliver women who are on Medicaid."
d. "I want a midwife because my husband can be with me during birth."

1-2 The role of the professional nurse has evolved to emphasize which of the following?
a. Providing direct care to patients at the bedside
b. Planning patient care to cover longer hospital stays
c. Leading the activities of a team of interdisciplinary health care providers
d. Managing care to cure health problems after they have occurred

1-3 To assess for the risk of having a low-birth-weight (LBW) infant, which one of the following factors is the most important for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education

1-4 A 23-year-old African-American woman is pregnant with her first child. Based on knowledge of the statistics related to infant mortality, which one of the following plans is most important for the nurse to implement?
a. Perform a nutrition assessment
b. Refer the woman to a social worker
c. Advise the woman to see an obstetrician and not a midwife
d. Teach the woman about why keeping her prenatal care appointments is so important

1-5 When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that which of the