Chapter 01: The Past, Present, and Future.MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during
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pregnancy. What does the CNMs 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.
2. Which medical pioneer discovered the relationship between the incidence of puerperal
fever and unwashed hands?
a. Karl Cred
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.
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.
4. An urban area has been reported to have a high perinatal mortality rate. What information
does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
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