Test Bank For Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 9th Edition Silbert Flagg (All chapters)

,A program designed to decrease the infant mortality rate in the United States would probably
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make the greatest impact if it focused on which aspect of care?
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A) offering increased WICC availability c1 c1 c1




B) reducing the number of home births c1 c1 c1 c1 c1




C) increasingtheeducationlevelofparents c1 c1 c1 c1 c1




D) increasingthenumberof womenreceivingprenatalcare -Ans:D c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




Client Needs: HealthPromotionandMaintenance Cognitive
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Level: Apply
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Page: 11 c1




Feedback: Receiving prenatal care has proven to be a major strategy for reducing infant
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mortality. The other interventions will not directly impact infant mortality rates to the degree
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that prenatal care will.
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What is a current trend in child health care?
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A) Children arehospitalized for observation more than previously. c1 c1 c1 c1 c1 c1 c1




B) Health promotion rather than health restoration is stressed. c1 c1 c1 c1 c1 c1 c1




C) Child health care is moving out of regional centers.
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D) Nursing roles are decreasing because of the increasing role of families. - Ans: B c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




Client Needs: Safe,Effective Care Environment: Management of Care
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Cognitive Level: Remember
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Feedback: It is recognized that keeping individuals well is more cost effective for a system
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than helping ill individuals return to wellness.
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The nurse is running an education program for early grade-school children. Which topic would
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address the number one cause of death for this age group?
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A) The importance of crossing streets safely
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B) The importance of immunizations c1 c1 c1




C) Preventionofinfectionandcommunicabledisease c1 c1 c1 c1 c1




D) Exerciseandgoodnutrition -Ans:A c1 c1 c1 c1 c1 c1




Client Needs: Physiological Integrity: Reduction of Risk Potential Cognitive
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Level: Apply
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Page: 11 c1




Feedback: Motor-vehicle accidents are a leading cause of death in this age group. c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




Which trend is currently influencing maternal and child healthcare?
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A) An expansion of community based services
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,B) Closure of regionalized healthcare centers c1 c1 c1 c1




C) The availability of additional family support
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D) A reduction inthenumber of latch key kids - Ans: A
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Client Needs: HealthPromotionandMaintenance Cognitive
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Level: Remember
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Feedback: The trend for community care is increasing because it has the potential to provide
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cost-effective health promotion/disease prevention patient care services to large numbers of
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children and families in an environment that is familiar to them.
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Regionalization of care is increasing because of the need for more specialized or advanced c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




care. There is also an increase in the number of mothers who must work outside the home
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because they do not have extended family members to provide care for their children. This
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has resulted in an increase in the number of latchkey children left home alone after school
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while their mother works.
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Whichstatement correctly defines the term "perinatal death rate"?
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A) Number of deaths in utero of a fetus 500 g or more per 1000 live births c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




B) Number of deaths per 1000 live births occurring in the first 28 days of life c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




C) Number of deaths per 1000 live births occurring at birth or in the first 12 months of lifec1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




D) Number of deaths per 1000 live births beginning when the fetus reaches 500 g and c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




ending 28 days after birth - Ans:
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Client Needs: HealthPromotionandMaintenance Cognitive
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Level: Remember
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Feedback: The term "perinatal" refers to the time of birth and that closely following it or the time
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"around birth."
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A nurse is doing a literature search on maternal mortality and finds that direct causes
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comprise the majority of maternal deaths. Direct causes are noted to be unpredictable
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reasons. Which action would be most appropriate to implement that would have the
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greatest impact on reducing these numbers?
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A) Practicing high standards of infection control. c1 c1 c1 c1 c1




B) Monitoring maternal glucose levels in mothers with type 1 diabetes. c1 c1 c1 c1 c1 c1 c1 c1 c1




C) Referring to a cardiologist for any arrhythmias. c1 c1 c1 c1 c1 c1




D) Administeringoxytocicmedicationsforincreasedpostpartumbleeding. c1 c1 c1 c1 c1 c1




E) Beginning antibiotics prior to birth for a febrile mother. - Ans: A c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




Client Needs: Physiological Integrity: Reduction of Risk Potential Cognitive
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Level: Analyze
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Page: 12 c1




Feedback: Few women die giving birth in a developed countries, but it still happens. Health
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care providers can have the greatest impact on reducing these numbers by
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, implementing good infection control measures, appropriate use of antibiotics during labor c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




and postpartum periods, and use of oxytocics for maternal bleeding to prevent
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hemorrhage. Diabetes and cardiac arrhythmias are not considered direct causes, that is,
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they are known and predictable.
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Which statement best describes the pattern of maternal mortality since World War II?
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A) It has steadily decreased.
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B) It has remained constant.
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C) It has steadily increased.
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D) After decreasing until the 1960s, ithas increased steadily. - Ans: A
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Client Needs: HealthPromotionandMaintenance Cognitive
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Level: Apply
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Feedback: Improved prenatal care and early ambulation after birth are factors that have c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




decreased maternal death rates following birth over the past 70 years.
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A nurseis reviewing the statistical outcomes related tofetal deaths nationwide and notes that
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the numbers have changed over the last several decades. The best explanation would be:
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A) expectant mothers are seeking prenatal care later, resulting in decreases in the c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




number.
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B) improved prenatal care has reduced the numbers of fetal deaths. c1 c1 c1 c1 c1 c1 c1 c1 c1




C) increasesarenotedbecauseof thegrowingnumber ofpregnancies toteenmothers. c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




D) increasesarenotedduetheincreasingnumberofoldermothersbecomingpregnant. c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




- Ans: B
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Client Needs: HealthPromotionandMaintenance Cognitive
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Level: Analyze
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Feedback: The number of fetal deaths in the United States has fallen. This has been c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1 c1




attributed to the improvement in the delivery of prenatal care.
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A 33-week gestation infant dies after 1 week of life in the neonatal intensive care unit. This
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infant's death rate would be classified under which statistical category?
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A) infant death under one month c1 c1 c1 c1




B) neonatal death c1




C) pretermgestationaldeath c1 c1




D) postneonataldeath- Ans:B c1 c1 c1 c1




Client Needs: HealthPromotionandMaintenance Cognitive
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Level: Analyze
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Page: 10 c1