MATERNAL AND CHILD HEALTH
NURSING TESTBANK –MATERNAL AND
CHILD 8TH EDITION PILLITERI UPDATED
AND COMPLETE TESTBANK
1. For!!which!!reasons!!would!!a!!nurse!!review!!infant!!mortality!!statistics!!in!!the!!United!!State
s?!!(Select!!all!!that!!apply.)
A) Measures!!the!!quality!!of!!pregnancy!!care
B) Reviews!!information!!on!!overall!!nutrition
C) Compares!!health!!with!!those!!of!!other!!states
D) Determines!!infant!!health!!and!!available!!care
E) Provides!!an!!index!!of!!the!!country's!!general!!healt
h!!Ans:!!A,!!B,!!D,!!E
Feedback:
Infant!!mortality!!statistics!!provide!!an!!index!!of!!a!!country's!!general!!health,!!measures!!the!!q
uality!!of!!pregnancy!!care,!!provides!!information!!on!!overall!!nutrition,!!and!!determines!!in
fant!!health!!and!!available!!care.!!Infant!!mortality!!statistics!!compares!!the!!health!!with!!tho
se!!of!!other!!countries!!and!!not!!with!!those!!of!!other!!states.
2. The!!nurse!!is!!providing!!care!!in!!an!!organization!!that!!supports!!the!!maternal!!and!!child!!ca
re!!continuum.!!Which!!type!!of!!patient!!care!!area!!is!!an!!example!!of!!this!!approach?
A) Primary!!care
B) Team!!nursing
C) Case!!management
D) Family-
centered!!care!!Ans:!!D
Feedback:
Keeping!!the!!family!!at!!the!!center!!of!!care!!is!!important!!because!!the!!level!!of!!a!!family's!!f
unctioning!!is!!important!!to!!the!!health!!status!!of!!its!!members.!!A!!healthy!!family!!establishe
s!!an!!environment!!conducive!!to!!growth!!and!!health-
promoting!!behaviors!!to!!sustain!!family!!members!!during!!crises.!!A!!family-
centered!!approach!!enables!!nurses!!to!!better!!understand!!individuals!!and!!their!!effect!!on!!
others!!and,!!in!!turn,!!to!!provide!!more!!holistic!!care.!!Primary!!nursing,!!team!!nursing,!!and!!
case!!management!!do!!not!!necessary!!take!!into!!consideration!!the!!maternal!!and!!child!!car
e!!continuum.
Page 1
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,TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
3. Which!!actions!!should!!the!!nurse!!perform!!when!!supporting!!the!!goals!!of!!maternal!!an
d!!child!!health!!care?!!(Select!!all!!that!!apply.)
A) Advocates!!protecting!!the!!rights!!of!!the!!mother!!and!!fetus
B) Teaches!!family!!members!!interventions!!to!!improve!!health
C) Adheres!!to!!principles!!that!! focus!!on!!the!!needs!!of!!the!!mother
D) Encourages!!maternal!!hospitalization!!to!!regain!!strength!!and!!stamina
E) Assesses!!family!!members!!for!!strengths!!and!!specific!!needs!!or!!challenge
s!!Ans:!!A,!!B,!!E
Feedback:
Actions!!that!!the!!nurse!!should!!perform!!when!!supporting!!the!!goals!!of!!maternal!!and!!chil
d!!health!!care!!include!!advocating!!the!!rights!!for!!the!!mother!!and!!fetus,!!teaching!!health!!
promotion!!interventions,!!and!!assessing!!the!!family!!for!!strengths!!and!!specific!!needs!!or!
!challenges.!!Adhering !!to !!principles!!that !!focus!!on!!the !!needs!!of!!the!!mother!!and!!encour
aging!!maternal!!hospitalization!!to!!regain!!strength!!and!!stamina!!are!!not!!actions!!that!!suppo
rt!!the!!goals!!of!!maternal!!and!!child!!health!!care.
4. The!!nurse!!is!!reviewing!!the!!2020!!National!!Health!!Goals!!and!!notes!!that!!which!!is!!a!!foc
us!!of!!these!!goals?
A) Health!!promotion!!and!!disease!!prevention
B) Early!!diagnosis!!of!!chronic!! health!!problems
C) Effective!!use!!of!!medication!!to!!treat!!disease
D) Reduce!!the!!cost!!of!!health!!care!!and!!medication
s!!Ans:!!A
Feedback:
The!!2020!!National!!Health!!Goals!!are!!intended!!to!!help!!citizens!!more!!easily!!understand!!the
!!importance!!of!!health!!promotion!!and !!disease !!prevention!!and!!to !!encourage!!wide !!partici
pation!!in!!improving!!health!!in!!the!!next!!decade.!!These!!goals!!do!!not!!focus!!on!!the!!early!!d
iagnosis!!of!!chronic!!problems,!!use!!of!!medications!!to!!treat!!disease,!!or!!reduce!!the!!cost!!of
!!health!!care!!and !!medications.
Page 2
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,TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
5. The!!nurse!!has!!noticed!!a!!change!!in!!the!!type!!of!!care!!needed!!to!!support!!maternal!!and!!ch
ild!!health!!issues.!!What!!does!!the!!nurse!!realize!!as!!reasons!!for!!the!!changes!!in!!care?!!(Sel
ect!!all!!that!!apply.)
A) Smaller!!families
B) Less!!domestic!!violence
C) More!!employed!!mothers
D) Stable!!home!!environments
E) More!!single-
parent!!families!!Ans:!!A,!!C,!!E
Feedback:
Nursing!!care!!for!!maternal!!and!!child!!is!!changing!!because!!families!!are!!smaller,!!more!!
mothers!!are!!employed!!out!!of!!the!!home,!!and!!there!!are!!more!!single-
parent!!families.!!There!!is!!an!!increase!!in!!domestic!!violence,!!and!!families!!are!!less!!stable!!
and!!more!!mobile, !!which!!influences!!homelessness.
6. During!!an!!assessment,!!the!!nurse!!asks!!a!!patient!!from!!a!!non-English-
speaking!!culture!!which!!types!!of!!home!!remedies!!and!!herbs!!the!!patient!!uses!!for!!healt
h!!care.!!What!!is!!the!!purpose!!of!!asking!!the!!patient!!this!!question?
A) Analyze!!for!!herb–drug!!interactions
B) Understand!!the!!patient's!!philosophy!!of!!alternative!!health!!care
C) Determine!!the!!types!!of!!medications!!the!!patient!!will!!need!!to!!be!!prescribed
D) Explain!!to!!the!!physician!!the!!patient's!!preference!!for!!nontraditional!!medicin
e!!approaches
Ans:! ! A
Feedback:
Assessing!!what!!alternative!!measures!!are!!being!!used!!is!!important!!because!!the!!action!!
of!!an!!herb!!can!!interfere!!with!!prescribed!!medications.!!Assessing!!the!!use!!of!!herbal!!reme
dies!!is!!not!!done!!to!!understand!!the!!patient's!!philosophy!!of!!alternative!!health!!care,!!det
ermine!!the!!types!!of!!medications!!the!!patient!!will!!need!!to!!be!!prescribed,!!or!!explain!!th
e!!patient's!!preferences!!for!!nontraditional!!medicine!!approaches!!to!!the!!physician.
Page 3
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, TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
7. The!!nurse!!notes!!that!!statistics!!on!!maternal!!mortality!!had!!improved!!but!!are!!again!!be
coming!!elevated.!!What!!does!!the!!nurse!!realize!!as!!a!!reason!!for!!this!!change!!in!!maternal!!
mortality!!rates?
A) Earlier !!prenatal!!care
B) Gestational!!hypertension
C) Increased!!vaginal!!deliveries
D) Treatment!!for!!chronic!!diseases
!!Ans: !!B
Feedback:
This!!increasing!!rate!!in!!maternal!!mortality!!is!!associated!!with!!more!!cesarean!!births,!!mor
e!!gestational!!hypertension!!related!!to!!preexisting!!hypertensive!!disorders,!!and!!lack!!of!!healt
h!!insurance!!for!!many!!Americans.!!This!!increase!!is!!not!!because!!of!!earlier!!prenatal!!care,!!
increased!!vaginal!!deliveries,!!or!!treatment!!for!!chronic!!diseases.
8. A!!new!!mother!!asks!!the!!nurse!!if!!all!!of!!the!!new!!baby's!!injections!!can!!be!!given!!in!!one!!vi
sit!!because!!the!!mother!!is!!losing!!income!!from!!missing!!work!!because!!of!!the!!office!!vis
its.!!What!!does!!this!!new!!mother's!!issue!!indicate!!to!!the!!nurse?
A) The!!mother!!needs!!to!!find!!an!!alternative!!employer.
B) The!!mother's!!income!!is!!more!!important!!that!!the!!baby's!!health.
C) Missing!!work!!does!!not!!support!!the!!baby's!!health!!maintenance!!visits.
D) The!!federal!!government!!needs!!to!!do!!more!!to!!support!!well-
baby!!visits.!!Ans:!!C
Feedback:
An!!area!!that!!needs!!additional!!research!!is!!finding!!effective!!stimuli!!to!!encourage!!wome
n!!to!!bring!!children!!for!!health!!maintenance!!visits.!!The!!mother!!losing!!income!!because!!
of!!missing!!work!!for!!well-
baby!!visits!!will!!deter!!health!!maintenance!!visits!!for!!the!!baby!!going!!forward.!!This!!mothe
r's!!issue!!does!!not!!indicate!!that!!the!!mother!!needs!!to!!find!!another!!job,!!that!!the!!mother's!!
income!!is!!more!!important!!that!!the!!baby's!!health,!!or!!that!!the!!federal!!government!!needs
!!to !!do !!more!!to !!support !!well-baby!!visits.
Page 4
WWW.TESTBANKTANK.COM
NURSING TESTBANK –MATERNAL AND
CHILD 8TH EDITION PILLITERI UPDATED
AND COMPLETE TESTBANK
1. For!!which!!reasons!!would!!a!!nurse!!review!!infant!!mortality!!statistics!!in!!the!!United!!State
s?!!(Select!!all!!that!!apply.)
A) Measures!!the!!quality!!of!!pregnancy!!care
B) Reviews!!information!!on!!overall!!nutrition
C) Compares!!health!!with!!those!!of!!other!!states
D) Determines!!infant!!health!!and!!available!!care
E) Provides!!an!!index!!of!!the!!country's!!general!!healt
h!!Ans:!!A,!!B,!!D,!!E
Feedback:
Infant!!mortality!!statistics!!provide!!an!!index!!of!!a!!country's!!general!!health,!!measures!!the!!q
uality!!of!!pregnancy!!care,!!provides!!information!!on!!overall!!nutrition,!!and!!determines!!in
fant!!health!!and!!available!!care.!!Infant!!mortality!!statistics!!compares!!the!!health!!with!!tho
se!!of!!other!!countries!!and!!not!!with!!those!!of!!other!!states.
2. The!!nurse!!is!!providing!!care!!in!!an!!organization!!that!!supports!!the!!maternal!!and!!child!!ca
re!!continuum.!!Which!!type!!of!!patient!!care!!area!!is!!an!!example!!of!!this!!approach?
A) Primary!!care
B) Team!!nursing
C) Case!!management
D) Family-
centered!!care!!Ans:!!D
Feedback:
Keeping!!the!!family!!at!!the!!center!!of!!care!!is!!important!!because!!the!!level!!of!!a!!family's!!f
unctioning!!is!!important!!to!!the!!health!!status!!of!!its!!members.!!A!!healthy!!family!!establishe
s!!an!!environment!!conducive!!to!!growth!!and!!health-
promoting!!behaviors!!to!!sustain!!family!!members!!during!!crises.!!A!!family-
centered!!approach!!enables!!nurses!!to!!better!!understand!!individuals!!and!!their!!effect!!on!!
others!!and,!!in!!turn,!!to!!provide!!more!!holistic!!care.!!Primary!!nursing,!!team!!nursing,!!and!!
case!!management!!do!!not!!necessary!!take!!into!!consideration!!the!!maternal!!and!!child!!car
e!!continuum.
Page 1
WWW.TESTBANKTANK.COM
,TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
3. Which!!actions!!should!!the!!nurse!!perform!!when!!supporting!!the!!goals!!of!!maternal!!an
d!!child!!health!!care?!!(Select!!all!!that!!apply.)
A) Advocates!!protecting!!the!!rights!!of!!the!!mother!!and!!fetus
B) Teaches!!family!!members!!interventions!!to!!improve!!health
C) Adheres!!to!!principles!!that!! focus!!on!!the!!needs!!of!!the!!mother
D) Encourages!!maternal!!hospitalization!!to!!regain!!strength!!and!!stamina
E) Assesses!!family!!members!!for!!strengths!!and!!specific!!needs!!or!!challenge
s!!Ans:!!A,!!B,!!E
Feedback:
Actions!!that!!the!!nurse!!should!!perform!!when!!supporting!!the!!goals!!of!!maternal!!and!!chil
d!!health!!care!!include!!advocating!!the!!rights!!for!!the!!mother!!and!!fetus,!!teaching!!health!!
promotion!!interventions,!!and!!assessing!!the!!family!!for!!strengths!!and!!specific!!needs!!or!
!challenges.!!Adhering !!to !!principles!!that !!focus!!on!!the !!needs!!of!!the!!mother!!and!!encour
aging!!maternal!!hospitalization!!to!!regain!!strength!!and!!stamina!!are!!not!!actions!!that!!suppo
rt!!the!!goals!!of!!maternal!!and!!child!!health!!care.
4. The!!nurse!!is!!reviewing!!the!!2020!!National!!Health!!Goals!!and!!notes!!that!!which!!is!!a!!foc
us!!of!!these!!goals?
A) Health!!promotion!!and!!disease!!prevention
B) Early!!diagnosis!!of!!chronic!! health!!problems
C) Effective!!use!!of!!medication!!to!!treat!!disease
D) Reduce!!the!!cost!!of!!health!!care!!and!!medication
s!!Ans:!!A
Feedback:
The!!2020!!National!!Health!!Goals!!are!!intended!!to!!help!!citizens!!more!!easily!!understand!!the
!!importance!!of!!health!!promotion!!and !!disease !!prevention!!and!!to !!encourage!!wide !!partici
pation!!in!!improving!!health!!in!!the!!next!!decade.!!These!!goals!!do!!not!!focus!!on!!the!!early!!d
iagnosis!!of!!chronic!!problems,!!use!!of!!medications!!to!!treat!!disease,!!or!!reduce!!the!!cost!!of
!!health!!care!!and !!medications.
Page 2
WWW.TESTBANKTANK.COM
,TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
5. The!!nurse!!has!!noticed!!a!!change!!in!!the!!type!!of!!care!!needed!!to!!support!!maternal!!and!!ch
ild!!health!!issues.!!What!!does!!the!!nurse!!realize!!as!!reasons!!for!!the!!changes!!in!!care?!!(Sel
ect!!all!!that!!apply.)
A) Smaller!!families
B) Less!!domestic!!violence
C) More!!employed!!mothers
D) Stable!!home!!environments
E) More!!single-
parent!!families!!Ans:!!A,!!C,!!E
Feedback:
Nursing!!care!!for!!maternal!!and!!child!!is!!changing!!because!!families!!are!!smaller,!!more!!
mothers!!are!!employed!!out!!of!!the!!home,!!and!!there!!are!!more!!single-
parent!!families.!!There!!is!!an!!increase!!in!!domestic!!violence,!!and!!families!!are!!less!!stable!!
and!!more!!mobile, !!which!!influences!!homelessness.
6. During!!an!!assessment,!!the!!nurse!!asks!!a!!patient!!from!!a!!non-English-
speaking!!culture!!which!!types!!of!!home!!remedies!!and!!herbs!!the!!patient!!uses!!for!!healt
h!!care.!!What!!is!!the!!purpose!!of!!asking!!the!!patient!!this!!question?
A) Analyze!!for!!herb–drug!!interactions
B) Understand!!the!!patient's!!philosophy!!of!!alternative!!health!!care
C) Determine!!the!!types!!of!!medications!!the!!patient!!will!!need!!to!!be!!prescribed
D) Explain!!to!!the!!physician!!the!!patient's!!preference!!for!!nontraditional!!medicin
e!!approaches
Ans:! ! A
Feedback:
Assessing!!what!!alternative!!measures!!are!!being!!used!!is!!important!!because!!the!!action!!
of!!an!!herb!!can!!interfere!!with!!prescribed!!medications.!!Assessing!!the!!use!!of!!herbal!!reme
dies!!is!!not!!done!!to!!understand!!the!!patient's!!philosophy!!of!!alternative!!health!!care,!!det
ermine!!the!!types!!of!!medications!!the!!patient!!will!!need!!to!!be!!prescribed,!!or!!explain!!th
e!!patient's!!preferences!!for!!nontraditional!!medicine!!approaches!!to!!the!!physician.
Page 3
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, TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
7. The!!nurse!!notes!!that!!statistics!!on!!maternal!!mortality!!had!!improved!!but!!are!!again!!be
coming!!elevated.!!What!!does!!the!!nurse!!realize!!as!!a!!reason!!for!!this!!change!!in!!maternal!!
mortality!!rates?
A) Earlier !!prenatal!!care
B) Gestational!!hypertension
C) Increased!!vaginal!!deliveries
D) Treatment!!for!!chronic!!diseases
!!Ans: !!B
Feedback:
This!!increasing!!rate!!in!!maternal!!mortality!!is!!associated!!with!!more!!cesarean!!births,!!mor
e!!gestational!!hypertension!!related!!to!!preexisting!!hypertensive!!disorders,!!and!!lack!!of!!healt
h!!insurance!!for!!many!!Americans.!!This!!increase!!is!!not!!because!!of!!earlier!!prenatal!!care,!!
increased!!vaginal!!deliveries,!!or!!treatment!!for!!chronic!!diseases.
8. A!!new!!mother!!asks!!the!!nurse!!if!!all!!of!!the!!new!!baby's!!injections!!can!!be!!given!!in!!one!!vi
sit!!because!!the!!mother!!is!!losing!!income!!from!!missing!!work!!because!!of!!the!!office!!vis
its.!!What!!does!!this!!new!!mother's!!issue!!indicate!!to!!the!!nurse?
A) The!!mother!!needs!!to!!find!!an!!alternative!!employer.
B) The!!mother's!!income!!is!!more!!important!!that!!the!!baby's!!health.
C) Missing!!work!!does!!not!!support!!the!!baby's!!health!!maintenance!!visits.
D) The!!federal!!government!!needs!!to!!do!!more!!to!!support!!well-
baby!!visits.!!Ans:!!C
Feedback:
An!!area!!that!!needs!!additional!!research!!is!!finding!!effective!!stimuli!!to!!encourage!!wome
n!!to!!bring!!children!!for!!health!!maintenance!!visits.!!The!!mother!!losing!!income!!because!!
of!!missing!!work!!for!!well-
baby!!visits!!will!!deter!!health!!maintenance!!visits!!for!!the!!baby!!going!!forward.!!This!!mothe
r's!!issue!!does!!not!!indicate!!that!!the!!mother!!needs!!to!!find!!another!!job,!!that!!the!!mother's!!
income!!is!!more!!important!!that!!the!!baby's!!health,!!or!!that!!the!!federal!!government!!needs
!!to !!do !!more!!to !!support !!well-baby!!visits.
Page 4
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