,
,Chapter 1- u5
Perspectives on Maternal, Newborn, and Women’Health Care u5 u5 u5 u5 u5 u5
1. The United States ranks 50th in the world for maternal mortality and 41st among industrial iz
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ed nations for infant mortality rate. When developing programs to assist in decreasing these r ate
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s, which factor would most likely need to be addressed as having the greatest impact?
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A) Resolving all language and cultural differences u5 u5 u5 u5 u5
B) Assuring early and adequate prenatal care u5 u5 u5 u5 u5
C) Providing more extensive women’s shelters u5 u5 u5 u5
D) Encouraging all women to eat a balanced diet u5 u5 u5 u5 u5 u5 u5
2. When integrating the principles of family-
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centered care, the nurse would include which of the following?
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A) Childbirth is viewed as a procedural event u5 u5 u5 u5 u5 u5
B) Families are unable to make informed choices u5 u5 u5 u5 u5 u5
C) Childbirth results in changes in relationships u5 u5 u5 u5 u5
D) Families require little information to make appropriate decisions
u5 u5 u5 u5 u5 u5 u5
3. When preparing a teaching plan for a group of first-
u5 u5 u5 u5 u5 u5 u5 u5 u5
time pregnant women, the nurse expects to review how maternity care has changed over the y ea
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rs. Which of the following would the nurse include when discussing events of the 20th cent ury?
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A) Epidemics of puerperal fever u5 u5 u5
B) Performance of the first cesarean birth u5 u5 u5 u5 u5
C) Development of the x-ray to assess pelvic size u5 u5 u5 u5 u5 u5 u5
D) Creation of free-standing birth centers u5 u5 u5 u5
4. After teaching a group of students about pregnancy-
u5 u5 u5 u5 u5 u5 u5
related mortality, the instructor determines that additional teaching is needed when the studen
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
t s identify which condition as a leading cause?
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A) Hemorrhage
B) Embolism
C) Obstructed labor u5
D) Infection
5. The nurse is working with a group of community health members to develop a plan to addr e
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ss the special health needs of women. Which of the following conditions would the group a ddr
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ess as the major problem?
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A) Smoking
B) Heart disease u5
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider whi c
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h factor to be most important?
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A) Language
, B) Health care workers’ attitudes u5 u5 u5
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent. Which of t h
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e following, if identified by the student, would indicate an understanding of a violation of inf
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ormed consent? u5
A) Performing a procedure on a 15-year-old without consent u5 u5 u5 u5 u5 u5 u5
B) Serving as a witness to the signature process u5 u5 u5 u5 u5 u5 u5
C) Asking whether the client understands what she is signing
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D) Getting verbal consent over the phone for emergency procedures
u5 u5 u5 u5 u5 u5 u5 u5
8. The nurse is trying to get consent to care for an 11-year-
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is
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staying with a neighbor. Which action would be the priority?
u 5 u5 u5 u5 u5 u5 u5 u5 u5 u5
A) Getting telephone consent with two people listening to the verbal consent
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B) Providing emergency care without parental consent u5 u5 u5 u5 u5
C) Contacting the child’s aunt or uncle to obtain their consent u5 u5 u5 u5 u5 u5 u5 u5 u5
D) Advocating for termination of parental rights for this situation u5 u5 u5 u5 u5 u5 u5 u5
9. After teaching nursing students about the basic concepts of family-
u5 u5 u5 u5 u5 u5 u5 u5 u5
centered care, the instructor determines that the teaching was successful when the students st
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
at e which of the following?
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A) “Childbirth affects the entire family, and relationships will change.” u5 u5 u5 u5 u5 u5 u5 u5
B) “Families are not capable of making health care decisions for themselves.”
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C) “Mothers are the family members affected by childbirth.” u5 u5 u5 u5 u5 u5 u5
D) “Childbirth is a medical procedure.” u5 u5 u5 u5
10. A nursing instructor is preparing a class discussion on the trends in health care and hea l
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th care delivery over the past several centuries. When discussing the changes during the pas
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t century, which of the following would the instructor be least likely to include?
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A) Disease prevention u5
B) Health promotion u5
C) Wellness
D) Analysis of morbidity and mortality u5 u5 u5 u5
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of c a
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re with the understanding that based on this client’s cultural background, the client most li kel
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y views illness as which of the following?
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A) Caused by supernatural forces. u5 u5 u 5
B) A punishment for sins.
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C) Due to spirits or demons. u5 u5 u5 u5
D) From an imbalance of yin and yang u5 u5 u5 u 5 u5 u 5
12. A nurse is developing a plan of care for a woman to ensure continuity of care during pr
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
e gnancy, labor, and childbirth. Which of the following would be most important for the nu
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rse to incorporate into that plan?
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A) Adhering to strict, specific routines u5 u5 u5 u5
,Chapter 1- u5
Perspectives on Maternal, Newborn, and Women’Health Care u5 u5 u5 u5 u5 u5
1. The United States ranks 50th in the world for maternal mortality and 41st among industrial iz
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
ed nations for infant mortality rate. When developing programs to assist in decreasing these r ate
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
s, which factor would most likely need to be addressed as having the greatest impact?
u 5 u 5 u 5 u 5 u 5 u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
A) Resolving all language and cultural differences u5 u5 u5 u5 u5
B) Assuring early and adequate prenatal care u5 u5 u5 u5 u5
C) Providing more extensive women’s shelters u5 u5 u5 u5
D) Encouraging all women to eat a balanced diet u5 u5 u5 u5 u5 u5 u5
2. When integrating the principles of family-
u5 u5 u5 u5 u5
centered care, the nurse would include which of the following?
u5 u5 u5 u5 u5 u5 u5 u5 u5
A) Childbirth is viewed as a procedural event u5 u5 u5 u5 u5 u5
B) Families are unable to make informed choices u5 u5 u5 u5 u5 u5
C) Childbirth results in changes in relationships u5 u5 u5 u5 u5
D) Families require little information to make appropriate decisions
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3. When preparing a teaching plan for a group of first-
u5 u5 u5 u5 u5 u5 u5 u5 u5
time pregnant women, the nurse expects to review how maternity care has changed over the y ea
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
rs. Which of the following would the nurse include when discussing events of the 20th cent ury?
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
A) Epidemics of puerperal fever u5 u5 u5
B) Performance of the first cesarean birth u5 u5 u5 u5 u5
C) Development of the x-ray to assess pelvic size u5 u5 u5 u5 u5 u5 u5
D) Creation of free-standing birth centers u5 u5 u5 u5
4. After teaching a group of students about pregnancy-
u5 u5 u5 u5 u5 u5 u5
related mortality, the instructor determines that additional teaching is needed when the studen
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
t s identify which condition as a leading cause?
u5 u5 u5 u5 u5 u5 u5 u5
A) Hemorrhage
B) Embolism
C) Obstructed labor u5
D) Infection
5. The nurse is working with a group of community health members to develop a plan to addr e
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
ss the special health needs of women. Which of the following conditions would the group a ddr
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ess as the major problem?
u5 u5 u5 u5
A) Smoking
B) Heart disease u5
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider whi c
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
h factor to be most important?
u5 u5 u5 u5 u5
A) Language
, B) Health care workers’ attitudes u5 u5 u5
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent. Which of t h
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
e following, if identified by the student, would indicate an understanding of a violation of inf
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u 5
ormed consent? u5
A) Performing a procedure on a 15-year-old without consent u5 u5 u5 u5 u5 u5 u5
B) Serving as a witness to the signature process u5 u5 u5 u5 u5 u5 u5
C) Asking whether the client understands what she is signing
u5 u5 u5 u5 u5 u5 u5 u5
D) Getting verbal consent over the phone for emergency procedures
u5 u5 u5 u5 u5 u5 u5 u5
8. The nurse is trying to get consent to care for an 11-year-
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 x
staying with a neighbor. Which action would be the priority?
u 5 u5 u5 u5 u5 u5 u5 u5 u5 u5
A) Getting telephone consent with two people listening to the verbal consent
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
B) Providing emergency care without parental consent u5 u5 u5 u5 u5
C) Contacting the child’s aunt or uncle to obtain their consent u5 u5 u5 u5 u5 u5 u5 u5 u5
D) Advocating for termination of parental rights for this situation u5 u5 u5 u5 u5 u5 u5 u5
9. After teaching nursing students about the basic concepts of family-
u5 u5 u5 u5 u5 u5 u5 u5 u5
centered care, the instructor determines that the teaching was successful when the students st
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
at e which of the following?
u5 u5 u5 u5 u5
A) “Childbirth affects the entire family, and relationships will change.” u5 u5 u5 u5 u5 u5 u5 u5
B) “Families are not capable of making health care decisions for themselves.”
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
C) “Mothers are the family members affected by childbirth.” u5 u5 u5 u5 u5 u5 u5
D) “Childbirth is a medical procedure.” u5 u5 u5 u5
10. A nursing instructor is preparing a class discussion on the trends in health care and hea l
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
th care delivery over the past several centuries. When discussing the changes during the pas
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u 5
t century, which of the following would the instructor be least likely to include?
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
A) Disease prevention u5
B) Health promotion u5
C) Wellness
D) Analysis of morbidity and mortality u5 u5 u5 u5
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of c a
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
re with the understanding that based on this client’s cultural background, the client most li kel
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
y views illness as which of the following?
u5 u5 u5 u5 u5 u5 u5
A) Caused by supernatural forces. u5 u5 u 5
B) A punishment for sins.
u5 u5 u5
C) Due to spirits or demons. u5 u5 u5 u5
D) From an imbalance of yin and yang u5 u5 u5 u 5 u5 u 5
12. A nurse is developing a plan of care for a woman to ensure continuity of care during pr
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
e gnancy, labor, and childbirth. Which of the following would be most important for the nu
u5 u5 u5 u 5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
rse to incorporate into that plan?
u5 u5 u5 u5 u5
A) Adhering to strict, specific routines u5 u5 u5 u5
