Test Bank for Maternity and Pediatric Nursing, 2nd Edition Susan Scott Ricci

Origin: Chapter 1, 1 Chapter: 1 Client Needs: B Cognitive Level: Comprehension Difficulty: Moderate Integrated Process: Nursing Process Objective: 3 Page and Header: 10, Maternal Mortality 1.The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rates. When developing programs to assist in decreasing theses rates, which factor would most likely need to be addressed as having the greatest impact? A) Resolving all language and cultural differences B) Ensuring early and adequate prenatal care C) Providing more extensive women's shelters D) Encouraging all women to eat a balanced diet Ans: B Feedback: The lack of prenatal care during pregnancy is a major factor contributing to a poor outcome. Prenatal care is well known to prevent complications of pregnancy and to support the birth of healthy infants. Infant mortality commonly includes problems occurring at birth or shortly thereafter. Thus, ensuring early and adequate prenatal care would have the greatest impact on decreasing these rates. Resolving all language and cultural differences would be helpful but is unrealistic. Providing more extensive women's shelters would be helpful for women who are victims of abuse. Encouraging all women to eat a balanced diet is helpful but would not decrease infant mortality rates. Origin: Chapter 1, 2 Chapter: 1 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/Learning Objective: 2 Page and Header: 6, 9 The History of Maternal and Newborn health and Health Care, Box 1.1 2.When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A) Epidemics of puerperal fever B) First cesarean birth C) X-rays used to assess pelvic size D) Development of freestanding birth centers Ans: D Feedback: