MATERNAL CHILD NURSING CARE CHAPTER 1 STUDY QUESTIONS

MATERNAL CHILD NURSING CARE CHAPTER 1 STUDY QUESTIONS 1 The improvements in perinatal care, particularly care of the mother-baby dyad before birth, have had the greatest impact. There has been a decrease in some congenital anomalies, such as spina bifida, but this has not had the greatest impact. Better maternal nutrition has had a positive influence but not the greatest overall impact. Changes in funding have not had the greatest impact. - CORRECT ANSWER-What has had the greatest impact on reducing infant mortality in the United States? 1 Improvements in perinatal care 2 Decreased incidence of congenital abnormalities 3 Better maternal nutrition 4 Improved funding for health care 1, 4, 5 The nurse regularly assesses the patient for risks to be alert to any complications. This will help prevent a failure to rescue. In case of an obstetric emergency, the health care team needs to implement interventions quickly to minimize harm. This is possible with a timely identification of complications. Implementing interventions quickly for the patient's safety is more important than documenting the patient's condition. Telehealth services are used only when the patient is separated by distance from a health care provider. - CORRECT ANSWER-Which actions does the perinatal nurse take to minimize harm or prevent a failure to rescue in an obstetric emergency? Select all that apply. 1 Assess the patient for risks. 2 Document the patient's condition. 3 Use telehealth services. 4 Identify complications immediately. 5 Implement interventions quickly. 2 Obesity increases the risk for hypertension related to pregnancy and diabetes in pregnant women. Miscarriage and fetal death are also other risks that may result from obesity. Hence the nurse needs to inform the patient about these complications to prevent risks. The nurse needs to instruct the patient to increase fluid intake in case of dehydration. Aerobic exercises are prescribed for diabetic patients and not for pregnant women. The patient may choose to consult a nurse-midwife regarding childbirth decisions. - CORRECT ANSWER-Which instruction does the nurse provide to an obese pregnant patient? 1 "You need to increase your fluid intake." 2 "There is an increased chance of complications." 3 "You need to learn aerobic exercises." 4 "You need to consult with a nurse-midwife." 1, 3, 4, 5 Healthy People 2020 promotes healthy behaviors across all life stages. Healthy People provides science-based 10-year national objectives for improving the health of all Americans. It has four overarching goals: (1) attaining high-quality, longer lives free of preventable disease, disability, injury, and premature death; (2) achieving health equity, eliminating disparities, and improving the health of all groups; (3) creating social and physical environments that promote good health for all; and (4) promoting quality of life, healthy development, and healthy behaviors across all life stages ( are based on assessments of major risks to health and wellness, changes in public health priorities, and issues related to the health preparedness and prevention of our nation. - CORRECT ANSWER-Healthy People 2020 goals include: Select all that apply. 1 promoting quality of life. 2 promoting healthy behaviors in middle adulthood. 3 attaining high-quality, longer lives. 4 eliminating health disparities. 5 creating social and physical environments that promote health. 2 Caucasians have lower infant morbidity and mortality rates than Hispanics, Asian Americans, African Americans, Native Americans, and Alaska Natives. This disparity results from different biological, environmental, and health factors such as birth defects, sexually transmitted infections, low educational attainment, and low income. - CORRECT ANSWER-Which racial and ethnic group in the United States has lower infant morbidity and mortality rates than other groups? 1 Hispanics 2 Caucasians 3 Asian Americans 4 African Americans 3 The Joint Commission has issued a "Do Not Use" list that contains abbreviations and acronyms that should not be used while writing instructions. MS can mean morphine sulphate or magnesium sulphate. Therefore, the nurse needs to consult with the primary health care provider and obtain the proper drug name. The nurse should not obtain the drug from the pharmacy without verifying that it is the right drug. The nurse should not ask colleagues because they may not give the correct answer. - CORRECT ANSWERThe nurse receives a prescription that includes the abbreviation MS. What action does the nurse take? 1 Obtains morphine sulphate from the pharmacy 2 Obtains magnesium sulfate from the pharmacy 3 Consults the primary health care provider 4 Consults a colleague for explanation 4 The symbol "@" can be mistaken for the number "2." Therefore, the nurse uses at for documenting or writing instructions. For the same reason, the abbreviation Q.O.D. should not be used because it may be mistaken for Q.D. (daily) or Q.I.D. (four times daily). Instead, the nurse must use the term every other day to prevent errors. The symbol "" should be written as greater than because "" can be mistaken for the number "7." The nurse uses the term International Unit instead of I.U. because it could be easily misread as I.V. (intravenous) or the number "10." - CORRECT ANSWERWhich term does the nurse use while documenting or writing out instructions to a patient? 1 Q.O.D. (every other day)