Chapter 1 - Maternity and Women's
Health Care Today (1) Exam Questions
With complete Solutions Graded A+
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 - ANSWER-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.
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 - ANSWER-Ans: D
Feedback:
In the 20th century (1900s), freestanding birth centers were developed. Puerperal fever
epidemics, the first cesarean birth, and the use of x-rays to assess pelvic size were
events occurring during the 19th century (1800s).
After teaching a group of nursing students about pregnancy-related mortality, the
instructor determines that additional teaching is necessary when the students identify
which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Hypertension
D) Infection - ANSWER-Ans: B
Feedback:
Most pregnancy-related complications are preventable. The leading causes of
pregnancy-related mortality are hemorrhage, infection, preeclampsia-eclampsia,
obstructed labor, and unsafe abortion. Embolism is not a leading cause.
The nurse is working with a group of community leaders to develop a plan to address
the special health needs of women. Which of the following conditions would the group
address as the major problem?
A) Smoking
, B) Heart disease
C) Diabetes
D) Cancer - ANSWER-Ans: B
Feedback:
The group needs to address cardiovascular disease, the number-one cause of death in
women regardless of racial or ethnic group. Smoking is related to heart disease and
cancer, although heart disease and cancer can occur in any woman regardless of her
smoking history. Cancer is the second leading cause of death, with women having a
one in three lifetime risk of developing cancer. Diabetes is another important health
condition that can affect women, but it is not the major health problem that heart
disease is.
A nurse is assessing a family for barriers to health care. Which factor would the nurse
identify to be most important?
A) Language
B) Health care workers' attitudes
C) Transportation
D) Finances - ANSWER-Ans: D
Feedback:
Financial barriers are one of the most important factors that limit care. Families may not
have any medical insurance, may not have enough insurance to cover the services they
need, or may not be able to pay for services. Language, health care workers' attitudes,
and transportation are also barriers to health care but are not as fundamentally
important as finances.
A 10-year-old girl who is living with a foster family is brought to the clinic for evaluation.
When caring for this child, which intervention is a priority?
Health Care Today (1) Exam Questions
With complete Solutions Graded A+
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 - ANSWER-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.
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 - ANSWER-Ans: D
Feedback:
In the 20th century (1900s), freestanding birth centers were developed. Puerperal fever
epidemics, the first cesarean birth, and the use of x-rays to assess pelvic size were
events occurring during the 19th century (1800s).
After teaching a group of nursing students about pregnancy-related mortality, the
instructor determines that additional teaching is necessary when the students identify
which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Hypertension
D) Infection - ANSWER-Ans: B
Feedback:
Most pregnancy-related complications are preventable. The leading causes of
pregnancy-related mortality are hemorrhage, infection, preeclampsia-eclampsia,
obstructed labor, and unsafe abortion. Embolism is not a leading cause.
The nurse is working with a group of community leaders to develop a plan to address
the special health needs of women. Which of the following conditions would the group
address as the major problem?
A) Smoking
, B) Heart disease
C) Diabetes
D) Cancer - ANSWER-Ans: B
Feedback:
The group needs to address cardiovascular disease, the number-one cause of death in
women regardless of racial or ethnic group. Smoking is related to heart disease and
cancer, although heart disease and cancer can occur in any woman regardless of her
smoking history. Cancer is the second leading cause of death, with women having a
one in three lifetime risk of developing cancer. Diabetes is another important health
condition that can affect women, but it is not the major health problem that heart
disease is.
A nurse is assessing a family for barriers to health care. Which factor would the nurse
identify to be most important?
A) Language
B) Health care workers' attitudes
C) Transportation
D) Finances - ANSWER-Ans: D
Feedback:
Financial barriers are one of the most important factors that limit care. Families may not
have any medical insurance, may not have enough insurance to cover the services they
need, or may not be able to pay for services. Language, health care workers' attitudes,
and transportation are also barriers to health care but are not as fundamentally
important as finances.
A 10-year-old girl who is living with a foster family is brought to the clinic for evaluation.
When caring for this child, which intervention is a priority?
