Chapter 1: Foundations of Maternity,
Women's Health, and Child Health
Nursing Detailed Exam Solutions
Verified for Accuracy
A woman is giving birth to her third child in a setting that allows her husband and
children to be actively involved in the process. The nurse caring for her must also
consider the husband and the two children as patients and work to meet their needs.
This type of setting is termed...
A. Family-centered care
B. Emergency are
C. Hospice care
D. Individual care - ANSWER-A. Family-centered care
(Rationale: Family-centered care is any setting where the pregnant woman and her
family are treated as one unit. The nurse assumes a major role in teaching, counseling,
and supporting the family.
In emergency care settings, the nurse deals primarily with the patient who is having
difficulty. In hospice care settings, the nurse deals with patients who have terminal
illnesses. Individual care deals only with the patient and does not include the family.)
Some problems associated with hospital births in the early 1960s include the following
issues: (Choose all that apply.)...
A. Patient teaching was not valued.
B. Bonding was hindered due to strong medications given to the mother.
, C. There was an increased use of midwives.
D. The father was not included in the process. - ANSWER-A. Patient teaching was not
valued.
B. Bonding was hindered due to strong medications given to the mother.
D. The father was not included in the process.
(Rationale: The nurses primary function was to follow medical orders, so teaching was
not valued. Strong medications were given to the patient that left her heavily sedated.
Fathers were usually sent to the waiting room. The use of lay midwives was declining at
this time and nurse-midwives were not well established.)
A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first
baby was born by cesarean because the baby was too large to fit through the woman's
pelvis. She has also developed gestational diabetes during this pregnancy. When
discussing with the woman her options for places of birth, what is the best choice for
her?...
A. Home birth
B. Birth center
C. LDRP in a hospital setting
D. It does not matter - ANSWER-C. LDRP in a hospital setting
(Rationale: Because of her complications, the woman is not a candidate for home birth
or a birth center. Home births and freestanding birthing centers should be used for
patients with very low risk for complications. The woman's past history and present
complication with this pregnancy place her in a high-risk category. Therefore, due to her
complications, the woman needs to be in a setting where emergency care is quickly
available.)
In the 19th century, the most common cause of infant death was __________________.
- ANSWER-"infectious diarrhea"
Women's Health, and Child Health
Nursing Detailed Exam Solutions
Verified for Accuracy
A woman is giving birth to her third child in a setting that allows her husband and
children to be actively involved in the process. The nurse caring for her must also
consider the husband and the two children as patients and work to meet their needs.
This type of setting is termed...
A. Family-centered care
B. Emergency are
C. Hospice care
D. Individual care - ANSWER-A. Family-centered care
(Rationale: Family-centered care is any setting where the pregnant woman and her
family are treated as one unit. The nurse assumes a major role in teaching, counseling,
and supporting the family.
In emergency care settings, the nurse deals primarily with the patient who is having
difficulty. In hospice care settings, the nurse deals with patients who have terminal
illnesses. Individual care deals only with the patient and does not include the family.)
Some problems associated with hospital births in the early 1960s include the following
issues: (Choose all that apply.)...
A. Patient teaching was not valued.
B. Bonding was hindered due to strong medications given to the mother.
, C. There was an increased use of midwives.
D. The father was not included in the process. - ANSWER-A. Patient teaching was not
valued.
B. Bonding was hindered due to strong medications given to the mother.
D. The father was not included in the process.
(Rationale: The nurses primary function was to follow medical orders, so teaching was
not valued. Strong medications were given to the patient that left her heavily sedated.
Fathers were usually sent to the waiting room. The use of lay midwives was declining at
this time and nurse-midwives were not well established.)
A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first
baby was born by cesarean because the baby was too large to fit through the woman's
pelvis. She has also developed gestational diabetes during this pregnancy. When
discussing with the woman her options for places of birth, what is the best choice for
her?...
A. Home birth
B. Birth center
C. LDRP in a hospital setting
D. It does not matter - ANSWER-C. LDRP in a hospital setting
(Rationale: Because of her complications, the woman is not a candidate for home birth
or a birth center. Home births and freestanding birthing centers should be used for
patients with very low risk for complications. The woman's past history and present
complication with this pregnancy place her in a high-risk category. Therefore, due to her
complications, the woman needs to be in a setting where emergency care is quickly
available.)
In the 19th century, the most common cause of infant death was __________________.
- ANSWER-"infectious diarrhea"
