,Chapter 1: Perspective on Maternal , Newborn , and women’s health
The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations
for infant mortality rate. When developing programs to assist in decreasing these rates, which factor
would most likely need to be addressed as having the greatest impact?
A)Resolving all language and cultural differences
B)Assuring early and adequate prenatal care
C)Providing more extensive women's shelters
D)Encouraging all women to eat a balanced diet
Ans:
B. Assuring early and adequate prenatal care
Feedback:
The lack of prenatal care during pregnancy is a major contributing factor 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, assuring
early and adequate prenatal care would have the greatest impact on decreasing these rates. Resolving
all language and cultural differences would be helpful, but it is unrealistic. Providing more extensive
women's shelters would be helpful for those women who are victims of abuse. Encouraging women to
eat balanced diets helps, but does not prevent genetic factors that could be detected by ensuring early
and adequate prenatal care.
2.When integrating the principles of family-centered care, the nurse would include which of the
following?
A)Childbirth is viewed as a procedural event
B)Families are unable to make informed choices
C)Childbirth results in changes in relationships
D)Families require little information to make appropriate decisions
,Ans:
C)Childbirth results in changes in relationships
Feedback:
Family-centered care is based on the following principles: Childbirth affects the entire family, and
relationships will change; childbirth is viewed as a normal, healthy event in the life of the family; and
families are capable of making decisions about their own care if given adequate information and
professional support.
3.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)Performance of the first cesarean birth
C)Development of the x-ray to assess pelvic size
D)Creation of free-standing birth centers
Ans:
D.Creation of free-standing birth centers
Feedback:
In the 20th century (1900s), free-standing birth centers were developed. Puerperal fever epidemics, the
first cesarean birth, and x-ray to assess pelvic size were events occurring during the 19th century
(1800s).
4.After teaching a group of students about pregnancy-related mortality, the instructor determines that
additional teaching is needed when the students identify which condition as a leading cause?
, A)Hemorrhage
B)Embolism
C)Obstructed labor
D)Infection
Ans:
B)Embolism
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.
5.The nurse is working with a group of community health members 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
Ans:
B)Heart disease
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 the development of cancer. However,
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.
The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations
for infant mortality rate. When developing programs to assist in decreasing these rates, which factor
would most likely need to be addressed as having the greatest impact?
A)Resolving all language and cultural differences
B)Assuring early and adequate prenatal care
C)Providing more extensive women's shelters
D)Encouraging all women to eat a balanced diet
Ans:
B. Assuring early and adequate prenatal care
Feedback:
The lack of prenatal care during pregnancy is a major contributing factor 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, assuring
early and adequate prenatal care would have the greatest impact on decreasing these rates. Resolving
all language and cultural differences would be helpful, but it is unrealistic. Providing more extensive
women's shelters would be helpful for those women who are victims of abuse. Encouraging women to
eat balanced diets helps, but does not prevent genetic factors that could be detected by ensuring early
and adequate prenatal care.
2.When integrating the principles of family-centered care, the nurse would include which of the
following?
A)Childbirth is viewed as a procedural event
B)Families are unable to make informed choices
C)Childbirth results in changes in relationships
D)Families require little information to make appropriate decisions
,Ans:
C)Childbirth results in changes in relationships
Feedback:
Family-centered care is based on the following principles: Childbirth affects the entire family, and
relationships will change; childbirth is viewed as a normal, healthy event in the life of the family; and
families are capable of making decisions about their own care if given adequate information and
professional support.
3.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)Performance of the first cesarean birth
C)Development of the x-ray to assess pelvic size
D)Creation of free-standing birth centers
Ans:
D.Creation of free-standing birth centers
Feedback:
In the 20th century (1900s), free-standing birth centers were developed. Puerperal fever epidemics, the
first cesarean birth, and x-ray to assess pelvic size were events occurring during the 19th century
(1800s).
4.After teaching a group of students about pregnancy-related mortality, the instructor determines that
additional teaching is needed when the students identify which condition as a leading cause?
, A)Hemorrhage
B)Embolism
C)Obstructed labor
D)Infection
Ans:
B)Embolism
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.
5.The nurse is working with a group of community health members 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
Ans:
B)Heart disease
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 the development of cancer. However,
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.
