TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8 TH EDITION BY SILBERT FLAGG ALL CHAPTERS (1-56) WITH RATIONALES FOR EACH ANSWER.

Chapter 1 A Framework for Maternal and Child Health Nursing For which reasons would a nurse review infant mortality statistics in the United States? (Select all that apply.) Measures the quality of pregnancy care Reviews information on overall nutrition Compares health with those of other states Determines infant health and available care Provides an index of the country's general health Ans: A, B, D, E Feedback: Infant mortality statistics provide an index of a country's general health, measures the quality of pregnancy care, provides information on overall nutrition, and determines infant health and available care. Infant mortality statistics compares the health with those of other countries and not with those of other states. The nurse is providing care in an organization that supports the maternal and child care continuum. Which type of patient care area is an example of this approach? Primary care Team nursing Case management Family-centered care Ans: D Feedback: Keeping the family at the center of care is important because the level of a family's functioning is important to the health status of its members. A healthy family establishes an environment conducive to growth and health-promoting behaviors to sustain family members during crises. A family-centered approach enables nurses to better understand individuals and their effect on others and, in turn, to provide more holistic care. Primary nursing, team nursing, and case management do not necessary take into consideration the maternal and child care continuum. Which actions should the nurse perform when supporting the goals of maternal and child health care? (Select all that apply.) Advocates protecting the rights of the mother and fetus Teaches family members interventions to improve health Adheres to principles that focus on the needs of the mother Encourages maternal hospitalization to regain strength and stamina Assesses family members for strengths and specific needs or challenges Ans: A, B, E Feedback: Actions that the nurse should perform when supporting the goals of maternal and child health care include advocating the rights for the mother and fetus, teaching health promotion interventions, and assessing the family for strengths and specific needs or challenges. Adhering to principles that focus on the needs of the mother and encouraging maternal hospitalization to regain strength and stamina are not actions that support the goals of maternal and child health care. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus of these goals? Health promotion and disease prevention Early diagnosis of chronic health problems Effective use of medication to treat disease Reduce the cost of health care and medications Ans: A Feedback: The 2020 National Health Goals are intended to help citizens more easily understand the importance of health promotion and disease prevention and to encourage wide participation in improving health in the next decade. These goals do not focus on the early diagnosis of chronic problems, use of medications to treat disease, or reduce the cost of health care and medications. The nurse has noticed a change in the type of care needed to support maternal and child health issues. What does the nurse realize as reasons for the changes in care? (Select all that apply.) Smaller families Less domestic violence More employed mothers Stable home environments More single-parent families Ans: A, C, E Feedback: Nursing care for maternal and child is changing because families are smaller, more mothers are employed out of the home, and there are more single-parent families. There is an increase in domestic violence, and families are less stable and more mobile, which influences homelessness. During an assessment, the nurse asks a patient from a non-English-speaking culture which types of home remedies and herbs the patient uses for health care. What is the purpose of asking the patient this question? Analyze for herb–drug interactions Understand the patient's philosophy of alternative health care Determine the types of medications the patient will need to be prescribed Explain to the physician the patient's preference for nontraditional medicine approaches Ans: A Feedback: Assessing what alternative measures are being used is important because the action of an herb can interfere with prescribed medications. Assessing the use of herbal remedies is not done to understand the patient's philosophy of alternative health care, determine the types of medications the patient will need to be prescribed, or explain the patient's preferences for nontraditional medicine approaches to the physician. The nurse notes that statistics on maternal mortality had improved but are again becoming elevated. What does the nurse realize as a reason for this change in maternal mortality rates? Earlier prenatal care Gestational hypertension Increased vaginal deliveries Treatment for chronic diseases Ans: B Feedback: This increasing rate in maternal mortality is associated with more cesarean births, more gestational hypertension related to preexisting hypertensive disorders, and lack of health insurance for many Americans. This increase is not because of earlier prenatal care, increased vaginal deliveries, or treatment for chronic diseases