,A program designed to decrease the infant mortality rate in the United Stateswould probably
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
make the greatest impact if it focused on which aspect of care?
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) offering increased WICCavailability r4 r4 r4
B) reducing the number of home births r4 r4 r4 r4 r4
C) increasingtheeducationlevelofparents r4 r4 r4 r4 r4
D) increasingthenumberofwomenreceivingprenatalcare -Ans:D r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Apply
r4 r4
Page: 11 r4
Feedback: Receiving prenatal care has proven to be a major strategy for reducing infant r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
mortality. The other interventions will not directly impact infant mortality rates to the degree
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
that prenatal care will.
r4 r4 r4 r4
What is a current trend in child health care?
r4 r4 r4 r4 r4 r4 r4 r4
A) Children arehospitalized for observation more than previously. r4 r4 r4 r4 r4 r4 r4
B) Health promotion rather thanhealth restoration is stressed. r4 r4 r4 r4 r4 r4 r4
C) Child health care is moving out of regionalcenters.
r4 r4 r4 r4 r4 r4 r4 r4
D) Nursing roles are decreasing because of the increasing role of families. - Ans: B r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
Client Needs: Safe,Effective Care Environment: Managementof Care
r4 r4 r4 r4 r4 r4 r4 r4
Cognitive Level: Remember
r4 r4 r4
Page: 16 r4
Feedback: It is recognized that keeping individuals well is more cost effective for a system
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
than helping ill individuals return to wellness.
r4 r4 r4 r4 r4 r4 r4
The nurse is running an education program for early grade-school children.Which topic would
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
address the number one cause of death for this age group?
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) The importance of crossing streets safely
r4 r4 r4 r4 r4
B) The importance of immunizations r4 r4 r4
C) Preventionofinfectionandcommunicabledisease r4 r4 r4 r4 r4
D) Exerciseandgoodnutrition -Ans:A r4 r4 r4 r4 r4 r4
ClientNeeds:PhysiologicalIntegrity:Reduction of Risk Potential Cognitive
r4 r4 r4 r4 r4 r4 r4 r4
Level: Apply
r4 r4
Page: 11 r4
Feedback: Motor-vehicle accidents are a leading cause of death in this age group. r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
Which trend is currently influencing maternal and child healthcare?
r4 r4 r4 r4 r4 r4 r4 r4
A) An expansion of communitybased services
r4 r4 r4 r4 r4
,B) Closure of regionalized healthcare centers r4 r4 r4 r4
C) The availability of additional family support
r4 r4 r4 r4 r4
D) Areduction inthenumberof latchkeykids -Ans:A
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Remember
r4 r4
Page:15-16 r4
Feedback: The trend for community care is increasing because it has the potential to provide
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
cost-effective health promotion/disease prevention patient care services to large numbers of
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
children and families in an environment that is familiar to them.
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
Regionalization of care is increasing because of the need for more specialized or advanced r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
care. There is also an increase in the number of mothers who must work outside the home
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
because they do not have extended family members to provide care for their children. This
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
has resulted in an increase in the number of latchkeychildren left home alone after school
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
while their mother works.
r4 r4 r4 r4
Whichstatement correctly defines the term "perinatal death rate"?
r4 r4 r4 r4 r4 r4 r4 r4
A) Number of deaths in utero of a fetus 500 g or more per 1000 live births r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
B) Number of deaths per 1000 live births occurring in the first 28 days of life r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
C) Number of deaths per 1000 live births occurring at birth or in the first 12 months of life
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
D) Number of deaths per 1000 live births beginning when the fetus reaches 500 g and r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ending 28 days after birth - Ans:
r4 r4 r4 r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Remember
r4 r4
Page: 10 r4
Feedback: The term "perinatal" refers to the time of birth and that closely following it or the time
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
"around birth."
r4 r4
A nurse is doing a literature search on maternal mortality and finds that direct causes
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
comprise the majority of maternal deaths. Direct causes are noted to be unpredictable
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
reasons. Which action would be most appropriate to implement that would have the greatest
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
impact on reducing these numbers?
r4 r4 r4 r4 r4
A) Practicing high standards of infection control. r4 r4 r4 r4 r4
B) Monitoring maternal glucose levels in mothers with type 1 diabetes. r4 r4 r4 r4 r4 r4 r4 r4 r4
C) Referring to a cardiologist for any arrhythmias. r4 r4 r4 r4 r4 r4
D) Administeringoxytocicmedicationsforincreasedpostpartumbleeding. r4 r4 r4 r4 r4 r4
E) Beginning antibiotics prior to birth for a febrile mother. - Ans: A r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ClientNeeds:PhysiologicalIntegrity:Reduction of Risk Potential Cognitive
r4 r4 r4 r4 r4 r4 r4 r4
Level: Analyze
r4 r4
Page: 12 r4
Feedback: Few women die giving birth in a developed countries, but it still happens. Health
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
care providers can have the greatest impact on reducing these numbers by
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
, implementing good infection control measures, appropriate use of antibiotics during labor r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
and postpartum periods, and use of oxytocics for maternal bleeding to prevent hemorrhage.
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
Diabetesand cardiac arrhythmias are not considered direct causes, that is, they are known
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
and predictable.
r4 r4
Which statement bestdescribes the pattern of maternal mortality sinceWorldWar II?
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) It has steadily decreased. r4 r4 r4
B) It has remained constant. r4 r4 r4
C) It has steadily increased. r4 r4 r4
D) Afterdecreasinguntilthe1960s, ithas increased steadily. - Ans:A
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Apply
r4 r4
Page: 12 r4
Feedback: Improved prenatal care and earlyambulation after birth are factorsthat have r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
decreased maternal death rates following birth over the past 70 years.
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A nurseis reviewing the statistical outcomes related tofetal deaths nationwide and notes that
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
the numbers have changed over the last several decades. The best explanation would be:
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) expectant mothers are seeking prenatal care later,resulting in decreases in the r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
number.
r4
B) improved prenatal care has reduced the numbers of fetal deaths. r4 r4 r4 r4 r4 r4 r4 r4 r4
C) increasesarenotedbecauseofthegrowingnumberofpregnanciestoteenmothers. r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
D) increasesarenotedduetheincreasingnumberofoldermothersbecomingpregnant. r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
- Ans: B
r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Analyze
r4 r4
Page: 11 r4
Feedback: The number of fetal deaths in the United States has fallen. This has been attributed
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
to the improvement in the delivery of prenatal care.
r4 r4 r4 r4 r4 r4 r4 r4 r4
A 33-week gestation infant dies after1 week of life in the neonatal intensive care unit. This
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
infant's death rate would be classified under which statistical category?
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) infant death under one month r4 r4 r4 r4
B) neonatal death r4
C) pretermgestationaldeath r4 r4
D) postneonataldeath-Ans:B r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Analyze
r4 r4
Page: 10 r4
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
make the greatest impact if it focused on which aspect of care?
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) offering increased WICCavailability r4 r4 r4
B) reducing the number of home births r4 r4 r4 r4 r4
C) increasingtheeducationlevelofparents r4 r4 r4 r4 r4
D) increasingthenumberofwomenreceivingprenatalcare -Ans:D r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Apply
r4 r4
Page: 11 r4
Feedback: Receiving prenatal care has proven to be a major strategy for reducing infant r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
mortality. The other interventions will not directly impact infant mortality rates to the degree
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
that prenatal care will.
r4 r4 r4 r4
What is a current trend in child health care?
r4 r4 r4 r4 r4 r4 r4 r4
A) Children arehospitalized for observation more than previously. r4 r4 r4 r4 r4 r4 r4
B) Health promotion rather thanhealth restoration is stressed. r4 r4 r4 r4 r4 r4 r4
C) Child health care is moving out of regionalcenters.
r4 r4 r4 r4 r4 r4 r4 r4
D) Nursing roles are decreasing because of the increasing role of families. - Ans: B r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
Client Needs: Safe,Effective Care Environment: Managementof Care
r4 r4 r4 r4 r4 r4 r4 r4
Cognitive Level: Remember
r4 r4 r4
Page: 16 r4
Feedback: It is recognized that keeping individuals well is more cost effective for a system
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
than helping ill individuals return to wellness.
r4 r4 r4 r4 r4 r4 r4
The nurse is running an education program for early grade-school children.Which topic would
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
address the number one cause of death for this age group?
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) The importance of crossing streets safely
r4 r4 r4 r4 r4
B) The importance of immunizations r4 r4 r4
C) Preventionofinfectionandcommunicabledisease r4 r4 r4 r4 r4
D) Exerciseandgoodnutrition -Ans:A r4 r4 r4 r4 r4 r4
ClientNeeds:PhysiologicalIntegrity:Reduction of Risk Potential Cognitive
r4 r4 r4 r4 r4 r4 r4 r4
Level: Apply
r4 r4
Page: 11 r4
Feedback: Motor-vehicle accidents are a leading cause of death in this age group. r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
Which trend is currently influencing maternal and child healthcare?
r4 r4 r4 r4 r4 r4 r4 r4
A) An expansion of communitybased services
r4 r4 r4 r4 r4
,B) Closure of regionalized healthcare centers r4 r4 r4 r4
C) The availability of additional family support
r4 r4 r4 r4 r4
D) Areduction inthenumberof latchkeykids -Ans:A
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Remember
r4 r4
Page:15-16 r4
Feedback: The trend for community care is increasing because it has the potential to provide
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
cost-effective health promotion/disease prevention patient care services to large numbers of
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
children and families in an environment that is familiar to them.
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
Regionalization of care is increasing because of the need for more specialized or advanced r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
care. There is also an increase in the number of mothers who must work outside the home
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
because they do not have extended family members to provide care for their children. This
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
has resulted in an increase in the number of latchkeychildren left home alone after school
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
while their mother works.
r4 r4 r4 r4
Whichstatement correctly defines the term "perinatal death rate"?
r4 r4 r4 r4 r4 r4 r4 r4
A) Number of deaths in utero of a fetus 500 g or more per 1000 live births r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
B) Number of deaths per 1000 live births occurring in the first 28 days of life r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
C) Number of deaths per 1000 live births occurring at birth or in the first 12 months of life
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
D) Number of deaths per 1000 live births beginning when the fetus reaches 500 g and r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ending 28 days after birth - Ans:
r4 r4 r4 r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Remember
r4 r4
Page: 10 r4
Feedback: The term "perinatal" refers to the time of birth and that closely following it or the time
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
"around birth."
r4 r4
A nurse is doing a literature search on maternal mortality and finds that direct causes
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
comprise the majority of maternal deaths. Direct causes are noted to be unpredictable
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
reasons. Which action would be most appropriate to implement that would have the greatest
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
impact on reducing these numbers?
r4 r4 r4 r4 r4
A) Practicing high standards of infection control. r4 r4 r4 r4 r4
B) Monitoring maternal glucose levels in mothers with type 1 diabetes. r4 r4 r4 r4 r4 r4 r4 r4 r4
C) Referring to a cardiologist for any arrhythmias. r4 r4 r4 r4 r4 r4
D) Administeringoxytocicmedicationsforincreasedpostpartumbleeding. r4 r4 r4 r4 r4 r4
E) Beginning antibiotics prior to birth for a febrile mother. - Ans: A r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ClientNeeds:PhysiologicalIntegrity:Reduction of Risk Potential Cognitive
r4 r4 r4 r4 r4 r4 r4 r4
Level: Analyze
r4 r4
Page: 12 r4
Feedback: Few women die giving birth in a developed countries, but it still happens. Health
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
care providers can have the greatest impact on reducing these numbers by
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
, implementing good infection control measures, appropriate use of antibiotics during labor r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
and postpartum periods, and use of oxytocics for maternal bleeding to prevent hemorrhage.
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
Diabetesand cardiac arrhythmias are not considered direct causes, that is, they are known
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
and predictable.
r4 r4
Which statement bestdescribes the pattern of maternal mortality sinceWorldWar II?
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) It has steadily decreased. r4 r4 r4
B) It has remained constant. r4 r4 r4
C) It has steadily increased. r4 r4 r4
D) Afterdecreasinguntilthe1960s, ithas increased steadily. - Ans:A
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Apply
r4 r4
Page: 12 r4
Feedback: Improved prenatal care and earlyambulation after birth are factorsthat have r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
decreased maternal death rates following birth over the past 70 years.
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A nurseis reviewing the statistical outcomes related tofetal deaths nationwide and notes that
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
the numbers have changed over the last several decades. The best explanation would be:
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) expectant mothers are seeking prenatal care later,resulting in decreases in the r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
number.
r4
B) improved prenatal care has reduced the numbers of fetal deaths. r4 r4 r4 r4 r4 r4 r4 r4 r4
C) increasesarenotedbecauseofthegrowingnumberofpregnanciestoteenmothers. r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
D) increasesarenotedduetheincreasingnumberofoldermothersbecomingpregnant. r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
- Ans: B
r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Analyze
r4 r4
Page: 11 r4
Feedback: The number of fetal deaths in the United States has fallen. This has been attributed
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
to the improvement in the delivery of prenatal care.
r4 r4 r4 r4 r4 r4 r4 r4 r4
A 33-week gestation infant dies after1 week of life in the neonatal intensive care unit. This
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
infant's death rate would be classified under which statistical category?
r4 r4 r4 r4 r4 r4 r4 r4 r4 r4
A) infant death under one month r4 r4 r4 r4
B) neonatal death r4
C) pretermgestationaldeath r4 r4
D) postneonataldeath-Ans:B r4 r4 r4 r4
ClientNeeds:HealthPromotionandMaintenance Cognitive
r4 r4 r4 r4 r4 r4
Level: Analyze
r4 r4
Page: 10 r4
