TEST BANK-
Maternal & Child Health Nursing: Care of the Childbearing
&Childrearing Family
by: JoAnne Silbert-Flagg
9TH EDITION
,Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 9th Edition 2
Chapter 1 A Framework for Maternal and Child Health Nursing
1. For\ which\ reasons\ would\ a\ NURSE\ review\ infant\
mortality\ statistic\ in\ the\ United\ States?\ (Select\ all\
that\ apply.)
A) Measures\ the\ quality\ of\ pregnancy\ care
B) Reviews\ information\ on\ overall\ diet
C) Compares\ health\ with\ those\ of\ other\ states
D) Determines\ infant\ health\ and\ available\ care
E) 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\ thequality\ of\
pregnancy\ care,\ provides\ information\ on\ overall\
diet,\ 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.
2. The\ NURSE\ is\ providing\ care\ in\ an\ organization\ that\ supports\ the\
maternal\ and\ childcare\ continuum.\ Which\ type\ of\ patient\ care\ area\ is\ an\
example\ of\ this\ approach?
A) Primary\care
B) Team\ nursing
C) Case\ management
D) 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\ establishesan\ 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.
Primarynursing,\ team\ nursing,\ and\ case\ management\ do\ not\ necessary\ take\
into\ considerationthe\ maternal\ and\ child\ care\ continuum.
,Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 9th Edition 3
3. Which\ actions\ should\ the\ NURSE\ perform\ when\ supporting\ the\ goals\ of\
maternaland\ child\ health\ care?\ (Select\ all\ that\ apply.)
A) Advocates\ protecting\ the\ rights\ of\ the\ mother\ and\ fetus
B) Teaches\ family\ members\ interventions\ to\ improve\ health
C) Adheres\ to\ principles\ that\ focus\ on\ the\ needs\ of\ the\ mother
D) Encourages\ maternal\ hospitalization\ to\ regain\ strength\ and\ stamina
E) 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\
healthpromotion\ 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.
4. The\ NURSE\ is\ reviewing\ the\ 2020\ National\ Health\ Goals\ and\ notes\ that\ which
is\ afocus\ of\ these\ goals?
A) Health\ promotion\ and\ illness\ prevention
B) Early\diagnosis\ of\ chronic\ health\ problems
C) Effective\ use\of\ medication\ to\ treat\ illness
D) Reduce\ the\ cost\ of\ health\ care\ and\
medicationsANS;\ A
Feedback:
The\ 2020\ National\ Health\ Goals\ are\ intended\ to\ help\ citizens\ more\ easily\ understand\
theimportance\ of\ health\ promotion\ and\ illness\ 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\ illness,\ or\ reduce\ the\
cost\ of\ health\ care\ and\ medications.
, Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 9th Edition 4
5. 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\ allthat\ apply.)
A) Smaller\ families
B) Less\ domestic\ violence
C) More\ employed\ mothers
D) Stable\ home\ environments
E) 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.
6. During\ an\ assessment,\ the\ NURSE\ asks\ a\ patient\ from\ a\ non-English-speaking\
culturewhich\ types\ of\ home\ remedies\ and\ herbs\ the\ patient\ uses\ for\ health\
care.What\ is\ the\ purpose\ of\ asking\ the\ patient\ this\ question?
A) Analyze\ for\ herb–drug\ interactions
B) Understand\ the\ patient's\ philosophy\of\ alternative\ health\ care
C) Determine\ the\ types\ of\ medications\ the\ patient\ will\ need\ to\ be\ prescribed
D) 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.