, CHAPTER 1 – Perspectives on Maternal
and Child Health Care
1. 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
Answer: B
Rationale: Early prenatal care has the strongest impact on reducing maternal and infant mortality.
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
Answer: C
Rationale: Family-centered care recognizes childbirth affects family relationships.
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
,Answer: D
Rationale: Free-standing birth centers are a modern 20th-century development.
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
Answer: B
Rationale: Embolism is not among the leading causes compared to hemorrhage and infection.
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
Answer: B
Rationale: Heart disease is the leading cause of death in women.
6. When assessing a family for possible barriers to health care, the nurse would consider
which factor to be most important?
A) Language
B) Health care workers attitudes
C) Transportation
D) Finances
Answer: D
Rationale: Financial barriers are the most significant obstacle to care access.
, 7. After teaching a group of nursing students about the issue of informed consent. Which of
the following, if identified by the student, would indicate an understanding of a violation of
informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
Answer: A
Rationale: Minors require legal consent before procedures.
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with a
neighbor. Which action would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the childs aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation
Answer: B
Rationale: Emergency treatment takes priority over consent.
9. After teaching nursing students about the basic concepts of family-centered care, the
instructor determines that the teaching was successful when the students state which of the
following?
A) Childbirth affects the entire family, and relationships will change.
B) Families are not capable of making health care decisions for themselves.
C) Mothers are the family members affected by childbirth.
D) Childbirth is a medical procedure.
Answer: A
Rationale: Family-centered care involves the whole family unit.
10. A nursing instructor is preparing a class discussion on the trends in health care and
health care delivery over the past several centuries. When discussing the changes during
the past century, which of the following would the instructor be least likely to include?
and Child Health Care
1. 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
Answer: B
Rationale: Early prenatal care has the strongest impact on reducing maternal and infant mortality.
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
Answer: C
Rationale: Family-centered care recognizes childbirth affects family relationships.
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
,Answer: D
Rationale: Free-standing birth centers are a modern 20th-century development.
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
Answer: B
Rationale: Embolism is not among the leading causes compared to hemorrhage and infection.
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
Answer: B
Rationale: Heart disease is the leading cause of death in women.
6. When assessing a family for possible barriers to health care, the nurse would consider
which factor to be most important?
A) Language
B) Health care workers attitudes
C) Transportation
D) Finances
Answer: D
Rationale: Financial barriers are the most significant obstacle to care access.
, 7. After teaching a group of nursing students about the issue of informed consent. Which of
the following, if identified by the student, would indicate an understanding of a violation of
informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
Answer: A
Rationale: Minors require legal consent before procedures.
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with a
neighbor. Which action would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the childs aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation
Answer: B
Rationale: Emergency treatment takes priority over consent.
9. After teaching nursing students about the basic concepts of family-centered care, the
instructor determines that the teaching was successful when the students state which of the
following?
A) Childbirth affects the entire family, and relationships will change.
B) Families are not capable of making health care decisions for themselves.
C) Mothers are the family members affected by childbirth.
D) Childbirth is a medical procedure.
Answer: A
Rationale: Family-centered care involves the whole family unit.
10. A nursing instructor is preparing a class discussion on the trends in health care and
health care delivery over the past several centuries. When discussing the changes during
the past century, which of the following would the instructor be least likely to include?
