Contents
,Chapter 1- Perspectives on Maternal, Newborn, and
Women’s Health Care
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?
Resolving all language and cultural differences
Assuring early and adequate prenatal care
Providing more extensive women’s shelters
Encouraging all women to eat a balanced diet
When integrating the principles of family-centered care, the nurse would include which of the
following?
Childbirth is viewed as a procedural event
Families are unable to make informed choices
Childbirth results in changes in relationships
Families require little information to make appropriate decisions
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?
Epidemics of puerperal fever
Performance of the first cesarean birth
Development of the x-ray to assess pelvic size
Creation of free-standing birth centers
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?
Hemorrhage
Embolism
Obstructed labor
Infection
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?
Smoking
Heart disease
Diabetes
Cancer
When assessing a family for possible barriers to health care, the nurse would consider which factor
to be most important?
Language
Health care workers’ attitudes
,Transportation
Finances
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?
Performing a procedure on a 15-year-old without consent
Serving as a witness to the signature process
Asking whether the client understands what she is signing
Getting verbal consent over the phone for emergency procedures
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?
Getting telephone consent with two people listening to the verbal consent
Providing emergency care without parental consent
Contacting the child’s aunt or uncle to obtain their consent
Advocating for termination of parental rights for this situation
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?
Childbirth affects the entire family, and relationships will change.
Families are not capable of making health care decisions for themselves.
Mothers are the family members affected by childbirth.
Childbirth is a medical procedure.
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?
Disease prevention
Health promotion
Wellness
Analysis of morbidity and mortality
A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the
understanding that based on this client’s cultural background, the client most likely views illness as
which of the following?
Caused by supernatural forces.
A punishment for sins.
Due to spirits or demons.
From an imbalance of yin and yang
A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy,
labor, and childbirth. Which of the following would be most important for the nurse to incorporate
into that plan?
Adhering to strict, specific routines
Involving a pediatric physician
Educating the client about the importance of a support person
, Assigning several nurses as a support team
A nursing instructor is preparing a class discussion on case management in maternal and newborn
health care. Which of the following would the instructor include as a key component? Select all that
apply.
Advocacy
Coordination
Communication
Resource management
Event managed care
After teaching a group of students about the concept of maternal mortality, the instructor
determines that additional teaching is needed when the students state which of the following?
The rate includes accidental causes for deaths.
It addresses pregnancy-related causes.
The duration of the pregnancy is not a concern.
The time frame is typically for a specified year.
A group of students are reviewing the historical aspects about childbirth. The students demonstrate
understanding of the information when they identify the use of twilight sleep as a key event during
which time frame?
■ A) 1700s
■ B) 1800s
■ C) 1900s
■ D) 2000s
A nurse is providing care to a woman who has just delivered a healthy newborn. Which action
would least likely demonstrate application of the concept of family-centered care?
Focusing on the birth as a normal healthy event for the family
Creating opportunities for the family to make informed decisions
Encouraging the woman to keep her other children at home
Fostering a sense of respect for the mother and the family
When discussing fetal mortality with a group of students, a nurse addresses maternal factors.
Which of the following would the nurse most likely include? Select all that apply.
Chromosomal abnormalities
Malnutrition
Preterm cervical dilation
Underlying disease condition
Poor placental attachment
A nurse is preparing a presentation for a local community group about health status and children’s
health. Which of the following would the nurse include as one of the most significant measures?
Fetal mortality rate
Neonatal mortality rate
Infant mortality rate
,Chapter 1- Perspectives on Maternal, Newborn, and
Women’s Health Care
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?
Resolving all language and cultural differences
Assuring early and adequate prenatal care
Providing more extensive women’s shelters
Encouraging all women to eat a balanced diet
When integrating the principles of family-centered care, the nurse would include which of the
following?
Childbirth is viewed as a procedural event
Families are unable to make informed choices
Childbirth results in changes in relationships
Families require little information to make appropriate decisions
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?
Epidemics of puerperal fever
Performance of the first cesarean birth
Development of the x-ray to assess pelvic size
Creation of free-standing birth centers
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?
Hemorrhage
Embolism
Obstructed labor
Infection
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?
Smoking
Heart disease
Diabetes
Cancer
When assessing a family for possible barriers to health care, the nurse would consider which factor
to be most important?
Language
Health care workers’ attitudes
,Transportation
Finances
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?
Performing a procedure on a 15-year-old without consent
Serving as a witness to the signature process
Asking whether the client understands what she is signing
Getting verbal consent over the phone for emergency procedures
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?
Getting telephone consent with two people listening to the verbal consent
Providing emergency care without parental consent
Contacting the child’s aunt or uncle to obtain their consent
Advocating for termination of parental rights for this situation
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?
Childbirth affects the entire family, and relationships will change.
Families are not capable of making health care decisions for themselves.
Mothers are the family members affected by childbirth.
Childbirth is a medical procedure.
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?
Disease prevention
Health promotion
Wellness
Analysis of morbidity and mortality
A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the
understanding that based on this client’s cultural background, the client most likely views illness as
which of the following?
Caused by supernatural forces.
A punishment for sins.
Due to spirits or demons.
From an imbalance of yin and yang
A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy,
labor, and childbirth. Which of the following would be most important for the nurse to incorporate
into that plan?
Adhering to strict, specific routines
Involving a pediatric physician
Educating the client about the importance of a support person
, Assigning several nurses as a support team
A nursing instructor is preparing a class discussion on case management in maternal and newborn
health care. Which of the following would the instructor include as a key component? Select all that
apply.
Advocacy
Coordination
Communication
Resource management
Event managed care
After teaching a group of students about the concept of maternal mortality, the instructor
determines that additional teaching is needed when the students state which of the following?
The rate includes accidental causes for deaths.
It addresses pregnancy-related causes.
The duration of the pregnancy is not a concern.
The time frame is typically for a specified year.
A group of students are reviewing the historical aspects about childbirth. The students demonstrate
understanding of the information when they identify the use of twilight sleep as a key event during
which time frame?
■ A) 1700s
■ B) 1800s
■ C) 1900s
■ D) 2000s
A nurse is providing care to a woman who has just delivered a healthy newborn. Which action
would least likely demonstrate application of the concept of family-centered care?
Focusing on the birth as a normal healthy event for the family
Creating opportunities for the family to make informed decisions
Encouraging the woman to keep her other children at home
Fostering a sense of respect for the mother and the family
When discussing fetal mortality with a group of students, a nurse addresses maternal factors.
Which of the following would the nurse most likely include? Select all that apply.
Chromosomal abnormalities
Malnutrition
Preterm cervical dilation
Underlying disease condition
Poor placental attachment
A nurse is preparing a presentation for a local community group about health status and children’s
health. Which of the following would the nurse include as one of the most significant measures?
Fetal mortality rate
Neonatal mortality rate
Infant mortality rate
