TEST BANK-
Maternal & Child Health Nursing: Care of the Childbearing
&Childrearing Family
By: joanne Silbert-Flagg
9TH EDITION
, 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.
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.
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.
, Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 9th Edition 4
7. The NURSE notes that statistics on maternal mortality had improved but are
againbecoming elevated. What does the NURSE realize as a reason for this
change in maternal mortality rates?
A) Earlier prenatal care
B) Gestational hypertension
C) Increased vaginal deliveries
D) Treatment for chronic
illnesss 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
healthinsurance for many Americans. This increase is not because of earlier prenatal
care, increased vaginal deliveries, or treatment for chronic illnesss.
8. A new mother asks the NURSE if all of the new baby's injections can be given in one
visitbecause the mother is losing income from missing work because of the office
visits. What does this new mother's issue indicate to the NURSE?
A) The mother needs to find an alternative employer.
B) The mother's income is more important that the baby's health.
C) Missing work does not support the baby's health maintenance visits.
D) The federal government needs to do more to support well-baby visits.
ANS; C
Feedback:
An area that needs additional research is finding effective stimuli to encourage women
to bring children for health maintenance visits. The mother losing income because of
missing work for well-baby visits will deter health maintenance visits for the baby
going forward. This mother's issue does not indicate that the mother needs to find
another job, that the mother's income is more important that the baby's health, or that
thefederal government needs to do more to support well-baby visits.
9. The.,NURSE.,works.,in.,a.,maternal.,and.,child.,care.,area.,that.,supports.,health.,promotio
n..,Which.,activities.,will.,the.,NURSE.,perform.,to.,support.,this.,philosophy.,of.,health.,c
are?(Select.,all.,that.,apply.)
A) Planning.,care
B) Patient.,teaching
C) Family.,counseling
D) New.,mother.,advocacy
E) Identifying.,nursing.,diagnoses
ANS;.,B,.,C,.,D
Feedback:
Extensive.,changes.,in.,the.,scope.,of.,maternal.,and.,child.,health.,nursing.,have.,occurred.,as.,hea
lth.,promotion.,has.,become.,a.,greater.,priority.,in.,care..,The.,nursing.,activities.,for.,health.,prom
otion.,include.,teaching,.,counseling,.,and.,advocacy..,Planning.,care.,and.,identifying.,nursing.,d
iagnoses.,are.,a.,part.,of.,the.,nursing.,process.,and.,not.,specific.,to.,health.,promotion.
10. During.,a.,care.,conference,.,a.,NURSE.,provides.,everyone.,with.,a.,copy.,of.,the.,latest.,r
esearch.,on.,improving.,the.,success.,of.,breastfeeding.,for.,first-
time.,mothers..,Which.,Quality.,&.,Safety.,Education.,for.,NURSEs.,competency.,does.,t
his.,NURSE's.,action.,support?
Maternal & Child Health Nursing: Care of the Childbearing
&Childrearing Family
By: joanne Silbert-Flagg
9TH EDITION
, 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.
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.
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.
, Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 9th Edition 4
7. The NURSE notes that statistics on maternal mortality had improved but are
againbecoming elevated. What does the NURSE realize as a reason for this
change in maternal mortality rates?
A) Earlier prenatal care
B) Gestational hypertension
C) Increased vaginal deliveries
D) Treatment for chronic
illnesss 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
healthinsurance for many Americans. This increase is not because of earlier prenatal
care, increased vaginal deliveries, or treatment for chronic illnesss.
8. A new mother asks the NURSE if all of the new baby's injections can be given in one
visitbecause the mother is losing income from missing work because of the office
visits. What does this new mother's issue indicate to the NURSE?
A) The mother needs to find an alternative employer.
B) The mother's income is more important that the baby's health.
C) Missing work does not support the baby's health maintenance visits.
D) The federal government needs to do more to support well-baby visits.
ANS; C
Feedback:
An area that needs additional research is finding effective stimuli to encourage women
to bring children for health maintenance visits. The mother losing income because of
missing work for well-baby visits will deter health maintenance visits for the baby
going forward. This mother's issue does not indicate that the mother needs to find
another job, that the mother's income is more important that the baby's health, or that
thefederal government needs to do more to support well-baby visits.
9. The.,NURSE.,works.,in.,a.,maternal.,and.,child.,care.,area.,that.,supports.,health.,promotio
n..,Which.,activities.,will.,the.,NURSE.,perform.,to.,support.,this.,philosophy.,of.,health.,c
are?(Select.,all.,that.,apply.)
A) Planning.,care
B) Patient.,teaching
C) Family.,counseling
D) New.,mother.,advocacy
E) Identifying.,nursing.,diagnoses
ANS;.,B,.,C,.,D
Feedback:
Extensive.,changes.,in.,the.,scope.,of.,maternal.,and.,child.,health.,nursing.,have.,occurred.,as.,hea
lth.,promotion.,has.,become.,a.,greater.,priority.,in.,care..,The.,nursing.,activities.,for.,health.,prom
otion.,include.,teaching,.,counseling,.,and.,advocacy..,Planning.,care.,and.,identifying.,nursing.,d
iagnoses.,are.,a.,part.,of.,the.,nursing.,process.,and.,not.,specific.,to.,health.,promotion.
10. During.,a.,care.,conference,.,a.,NURSE.,provides.,everyone.,with.,a.,copy.,of.,the.,latest.,r
esearch.,on.,improving.,the.,success.,of.,breastfeeding.,for.,first-
time.,mothers..,Which.,Quality.,&.,Safety.,Education.,for.,NURSEs.,competency.,does.,t
his.,NURSE's.,action.,support?
