T L Maternal & Child Health
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T L Nursing
Care of the Childbearing & Childrearing Family
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By
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,Chapter 1 A Framework for Maternal and Child Health Nursing
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1. For which reasons would a nurse review infant mortality statistics in the United States?
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A) Measures the quality of pregnancy care L
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B) Reviews information on overall nutrition L
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C) Compares health with those of other states T L L
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D) Determines infant health and available care T L L
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E) Provides an index of the country's general health T L L
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TAns: A, B, D, E T L T L T L T L
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
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Tquality of pregnancy care, provides information on overall nutrition, and determines
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Tinfant health and available care. Infant mortality statistics compares the health with
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Tthose of other countries and not with those of other states.
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2. The nurse is providing care in an organization that supports the maternal and child care
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continuum. Which type of patient care area is an example of this approach?
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A) Primary care L
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B) Team nursing T L
C) Case management T L
D) Family-centered care L
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Ans: D
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Feedback:
Keeping the family at the center of care is important because the level of a family's
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functioning is important to the health status of its members. A healthy family establishes
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an environment conducive to growth and health-promoting behaviors to sustain family
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members during crises. A family-centered approach enables nurses to better understand
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individuals and their effect on others and, in turn, to provide more holistic care. Primary
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nursing, team nursing, and case management do not necessary take into consideration
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the maternal and child care continuum.
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,3. Which actions should the nurse perform when supporting the goals of maternal and
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child health care? (Select all that apply.)
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A) Advocates protecting the rights of the mother and fetus L
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B) Teaches family members interventions to improve health T L T L L
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C) Adheres to principles that focus on the needs of the mother L
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D) Encourages maternal hospitalization to regain strength and stamina L
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E) Assesses family members for strengths and specific needs or challenges T L L
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Ans: A, B, E
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Feedback:
Actions that the nurse should perform when supporting the goals of maternal and child
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health care include advocating the rights for the mother and fetus, teaching health
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promotion interventions, and assessing the family for strengths and specific needs or
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challenges. Adhering to principles that focus on the needs of the mother and
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encouraging maternal hospitalization to regain strength and stamina are not actions that
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support the goals of maternal and child health care.
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4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus of
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these goals?
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A) Health promotion and disease prevention T L T L T L L
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B) Early diagnosis of chronic health problems T L L
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C) Effective use of medication to treat disease L
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D) Reduce the cost of health care and medications L
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Ans: A
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Feedback:
The 2020 National Health Goals are intended to help citizens more easily understand the
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importance of health promotion and disease prevention and to encourage wide
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participation in improving health in the next decade. These goals do not focus on the
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early diagnosis of chronic problems, use of medications to treat disease, or reduce the
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cost of health care and medications.
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, 5. The nurse has noticed a change in the type of care needed to support maternal and child
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health issues. What does the nurse realize as reasons for the changes in care? (Select all
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that apply.)
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A) Smaller families T L
B) Less domestic violence L
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C) More employed mothers L
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D) Stable home environments T L T L
E) More single-parent families L
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Ans: A, C, E
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Feedback:
Nursing care for maternal and child is changing because families are smaller, more
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mothers are employed out of the home, and there are more single-parent families. There
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is an increase in domestic violence, and families are less stable and more mobile, which
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influences homelessness.
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6. During an assessment, the nurse asks a patient from a non-English-speaking culture
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which types of home remedies and herbs the patient uses for health care. What is the
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purpose of asking the patient this question?
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A) Analyze for herb–drug interactions T L L
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B) Understand the patient's philosophy of alternative health care L
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C) Determine the types of medications the patient will need to be prescribed L
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D) Explain to the physician the patient's preference for nontraditional medicine T L L
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approaches T L
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Feedback:
Assessing what alternative measures are being used is important because the action of T L L
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an herb can interfere with prescribed medications. Assessing the use of herbal remedies
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is not done to understand the patient's philosophy of alternative health care, determine
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the types of medications the patient will need to be prescribed, or explain the patient's
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preferences for nontraditional medicine approaches to the physician.
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