TEST BANK FOR MATERNAL & CHILD HEALTH
NURSING 9TH EDITION CARE OF THE CHILDBEARING
& CHILDREARING FAMILY By JoAnne Silbert-Flagg
,TEST BANK
MATERNAL AND CHILD HEALTH NURSING 9TH EDITION
BY JoAnne Silbert-Flagg
,Chapter 1: A Framework for Maternal and Child Health Nursing
JoAnne Silbert: Maternal and Child Health Nursing 9th Edition
1. A program designed to decrease the infant mortality rate in the United States would
probably make the greatest impact if it focused on which aspect of care?
A. offering increased WICC availability
B. reducing the number of home births
C. increasing the education level of parents
D. increasing the number of women receiving prenatal care
Answer: D
Rationale: Receiving prenatal care has proven to be a major strategy for reducing infant
mortality. The other interventions will not directly impact infant mortality rates to the degree
that prenatal care will.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 11-13
2. What is a current trend in child health care?
A. Children are hospitalized for observation more than previously.
B. Health promotion rather than health restoration is stressed.
C. Child health care is moving out of regional centers.
D. Nursing roles are decreasing because of the increasing role of families.
Answer: B
Rationale: It is recognized that keeping individuals well is more cost effective for a system than
helping ill individuals return to wellness.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 6-8
3. The nurse is running an education program for early grade-school children. Which
topic would address the number one cause of death for this age group?
A. The importance of crossing streets safely
B. The importance of immunizations
C. Prevention of infection and communicable disease
D. Exercise and good nutrition
Answer: A
, Rationale: Motor-vehicle accidents are a leading cause of death in this age group. Question
format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning Reference: p. 14
4. Which trend is currently influencing maternal and child health care?
A. an expansion of community-based services
B. closure of regionalized health care centers
C. the availability of additional family support
D. a reduction in the number of latchkey kids
Answer: A
Rationale: The trend for community care is increasing because it has the potential to provide
cost-effective health promotion/disease prevention client care services to large numbers of
children and families in an environment that is familiar to them.
Regionalization of care is increasing because of the need for more specialized or advanced care.
There is also an increase in the number of mothers who must work outside the home because
they do not have extended family members to provide care for their children. This has resulted
in an increase in the number of latchkey children left home alone after school while the mother
works.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 16
5. Which statement correctly defines the term "perinatal death rate"?
A. number of deaths in utero of a fetus 500 g or more per 1000 live births
B. number of deaths per 1000 live births occurring in the first 28 days of life
C. number of deaths per 1000 live births occurring at birth or in the first 12 months of life
D. number of deaths per 1000 live births beginning when the fetus reaches 500 g and ending
28 days after birth
Answer: D
Rationale: The term "perinatal" refers to the time of birth and the time closely following
it, or the time "around birth."
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
NURSING 9TH EDITION CARE OF THE CHILDBEARING
& CHILDREARING FAMILY By JoAnne Silbert-Flagg
,TEST BANK
MATERNAL AND CHILD HEALTH NURSING 9TH EDITION
BY JoAnne Silbert-Flagg
,Chapter 1: A Framework for Maternal and Child Health Nursing
JoAnne Silbert: Maternal and Child Health Nursing 9th Edition
1. A program designed to decrease the infant mortality rate in the United States would
probably make the greatest impact if it focused on which aspect of care?
A. offering increased WICC availability
B. reducing the number of home births
C. increasing the education level of parents
D. increasing the number of women receiving prenatal care
Answer: D
Rationale: Receiving prenatal care has proven to be a major strategy for reducing infant
mortality. The other interventions will not directly impact infant mortality rates to the degree
that prenatal care will.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 11-13
2. What is a current trend in child health care?
A. Children are hospitalized for observation more than previously.
B. Health promotion rather than health restoration is stressed.
C. Child health care is moving out of regional centers.
D. Nursing roles are decreasing because of the increasing role of families.
Answer: B
Rationale: It is recognized that keeping individuals well is more cost effective for a system than
helping ill individuals return to wellness.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 6-8
3. The nurse is running an education program for early grade-school children. Which
topic would address the number one cause of death for this age group?
A. The importance of crossing streets safely
B. The importance of immunizations
C. Prevention of infection and communicable disease
D. Exercise and good nutrition
Answer: A
, Rationale: Motor-vehicle accidents are a leading cause of death in this age group. Question
format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning Reference: p. 14
4. Which trend is currently influencing maternal and child health care?
A. an expansion of community-based services
B. closure of regionalized health care centers
C. the availability of additional family support
D. a reduction in the number of latchkey kids
Answer: A
Rationale: The trend for community care is increasing because it has the potential to provide
cost-effective health promotion/disease prevention client care services to large numbers of
children and families in an environment that is familiar to them.
Regionalization of care is increasing because of the need for more specialized or advanced care.
There is also an increase in the number of mothers who must work outside the home because
they do not have extended family members to provide care for their children. This has resulted
in an increase in the number of latchkey children left home alone after school while the mother
works.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 16
5. Which statement correctly defines the term "perinatal death rate"?
A. number of deaths in utero of a fetus 500 g or more per 1000 live births
B. number of deaths per 1000 live births occurring in the first 28 days of life
C. number of deaths per 1000 live births occurring at birth or in the first 12 months of life
D. number of deaths per 1000 live births beginning when the fetus reaches 500 g and ending
28 days after birth
Answer: D
Rationale: The term "perinatal" refers to the time of birth and the time closely following
it, or the time "around birth."
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
