Unit 1 Review: Ch 1 & 2 Perry Maternal
Child
A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to
implement? - answer-Explain to the woman the importance of keeping her prenatal
care appointments.
Nutritional status is an important modifiable risk factor, but it is not the most
important action a nurse should take in this situation. The client may need
assistance from a social worker at some time during her pregnancy, but this is not
the most important aspect the nurse should address at this time. If the woman has
identifiable high risk problems, her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have
high risk issues. Additionally, this is not the most important aspect on which the
nurse should focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a client is to receive. Consistent prenatal care is the best
method of preventing or controlling risk factors associated with infant mortality.
A community women's health nurse knows that which groups of people are
considered vulnerable populations? (Select all that apply.) - answer-B. Adolescent
girls
C. Women with underlying health conditions
D. Refugee women
E. Incarcerated women
A mother's household consists of her husband, his mother, and another child. She is
living in a/an: - answer-extended family.
An extended family includes blood relatives living with the nuclear family. Both
parents and a grandparent are living in this extended family. Married-blended refers
to families reconstructed after divorce. Both parents and a grandparent make up an
extended family.
A Native American woman gave birth to a baby girl 12 hours ago. The nurse notes
that the woman keeps her baby in the bassinet except for feeding and states that
she will wait until she gets home to begin breastfeeding. The nurse recognizes that
this behavior is most likely a reflection of: - answer-a belief that babies should not
be fed colostrum.
Delayed attachment is a cultural belief, not a delay in attachment. Embarrassment
is a cultural belief, not an expression of embarrassment. This cultural belief does
not indicate that there is disappointment regarding the sex of the baby. Native
Americans often use cradle boards and avoid handling their newborn often; they
believe that the infant should not be fed colostrum.
, A woman is giving birth to her third child in a setting that allows her husband and
other two children to be actively involved in the process. The nurse caring for the
woman must also consider the husband and family as patients and work to meet
their needs. This type of setting is termed: - answer-Family-Centered care.
Family-centered care is any setting in which the pregnant woman and family are
treated as one unit. The nurse assumes a major role in teaching, counseling, and
supporting the family. In emergency care settings, the nurse deals primarily with
the patient who is having difficulty. In hospice care settings, the nurse deals with
patients who have terminal illnesses. Individual care deals only with the patient and
does not include the family.
Evidence-based practice is best described as: - answer-providing care based on
evidence gained through research and clinical trials.
This will assist the nurse in determining areas of concern and potential involvement.
It is not possible to meet all needs of the patient and family in all areas of practice.
The nurse is an advocate for the family. This is part of professional role and
licensure. Evidence-based practice is providing care based on evidence gained
through research and clinical trials. Practitioners must use the best available
information on which to base their interventions.
From the nurse's perspective, what measure should be the focus of the health care
system to reduce the rate of infant mortality further? - answer-Implementing
programs to ensure women's early participation in ongoing prenatal care
Early prenatal care allows for early diagnosis and appropriate interventions to
reduce the rate of infant mortality. An increased length of stay has been shown to
foster improved self-care and parental education. However, it does not prevent the
incidence of leading causes of infant mortality rates, such as low birth weight. Early
prevention and diagnosis reduce the rate of infant mortality. NICUs offer care to
high risk infants after they are born. Expanding the number of NICUs would offer
better access for high risk care, but this is not the primary focus for further
reduction of infant mortality rates. A mandate that all pregnant women receive
obstetric care would be nearly impossible to enforce. Furthermore, certified nurse-
midwives (CNMs) have demonstrated reliable, safe care for pregnant women.
Healthy People 2020 goals include: (Select all that apply.) - answer-A. promoting
quality of life.
C. attaining high-quality, longer lives.
D. eliminating health disparities.
E. creating social and physical environments that promote health.
Healthy People 2020 promotes healthy behaviors across all life stages. Healthy
People provides science-based 10-year national objectives for improving the health
of all Americans. It has four overarching goals: (1) attaining high-quality, longer
lives free of preventable disease, disability, injury, and premature death; (2)
achieving health equity, eliminating disparities, and improving the health of all
groups; (3) creating social and physical environments that promote good health for
all; and (4) promoting quality of life, healthy development, and healthy behaviors
Child
A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to
implement? - answer-Explain to the woman the importance of keeping her prenatal
care appointments.
Nutritional status is an important modifiable risk factor, but it is not the most
important action a nurse should take in this situation. The client may need
assistance from a social worker at some time during her pregnancy, but this is not
the most important aspect the nurse should address at this time. If the woman has
identifiable high risk problems, her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have
high risk issues. Additionally, this is not the most important aspect on which the
nurse should focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a client is to receive. Consistent prenatal care is the best
method of preventing or controlling risk factors associated with infant mortality.
A community women's health nurse knows that which groups of people are
considered vulnerable populations? (Select all that apply.) - answer-B. Adolescent
girls
C. Women with underlying health conditions
D. Refugee women
E. Incarcerated women
A mother's household consists of her husband, his mother, and another child. She is
living in a/an: - answer-extended family.
An extended family includes blood relatives living with the nuclear family. Both
parents and a grandparent are living in this extended family. Married-blended refers
to families reconstructed after divorce. Both parents and a grandparent make up an
extended family.
A Native American woman gave birth to a baby girl 12 hours ago. The nurse notes
that the woman keeps her baby in the bassinet except for feeding and states that
she will wait until she gets home to begin breastfeeding. The nurse recognizes that
this behavior is most likely a reflection of: - answer-a belief that babies should not
be fed colostrum.
Delayed attachment is a cultural belief, not a delay in attachment. Embarrassment
is a cultural belief, not an expression of embarrassment. This cultural belief does
not indicate that there is disappointment regarding the sex of the baby. Native
Americans often use cradle boards and avoid handling their newborn often; they
believe that the infant should not be fed colostrum.
, A woman is giving birth to her third child in a setting that allows her husband and
other two children to be actively involved in the process. The nurse caring for the
woman must also consider the husband and family as patients and work to meet
their needs. This type of setting is termed: - answer-Family-Centered care.
Family-centered care is any setting in which the pregnant woman and family are
treated as one unit. The nurse assumes a major role in teaching, counseling, and
supporting the family. In emergency care settings, the nurse deals primarily with
the patient who is having difficulty. In hospice care settings, the nurse deals with
patients who have terminal illnesses. Individual care deals only with the patient and
does not include the family.
Evidence-based practice is best described as: - answer-providing care based on
evidence gained through research and clinical trials.
This will assist the nurse in determining areas of concern and potential involvement.
It is not possible to meet all needs of the patient and family in all areas of practice.
The nurse is an advocate for the family. This is part of professional role and
licensure. Evidence-based practice is providing care based on evidence gained
through research and clinical trials. Practitioners must use the best available
information on which to base their interventions.
From the nurse's perspective, what measure should be the focus of the health care
system to reduce the rate of infant mortality further? - answer-Implementing
programs to ensure women's early participation in ongoing prenatal care
Early prenatal care allows for early diagnosis and appropriate interventions to
reduce the rate of infant mortality. An increased length of stay has been shown to
foster improved self-care and parental education. However, it does not prevent the
incidence of leading causes of infant mortality rates, such as low birth weight. Early
prevention and diagnosis reduce the rate of infant mortality. NICUs offer care to
high risk infants after they are born. Expanding the number of NICUs would offer
better access for high risk care, but this is not the primary focus for further
reduction of infant mortality rates. A mandate that all pregnant women receive
obstetric care would be nearly impossible to enforce. Furthermore, certified nurse-
midwives (CNMs) have demonstrated reliable, safe care for pregnant women.
Healthy People 2020 goals include: (Select all that apply.) - answer-A. promoting
quality of life.
C. attaining high-quality, longer lives.
D. eliminating health disparities.
E. creating social and physical environments that promote health.
Healthy People 2020 promotes healthy behaviors across all life stages. Healthy
People provides science-based 10-year national objectives for improving the health
of all Americans. It has four overarching goals: (1) attaining high-quality, longer
lives free of preventable disease, disability, injury, and premature death; (2)
achieving health equity, eliminating disparities, and improving the health of all
groups; (3) creating social and physical environments that promote good health for
all; and (4) promoting quality of life, healthy development, and healthy behaviors
