Chapter 1: The Nurse's Role in a
Changing Maternal-Child Health Care
Environment
A Scottish physician named Alexander Gordon first realized that many women were
becoming sick and even dying because of an infection transmitted from patient to
patient by the attending physicians and nurses. What is this infection called? -
answer-Puerperal fever
Which statement best describes the pattern of maternal mortality since World War
II? - answer-It has steadily decreased.
A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and
notes that the numbers have changed over the last several decades. The best
explanation would be: - answer-improved prenatal care has reduced the numbers of
fetal deaths.
When describing birth during the 18th century, which description would be most
accurate regarding maternal care during pregnancy and birth? - answer-The
majority of births occurred in the home with female midwives in attendance.
A nurse is trying to reduce a mother's anxiety about her child being in the hospital.
What would be the best way to accomplish this? - answer-Include the mother in the
medical decision-making.
A nurse who specializes in maternal and child health care performs many varied
functions in diverse settings over the course of a year. Which action would be
outside the nurse's scope of practice? - answer-Assist in the treatment and recovery
of a woman with ovarian cancer.
A nurse is speaking with a client who has just learned that she is pregnant with her
first child. The nurse reads in the client's chart that she does not drink alcohol on a
regular basis. However, the nurse decides to go ahead and warn the client about
the dangers of drinking alcohol while pregnant. Which phase of health care would
this action be classified as? - answer-health promotion
The student nurse is teaching breast-feeding to a group of clients on the
postpartum unit. The student recognizes that this action represents which
component of the nursing process? - answer-Implementation
A nurse is conducting an in-service program for a group of nurses on the health of
women and their families, incorporating information from Healthy People 2020. The
nurse determines that additional discussion and clarification is needed when the
group makes which statement? - answer-Immunizations may be the cause of some
illnesses being seen currently
, A nurse is assisting a pregnant client in signing up for Medicaid to help with the cost
of her medical care. The nurse explains that Medicaid is a federally funded program
mandated by which act of Congress? - answer-Title XIX of the Social Security Act
The family is the basic unit of society. Which statement correctly illustrates the
importance of this concept related to how society functions? - answer-
The nursing process is a scientific method and proven form of problem solving. It
includes what component? - answer-Planning
The family is the basic unit of society. Which statement correctly illustrates the
importance of this concept related to how society functions? - answer-Healthy, well-
functioning families provide members of all ages with fulfilling, supporting
relationships
During a care conference, a nurse provides everyone with a copy of the latest
research on improving the success of breast-feeding for first-time mothers. Which
Quality & Safety Education for Nurses competency does this nurse's action support?
- answer-Evidence-based practice
After World War I, infant mortality continued to rise despite acceptance of the germ
theory and strict asepsis for the neonate. Which theory resulted - answer-Infants
suffered from lack of stimulation
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? - answer-
increasing the number of women receiving prenatal care
A 33-week gestation infant dies after 1 week of life in the neonatal intensive care
unit. This infant's death rate would be classified under which statistical category? -
answer-neonatal death
Asian American women have the lowest risk of infant mortality of all cultural groups.
Which statement best explains this phenomena? - answer-Asian American women
have better access to prenatal care.
The nurse is planning goals for a client admitted with an exacerbation of chronic
obstructive pulmonary disease (COPD). Which factors will the nurse consider when
developing the client's outcomes? Select all that apply. - answer-Client-focused
Attainable
Measurable
Realistic
The pediatric nurse is reviewing statistics on the risks of morbidity and mortality
among children. What does the nurse identify as the largest risk to all children and
adolescents in the United States? - answer-Unintentional injury
Which statement best describes the pattern of maternal mortality since World War
II? - answer-It has steadily decreased.
Changing Maternal-Child Health Care
Environment
A Scottish physician named Alexander Gordon first realized that many women were
becoming sick and even dying because of an infection transmitted from patient to
patient by the attending physicians and nurses. What is this infection called? -
answer-Puerperal fever
Which statement best describes the pattern of maternal mortality since World War
II? - answer-It has steadily decreased.
A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and
notes that the numbers have changed over the last several decades. The best
explanation would be: - answer-improved prenatal care has reduced the numbers of
fetal deaths.
When describing birth during the 18th century, which description would be most
accurate regarding maternal care during pregnancy and birth? - answer-The
majority of births occurred in the home with female midwives in attendance.
A nurse is trying to reduce a mother's anxiety about her child being in the hospital.
What would be the best way to accomplish this? - answer-Include the mother in the
medical decision-making.
A nurse who specializes in maternal and child health care performs many varied
functions in diverse settings over the course of a year. Which action would be
outside the nurse's scope of practice? - answer-Assist in the treatment and recovery
of a woman with ovarian cancer.
A nurse is speaking with a client who has just learned that she is pregnant with her
first child. The nurse reads in the client's chart that she does not drink alcohol on a
regular basis. However, the nurse decides to go ahead and warn the client about
the dangers of drinking alcohol while pregnant. Which phase of health care would
this action be classified as? - answer-health promotion
The student nurse is teaching breast-feeding to a group of clients on the
postpartum unit. The student recognizes that this action represents which
component of the nursing process? - answer-Implementation
A nurse is conducting an in-service program for a group of nurses on the health of
women and their families, incorporating information from Healthy People 2020. The
nurse determines that additional discussion and clarification is needed when the
group makes which statement? - answer-Immunizations may be the cause of some
illnesses being seen currently
, A nurse is assisting a pregnant client in signing up for Medicaid to help with the cost
of her medical care. The nurse explains that Medicaid is a federally funded program
mandated by which act of Congress? - answer-Title XIX of the Social Security Act
The family is the basic unit of society. Which statement correctly illustrates the
importance of this concept related to how society functions? - answer-
The nursing process is a scientific method and proven form of problem solving. It
includes what component? - answer-Planning
The family is the basic unit of society. Which statement correctly illustrates the
importance of this concept related to how society functions? - answer-Healthy, well-
functioning families provide members of all ages with fulfilling, supporting
relationships
During a care conference, a nurse provides everyone with a copy of the latest
research on improving the success of breast-feeding for first-time mothers. Which
Quality & Safety Education for Nurses competency does this nurse's action support?
- answer-Evidence-based practice
After World War I, infant mortality continued to rise despite acceptance of the germ
theory and strict asepsis for the neonate. Which theory resulted - answer-Infants
suffered from lack of stimulation
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? - answer-
increasing the number of women receiving prenatal care
A 33-week gestation infant dies after 1 week of life in the neonatal intensive care
unit. This infant's death rate would be classified under which statistical category? -
answer-neonatal death
Asian American women have the lowest risk of infant mortality of all cultural groups.
Which statement best explains this phenomena? - answer-Asian American women
have better access to prenatal care.
The nurse is planning goals for a client admitted with an exacerbation of chronic
obstructive pulmonary disease (COPD). Which factors will the nurse consider when
developing the client's outcomes? Select all that apply. - answer-Client-focused
Attainable
Measurable
Realistic
The pediatric nurse is reviewing statistics on the risks of morbidity and mortality
among children. What does the nurse identify as the largest risk to all children and
adolescents in the United States? - answer-Unintentional injury
Which statement best describes the pattern of maternal mortality since World War
II? - answer-It has steadily decreased.
