Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family8thPage 2 Edition Test Bank / Instant Test BankForMaternal & Child Health Nursing: Careofthe Childbearing &ChildrearingFamily 8th Edition

Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family8thPage 2 Edition Test Bank / Instant Test BankForMaternal & Child Health Nursing: Careofthe Childbearing &ChildrearingFamily 8th Edition1. For which reasons would a nurse review infant mortality statistics in the United States?(Select all that apply.) A) Measures the quality of pregnancy care B) Reviews information on overall nutrition C) Compares health with those of other states D) Determines infant health and available care E) Provides an index ofthe country's general health Ans: A, B, D, E Feedback: Infant mortalitystatistics provide an index of a country's general health, measures thequality of pregnancy care, provides information on overall nutrition, and determines infant health and available care. Infant mortality statistics compares thehealth 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 childcarecontinuum. Which type of patient care area is an example of this approach? A) Primary care B) Team nursing C) Case management D) Family-centered careAns: 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 tosustain family members during crises. A family-centered approach enables nurses tobetter understandaindividuals and their effect on others and, in turn, to provide moreholistic care. Primarynursing, team nursing, and case management do not necessarytake into consideration the maternal and child care continuum. Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family8thPage 3 Edition Test Bank / Instant Test Bank For Maternal &ChildHealth Nursing: Care of the Childbearing & Childrearing Family 8th Edition 3. Which actions should the nurse perform when supporting the goals of maternal andchild health care? (Select all that apply.) A) Advocates protecting the rights of the mother and fetus B) Teaches familymembers 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 challengesaAns: A, B, E Feedback: Actions that the nurse should perform when supporting the goals of maternal andchildhealth care include advocating the rights for the mother and fetus, teachinghealth promotion interventions, and assessing the family for strengths and specificneeds 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 thatsupport the goals of maternal and child health care. 4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focusof these goals? A) Health promotion and disease prevention B) Early diagnosis of chronic health problems C) Effective use of medication to treat disease D) Reduce the cost of health care and medications Ans: A Feedback: The 2020 National Health Goals are intended to help citizens more easilyunderstandtheimportance of health promotion and disease prevention and to encourage wide participation in improving health in the next decade. These goals do not focus ontheearly diagnosis of chronic problems, use of medications to treat disease, or reducethecost of health care and medications. Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family8thPage 4 Edition Test Bank / Instant Test Bank For Maternal & Child Health Nursing: Careof3 the Childbearing & Childrearing Family 8th Edition 5. The nurse has noticed a change in the type of care needed to support maternal andchildhealth issues. What does the nurse realize as reasons for the changes incare?(Select allthat apply.) A) Smaller families B) Less domestic violence C) More employed mothers D) Stable home environments E) More single-parent familiesAns: A, C, E Feedback: Nursing care for maternal and child is changing because families are smaller, moremothers are employed out ofthe home, and there are more single-parent families. Thereis an increase in domestic violence, and families are less stable and more mobile, whichinfluences homelessness. 6. During an assessment, the nurse asks a patient from a non-English-speakingculture which types of home remedies and herbs the patient uses for health care. What is thepurpose 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 medicineapproaches Ans: A Feedback: Assessing what alternative measures are being used is important because the actionof an herb can interfere with prescribed medications. Assessing the use of herbal remediesis 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 explainthe patient's preferences for nontraditional medicine approaches to the physician. Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family8thEdition Test Bank / Instant Test Bank For Maternal & Child Health Nursing: Careof Page 5 WWW.TESTBANKTANK.COM4 the Childbearing & Childrearing Family 8th Edition 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 maternalmortality rates? A) Earlier prenatal care B) Gestational hypertension C) Increased vaginal deliveries D) Treatment for chronic diseases Ans: B Feedback: This increasing rate in maternal mortality is associated with more cesarean births, moregestational hypertension related to preexisting hypertensive disorders, and lackof healthinsurance for many Americans. This increase is not because of earlier prenatal care, increased vaginal deliveries, or treatment for chronic diseases. 8. A new mother asks the nurse if all of the new baby's injections can be given in onevisitbecause the mother is losing income from missing work because of the officevisits. 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 womento bring children for health maintenance visits. The mother losing income becauseof missing work for well-baby visits will deter health maintenance visits for the babygoingforward. This mother's issue does not indicate that the mother needs to findanother job,that the mother's income is more important that the baby's health, or that the federal government needs to do more to support well-baby visits. Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family8thEdition Test Bank / Instant Test Bank For Maternal & Child Health Nursing: Careof Page 6 WWW.TESTBANKTANK.COM5 the Childbearing & Childrearing Family 8th Edition 9. The nurse works in a maternal and child care area that supports healthpromotion.Which activities will the nurse perform to support this philosophy of health care?(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 occurredashealth promotion has become a greater priority in care. The nursing activities for healthpromotion include teaching, counseling, and advocacy. Planning care andidentifying nursing diagnoses are a part of the nursing process and not specific tohealth promotion. 10. During a care conference, a nurse provides everyone with a copy of the latest researchon improving the success of breastfeeding for first-time mothers. WhichQuality & SafetyEducation for Nurses competency does this nurse's action support?A) Quality improvement B) Patient-centered care C) Evidence-based practice D) Teamwork and collaborationAns: C Feedback: Providing research material supports the Quality & Safety Education for Nurses competency of evidence-based practice because the nurse is integrating the best currentevidence with clinical expertise and patient/family preferences and values for delivery of optimal health care. Providing research evidence does not support the Quality & Safety Education for Nurses competencies of quality improvement, patient-centered care, or teamwork and collaboration.