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l & Child Health Nursing
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Care of the Childbearing & Childrearing Family
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9th Edition
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By
JoAnne Silbert-Flagg
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, Chapter 1 A Framework for Maternal and Child Health Nursing
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1. Formwhichmreasonsmwould mamnursemreview minfant mmortalitymstatisticsminmthemUnited mState
s?m(Select mallmthat mapply.)
A) Measuresmthemqualitymof mpregnancymcare
B) Reviewsminformationmonmoverallmnutrition
C) Comparesmhealthmwithmthosemof mothermstates
D) Determinesminfant mhealthmand mavailablemcare
E) Providesmanmindexmof mthemcountry'smgeneralmhealt
hmAns:mA,mB,mD,mE
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Infant mmortalitymstatisticsmprovidemanmindexmof mamcountry'smgeneralmhealth,mmeasuresmthem
qualitymof mpregnancymcare,mprovidesminformationmonmoverallmnutrition,mand mdeterminesmi
nfant mhealthmand mavailablemcare.mInfant mmortalitymstatisticsmcomparesmthemhealthmwithmth
osemof mothermcountriesmand mnot mwithmthosemof mothermstates.
2. Themnursemismprovidingmcareminmanmorganizationmthat msupportsmthemmaternalmand mchild mc
aremcontinuum.mWhichmtypemof mpatient mcaremareamismanmexample mof mthismapproach?
A) Primarymcare
B) Teammnursing
C) Casemmanagement
D) Family-
centered mcaremAns:mD
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Keepingmthemfamilymat mthemcentermof mcaremismimportant mbecausemthemlevelmof mamfamily'smf
unctioningmismimportant mtomthemhealthmstatusmof mitsmmembers.mAmhealthymfamilymestablishe
smanmenvironment mconducivemtomgrowthmand mhealth-
promotingmbehaviorsmtomsustainmfamilymmembersmduringm crises.mAmfamily-
centered mapproachmenablesmnursesmtombettermunderstand mindividualsmand mtheirmeffect monm
othersmand,minmturn,mtomprovidemmoremholisticmcare.mPrimarymnursing,mteam mnursing,mand m
casemmanagement mdomnot mnecessarymtakemintomconsiderationmthemmaternalmand mchild mcare
mcontinuum.
, 3. Whichmactionsmshould mthemnursemperformmwhenmsupportingmthemgoalsmof mmaternalma
nd mchild mhealthmcare?m(Select mallmthat mapply.)
A) Advocatesmprotectingmthemrightsmof mthemmothermand mfetus
B) Teachesmfamilymmembersminterventionsmtomimprovemhealth
C) Adheresmtomprinciplesmthat mfocusmonmthemneedsmof mthemmother
D) Encouragesmmaternalmhospitalizationmtomregainmstrengthmand mstamina
E) Assessesmfamilymmembersmformstrengthsmand mspecificmneedsmormchalleng
esmAns:mA,mB,mE
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Actionsmthat mthemnursemshould mperformmwhenmsupportingmthemgoalsmof mmaternalmand mchil
d mhealthmcaremincludemadvocatingmthemrightsmformthemmothermand mfetus,mteachingmhealthmp
romotionminterventions,mand massessingmthemfamilymformstrengthsmand mspecificmneedsmormc
hallenges.mAdheringmtomprinciplesmthat mfocusmonmthemneedsmof mthemmothermand mencouragi
ngmmaternalmhospitalizationmtomregainmstrengthmand mstaminamaremnot mactionsmthat msupport m
themgoalsmof mmaternalmand mchild mhealthmcare.
4. Themnursemismreviewingmthem2020mNationalmHealthmGoalsmand mnotesmthat mwhichmismamfo
cusmof mthesemgoals?
A) Healthmpromotionmand mdiseasemprevention
B) Earlymdiagnosismof mchronicmhealthmproblems
C) Effectivemusemof mmedicationmtomtreat mdisease
D) Reducemthemcost mof mhealthmcaremand mmedication
smAns:mA
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Them2020mNationalmHealthmGoalsmaremintended mtomhelpmcitizensmmoremeasilymunderstand mth
emimportancemof mhealthmpromotionmand mdiseasempreventionmand mtomencouragemwidempartici
pationminmimprovingmhealthminmthemnext mdecade.mThesemgoalsmdomnot mfocusmonmthemearlymd
iagnosismof mchronicmproblems,musemof mmedicationsmtomtreat mdisease,mormreducemthemcost mof
mhealthmcaremand mmedications.
, 5. Themnursemhasmnoticed mamchangeminmthemtypemof mcaremneeded mtomsupport mmaternalmand mch
ild mhealthmissues.m What mdoesmthemnursemrealizemasmreasonsmformthemchangesminmcare?m(Sel
ect mallmthat mapply.)
A) Smallermfamilies
B) Lessmdomesticmviolence
C) Morememployed mmothers
D) Stablemhomemenvironments
E) Moremsingle-
parent mfamiliesmAns:mA,mC,mE
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Nursingmcaremformmaternalmand mchild mismchangingmbecausemfamiliesm aremsmaller, mmore mm
othersmarememployed mout mof mthemhome,mand mtheremaremmoremsingle-
parent mfamilies.mTheremismanmincreasem inmdomesticmviolence,mand mfamiliesmarem lessm stable
mand mmoremmobile,mwhichminfluencesmhomelessness.
6. Duringmanmassessment,mthemnursemasks mampatient mfrommamnon-English-
speakingmculturemwhichmtypesmof mhomemremediesmand mherbsmthempatient musesmformheal
thmcare.mWhat mismthempurposemof maskingmthempatient mthismquestion?
A) Analyzemformherb–drugminteractions
B) Understand mthempatient'smphilosophymof malternativemhealthmcare
C) Determinemthemtypesmof mmedicationsmthempatient mwillmneed mtombemprescribed
D) Explainmtomthemphysicianmthempatient'smpreferencemformnontraditionalmmedici
nemapproaches
Ans:m A
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Assessingmwhat malternativemmeasuresmarembeingmused mismimportant mbecausemthemactionmo
f manmherbmcanminterferemwithmprescribed mmedications.mAssessingmthemusemof mherbalmremed
iesmismnot mdonemtomunderstand mthempatient'smphilosophymof malternativemhealthmcare,mdeter
minemthemtypesmof mmedicationsmthempatient mwillmneed mtombemprescribed,mormexplainmthemp
atient'smpreferencesmformnontraditionalmmedicinemapproachesmtomthemphysician.