Complete Test Bank (Silbert-Flagg & Pillitteri)
1. Forwhich reasons would a nursereviewinfant mortalitystatistics in theUnited
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States?(Select all that apply.)
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A) Measures the qualityof pregnancycare h h h h h
B) Reviewsinformation on overall nutrition h h h h
C) Compares health with thoseof otherstates h h h h h h
D) Determines infant health and available care h h h h h
E) Provides an index of the country's general h h h h h h
healthAns: A, B, D, E
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Feedback:
Infant mortalitystatistics provide an index of a country's general health, measures
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thequality of pregnancy care, provides information on overall nutrition, and determines
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infant health and available care. Infant mortalitystatistics compares the health with those of
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other countries and not with those of other states.
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2. Thenurseis providingcarein an organization that supports thematernal and child
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care continuum. Which type of patient care area is an example of this approach?
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A) Primarycare h
B) Team nursing h
C) Casemanagement h
D) Family-centered
careAns: D
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Feedback:
h
Keeping the family at the center of care is important because the level of a family's
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functioning is important to the health status of its members. A healthyfamily establishesan
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environment conducive to growth and health-promoting behaviors to sustain family
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members during crises. A family-centered approach enables nurses to better understand
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individuals and their effect on others and, in turn, to provide more holistic care.
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Primarynursing, team nursing, and case management do not necessarytake into consideration
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the maternal and child care continuum.
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, Maternal & Child Health Nursing: Care of the II II II II II II II
Childbearing & Childrearing Family 8th Edition Test
II II II II II II II
Bank / Instant Test Bank For Maternal & Child Health
II II II II II II II II II II
Nursing: Care of the Childbearing & Childrearing Family
II II II II II II II II
8th Edition Authors: JoAnne Silbert-Flagg, Pillit
II II II II II II
3. Whichactions should thenurseperform when supportingthe goals of maternal
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andchild health care? (Select all that apply.)
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A) Advocates protectingthe rights of the mother and fetus h h h h h h h h
B) Teaches familymembers interventions to improvehealth h h h h h h
C) Adheres to principles that focus on the needs of the mother h h h h h h h h h h
D) Encourages maternal hospitalization toregain strength and stamina h h h h h h h
E) Assesses family members for strengths and specific needs or h h h h h h h h
challenges Ans: A, B, E
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Feedback:
Actions that the nurse should perform when supporting the goals of maternal and child
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health care include advocating the rights for the mother and fetus, teaching health
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promotion interventions, and assessing the family for strengths and specific needs or
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challenges. Adhering to principles that focus on the needs of the mother and encouraging
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maternal hospitalization to regain strength and stamina are not actions that support the
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goals of maternal and child health care.
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4. Thenurseis reviewingthe 2020 National Health Goals and notes that which is a
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focus of these goals?
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A) Healthpromotion and diseaseprevention h h h h
B) Earlydiagnosis of chronic health problems h h h h h
C) Effectiveuseofmedication to treat disease h h h h h h
D) Reduce the cost of health care and h h h h h h
medicationsAns: A
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Feedback:
The 2020 National Health Goals are intended to help citizens more easilyunderstand
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theimportance of health promotion and disease prevention and to encourage wide
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participation in improving health in the next decade. These goals do not focus on the early
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diagnosis of chronic problems, use of medications to treat disease, or reduce the cost of
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health care and medications.
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, Maternal & Child Health Nursing: Care of the II II II II II II II
Childbearing & Childrearing Family 8th Edition Test
II II II II II II II
Bank / Instant Test Bank For Maternal & Child Health
II II II II II II II II II II
Nursing: Care of the Childbearing & Childrearing Family
II II II II II II II II
8th Edition Authors: JoAnne Silbert-Flagg, Pillit
II II II II II II
5. The nurse has noticed a change in the type of care needed to support maternal and child
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health issues. What does the nurse realize as reasons for the changes in care? (Select allthat
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apply.)
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A) Smallerfamilies h
B) Less domesticviolence h h
C) Moreemployed mothers h h
D) Stablehome environments h h
E) Moresingle-parent h
families Ans: A, C, E
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Feedback:
h
Nursing care for maternal and child is changing because families are smaller, more
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mothers are employed out of the home, and there are more single-parent families. There is
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an increase in domestic violence, and families are less stableand moremobile,
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whichinfluences homelessness.
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6. During an assessment, the nurse asks a patient from a non-English-speaking culture
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which types of home remedies and herbs the patient uses for health care. What is
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thepurpose of asking the patient this question?
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A) Analyze for herb–druginteractions h h h
B) Understand the patient's philosophyof alternative health care h h h h h h h
C) Determinethe types of medications thepatient will need to be prescribed h h h h h h h h h h h
D) Explaintothephysicianthepatient'spreference fornontraditional h h h h h h h h
medicineapproaches h
Ans: A h
Feedback:
Assessing what alternative measures are being used is important because the action of an
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herb can interfere with prescribed medications. Assessing the use of herbal remediesis not
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done to understand the patient's philosophy of alternative health care, determine the types
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of medications the patient will need to be prescribed, or explain the patient's preferences for
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nontraditional medicine approaches to the physician.
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Page 3
, Maternal & Child Health Nursing: Care of the II II II II II II II
Childbearing & Childrearing Family 8th Edition Test
II II II II II II II
Bank / Instant Test Bank For Maternal & Child Health
II II II II II II II II II II
Nursing: Care of the Childbearing & Childrearing Family
II II II II II II II II
8th Edition Authors: JoAnne Silbert-Flagg, Pillit
II II II II II II
7. Thenurse notes that statistics on maternal mortality had improved but are again
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becoming elevated. What does the nurse realize as a reason for this change in
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maternalmortalityrates?
h I h
A) Earlierprenatal care h h
B) Gestational hypertension h
C) Increasedvaginal deliveries h h
D) Treatment for chronic h h
diseases Ans: B
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Feedback:
This increasing rate in maternal mortalityis associated with more cesarean births, more
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gestational hypertension related to preexisting hypertensive disorders, and lack of
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healthinsurance for many Americans. This increase is not because of earlier prenatal care,
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increased vaginal deliveries, or treatment for chronic diseases.
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8. A new mother asks the nurse if all of the new baby's injections can be given in one
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visit because the mother is losing income from missing work because of the office
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visits. What does this new mother's issue indicate to the nurse?
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A) Themother needs to find an alternative employer. h h h h h h h
B) Themother's income is moreimportant that thebaby's health. h h h h h h h h h
C) Missingwork does not support the baby's health maintenance visits. h h h h h h h h h
D) The federal government needs to do more to support well-baby h h h h h h h h h
visits.Ans: C
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Feedback:
An area that needs additional research is finding effective stimuli to encourage women to
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bring children for health maintenance visits. The mother losing income because of missing
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work for well-babyvisits will deter health maintenance visits for the baby goingforward.
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This mother's issue does not indicate that the mother needs to find another job, that the
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mother's income is more important that the baby's health, or that the federal government
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needs to do more to support well-baby visits.
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