Test Bank for Maternal and Child Health Nursing: Care of the
Childbearing and Childrearing Family 8th Edition by JoAnne Silbert-
Flagg and Adele Pillitteri
, Chapter 1: A Framework for Maternal and Child Health Nursing
1. Why might a nurse review infant mortality rates in the United States? (Select all that apply.)
A) Evaluates the standard of prenatal care
B) Analyzes national nutrition trends
C) Compares health outcomes between states
D) Assesses infant well-being and health service availability
E) Serves as a measure of overall national health
Correct Answer: A, B, D, E
Rationale:
Infant mortality rates reflect the nation’s general health, quality of prenatal care, nutrition status, and access to
infant health services. These statistics are meant to compare between countries, not individual states.
2. A nurse working in a facility that supports continuous care for mothers and children would most likely use which
model?
A) Primary care
B) Team-based nursing
C) Case coordination
D) Family-focused care
Correct Answer: D
Rationale:
Family-centered care emphasizes the family’s role in maintaining the health of its members and promotes a healing
environment. Unlike other care models, it considers the full maternal-child care continuum and encourages holistic
support.
3. What are appropriate nursing interventions that align with the goals of maternal and child health? (Select all that
apply.)
A) Defend the rights of both mother and fetus
B) Educate families on ways to boost wellness
C) Follow a mother-only focused care approach
,D) Recommend hospital stays for maternal recovery
E) Evaluate strengths and challenges within the family
Correct Answer: A, B, E
Rationale:
Supporting maternal-child health goals involves safeguarding maternal-fetal rights, teaching health strategies, and
identifying each family's unique strengths and obstacles. Focusing solely on the mother or promoting
hospitalization are not aligned with these goals.
4. According to the 2020 National Health Goals, what is the primary area of focus?
A) Promoting wellness and avoiding illness
B) Detecting chronic illness early
C) Using medications effectively
D) Reducing medical and drug costs
Correct Answer: A
Rationale:
These goals aim to highlight the significance of disease prevention and health improvement. They are not designed
to prioritize diagnosis, drug treatment, or cost reduction.
5. What societal trends have contributed to changes in maternal and child nursing care? (Select all that apply.)
A) Decrease in family size
B) Decline in domestic violence
C) More mothers in the workforce
D) Stable home environments
E) Increase in single-parent households
Correct Answer: A, C, E
Rationale:
Nursing approaches have evolved due to factors such as smaller families, more working mothers, and rising single-
parent homes. However, domestic violence is on the rise, and families are less stable, not more.
,6. When assessing a non-English-speaking patient, the nurse asks about home remedies and herbs. Why is this
important?
A) To detect potential drug interactions
B) To understand the patient's alternative health views
C) To decide on needed prescriptions
D) To inform the physician about the patient’s preferences
Correct Answer: A
Rationale:
It's critical to evaluate for herb–medication interactions that may impact treatment. The question is not intended to
delve into beliefs, plan medications, or relay preferences to the provider.
7. The nurse notices that maternal death rates, which had improved, are now rising again. What is a major factor
behind this trend?
A) Earlier access to prenatal care
B) Pregnancy-induced hypertension
C) More vaginal births
D) Managing existing chronic illnesses
Correct Answer: B
Rationale:
Rising maternal mortality is linked to increased cesarean deliveries and hypertensive issues during pregnancy. It is
not related to earlier care access, more vaginal births, or chronic disease management.
8. A new mother asks if all vaccinations for her baby can be done in one visit, as she loses income by missing work.
What does this situation reveal?
A) She should seek a more flexible job
B) Her income is prioritized over her child’s health
C) Skipping work hinders keeping up with wellness appointments
D) Government should fund well-baby checkups
Correct Answer: C
Rationale:
Childbearing and Childrearing Family 8th Edition by JoAnne Silbert-
Flagg and Adele Pillitteri
, Chapter 1: A Framework for Maternal and Child Health Nursing
1. Why might a nurse review infant mortality rates in the United States? (Select all that apply.)
A) Evaluates the standard of prenatal care
B) Analyzes national nutrition trends
C) Compares health outcomes between states
D) Assesses infant well-being and health service availability
E) Serves as a measure of overall national health
Correct Answer: A, B, D, E
Rationale:
Infant mortality rates reflect the nation’s general health, quality of prenatal care, nutrition status, and access to
infant health services. These statistics are meant to compare between countries, not individual states.
2. A nurse working in a facility that supports continuous care for mothers and children would most likely use which
model?
A) Primary care
B) Team-based nursing
C) Case coordination
D) Family-focused care
Correct Answer: D
Rationale:
Family-centered care emphasizes the family’s role in maintaining the health of its members and promotes a healing
environment. Unlike other care models, it considers the full maternal-child care continuum and encourages holistic
support.
3. What are appropriate nursing interventions that align with the goals of maternal and child health? (Select all that
apply.)
A) Defend the rights of both mother and fetus
B) Educate families on ways to boost wellness
C) Follow a mother-only focused care approach
,D) Recommend hospital stays for maternal recovery
E) Evaluate strengths and challenges within the family
Correct Answer: A, B, E
Rationale:
Supporting maternal-child health goals involves safeguarding maternal-fetal rights, teaching health strategies, and
identifying each family's unique strengths and obstacles. Focusing solely on the mother or promoting
hospitalization are not aligned with these goals.
4. According to the 2020 National Health Goals, what is the primary area of focus?
A) Promoting wellness and avoiding illness
B) Detecting chronic illness early
C) Using medications effectively
D) Reducing medical and drug costs
Correct Answer: A
Rationale:
These goals aim to highlight the significance of disease prevention and health improvement. They are not designed
to prioritize diagnosis, drug treatment, or cost reduction.
5. What societal trends have contributed to changes in maternal and child nursing care? (Select all that apply.)
A) Decrease in family size
B) Decline in domestic violence
C) More mothers in the workforce
D) Stable home environments
E) Increase in single-parent households
Correct Answer: A, C, E
Rationale:
Nursing approaches have evolved due to factors such as smaller families, more working mothers, and rising single-
parent homes. However, domestic violence is on the rise, and families are less stable, not more.
,6. When assessing a non-English-speaking patient, the nurse asks about home remedies and herbs. Why is this
important?
A) To detect potential drug interactions
B) To understand the patient's alternative health views
C) To decide on needed prescriptions
D) To inform the physician about the patient’s preferences
Correct Answer: A
Rationale:
It's critical to evaluate for herb–medication interactions that may impact treatment. The question is not intended to
delve into beliefs, plan medications, or relay preferences to the provider.
7. The nurse notices that maternal death rates, which had improved, are now rising again. What is a major factor
behind this trend?
A) Earlier access to prenatal care
B) Pregnancy-induced hypertension
C) More vaginal births
D) Managing existing chronic illnesses
Correct Answer: B
Rationale:
Rising maternal mortality is linked to increased cesarean deliveries and hypertensive issues during pregnancy. It is
not related to earlier care access, more vaginal births, or chronic disease management.
8. A new mother asks if all vaccinations for her baby can be done in one visit, as she loses income by missing work.
What does this situation reveal?
A) She should seek a more flexible job
B) Her income is prioritized over her child’s health
C) Skipping work hinders keeping up with wellness appointments
D) Government should fund well-baby checkups
Correct Answer: C
Rationale:
