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TESTBANK-
Maternal& ChildHealthNursing:CareoftheChildbearing&Ch
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ildrearingFamily
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by: JoAnneSilbert-Flagg
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9THEDITION
,Maternal& Child Health Nursing: Carezofzthe Childbearing & ChildrearingzFamilyz9th Edition
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Chapter1 A Framework forMaternal and Child Health Nursing
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1. For which reasons would a NURSE review infant
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mortalitystatistic in the United States? (Select all t
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hat apply.)
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A) Measures thequalityofpregnancycare z z z z z
B) Reviews information on overall diet z z z z
C) Compares health withzthose of other states z z z z z
D) Determines infantzhealth and available care z z z z
E) Provides an index of the cou z z z z z
ntry's general health ANS;zA, B,
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D,E
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Feedback:
Infantzmortality statistics provide an index of azcount z z z z z z
ry's general health, measures thequality of pregnanc y
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care, provides information on overall diet, and dete
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rmines infant health and available care. Infant morta
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lity statistics compares the health with those of other
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countries and notzwith thosezof other states.
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2. The NURSE is providingzcarezin an organization that supports the mater
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nal and childcare continuum. Whichtype of patient care area is an exampl e
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of this approach?
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A) Primarycare
B) Team nursing z
C) Casemanagement z
D) Family-
centered care
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ANS;zD
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Feedback:
Keepingzthe familyat the center of care is importantzbecausezthe level of azfa
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mily's functioning is important to the health status of itszmembers. A healt hy
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family establishesan environment conducive to growth and health-
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promoting behaviors to sustain family members duringzcrises. A family-
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centered approach enables NURSEs to better understandzindividuals and th eir
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effect on others and, in turn, to provide more holistic care.
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Primarynursing, team nursing, and case managementzdoznot necessarytake into z z z z z z z z
considerationthe maternal and child care continuum.
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,Maternal& Child Health Nursing: Carezofzthe Childbearing & ChildrearingzFamilyz9thEdition
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3. Which actions should thezNURSE perform when supportingthe goals of
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maternaland child health care? (Select all thatzapply.)
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A) Advocates protecting thezrights of the mother andzfetus z z z z z z
B) Teaches familymemberszinterventions to improvehealth z z z z
C) Adheres to principles thatzfocus onzthe needszofthe mother z z z z z z z
D) Encourages maternal hospitalization to regain strength and stamina z z z z z z z
E) Assesses familymembers for strengths and specific needs or challengesz z z z z z z z z
ANS;zA, B, E z z
Feedback:
Actions that the NURSE should perform whenzsupporting the goals of maternal and child
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health carezinclude advocating the rights for thezmother and fetus, teaching healthprom
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otion interventions, andzassessing the family for strengths and specific needs or challenge
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s. Adhering to principles that focus on the needs of the mother andzencouraging maternal
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hospitalization to regain strength and stamina areznot actions that supportzthe goals of mat
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ernal and child health care.
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4. The NURSE is reviewingzthe 2020 National Health Goals and notes that which
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is afocus of these goals?
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A) Health promotion and illness prevention z z z z
B) Earlydiagnosis of chronic health problems z z z z
C) Effective useof medication to treat illness z z z z z z
D) Reducethecost ofhealth careand z z z z z z
medicationsANS;zA
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Feedback:
The2020 National Health Goals are intended tohelp citizens moreeasilyunderstand thei
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mportance of health promotion and illness preventionzand to encourage wide participatio n
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in improving health in theznext decade. These goals do not focus on thezearlydiagnosis of
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chronic problems, usezof medications to treat illness, or reduce the cost of health careza nd
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medications.
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, Maternal& Child Health Nursing: Carezofzthe Childbearing & ChildrearingzFamilyz9th Edition
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5. The NURSE has noticed a change inzthe type of care needed to support maternal andzchild
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health issues. What does the NURSE realizezas reasons for the changes in care? (Select al
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lthat apply.)
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A) Smallerfamilies z
B) Less domesticzviolence z
C) Morezemployed mothers z
D) Stablezhome environments z
E) Morezsingle-parent families z
ANS;zA, C, E z z
Feedback:
Nursing care for maternal and child iszchanging because families are smaller, more mothe rs
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arezemployed outzof the home, and there arezmore single-
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parent families. There is an increase in domesticzviolence, and families arezless stable andz
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zmore mobile, which influences homelessness.
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6. During anzassessment, the NURSE asks a patient fromza non-English-
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speaking culturewhich types of homezremedies and herbs the patient useszfor hea
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lth care.What is thezpurpose of askingzthe patient this question?
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A) Analyze forherb–drugzinteractions z z
B) Understand thepatient's philosophyofalternative health care z z z z z z
C) Determine theztypes ofmedications the patient will needzto beprescribed z z z z z z z z z
D) Explain to the physician thezpatient's preferencezfor nontraditional
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medicine approaches
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ANS;zA
Feedback:
Assessing what alternative measures are being used iszimportant becausezthezaction of an
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herb can interfere with prescribed medications. Assessingzthe use of herbal remedies is no
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tzdone to understandzthe patient's philosophy of alternative health care, determine the typ es
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of medications thezpatient will need to be prescribed, or explain the patient's preference s for
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nontraditional medicine approaches tozthezphysician.
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