Maternal & Child Health Nursing: Care of the Childbearing
& Childrearing Family 8th Edition Test Bank
1. 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 of the country's general health
Ans: A, B, D, E
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
quality of pregnancy care, provides information on overall nutrition, and determines
infant health and available care. Infant mortality statistics compares the health 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 ,child
,care ,continuum. ,Which ,type ,of ,patient ,care ,area ,is ,an ,example ,of ,this ,approach?
A) Primary ,care
B) Team ,nursing
C) Case ,management
D) Family-centered ,care
,Ans: ,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
,establishes ,an ,environment ,conducive ,to ,growth ,and ,health-promoting ,behaviors ,to
,sustain ,family ,members ,during ,crises. ,A ,family-centered ,approach ,enables ,nurses ,to
,better ,understand ,individuals ,and ,their ,effect ,on ,others ,and, ,in ,turn, ,to ,provide ,more
,holistic ,care. ,Primary ,nursing, ,team ,nursing, ,and ,case ,management ,do ,not ,necessary
,take ,into ,consideration ,the ,maternal ,and ,child ,care ,continuum.
Page 1
,3. Which ,actions ,should ,the ,nurse ,perform ,when ,supporting ,the ,goals ,of ,maternal
,and ,child ,health ,care? ,(Select ,all ,that ,apply.)
A) Advocates ,protecting ,the ,rights ,of ,the ,mother ,and ,fetus
B) Teaches ,family ,members ,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
,challenges ,Ans: ,A, ,B, ,E
Feedback:
Actions ,that ,the ,nurse ,should ,perform ,when ,supporting ,the ,goals ,of ,maternal ,and
,child ,health ,care ,include ,advocating ,the ,rights ,for ,the ,mother ,and ,fetus, ,teaching
,health ,promotion ,interventions, ,and ,assessing ,the ,family ,for ,strengths ,and ,specific
,needs ,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 ,that ,support ,the ,goals ,of ,maternal ,and ,child ,health ,care.
4. The ,nurse ,is ,reviewing ,the ,2020 ,National ,Health ,Goals ,and ,notes ,that ,which ,is ,a
,focus ,of ,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 ,easily ,understand
,the ,importance ,of ,health ,promotion ,and ,disease ,prevention ,and ,to ,encourage ,wide
,participation ,in ,improving ,health ,in ,the ,next ,decade. ,These ,goals ,do ,not ,focus ,on ,the
,early ,diagnosis ,of ,chronic ,problems, ,use ,of ,medications ,to ,treat ,disease, ,or ,reduce
,the ,cost ,of ,health ,care ,and ,medications.
Page 2
,5. The ,nurse ,has ,noticed ,a ,change ,in ,the ,type ,of ,care ,needed ,to ,support ,maternal ,and
,child ,health ,issues. ,What ,does ,the ,nurse ,realize ,as ,reasons ,for ,the ,changes ,in ,care?
,(Select ,all ,that ,apply.)
A) Smaller ,families
B) Less ,domestic ,violence
C) More ,employed ,mothers
D) Stable ,home ,environments
E) More ,single-parent ,families
,Ans: ,A, ,C, ,E
Feedback:
Nursing ,care ,for ,maternal ,and ,child ,is ,changing ,because ,families ,are ,smaller, ,more
,mothers ,are ,employed ,out ,of ,the ,home, ,and ,there ,are ,more ,single-parent ,families.
,There ,is ,an ,increase ,in ,domestic ,violence, ,and ,families ,are ,less ,stable ,and ,more
,mobile, ,which ,influences ,homelessness.
6. During ,an ,assessment, ,the ,nurse ,asks ,a ,patient ,from ,a ,non-English-speaking
,culture ,which ,types ,of ,home ,remedies ,and ,herbs ,the ,patient ,uses ,for ,health ,care.
,What ,is ,the ,purpose ,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
,medicine ,approaches
Ans: , A
Feedback:
Assessing ,what ,alternative ,measures ,are ,being ,used ,is ,important ,because ,the ,action
,of ,an ,herb ,can ,interfere ,with ,prescribed ,medications. ,Assessing ,the ,use ,of ,herbal
,remedies ,is ,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 ,explain
,the ,patient's ,preferences ,for ,nontraditional ,medicine ,approaches ,to ,the ,physician.
Page 3
, 7. The ,nurse ,notes ,that ,statistics ,on ,maternal ,mortality ,had ,improved ,but ,are ,again
,becoming ,elevated. ,What ,does ,the ,nurse ,realize ,as ,a ,reason ,for ,this ,change ,in
,maternal ,mortality ,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,
,more ,gestational ,hypertension ,related ,to ,preexisting ,hypertensive ,disorders, ,and ,lack
,of ,health ,insurance ,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 ,one
,visit ,because ,the ,mother ,is ,losing ,income ,from ,missing ,work ,because ,of ,the ,office
,visits. ,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
,women ,to ,bring ,children ,for ,health ,maintenance ,visits. ,The ,mother ,losing ,income
,because ,of ,missing ,work ,for ,well-baby ,visits ,will ,deter ,health ,maintenance ,visits ,for
,the ,baby ,going ,forward. ,This ,mother's ,issue ,does ,not ,indicate ,that ,the ,mother ,needs
,to ,find ,another ,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.
Page 4
& Childrearing Family 8th Edition Test Bank
1. 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 of the country's general health
Ans: A, B, D, E
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
quality of pregnancy care, provides information on overall nutrition, and determines
infant health and available care. Infant mortality statistics compares the health 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 ,child
,care ,continuum. ,Which ,type ,of ,patient ,care ,area ,is ,an ,example ,of ,this ,approach?
A) Primary ,care
B) Team ,nursing
C) Case ,management
D) Family-centered ,care
,Ans: ,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
,establishes ,an ,environment ,conducive ,to ,growth ,and ,health-promoting ,behaviors ,to
,sustain ,family ,members ,during ,crises. ,A ,family-centered ,approach ,enables ,nurses ,to
,better ,understand ,individuals ,and ,their ,effect ,on ,others ,and, ,in ,turn, ,to ,provide ,more
,holistic ,care. ,Primary ,nursing, ,team ,nursing, ,and ,case ,management ,do ,not ,necessary
,take ,into ,consideration ,the ,maternal ,and ,child ,care ,continuum.
Page 1
,3. Which ,actions ,should ,the ,nurse ,perform ,when ,supporting ,the ,goals ,of ,maternal
,and ,child ,health ,care? ,(Select ,all ,that ,apply.)
A) Advocates ,protecting ,the ,rights ,of ,the ,mother ,and ,fetus
B) Teaches ,family ,members ,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
,challenges ,Ans: ,A, ,B, ,E
Feedback:
Actions ,that ,the ,nurse ,should ,perform ,when ,supporting ,the ,goals ,of ,maternal ,and
,child ,health ,care ,include ,advocating ,the ,rights ,for ,the ,mother ,and ,fetus, ,teaching
,health ,promotion ,interventions, ,and ,assessing ,the ,family ,for ,strengths ,and ,specific
,needs ,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 ,that ,support ,the ,goals ,of ,maternal ,and ,child ,health ,care.
4. The ,nurse ,is ,reviewing ,the ,2020 ,National ,Health ,Goals ,and ,notes ,that ,which ,is ,a
,focus ,of ,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 ,easily ,understand
,the ,importance ,of ,health ,promotion ,and ,disease ,prevention ,and ,to ,encourage ,wide
,participation ,in ,improving ,health ,in ,the ,next ,decade. ,These ,goals ,do ,not ,focus ,on ,the
,early ,diagnosis ,of ,chronic ,problems, ,use ,of ,medications ,to ,treat ,disease, ,or ,reduce
,the ,cost ,of ,health ,care ,and ,medications.
Page 2
,5. The ,nurse ,has ,noticed ,a ,change ,in ,the ,type ,of ,care ,needed ,to ,support ,maternal ,and
,child ,health ,issues. ,What ,does ,the ,nurse ,realize ,as ,reasons ,for ,the ,changes ,in ,care?
,(Select ,all ,that ,apply.)
A) Smaller ,families
B) Less ,domestic ,violence
C) More ,employed ,mothers
D) Stable ,home ,environments
E) More ,single-parent ,families
,Ans: ,A, ,C, ,E
Feedback:
Nursing ,care ,for ,maternal ,and ,child ,is ,changing ,because ,families ,are ,smaller, ,more
,mothers ,are ,employed ,out ,of ,the ,home, ,and ,there ,are ,more ,single-parent ,families.
,There ,is ,an ,increase ,in ,domestic ,violence, ,and ,families ,are ,less ,stable ,and ,more
,mobile, ,which ,influences ,homelessness.
6. During ,an ,assessment, ,the ,nurse ,asks ,a ,patient ,from ,a ,non-English-speaking
,culture ,which ,types ,of ,home ,remedies ,and ,herbs ,the ,patient ,uses ,for ,health ,care.
,What ,is ,the ,purpose ,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
,medicine ,approaches
Ans: , A
Feedback:
Assessing ,what ,alternative ,measures ,are ,being ,used ,is ,important ,because ,the ,action
,of ,an ,herb ,can ,interfere ,with ,prescribed ,medications. ,Assessing ,the ,use ,of ,herbal
,remedies ,is ,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 ,explain
,the ,patient's ,preferences ,for ,nontraditional ,medicine ,approaches ,to ,the ,physician.
Page 3
, 7. The ,nurse ,notes ,that ,statistics ,on ,maternal ,mortality ,had ,improved ,but ,are ,again
,becoming ,elevated. ,What ,does ,the ,nurse ,realize ,as ,a ,reason ,for ,this ,change ,in
,maternal ,mortality ,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,
,more ,gestational ,hypertension ,related ,to ,preexisting ,hypertensive ,disorders, ,and ,lack
,of ,health ,insurance ,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 ,one
,visit ,because ,the ,mother ,is ,losing ,income ,from ,missing ,work ,because ,of ,the ,office
,visits. ,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
,women ,to ,bring ,children ,for ,health ,maintenance ,visits. ,The ,mother ,losing ,income
,because ,of ,missing ,work ,for ,well-baby ,visits ,will ,deter ,health ,maintenance ,visits ,for
,the ,baby ,going ,forward. ,This ,mother's ,issue ,does ,not ,indicate ,that ,the ,mother ,needs
,to ,find ,another ,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.
Page 4
