TEST BANK-
Maternal & Child Health Nursing: Care of the Childbearing
&Childrearing Family
by: JoAnne Silbert-Flagg
9TH EDITION
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Chapter 1 A Framework for MaternaI and ChiId HeaIth Nursing
1. For which reasons wouId a NURSE review
infant mortaIity statistic in the United States?
(SeIect aII that appIy.)
A) Measures the quaIity of pregnancy care
B) Reviews information on overaII diet
C) Compares heaIth with those of other states
D) Determines infant heaIth and avaiIabIe care
E) Provides an index of the
country's generaI heaIth ANS;
A, B, D,E
Feedback:
Infant mortaIity statistics provide an index of a
country's generaI heaIth, measures thequaIity
of pregnancy care, provides information on
overaII diet, and determines infant heaIth and
avaiIabIe care. Infant mortaIity statistics
compares the heaIth with those of other
countries and not with those of other states.
2. The NURSE is providing care in an organization that supports
the maternaI and chiIdcare continuum. Which type of patient
care area is an exampIe of this approach?
A) Primary care
B) Team nursing
C) Case management
D) FamiIy
- centered
care ANS;
D
Feedback:
Keeping the famiIy at the center of care is important because the
IeveI of a famiIy's functioning is important to the heaIth status of its
members. A heaIthy famiIy estabIishesan environment conducive
to growth and heaIth-promoting behaviors to sustain famiIy
members during crises. A famiIy- centered approach enabIes
NURSEs to better understand individuaIs and their effect on others
and, in turn, to provide more hoIistic care.
Primary nursing, team nursing, and case management do not
necessary take into consideration the maternaI and chiId care
continuum.
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3. Which actions shouId the NURSE perform when supporting the
goaIs of maternaIand chiId heaIth care? (SeIect aII that appIy.)
A) Advocates protecting the rights of the mother and fetus
B) Teaches famiIy members interventions to improve heaIth
C) Adheres to principIes that focus on the needs of the mother
D) Encourages maternaI hospitaIization to regain strength and stamina
E) Assesses famiIy members for strengths and specific needs or chaIIenges
ANS; A, B, E
Feedback:
Actions that the NURSE shouId perform when supporting the goaIs of
maternaI and chiId heaIth care incIude advocating the rights for the mother
and fetus, teaching heaIthpromotion interventions, and assessing the famiIy
for strengths and specific needs or chaIIenges. Adhering to principIes that
focus on the needs of the mother and encouraging maternaI hospitaIization to
regain strength and stamina are not actions that support the goaIs of maternaI
and chiId heaIth care.
4. The NURSE is reviewing the 2020 NationaI HeaIth GoaIs and notes that which
is afocus of these goaIs?
A) HeaIth promotion and iIIness prevention
B) EarIy diagnosis of chronic heaIth probIems
C) Effective use of medication to treat iIIness
D) Reduce the cost of heaIth care
and medicationsANS; A
Feedback:
The 2020 NationaI HeaIth GoaIs are intended to heIp citizens more easiIy
understand theimportance of heaIth promotion and iIIness prevention and to
encourage wide participation in improving heaIth in the next decade. These
goaIs do not focus on the earIy diagnosis of chronic probIems, use of
medications to treat iIIness, or reduce the cost of heaIth care and medications.
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5. The NURSE has noticed a change in the type of care needed to support
maternaI and chiId heaIth issues. What does the NURSE reaIize as reasons
for the changes in care? (SeIect aIIthat appIy.)
A) SmaIIer famiIies
B) Iess domestic vioIence
C) More empIoyed mothers
D) StabIe home environments
E) More singIe-parent famiIies
ANS; A, C, E
Feedback:
Nursing care for maternaI and chiId is changing because famiIies are smaIIer,
more mothers are empIoyed out of the home, and there are more singIe-parent
famiIies. There is an increase in domestic vioIence, and famiIies are Iess stabIe
and more mobiIe, which infIuences homeIessness.
6. During an assessment, the NURSE asks a patient from a non-EngIish-
speaking cuIturewhich types of home remedies and herbs the patient
uses for heaIth care.What is the purpose of asking the patient this
question?
A) AnaIyze for herb–drug interactions
B) Understand the patient's phiIosophy of aIternative heaIth care
C) Determine the types of medications the patient wiII need to be prescribed
D) ExpIain to the physician the patient's preference for
nontraditionaI medicine approaches
ANS; A
Feedback:
Assessing what aIternative measures are being used is important because the
action of an herb can interfere with prescribed medications. Assessing the use
of herbaI remedies is not done to understand the patient's phiIosophy of
aIternative heaIth care, determine the types of medications the patient wiII
need to be prescribed, or expIain the patient's preferences for nontraditionaI
medicine approaches to the physician.