Chapter 1: Foundations of Maternity,
Women's Health, and Child Health Nursing
A woman is giving birth to her third child in a setting that allows her husband and children to be actively
involved in the process. The nurse caring for her must also consider the husband and the two children as
patients and work to meet their needs. This type of setting is termed...
A. Family-centered care
B. Emergency are
C. Hospice care
D. Individual care - Answer A. Family-centered care
(Rationale: Family-centered care is any setting where the pregnant woman and her family are treated as
one unit. The nurse assumes a major role in teaching, counseling, and supporting the family.
In emergency care settings, the nurse deals primarily with the patient who is having difficulty. In hospice
care settings, the nurse deals with patients who have terminal illnesses. Individual care deals only with
the patient and does not include the family.)
Some problems associated with hospital births in the early 1960s include the following issues: (Choose
all that apply.)...
A. Patient teaching was not valued.
B. Bonding was hindered due to strong medications given to the mother.
C. There was an increased use of midwives.
D. The father was not included in the process. - Answer A. Patient teaching was not valued.
B. Bonding was hindered due to strong medications given to the mother.
D. The father was not included in the process.
(Rationale: The nurses primary function was to follow medical orders, so teaching was not valued.
Strong medications were given to the patient that left her heavily sedated. Fathers were usually sent to
the waiting room. The use of lay midwives was declining at this time and nurse-midwives were not well
established.)
, A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first baby was born by
cesarean because the baby was too large to fit through the woman's pelvis. She has also developed
gestational diabetes during this pregnancy. When discussing with the woman her options for places of
birth, what is the best choice for her?...
A. Home birth
B. Birth center
C. LDRP in a hospital setting
D. It does not matter - Answer C. LDRP in a hospital setting
(Rationale: Because of her complications, the woman is not a candidate for home birth or a birth center.
Home births and freestanding birthing centers should be used for patients with very low risk for
complications. The woman's past history and present complication with this pregnancy place her in a
high-risk category. Therefore, due to her complications, the woman needs to be in a setting where
emergency care is quickly available.)
In the 19th century, the most common cause of infant death was __________________. - Answer
"infectious diarrhea"
(Rationale: Infectious diarrhea was caused by contaminated milk. The mothers used milk from infected
cows and did not have refrigeration to prevent further bacteria growth.)
A 4-year-old is hospitalized for treatment of pneumonia. The nurse informs the child's mother that the
pediatric unit is a Family-Centered Child Care unit. What does this mean for her?...
A. She will be allowed input into her child's care.
B. She will not be able to stay at night with her child but must stay during the day.
C. She will not be allowed to visit her child, because it is considered to cause emotional distress.
D. She will be responsible for her child's total care. - Answer A. She will be allowed input into her child's
care.
Women's Health, and Child Health Nursing
A woman is giving birth to her third child in a setting that allows her husband and children to be actively
involved in the process. The nurse caring for her must also consider the husband and the two children as
patients and work to meet their needs. This type of setting is termed...
A. Family-centered care
B. Emergency are
C. Hospice care
D. Individual care - Answer A. Family-centered care
(Rationale: Family-centered care is any setting where the pregnant woman and her family are treated as
one unit. The nurse assumes a major role in teaching, counseling, and supporting the family.
In emergency care settings, the nurse deals primarily with the patient who is having difficulty. In hospice
care settings, the nurse deals with patients who have terminal illnesses. Individual care deals only with
the patient and does not include the family.)
Some problems associated with hospital births in the early 1960s include the following issues: (Choose
all that apply.)...
A. Patient teaching was not valued.
B. Bonding was hindered due to strong medications given to the mother.
C. There was an increased use of midwives.
D. The father was not included in the process. - Answer A. Patient teaching was not valued.
B. Bonding was hindered due to strong medications given to the mother.
D. The father was not included in the process.
(Rationale: The nurses primary function was to follow medical orders, so teaching was not valued.
Strong medications were given to the patient that left her heavily sedated. Fathers were usually sent to
the waiting room. The use of lay midwives was declining at this time and nurse-midwives were not well
established.)
, A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first baby was born by
cesarean because the baby was too large to fit through the woman's pelvis. She has also developed
gestational diabetes during this pregnancy. When discussing with the woman her options for places of
birth, what is the best choice for her?...
A. Home birth
B. Birth center
C. LDRP in a hospital setting
D. It does not matter - Answer C. LDRP in a hospital setting
(Rationale: Because of her complications, the woman is not a candidate for home birth or a birth center.
Home births and freestanding birthing centers should be used for patients with very low risk for
complications. The woman's past history and present complication with this pregnancy place her in a
high-risk category. Therefore, due to her complications, the woman needs to be in a setting where
emergency care is quickly available.)
In the 19th century, the most common cause of infant death was __________________. - Answer
"infectious diarrhea"
(Rationale: Infectious diarrhea was caused by contaminated milk. The mothers used milk from infected
cows and did not have refrigeration to prevent further bacteria growth.)
A 4-year-old is hospitalized for treatment of pneumonia. The nurse informs the child's mother that the
pediatric unit is a Family-Centered Child Care unit. What does this mean for her?...
A. She will be allowed input into her child's care.
B. She will not be able to stay at night with her child but must stay during the day.
C. She will not be allowed to visit her child, because it is considered to cause emotional distress.
D. She will be responsible for her child's total care. - Answer A. She will be allowed input into her child's
care.
