Maternal & Child Care exams
questions with answers
A woman is giving birth to her third child in a setting that allows her husband and
other two children to be actively involved in the process. The nurse caring for the
woman must also consider the husband and family as patients and work to meet
their needs. This type of setting is termed:
A.family-centered care
B.emergency care
C.hospice care
D.individual care - correct answer A. Family- Centered Care
Family-centered care is any setting in which the pregnant woman and 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
What has had the greatest impact on reducing infant mortality in the United States?
A. Improvements in perinatal care
B. Decreased incidence of congenital abnormalities
C. Better maternal nutrition
D. Improved funding for health care - correct answer A. Improvements in perinatal
care
The improvements in perinatal care, particularly care of the mother-baby dyad
before birth, have had the greatest impact. There has been a decrease in some
congenital anomalies, such as spina bifida, but this has not had the greatest impact.
,This has had a positive influence but not the greatest overall impact. Changes in
funding have not had the greatest impact
Evidence-based practice is best described as:
A.Gathering evidence of mortality and morbidity in children.
B.Meeting physical and psychosocial needs of the family in all areas of practice.
C.Using a professional code of ethics as a means for professional self-regulation.
D.Providing care based on evidence gained through research and clinical trials. -
correct answer D. Providing care based on evidence gained through research and
clinical trials
This will assist the nurse in determining areas of concern and potential involvement.
It is not possible to meet all needs of the patient and family in all areas of practice.
The nurse is an advocate for the family. This is part of professional role and
licensure. Evidence-based practice is providing care based on evidence gained
through research and clinical trials. Practitioners must use the best available
information on which to base their interventions
A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to
implement?
A.Perform a nutrition assessment.
B. Refer the woman to a social worker.
C. Advise the woman to see an obstetrician, not a midwife.
D.Explain to the woman the importance of keeping her prenatal care appointments -
correct answer D. Explain to the woman the importance of keeping her prenatal
care appointments
Nutritional status is an important modifiable risk factor, but it is not the most
important action a nurse should take in this situation. The client may need
assistance from a social worker at some time during her pregnancy, but this is not
the most important aspect the nurse should address at this time. If the woman has
identifiable high risk problems, her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have
, high risk issues. Additionally, this is not the most important aspect on which the
nurse should focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a client is to receive. Consistent prenatal care is the best
method of preventing or controlling risk factors associated with infant mortality
When a nurse is unsure about how to perform a client care procedure, the BEST
action would be to:
A.Ask another nurse.
B.Discuss the procedure with the client's physician.
C.Look up the procedure in a nursing textbook.
D.Consult the agency procedure manual and follow the guidelines for the
procedure. - correct answer D. Consult the agency procedure manual and follow
the guidelines for the procedure
Each nurse is responsible for his or her own practice. Relying on another nurse may
not always be safe practice. Each nurse is obligated to follow the standards of care
for safe client care delivery. Physicians are responsible for their own client care
activity. Nurses may follow safe orders from physicians, but they are also
responsible for the activities that they as nurses are to carry out. Information
provided in a nursing textbook is basic information for general knowledge and may
not reflect the current standard of care or individual state or hospital policies. It is
always best to follow the agency's policies and procedures manual when seeking
information on correct client procedures. These policies should reflect the current
standards of care and state guidelines.
From the nurse's perspective, what measure should be the focus of the health care
system to reduce the rate of infant mortality further?
A.Implementing programs to ensure women's early participation in ongoing prenatal
care
B.Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
C.Expanding the number of neonatal intensive care units (NICUs)
D.Mandating that all pregnant women receive care from an obstetrician - correct
answer A. Implementing programs to ensure women's early participation in
ongoing prenatal care
questions with answers
A woman is giving birth to her third child in a setting that allows her husband and
other two children to be actively involved in the process. The nurse caring for the
woman must also consider the husband and family as patients and work to meet
their needs. This type of setting is termed:
A.family-centered care
B.emergency care
C.hospice care
D.individual care - correct answer A. Family- Centered Care
Family-centered care is any setting in which the pregnant woman and 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
What has had the greatest impact on reducing infant mortality in the United States?
A. Improvements in perinatal care
B. Decreased incidence of congenital abnormalities
C. Better maternal nutrition
D. Improved funding for health care - correct answer A. Improvements in perinatal
care
The improvements in perinatal care, particularly care of the mother-baby dyad
before birth, have had the greatest impact. There has been a decrease in some
congenital anomalies, such as spina bifida, but this has not had the greatest impact.
,This has had a positive influence but not the greatest overall impact. Changes in
funding have not had the greatest impact
Evidence-based practice is best described as:
A.Gathering evidence of mortality and morbidity in children.
B.Meeting physical and psychosocial needs of the family in all areas of practice.
C.Using a professional code of ethics as a means for professional self-regulation.
D.Providing care based on evidence gained through research and clinical trials. -
correct answer D. Providing care based on evidence gained through research and
clinical trials
This will assist the nurse in determining areas of concern and potential involvement.
It is not possible to meet all needs of the patient and family in all areas of practice.
The nurse is an advocate for the family. This is part of professional role and
licensure. Evidence-based practice is providing care based on evidence gained
through research and clinical trials. Practitioners must use the best available
information on which to base their interventions
A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to
implement?
A.Perform a nutrition assessment.
B. Refer the woman to a social worker.
C. Advise the woman to see an obstetrician, not a midwife.
D.Explain to the woman the importance of keeping her prenatal care appointments -
correct answer D. Explain to the woman the importance of keeping her prenatal
care appointments
Nutritional status is an important modifiable risk factor, but it is not the most
important action a nurse should take in this situation. The client may need
assistance from a social worker at some time during her pregnancy, but this is not
the most important aspect the nurse should address at this time. If the woman has
identifiable high risk problems, her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have
, high risk issues. Additionally, this is not the most important aspect on which the
nurse should focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a client is to receive. Consistent prenatal care is the best
method of preventing or controlling risk factors associated with infant mortality
When a nurse is unsure about how to perform a client care procedure, the BEST
action would be to:
A.Ask another nurse.
B.Discuss the procedure with the client's physician.
C.Look up the procedure in a nursing textbook.
D.Consult the agency procedure manual and follow the guidelines for the
procedure. - correct answer D. Consult the agency procedure manual and follow
the guidelines for the procedure
Each nurse is responsible for his or her own practice. Relying on another nurse may
not always be safe practice. Each nurse is obligated to follow the standards of care
for safe client care delivery. Physicians are responsible for their own client care
activity. Nurses may follow safe orders from physicians, but they are also
responsible for the activities that they as nurses are to carry out. Information
provided in a nursing textbook is basic information for general knowledge and may
not reflect the current standard of care or individual state or hospital policies. It is
always best to follow the agency's policies and procedures manual when seeking
information on correct client procedures. These policies should reflect the current
standards of care and state guidelines.
From the nurse's perspective, what measure should be the focus of the health care
system to reduce the rate of infant mortality further?
A.Implementing programs to ensure women's early participation in ongoing prenatal
care
B.Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
C.Expanding the number of neonatal intensive care units (NICUs)
D.Mandating that all pregnant women receive care from an obstetrician - correct
answer A. Implementing programs to ensure women's early participation in
ongoing prenatal care
