F T L Maternal & Child Health
F T L F T L F T L
F T L Nursing
Care of the Childbearing & Childrearing Family
L
FT FT L L
FT L
FT L
FT FT L
F T L 9th Edition L
FT
By
JoAnne Silbert-Flagg F T L
,Chapter 1 A Framework for Maternal and Child Health Nursing
FT L FT L L
FT FT L FT L FT L FT L FT L FT L
1. For which reasons would a nurse review infant mortality statistics in the United States?
L
FT L
FT FT L FT L L
FT L
FT FT L L
FT L
FT FT L L
FT FT L L
FT
(Select all that apply.)
L
FT FT L FT L FT L
A) Measures the quality of pregnancy care FT L FT L L
FT FT L L
FT
B) Reviews information on overall nutrition FT L FT L FT L FT L
C) Compares health with those of other states FT L L
FT L
FT L
FT L
FT FT L
D) Determines infant health and available care FT L FTL FT L L
FT FT L
E) Provides an index of the country's general health FTL L
T
F FT L L
FT L
FT L
FT L
FT
Ans: A, B, D, E
L
FT FT L FT L FT L FT L
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
FT L L
FT FT L FT L L
FT L
FT FT L L
FT L
FT L
FT L
FT L
FT
quality of pregnancy care, provides information on overall nutrition, and determines
L
FT FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L
infant health and available care. Infant mortality statistics compares the health with
L
FT FT L L
FT FT L FT L FT L L
FT FT L L
FT L
FT FT L FT L
those of other countries and not with those of other states.
L
FT FT L FT L FT L FT L FT L L
FT L
FT FT L FT L L
FT
2. The nurse is providing care in an organization that supports the maternal and child care
L
FT L
FT FT L FT L FT L FT L L
FT L
FT L
FT L
FT L
FT L
FT L
FT FT L
continuum. Which type of patient care area is an example of this approach?
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
A) Primary care L
FT
B) Team nursing L
FT
C) Case management FT L
D) Family-centered care L
T
F
Ans: D
L
FT L
FT
Feedback:
Keeping the family at the center of care is important because the level of a family's
FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT L
FT FT L L
FT FT L FT L
functioning is important to the health status of its members. A healthy family establishes
L
FT L
FT FT L FT L FT L L
FT L
FT L
FT FT L L
FT FT L FT L L
FT L
T
F
an environment conducive to growth and health-promoting behaviors to sustain family
L
FT L
FT FTL FT L FT L FT L FT L FT L FT L L
FT FT L
members during crises. A family-centered approach enables nurses to better
L
FT FT L L
FT FT L FT L FT L FT L L
FT L
FT FT L
understand individuals and their effect on others and, in turn, to provide more holistic
L
FT FT L FT L FT L FT L L
FT FT L FT L L
FT FT L FT L L
FT FT L L
FT
care. Primary nursing, team nursing, and case management do not necessary take into
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT
consideration the maternal and child care continuum.
L
FT FT L FT L FT L FT L FT L FT L
Page 1 L
FT
,3. Which actions should the nurse perform when supporting the goals of maternal and
L
FT L
FT FT L L
FT FT L L
FT FT L L
FT FT L FT L FT L FT L
child health care? (Select all that apply.)
L
FT FT L FT L FT L L
FT L
FT FT L
A) Advocates protecting the rights of the mother and fetus L
FT FT L L
FT L
FT FT L FT L L
FT FT L
B) Teaches family members interventions to improve health FT L L
FT FT L L
FT L
FT FT L
C) Adheres to principles that focus on the needs of the mother L
FT FT L L
FT FT L FT L L
FT FT L L
FT L
FT FT L
D) Encourages maternal hospitalization to regain strength and stamina L
FT FT L L
FT L
FT L
FT L
FT FT L
E) Assesses family members for strengths and specific needs or challenges L
FT FT L FT L L
FT L
FT L
FT FTL L
FT L
FT
Ans: A, B, E
L
FT L
FT FT L FT L
Feedback:
Actions that the nurse should perform when supporting the goals of maternal and child
FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L L
FT FT L
health care include advocating the rights for the mother and fetus, teaching health
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L
promotion interventions, and assessing the family for strengths and specific needs or
L
FT L
FT L
FT FT L FT L L
FT FT L FT L FT L FT L FT L FT L
challenges. Adhering to principles that focus on the needs of the mother and
L
FT FT L FT L L
FT FT L FT L L
FT FT L FT L FT L L
FT FT L FT L
encouraging maternal hospitalization to regain strength and stamina are not actions that
L
FT L
FT FT L FT L L
FT L
FT L
FT FT L L
FT L
FT L
FT FT L
support the goals of maternal and child health care.
L
FT L
FT FT L FT L FT L L
FT FT L L
FT L
FT
4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus
L
FT L
FT FT L L
FT L
FT FT L L
FT L
FT L
FT L
FT FT L L
FT L
FT FT L L
FT
of these goals?
L
FT FT L FT L
A) Health promotion and disease prevention L
FT L
FT L
FT L
FT
B) Early diagnosis of chronic health problems L
FT FT L FT L FT L L
FT
C) Effective use of medication to treat disease L
FT FT L FT L L
FT L
FT FT L
D) Reduce the cost of health care and medications FT L L
FT FT L L
FT L
FT L
FT L
FT
Ans: A
L
FT L
FT
Feedback:
The 2020 National Health Goals are intended to help citizens more easily understand the
L
FT L
FT FT L FT L L
FT FT L FT L L
FT L
FT FT L L
FT L
FT L
FT
importance of health promotion and disease prevention and to encourage wide
L
FT FT L FT L FT L FT L FT L FT L FT L FT L L
FT L
FT
participation in improving health in the next decade. These goals do not focus on the
L
FT FT L FT L FT L FT L FT L FT L L
FT L
FT FT L L
FT FT L L
FT FT L FT L
early diagnosis of chronic problems, use of medications to treat disease, or reduce the
L
FT FT L L
FT FT L FT L FT L L
FT FT L FT L L
FT FTL FT L L
FT FT L
cost of health care and medications.
L
FT L
FT FT L FT L FT L FT L
Page 2 FT L
, 5. The nurse has noticed a change in the type of care needed to support maternal and child
FT L L
FT FT L FT L L
FT L
FT L
FT FTL FT L FT L FT L L
FT L
FT L
FT L
FT L
FT
health issues. What does the nurse realize as reasons for the changes in care? (Select all
L
FT FT L L
FT L
FT L
FT FT L L
FT FT L FT L FT L FT L L
FT FT L L
FT FT L L
FT
that apply.)
L
FT L
FT
A) Smaller families L
FT
B) Less domestic violence FT L FT L
C) More employed mothers FT L L
FT
D) Stable home environments FT L FT L
E) More single-parent families L
T
F L
T
F
Ans: A, C, E
L
FT L
FT FT L FT L
Feedback:
Nursing care for maternal and child is changing because families are smaller, more
FT L FT L L
FT FT L L
FT FT L FT L L
FT FT L FT L FT L FT L
mothers are employed out of the home, and there are more single-parent families. There
L
FT FT L FT L FT L FT L L
FT L
FT L
FT L
FT L
FT L
FT L
FT L
FT L
FT
is an increase in domestic violence, and families are less stable and more mobile, which
L
FT FT L FT L FT L L
FT L
FT L
FT L
FT L
FT L
FT FT L L
FT L
FT L
FT FT L
influences homelessness.
L
FT L
FT
6. During an assessment, the nurse asks a patient from a non-English-speaking culture
L
FT FT L L
FT FT L FT L FT L FT L L
FT FT L L
FT L
FT
which types of home remedies and herbs the patient uses for health care. What is the
L
FT L
FT FT L L
FT L
FT L
FT FT L FT L L
FT L
FT L
FT L
FT L
FT FT L L
FT L
FT
purpose of asking the patient this question?
L
FT FT L FTL FT L FT L FT L FT L
A) Analyze for herb–drug interactions L
FT L
FT L
FT
B) Understand the patient's philosophy of alternative health care L
FT FT L FT L L
FT FT L L
FT FT L
C) Determine the types of medications the patient will need to be prescribed L
FT FT L FT L L
FT FT L L
FT FT L FT L L
FT FT L FT L
D) Explain to the physician the patient's preference for nontraditional medicine L
FT L
FT L
FT L
FT L
FT FT L FT L FT L L
FT
approaches L
FT
Ans: A F T L
Feedback:
Assessing what alternative measures are being used is important because the action of
FT L L
FT FT L FT L FT L FT L FT L L
FT L
FT FT L FT L L
FT
an herb can interfere with prescribed medications. Assessing the use of herbal remedies
L
FT L
FT L
FT L
FT L
FT L
FT L
FT L
FT L
FT FT L L
FT L
FT L
FT
is not done to understand the patient's philosophy of alternative health care, determine
L
FT FT L FT L FT L L
FT FT L FT L L
FT FT L FT L FT L FT L FT L
the types of medications the patient will need to be prescribed, or explain the patient's
L
FT FT L L
FT FT L L
FT FT L FT L FT L FT L L
FT FT L FT L L
FT FT L FT L
preferences for nontraditional medicine approaches to the physician.
L
FT FT L FT L FT L FT L FT L L
FT FT L
Page 3 L
FT