Chapterg1gAgFrameworkgforgMaternalgandgChildgHealthgNursing
1. ForgwhichgreasonsgwouldgagnursegreviewginfantgmortalitygstatisticsgingthegUnitedgStates
?g(Selectgallgthatgapply.)
A) Measuresgthegqualitygofgpregnancygcare
B) Reviewsginformationgongoverallgnutrition
C) Comparesghealthgwithgthosegofgothergstates
D) Determinesginfantghealthgandgavailablegcare
E) Providesgangindexgofgthegcountry'sggeneralghealt
hgAns:g A,gB,gD,gE
Feedback:
Infantgmortalitygstatisticsgprovidegangindexgofgagcountry'sggeneralghealth,gmeasuresgtheg
qualitygofgpregnancygcare,gprovidesginformationgongoverallgnutrition,gandgdeterminesgin
fantghealthgandgavailablegcare.gInfantgmortalitygstatisticsgcomparesgtheghealthgwithgthos
egofgothergcountriesgandgnotgwithgthosegofgothergstates.
2. Thegnursegisgprovidinggcaregingangorganizationgthatgsupportsgthegmaternalgandgchildgcar
egcontinuum.gWhichgtypegofgpatientgcaregareagisgangexamplegofgthisgapproach?
A) Primarygcare
B) Teamgnursing
C) Casegmanagement
D) Family-
centeredgcaregAns:g D
Feedback:
Keepinggthegfamilygatgthegcentergofgcaregisgimportantgbecausegtheglevelgofgagfamily'sgfu
nctioninggisgimportantgtogtheghealthgstatusgofgitsgmembers.gAghealthygfamilygestablishesg
angenvironmentgconducivegtoggrowthgandghealth-
promotinggbehaviorsgtogsustaingfamilygmembersgduringgcrises.gAgfamily-
centeredgapproachgenablesgnursesgtogbettergunderstandgindividualsgandgtheirgeffectgongot
hersgand,gingturn,gtogprovidegmoregholisticgcare.gPrimarygnursing,gteamgnursing,gandgcas
egmanagementgdognotgnecessarygtakegintogconsiderationgthegmaternalgandgchildgcaregcon
tinuum.
Pageg1
,3. Whichgactionsgshouldgthegnursegperformgwhengsupportinggtheggoalsgofgmaternalgan
dgchildghealthgcare?g(Selectgallgthatgapply.)
A) Advocatesgprotectinggthegrightsgofgthegmothergandgfetus
B) Teachesgfamilygmembersginterventionsgtogimproveghealth
C) Adheresgtogprinciplesgthatgfocusgongthegneedsgofgthegmother
D) Encouragesgmaternalghospitalizationgtogregaingstrengthgandgstamina
E) Assessesgfamilygmembersgforgstrengthsgandgspecificgneedsgorgchallenge
sgAns:g A,gB,gE
Feedback:
Actionsgthatgthegnursegshouldgperformgwhengsupportinggtheggoalsgofgmaternalgandgchild
ghealthgcaregincludegadvocatinggthegrightsgforgthegmothergandgfetus,gteachingghealthgpro
motionginterventions,gandgassessinggthegfamilygforgstrengthsgandgspecificgneedsgorgchall
enges.gAdheringgtogprinciplesgthatgfocusgongthegneedsgofgthegmothergandgencouragingg
maternalghospitalizationgtogregaingstrengthgandgstaminagaregnotgactionsgthatgsupportgtheg
goalsgofgmaternalgandgchildghealthgcare.
4. Thegnursegisgreviewinggtheg2020gNationalgHealthgGoalsgandgnotesgthatgwhichgisgagfoc
usgofgtheseggoals?
A) Healthgpromotiongandgdiseasegprevention
B) Earlygdiagnosisgofgchronicghealthgproblems
C) Effectivegusegofgmedicationgtogtreatgdisease
D) Reducegthegcostgofghealthgcaregandgmedication
sgAns:g A
Feedback:
Theg2020gNationalgHealthgGoalsgaregintendedgtoghelpgcitizensgmoregeasilygunderstandgth
egimportancegofghealthgpromotiongandgdiseasegpreventiongandgtogencouragegwidegpartici
pationgingimprovingghealthgingthegnextgdecade.gTheseggoalsgdognotgfocusgongthegearlygdi
agnosisgofgchronicgproblems,gusegofgmedicationsgtogtreatgdisease,gorgreducegthegcostgofg
healthgcaregandgmedications.
Pageg2
,5. Thegnurseghasgnoticedgagchangegingthegtypegofgcaregneededgtogsupportgmaternalgandgchil
dghealthgissues.gWhatgdoesgthegnursegrealizegasgreasonsgforgthegchangesgingcare?g(Select
gallgthatgapply.)
A) Smallergfamilies
B) Lessgdomesticgviolence
C) Moregemployedgmothers
D) Stableghomegenvironments
E) Moregsingle-
parentgfamiliesgAns:g A,gC,gE
Feedback:
Nursinggcaregforgmaternalgandgchildgisgchanginggbecausegfamiliesgaregsmaller,gmoregm
othersgaregemployedgoutgofgtheghome,gandgtheregaregmoregsingle-
parentgfamilies.gTheregisgangincreasegingdomesticgviolence,gandgfamiliesgareglessgstableg
andgmoregmobile,gwhichginfluencesghomelessness.
6. Duringgangassessment,gthegnursegasksgagpatientgfromgagnon-English-
speakinggculturegwhichgtypesgofghomegremediesgandgherbsgthegpatientgusesgforghealt
hgcare.gWhatgisgthegpurposegofgaskinggthegpatientgthisgquestion?
A) Analyzegforgherb–drugginteractions
B) Understandgthegpatient'sgphilosophygofgalternativeghealthgcare
C) Determinegthegtypesgofgmedicationsgthegpatientgwillgneedgtogbegprescribed
D) Explaingtogthegphysiciangthegpatient'sgpreferencegforgnontraditionalgmedicin
egapproaches
Ans:g A
Feedback:
Assessinggwhatgalternativegmeasuresgaregbeinggusedgisgimportantgbecausegthegactiongofg
angherbgcanginterferegwithgprescribedgmedications.gAssessinggthegusegofgherbalgremedie
sgisgnotgdonegtogunderstandgthegpatient'sgphilosophygofgalternativeghealthgcare,gdetermin
egthegtypesgofgmedicationsgthegpatientgwillgneedgtogbegprescribed,gorgexplaingthegpatient
'sgpreferencesgforgnontraditionalgmedicinegapproachesgtogthegphysician.
Pageg3
, 7. Thegnursegnotesgthatgstatisticsgongmaternalgmortalityghadgimprovedgbutgaregagaingbeco
minggelevated.gWhatgdoesgthegnursegrealizegasgagreasongforgthisgchangegingmaternalgm
ortalitygrates?
A) Earliergprenatalgcare
B) Gestationalghypertension
C) Increasedgvaginalgdeliveries
D) Treatmentgforgchronicgdiseases
gAns:g B
Feedback:
Thisgincreasinggrategingmaternalgmortalitygisgassociatedgwithgmoregcesareangbirths,gmor
eggestationalghypertensiongrelatedgtogpreexistingghypertensivegdisorders,gandglackgofghea
lthginsurancegforgmanygAmericans.gThisgincreasegisgnotgbecausegofgearliergprenatalgcare,
gincreasedgvaginalgdeliveries,gorgtreatmentgforgchronicgdiseases.
8. Agnewgmothergasksgthegnursegifgallgofgthegnewgbaby'sginjectionsgcangbeggivengingonegvi
sitgbecausegthegmothergisglosinggincomegfromgmissinggworkgbecausegofgthegofficegvisit
s.gWhatgdoesgthisgnewgmother'sgissuegindicategtogthegnurse?
A) Thegmothergneedsgtogfindgangalternativegemployer.
B) Thegmother'sgincomegisgmoregimportantgthatgthegbaby'sghealth.
C) Missinggworkgdoesgnotgsupportgthegbaby'sghealthgmaintenancegvisits.
D) Thegfederalggovernmentgneedsgtogdogmoregtogsupportgwell-
babygvisits.gAns:g C
Feedback:
Angareagthatgneedsgadditionalgresearchgisgfindinggeffectivegstimuligtogencouragegwomeng
togbringgchildrengforghealthgmaintenancegvisits.gThegmotherglosinggincomegbecausegofg
missinggworkgforgwell-
babygvisitsgwillgdeterghealthgmaintenancegvisitsgforgthegbabyggoinggforward.gThisgmothe
r'sgissuegdoesgnotgindicategthatgthegmothergneedsgtogfindganothergjob,gthatgthegmother'sgi
ncomegisgmoregimportantgthatgthegbaby'sghealth,gorgthatgthegfederalggovernmentgneedsgto
gdogmoregtogsupportgwell-babygvisits.
Pageg4
1. ForgwhichgreasonsgwouldgagnursegreviewginfantgmortalitygstatisticsgingthegUnitedgStates
?g(Selectgallgthatgapply.)
A) Measuresgthegqualitygofgpregnancygcare
B) Reviewsginformationgongoverallgnutrition
C) Comparesghealthgwithgthosegofgothergstates
D) Determinesginfantghealthgandgavailablegcare
E) Providesgangindexgofgthegcountry'sggeneralghealt
hgAns:g A,gB,gD,gE
Feedback:
Infantgmortalitygstatisticsgprovidegangindexgofgagcountry'sggeneralghealth,gmeasuresgtheg
qualitygofgpregnancygcare,gprovidesginformationgongoverallgnutrition,gandgdeterminesgin
fantghealthgandgavailablegcare.gInfantgmortalitygstatisticsgcomparesgtheghealthgwithgthos
egofgothergcountriesgandgnotgwithgthosegofgothergstates.
2. Thegnursegisgprovidinggcaregingangorganizationgthatgsupportsgthegmaternalgandgchildgcar
egcontinuum.gWhichgtypegofgpatientgcaregareagisgangexamplegofgthisgapproach?
A) Primarygcare
B) Teamgnursing
C) Casegmanagement
D) Family-
centeredgcaregAns:g D
Feedback:
Keepinggthegfamilygatgthegcentergofgcaregisgimportantgbecausegtheglevelgofgagfamily'sgfu
nctioninggisgimportantgtogtheghealthgstatusgofgitsgmembers.gAghealthygfamilygestablishesg
angenvironmentgconducivegtoggrowthgandghealth-
promotinggbehaviorsgtogsustaingfamilygmembersgduringgcrises.gAgfamily-
centeredgapproachgenablesgnursesgtogbettergunderstandgindividualsgandgtheirgeffectgongot
hersgand,gingturn,gtogprovidegmoregholisticgcare.gPrimarygnursing,gteamgnursing,gandgcas
egmanagementgdognotgnecessarygtakegintogconsiderationgthegmaternalgandgchildgcaregcon
tinuum.
Pageg1
,3. Whichgactionsgshouldgthegnursegperformgwhengsupportinggtheggoalsgofgmaternalgan
dgchildghealthgcare?g(Selectgallgthatgapply.)
A) Advocatesgprotectinggthegrightsgofgthegmothergandgfetus
B) Teachesgfamilygmembersginterventionsgtogimproveghealth
C) Adheresgtogprinciplesgthatgfocusgongthegneedsgofgthegmother
D) Encouragesgmaternalghospitalizationgtogregaingstrengthgandgstamina
E) Assessesgfamilygmembersgforgstrengthsgandgspecificgneedsgorgchallenge
sgAns:g A,gB,gE
Feedback:
Actionsgthatgthegnursegshouldgperformgwhengsupportinggtheggoalsgofgmaternalgandgchild
ghealthgcaregincludegadvocatinggthegrightsgforgthegmothergandgfetus,gteachingghealthgpro
motionginterventions,gandgassessinggthegfamilygforgstrengthsgandgspecificgneedsgorgchall
enges.gAdheringgtogprinciplesgthatgfocusgongthegneedsgofgthegmothergandgencouragingg
maternalghospitalizationgtogregaingstrengthgandgstaminagaregnotgactionsgthatgsupportgtheg
goalsgofgmaternalgandgchildghealthgcare.
4. Thegnursegisgreviewinggtheg2020gNationalgHealthgGoalsgandgnotesgthatgwhichgisgagfoc
usgofgtheseggoals?
A) Healthgpromotiongandgdiseasegprevention
B) Earlygdiagnosisgofgchronicghealthgproblems
C) Effectivegusegofgmedicationgtogtreatgdisease
D) Reducegthegcostgofghealthgcaregandgmedication
sgAns:g A
Feedback:
Theg2020gNationalgHealthgGoalsgaregintendedgtoghelpgcitizensgmoregeasilygunderstandgth
egimportancegofghealthgpromotiongandgdiseasegpreventiongandgtogencouragegwidegpartici
pationgingimprovingghealthgingthegnextgdecade.gTheseggoalsgdognotgfocusgongthegearlygdi
agnosisgofgchronicgproblems,gusegofgmedicationsgtogtreatgdisease,gorgreducegthegcostgofg
healthgcaregandgmedications.
Pageg2
,5. Thegnurseghasgnoticedgagchangegingthegtypegofgcaregneededgtogsupportgmaternalgandgchil
dghealthgissues.gWhatgdoesgthegnursegrealizegasgreasonsgforgthegchangesgingcare?g(Select
gallgthatgapply.)
A) Smallergfamilies
B) Lessgdomesticgviolence
C) Moregemployedgmothers
D) Stableghomegenvironments
E) Moregsingle-
parentgfamiliesgAns:g A,gC,gE
Feedback:
Nursinggcaregforgmaternalgandgchildgisgchanginggbecausegfamiliesgaregsmaller,gmoregm
othersgaregemployedgoutgofgtheghome,gandgtheregaregmoregsingle-
parentgfamilies.gTheregisgangincreasegingdomesticgviolence,gandgfamiliesgareglessgstableg
andgmoregmobile,gwhichginfluencesghomelessness.
6. Duringgangassessment,gthegnursegasksgagpatientgfromgagnon-English-
speakinggculturegwhichgtypesgofghomegremediesgandgherbsgthegpatientgusesgforghealt
hgcare.gWhatgisgthegpurposegofgaskinggthegpatientgthisgquestion?
A) Analyzegforgherb–drugginteractions
B) Understandgthegpatient'sgphilosophygofgalternativeghealthgcare
C) Determinegthegtypesgofgmedicationsgthegpatientgwillgneedgtogbegprescribed
D) Explaingtogthegphysiciangthegpatient'sgpreferencegforgnontraditionalgmedicin
egapproaches
Ans:g A
Feedback:
Assessinggwhatgalternativegmeasuresgaregbeinggusedgisgimportantgbecausegthegactiongofg
angherbgcanginterferegwithgprescribedgmedications.gAssessinggthegusegofgherbalgremedie
sgisgnotgdonegtogunderstandgthegpatient'sgphilosophygofgalternativeghealthgcare,gdetermin
egthegtypesgofgmedicationsgthegpatientgwillgneedgtogbegprescribed,gorgexplaingthegpatient
'sgpreferencesgforgnontraditionalgmedicinegapproachesgtogthegphysician.
Pageg3
, 7. Thegnursegnotesgthatgstatisticsgongmaternalgmortalityghadgimprovedgbutgaregagaingbeco
minggelevated.gWhatgdoesgthegnursegrealizegasgagreasongforgthisgchangegingmaternalgm
ortalitygrates?
A) Earliergprenatalgcare
B) Gestationalghypertension
C) Increasedgvaginalgdeliveries
D) Treatmentgforgchronicgdiseases
gAns:g B
Feedback:
Thisgincreasinggrategingmaternalgmortalitygisgassociatedgwithgmoregcesareangbirths,gmor
eggestationalghypertensiongrelatedgtogpreexistingghypertensivegdisorders,gandglackgofghea
lthginsurancegforgmanygAmericans.gThisgincreasegisgnotgbecausegofgearliergprenatalgcare,
gincreasedgvaginalgdeliveries,gorgtreatmentgforgchronicgdiseases.
8. Agnewgmothergasksgthegnursegifgallgofgthegnewgbaby'sginjectionsgcangbeggivengingonegvi
sitgbecausegthegmothergisglosinggincomegfromgmissinggworkgbecausegofgthegofficegvisit
s.gWhatgdoesgthisgnewgmother'sgissuegindicategtogthegnurse?
A) Thegmothergneedsgtogfindgangalternativegemployer.
B) Thegmother'sgincomegisgmoregimportantgthatgthegbaby'sghealth.
C) Missinggworkgdoesgnotgsupportgthegbaby'sghealthgmaintenancegvisits.
D) Thegfederalggovernmentgneedsgtogdogmoregtogsupportgwell-
babygvisits.gAns:g C
Feedback:
Angareagthatgneedsgadditionalgresearchgisgfindinggeffectivegstimuligtogencouragegwomeng
togbringgchildrengforghealthgmaintenancegvisits.gThegmotherglosinggincomegbecausegofg
missinggworkgforgwell-
babygvisitsgwillgdeterghealthgmaintenancegvisitsgforgthegbabyggoinggforward.gThisgmothe
r'sgissuegdoesgnotgindicategthatgthegmothergneedsgtogfindganothergjob,gthatgthegmother'sgi
ncomegisgmoregimportantgthatgthegbaby'sghealth,gorgthatgthegfederalggovernmentgneedsgto
gdogmoregtogsupportgwell-babygvisits.
Pageg4
