Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family (8th Edition) – Test Bank

Maternal & Child Health Nursing: Care of the Childbearing
& Childrearing Family 8th Edition Test Bank
1. For which reasons would a nurse review infant mortalitystatistics in the United States?
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(Select all that apply.) j j j




A) Measures the quality of pregnancy care j j j j j




B) Reviews information on overall nutrition j j j j




C) Compares health with those of other states j j j j j j




D) Determines infant health and available care j j j j j




E) Providesan index of the country's generalhealth j j j j j j j j




Ans: A, B, D, E j j j j




Feedback:
Infant mortalitystatistics provide an index of a country's general health, measures the quality
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of pregnancy care, provides information on overall nutrition, and determines infant health
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and available care. Infant mortality statistics compares the health with those of other
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countries and not with those of other states. j j j j j j j




2. The nurse is providing care in an organization that supports the maternal and child care
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continuum. Which type of patient care area is an example of this approach?
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A) Primary care j




B) Team nursing j




C) Case management j




D) Family-centeredcare j j




Ans: D j




Feedback:
Keeping the family at the center of care is important because the level of a family's
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functioning is important to the health status of its members. A healthy familyestablishes an
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environment conducive to growth and health-promoting behaviors to sustain family j j j j j j j j j j




members during crises. A family-centered approach enables nurses to better understand
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individuals and their effect on others and, in turn, to provide more holistic care. Primary
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nursing, team nursing, and case management do not necessary take into consideration the
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maternal and child care continuum. j j j j




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,3. Which actions should the nurse perform when supporting the goals of maternal and
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child health care? (Select all that apply.)
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A) Advocates protecting the rights of the mother and fetus j j j j j j j j




B) Teaches familymembers interventions to improve health j j j j j j




C) Adheres to principles that focus on the needs of the mother j j j j j j j j j j




D) Encourages maternal hospitalization to regain strength and stamina j j j j j j j




E) Assesses family members for strengths and specific needs or challenges j j j j j j j j j j




Ans: A, B, Ej j j




Feedback:
Actions that the nurse should perform when supporting the goals of maternal and child
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health care include advocating the rights for the mother and fetus, teaching health
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promotion interventions, and assessing the family for strengths and specific needs or
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challenges. Adhering to principles that focus on the needs of the mother and encouraging
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maternal hospitalization to regain strength and stamina are not actions that support the goals
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of maternal and child health care.
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4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus of
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these goals? j




A) Health promotion and disease prevention j j j j




B) Earlydiagnosis of chronic health problems j j j j j




C) Effective use of medication to treat disease j j j j j j




D) Reduce the cost of health care and medications j j j j j j j j




Ans: A j




Feedback:
The 2020 National Health Goals are intended to help citizens more easilyunderstand the
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importance of health promotion and disease prevention and to encourage wide participation
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in improving health in the next decade. These goals do not focus on the early diagnosis of
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chronic problems, use of medications to treat disease, or reduce the cost of health care and
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medications.




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,5. The nurse has noticed a change in the type of care needed to support maternal and child health
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issues. What does the nurse realize as reasons for the changes in care? (Select all that apply.)
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A) Smaller families j




B) Less domestic violence j j




C) More employed mothers j j




D) Stable home environments j j




E) Moresingle-parentfamilies j j j




Ans: A, C, E j j j




Feedback:
Nursing care for maternal and child is changing because families are smaller, more mothers
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are employed out of the home, and there are more single-parent families. There is an increase
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in domestic violence, and families are less stable and more mobile, which influences
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homelessness.


6. During an assessment, the nurse asks a patient from a non-English-speaking culture
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which types of home remedies and herbs the patient uses for health care. What is the
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purpose of asking the patient this question? j j j j j j




A) Analyze for herb–drug interactions j j j




B) Understand the patient's philosophyof alternative health care j j j j j j j




C) Determine the types of medications the patient will need to be prescribed j j j j j j j j j j j




D) Explain to the physician the patient's preference for nontraditional medicine j j j j j j j j j j




approaches
Ans: A j




Feedback:
Assessing what alternative measures are being used is important because the action of an
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herb can interfere with prescribed medications. Assessing the use of herbal remedies is not
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done to understand the patient's philosophy of alternative health care, determine the types
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of medications the patient will need to be prescribed, or explain the patient's preferences for
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nontraditional medicine approaches to the physician. j j j j j




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, 7. The nurse notes that statistics on maternal mortality had improved but are again becoming
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elevated. What does the nurse realize as a reason for this change in maternal mortality rates?
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A) Earlier prenatal care j j




B) Gestational hypertension j




C) Increased vaginal deliveries j j




D) Treatmentforchronicdiseases j j j j




Ans: B j




Feedback:
This increasing rate in maternal mortality is associated with more cesarean births, more
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gestational hypertension related to preexisting hypertensive disorders, and lack of health
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insurance for many Americans. This increase is not because of earlier prenatal care,
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increased vaginal deliveries, or treatment for chronic diseases.
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8. A new mother asks the nurse if all of the new baby's injections can be given in one visit
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because the mother is losing income from missing work because of the office visits. What
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does this new mother's issue indicate to the nurse?
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A) The mother needs to find an alternative employer. j j j j j j j




B) The mother's income is more important that the baby's health. j j j j j j j j j




C) Missing work does not support the baby's health maintenance visits. j j j j j j j j j




D) The federal government needs to domore to support well-baby visits.j j j j j j j j j j j




Ans: C j




Feedback:
An area that needs additional research is finding effective stimuli to encourage women to
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bring children for health maintenance visits. The mother losing income because of missing
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work for well-babyvisits will deter health maintenance visits for the baby going forward.
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This mother's issue does not indicate that the mother needs to find another job, that the
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mother's income is more important that the baby's health, or that the federal government
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needs to do more to support well-baby visits.
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