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Test Bank for Maternal & Child Health Nursing 9th Edition by Silbert-Flagg

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Test Bank for Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 9e 9th Edition by JoAnne Silbert-Flagg. ISBN-13: 1064 Full Chapters test bank included with Instant Download Chapter names given below UNIT 1 Maternal and Child Health Nursing Practice 1 A Framework for Maternal and Child Health Nursing Goals and Philosophies of Maternal and Child Health Nursing Maternal and Child Health Goals and Standards A Framework for Maternal and Child Health Nursing Care A Changing Discipline Legal Considerations of Maternal–Child Practice Ethical Considerations of Practice 2 Diversity and Inclusion Maternal Child Nursing Nursing Process Overview for Care That Respects Cultural Diversity Methods to Respect Diversity and Inclusion in Maternal and Child Health Nursing Understanding Cultural Diversity and Inclusion in Maternal and Child Health Nursing Understanding Sexual Orientation in Maternal and Child Health Nursing Understanding Gender Identity in Maternal and Child Health Nursing 3 The Childbearing and Childrearing Family in the Community Nursing Process Overview for Promotion of Family Health Maternal–Child Nursing Care and the Community Family Structures Family Functions and Roles Assessment of Family Structure and Function 4 Home Care and the Childbearing and Childrearing Family Nursing Process Overview for the Pregnant Person or Child on Home Care Understanding Home Care Assessing a Family for Home Care The Home Care Process Home Healthcare Goals Long-Term Home Care UNIT 2 The Nursing Role in Preparing Families for Childbearing and Childrearing 5 The Nursing Role in Reproductive and Sexual Health Nursing Process Overview for Promotion of Reproductive and Sexual Health Assessing and Meeting Reproductive Concerns Reproductive Development The Male Reproductive System The Female Reproductive System Sexual Health 6 Nursing Care for the Family in Need of Reproductive Life Planning Nursing Process Overview for Reproductive Life Planning Assessment for Contraception Options and Possible Contraindications Natural Family Planning Barrier Methods of Contraception Hormonal Contraception Intrauterine Devices Surgical Methods of Reproductive Life Planning Emergency Postcoital Contraception Patients With Unique Needs Future Trends in Contraception Elective Termination of Pregnancy 7 The Nursing Role in Genetic Assessment and Counseling Nursing Process Overview for Genetic Assessment and Counseling Genetic Disorders Genetic Counseling and Testing Common Chromosomal Disorders Resulting in Physical or Cognitive Developmental Disorders 8 Nursing Care of the Family Having Difficulty Conceiving a Child Nursing Process Overview for a Couple With Subfertility Subfertility Fertility Assessment Factors That Cause Male Subfertility Factors That Cause Female Subfertility Unexplained Subfertility Assisted Reproductive Techniques Alternatives to Childbirth UNIT 3 The Nursing Role in Caring for Families During Normal Pregnancy, Birth, the Postpartum, and Newborn Periods 9 Nursing Care During Normal Pregnancy and Care of the Developing Fetus Nursing Process Overview to Help Ensure Fetal Health The Nursing Role and Nursing Care During Normal Pregnancy and Birth Stages of Fetal Development Embryonic and Fetal Structures Origin and Development of Organ Systems Assessment of Fetal Growth and Development Pregnant Patients With Unique Needs or Concerns 10 Nursing Care Related to Psychological and Physiologic Changes of Pregnancy Nursing Process Overview for Healthy Adaptation to Pregnancy Psychological Changes of Pregnancy The Psychological Tasks of Pregnancy The Confirmation of Pregnancy Physiologic Changes of Pregnancy Patients With Unique Concerns in Pregnancy 11 Nursing Care Related to Assessment of a Pregnant Family Nursing Process Overview for Prenatal Care Health Promotion and Assessment Before and During Pregnancy The Initial Interview Physical Examination Laboratory Assessment Risk Assessment Signs Indicating Possible Complications of Pregnancy 12 Nursing Care to Promote Fetal and Maternal Health Nursing Process Overview for Health Promotion of a Fetus and Pregnant Patient Health Promotion During Pregnancy Preventing Fetal Exposure to Teratogens Preparation for Labor 13 The Nursing Role in Promoting Nutritional Health During Pregnancy Nursing Process Overview for Promoting Nutritional Health During Pregnancy Relationship of Maternal Nutrition and Fetal Health Assessing Nutritional Health Promoting Nutritional Health During Pregnancy Patients With Unique Needs 14 Preparing a Family for Childbirth and Parenting Nursing Process Overview for Childbirth and Parenting Education Childbirth Education The Childbirth Plan Preconception Visits Expectant Parenting Classes Methods to Manage Pain in Childbirth The Birth Setting Alternative Methods of Birth People With Unique Needs 15 Nursing Care of a Family During Labor and Birth Nursing Process Overview for the Person in Labor Theories of Why Labor Begins The Components of Labor The Stages of Labor Maternal and Fetal Responses to Labor Measuring Progress in Labor Maternal and Fetal Assessments During Labor The Care of a Patient During the First Stage of Labor The Care of a Patient During the Second Stage of Labor The Care of a Patient During the Third and Fourth Stages of Labor The Patient With Unique Concerns in Labor 16 The Nursing Role in Providing Comfort During Labor and Birth Nursing Process Overview for Pain Relief During Labor and Childbirth Experience of Pain During Childbirth Comfort and Nonpharmacologic Pain Relief Measures The Laboring Patient With Unique Needs 17 Nursing Care of a Postpartal Family Nursing Process Overview for a Postpartal Family Psychological Changes of the Postpartal Period Physiologic Changes of the Postpartal Period Nursing Care During the First 24 Hours After Birth Nursing Care of a Family in Preparation for Health Agency Discharge Nursing Care of a Postpartal Family With Unique Needs 18 Nursing Care of a Family With a Newborn Nursing Process Overview for Health Promotion of the Term Newborn The Profile of a Newborn Assessments for Well-Being The Care of a Newborn at Birth Nursing Care of a Newborn and Family in the Postpartal Period The Assessment of a Family’s Readiness to Care for a Newborn at Home 19 Nutritional Needs of a Newborn Nursing Process Overview for Promoting Nutritional Health in a Newborn Nutritional Allowances for a Newborn Breastfeeding Formula Feeding Discharge Planning for Newborn Nutrition UNIT 4 The Nursing Role in Caring for a Family During Complications of Pregnancy, Birth, or the Postpartal Period 20 Nursing Care of a Family Experiencing a Pregnancy Complication from a Preexisting or Newly Acquired Illness Nursing Process Overview for Care of a Person With a Preexisting or Newly Acquired Illness The Nursing Role and Nursing Care During Pregnancy Complications Cardiovascular Disorders and Pregnancy Hematologic Disorders and Pregnancy Renal and Urinary Disorders and Pregnancy Respiratory Disorders and Pregnancy Rheumatic Disorders and Pregnancy GI Disorders and Pregnancy Neurologic Disorders and Pregnancy Musculoskeletal Disorders and Pregnancy Endocrine Disorders and Pregnancy Mental Illness and Pregnancy Cancer and Pregnancy 21 Nursing Care of a Family Experiencing a Sudden Pregnancy Complication Nursing Process Overview for a Patient Who Develops a Complication of Pregnancy Bleeding During Pregnancy Preterm Labor Preterm Rupture of Membranes Hypertensive Disorders in Pregnancy HELLP Syndrome Multiple Pregnancy Polyhydramnios Oligohydramnios Postterm Pregnancy Isoimmunization (Rh Incompatibility) Fetal Death 22 Nursing Care of a Pregnant Family With Special Needs Nursing Process Overview for Care of a Pregnant Patient With Special Needs The Pregnant Adolescent The Pregnant Patient Over Age 40 Years The Pregnant Patient With a Physical or Intellectual Disability A Patient Who Is Substance Dependent Trauma and Pregnancy 23 Nursing Care of a Family Experiencing a Complication of Labor or Birth Introduction Nursing Process Overview for a Patient With a Labor or Birth Complication Problems With the Passenger Problems With the Passage Anomalies of the Placenta and Cord 24 Nursing Care of a Family During a Surgical Intervention for Birth Nursing Process Overview for a Patient Having a Surgical Intervention for Birth Surgical Interventions Cesarean Birth Effects of Surgery on a Pregnant Patient Nursing Care for a Person Anticipating a Cesarean Birth Nursing Care for a Patient Having an Emergent Cesarean Birth Intraoperative Care Measures Postpartal Care Measures 25 Nursing Care of a Family Experiencing a Postpartum Complication Nursing Process Overview for a Patient Experiencing a Postpartum Complication Postpartum Hemorrhage Puerperal Infections Thrombophlebitis Mastitis Urinary System Disorders Cardiovascular System Disorders Reproductive System Disorders Emotional and Psychological Complications of the Puerperium 26 Nursing Care of a Family With a High-Risk Newborn Nursing Process Overview Newborn Priorities in the First Days of Life The Newborn at Risk Because of Altered Gestational Age or Birth Weight Illnesses That Occur in Newborns The Newborn at Risk Because of a Maternal Infection The Newborn at Risk Because of a Maternal Illness 27 Nursing Care of the Child Born With a Physical or Developmental Difference Nursing Process Overview for Care of a Newborn With a Physical or Developmental Challenge Care at Birth of the Newborn Who Has Physical or Developmental Differences Physical and Developmental Disorders of the Skeletal System Physical and Developmental Disorders of the Gastrointestinal System Physical and Developmental Disorders of the Nervous System Unit 5 The Nursing Role in Health Promotion for Childrearing Family 28 Principles of Growth and Development Nursing Process Overview Promotion of Growth and Development The Role of the Nurse Principles of Growth and Development Factors Influencing Growth and Development Theories of Child Development Using Growth and Development in Practice 29 Nursing Care of a Family With an Infant Nursing Process Overview Growth and Development of an Infant The Nursing Role in Health Promotion of an Infant and Their Family 30 Nursing Care of a Family With a Toddler Nursing Process Overview for Healthy Development of a Toddler Nursing Assessment of a Toddler’s Growth and Development Planning and Implementation for Health Promotion of a Toddler and Family 31 Nursing Care of a Family With a Preschool Child Nursing Process Overview for Healthy Development of a Preschooler Nursing Assessment of a Preschooler’s Growth and Development Planning and Implementation for the Health Promotion of a Preschooler and Family 32 Nursing Care of a Family With a School-Aged Child Nursing Process Overview for Healthy Development of a School-Aged Child Growth and Development of a School-Aged Child Health Promotion for a School-Aged Child and Family 33 Nursing Care of a Family With an Adolescent Nursing Process Overview for Healthy Development of an Adolescent Growth and Development of an Adolescent Health Promotion for an Adolescent and Family 34 Child Health Assessment Nursing Process Overview for Health Assessment of the Child and Family Health History: Establishing a Database Physical Assessment Vision Assessment Hearing Assessment Speech Assessment Developmental Appraisal Intelligence Temperament Immunizations Concluding a Health Assessment 35 Communication and Teaching With Children and Families Nursing Process Overview for Health Teaching With Children Communication Health Teaching in a Changing Healthcare Environment Developing and Implementing a Teaching Plan Health Teaching for a Surgical Experience UNIT 6 The Nursing Role in Supporting the Health of Ill Children and Their Families 36 Nursing Care of a Family With a Child Who Is Ill Nursing Process Overview for an Ill Child The Meaning of Illness to Children Care of the Child With an Illness and Their Family in the Hospital Nursing Responsibilities for Care of the Child Who Is Ill and Their Family Promoting Safety for the Child Who Is Ill Promoting Adequate Sleep for the Child Who Is Ill Promoting Adequate Stimulation for the Child Who Is Ill Promoting Play for the Child Who Is Ill 37 Nursing Care of a Family When a Child Needs Diagnostic or Therapeutic Modalities Nursing Process Overview for a Child Who Needs Diagnostic or Therapeutic Procedures Nursing Responsibilities With Diagnostic and Therapeutic Techniques Measuring Vital Signs Reducing Elevated Temperature in Children Common Diagnostic Procedures Collecting Specimens for Analysis Assistance With Elimination Nutritional Care Hot and Cold Therapy Wound Care 38 Nursing Care of a Family When a Child Needs Medication Administration or Intravenous Therapy Nursing Process Overview for a Child Needing Medication/Intravenous Therapy Medication Administration Intravenous Therapy 39 Pain Management in Children Nursing Process Overview for a Child in Pain The Physiology of Pain Assessing the Type and Degree of Pain Pain Assessment Pain Management Pharmacologic Pain Relief Nonpharmacologic Pain Management for Children Ongoing Pain Relief UNIT 7 The Nursing Role in Restoring and Maintaining the Health of Children and Families With Physiologic Disorders 40 Nursing Care of a Family When a Child Has a Respiratory Disorder Nursing Process Overview for a Child With a Respiratory Disorder Anatomy and Physiology of the Respiratory System Assessing Respiratory Illness in Children Health Promotion and Risk Management Therapeutic Techniques Used in the Treatment of Respiratory Illness in Children Disorders of the Upper Respiratory Tract Disorders of the Lower Respiratory Tract 41 Nursing Care of a Family When a Child Has a Cardiovascular Disorder Nursing Process Overview for Care of a Child With Cardiovascular Disorder Health Promotion and Risk Management Nursing Care of the Child With a Cardiac Disorder The Cardiovascular System Heart Failure Congenital Heart Defects Cardiac Surgery Cardiac Catheterization Cardiac Transplantation Dysrhythmias Acquired Heart Disease Preventive Heart Disease 42 Nursing Care of a Family When a Child Has an Immune Disorder Introduction Nursing Process Overview for a Child With an Immune Disorder The Immune System Immunodeficiency Disorders Allergy Common Allergic Reactions Atopic Disorders Drug and Food Allergies Stinging Insect Hypersensitivity Contact Dermatitis 43 Nursing Care of a Family When a Child Has an Infectious Disorder Nursing Process Overview Risk of Infection and Postexposure Management The Infectious Process Health Promotion and Risk Management Pandemic Caring for the Child With an Infectious Disease Viral Infections Bacterial Infections Other Infectious Pathogens 44 Nursing Care of a Family When a Child Has a Hematologic Disorder Nursing Process Overview for a Child With a Hematologic Disorder Anatomy and Physiology of the Hematopoietic System Assessment and Therapeutic Techniques for Hematologic Disorders Health Promotion and Risk Management Disorders of the RBCs Disorders of Blood Coagulation 45 Nursing Care of a Family When a Child Has a Gastrointestinal Disorder Nursing Process Overview for a Child With a GI Disorder Anatomy and Physiology of the GI System Diagnostic and Therapeutic Techniques Health Promotion and Risk Management Fluid, Electrolyte, and Acid–Base Imbalances Common GI Symptoms of Illness in Children Common Disorders of the Stomach and Duodenum Hepatic Disorders Intestinal Disorders Disorders of the Lower Bowel Disorders Caused by Food, Vitamin, and Mineral Deficiencies 46 Nursing Care of a Family When a Child Has a Renal or Urinary Tract Disorder Nursing Process Overview for Care of a Child With a Renal or Urinary Tract Disorder Anatomy and Physiology of the Kidneys Assessment of Renal and Urinary Tract Dysfunction Therapeutic Measures for the Management of Renal Disease Health Promotion and Risk Management Structural Abnormalities of the Urinary Tract Infections of the Urinary System and Related Disorders Disorders Affecting Normal Urinary Elimination Kidney Transplantation 47 Nursing Care of a Family When a Child Has a Reproductive Disorder Nursing Process Overview for Care of a Child With a Reproductive Disorder Assessing Reproductive Disorders in Children Health Promotion and Risk Management Disorders Caused by Altered Reproductive Development Reproductive Disorders in Males Reproductive Disorders in Females Breast Disorders Sexually Transmitted Infections 48 Nursing Care of a Family When a Child Has an Endocrine or a Metabolic Disorder Nursing Process Overview Care of a Child With an Endocrine or Metabolic Disorder Health Promotion and Risk Management The Pituitary Gland Pituitary Gland Disorders The Thyroid Gland Thyroid Gland Disorders The Adrenal Gland Adrenal Gland Disorders The Pancreas The Parathyroid Glands Metabolic Disorders (Inborn Errors of Metabolism) 49 Nursing Care of a Family When a Child Has a Neurologic Disorder Nursing Process Overview for Care of a Child With a Neurologic System Disorder Anatomy and Physiology of the Nervous System Assessing the Child With a Neurologic Disorder Health Promotion and Risk Management Increased ICP Neural Tube Disorders Neurocutaneous Syndromes Cerebral Palsy Infection Inflammatory Disorders Paroxysmal Disorders Spinal Cord Injury Ataxic Disorders 50 Nursing Care of a Family When a Child Has a Vision or Hearing Disorder Nursing Process Overview for Care of a Child With a Vision or Hearing Disorder Health Promotion and Risk Management Vision Disorders That Interfere With Vision Structural Problems of the Eye Infection or Inflammation of the Eye Traumatic Injury to the Eye Inner Eye Conditions The Child Scheduled for Eye Surgery The Hospitalized Child With a Visual Impairment Structure and Function of the Ears Disorders of the Ear The Hospitalized Child With a Hearing Impairment 51 Nursing Care of a Family When a Child Has a Musculoskeletal Disorder Nursing Process Overview for Care of a Child With a Musculoskeletal Disorder The Musculoskeletal System Assessment of Musculoskeletal Function Health Promotion and Risk Management Therapeutic Management of Musculoskeletal Disorders in Children Disorders of Bone Development Infectious and Inflammatory Disorders of the Bones and Joints Disorders of Skeletal Structure Disorders of the Joints and Tendons: Collagen Vascular Disease Disorders of the Skeletal Muscles 52 Nursing Care of a Family When a Child Has an Unintentional Injury Nursing Process Overview for Care of a Child With an Unintentional Injury Health Promotion and Risk Management The Injured Child Head Trauma Abdominal Trauma Dental Trauma Drowning Poisoning Foreign Body Obstruction Bites Athletic Injuries Injuries of the Extremities Thermal Injuries 53 Nursing Care of a Family When a Child or Adolescent Has a Malignancy Nursing Process Overview for Care of a Child or Adolescent With a Malignancy Health Promotion and Risk Management Developmental Considerations Neoplasia Assessing Children With Cancer Overview of Cancer Treatment Measures Used With Children The Leukemias The Lymphomas Neoplasms of the Brain Bone Tumors Other Childhood Neoplasms UNIT 8 The Nursing Role in Restoring and Maintaining the Mental Health of Children and Families 54 Nursing Care of a Family When a Child Has an Intellectual or Mental Health Disorder Nursing Process Overview for Care of a Child With an Intellectual Challenge or Mental Illness Health Promotion and Risk Management Classification of Mental Health Disorders Neurodevelopmental Disorders Attention Deficit and Disruptive Behavior Disorders Anxiety Disorders Eating Disorders Tic Disorders Depression, Psychiatric, and Bipolar and Related Disorders Affecting Children Elimination Disorders 55 Nursing Care of a Family in Crisis: Maltreatment and Violence in the Family Nursing Process Overview for Care of a Family That Has Experienced Child Maltreatment or Intimate Partner Violence Health Promotion and Risk Management Child Maltreatment Sexual Maltreatment Rape Intimate Partner Violence 56 Nursing Care of a Family When a Child Has a Long-Term or Terminal Illness Nursing Process Overview for Care of a Family With a Child Who Has a Long-Term or Terminal Illness The Child With a Long-Term Illness The Child Who Is Terminally Ill

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Institution
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Course
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Content preview

Chapter 1: A Framework for Maternal and Child Health Nursing

1. A program designed to decrease the infant mortality rate in the United States
would probably make the greatest impact if it focused on which aspect of care?
A. offering increased WICC availability
B. reducing the number of home births
C. increasing the education level of parents
D. increasing the number of women receiving prenatal care

Answer: D

Rationale: Receiving prenatal care has proven to be a major strategy for reducing
infant mortality. The other interventions will not directly impact infant mortality
rates to the degree that prenatal care will.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 11-13

2. What is a current trend in child health care?
A. Children are hospitalized for observation more than previously.
B. Health promotion rather than health restoration is stressed.
C. Child health care is moving out of regional centers.
D. Nursing roles are decreasing because of the increasing role of families.

Answer: B

Rationale: It is recognized that keeping individuals well is more cost effective for a
system than helping ill individuals return to wellness.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 6-8

3. The nurse is running an education program for early grade-school children.
Which topic would address the number one cause of death for this age group?
A. The importance of crossing streets safely
B. The importance of immunizations
C. Prevention of infection and communicable disease
D. Exercise and good nutrition

Answer: A

,Rationale: Motor-vehicle accidents are a leading cause of death in this age group.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 14

4. Which trend is currently influencing maternal and child health care?
A. an expansion of community-based services
B. closure of regionalized health care centers
C. the availability of additional family support
D. a reduction in the number of latchkey kids

Answer: A

Rationale: The trend for community care is increasing because it has the potential
to provide cost-effective health promotion/disease prevention client care services to
large numbers of children and families in an environment that is familiar to them.
Regionalization of care is increasing because of the need for more specialized or
advanced care. There is also an increase in the number of mothers who must work
outside the home because they do not have extended family members to provide
care for their children. This has resulted in an increase in the number of latchkey
children left home alone after school while the mother works.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 16

5. Which statement correctly defines the term "perinatal death rate"?
A. number of deaths in utero of a fetus 500 g or more per 1000 live births
B. number of deaths per 1000 live births occurring in the first 28 days of life
C. number of deaths per 1000 live births occurring at birth or in the first 12 months
of life
D. number of deaths per 1000 live births beginning when the fetus reaches 500 g
and ending 28 days after birth

Answer: D

Rationale: The term "perinatal" refers to the time of birth and the time closely
following it, or the time "around birth."
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process

,Reference: p. 10

6. Which statement best describes the pattern of maternal mortality since World
War II?
A. It has steadily decreased.
B. It has remained constant.
C. It has steadily increased.
D. After decreasing until the 1960s, it has increased steadily.

Answer: A

Rationale: Improved prenatal care and early ambulation after birth are factors that
have decreased maternal death rates following birth over the past 70 years.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 13

7. A nurse is reviewing the statistical outcomes related to fetal deaths nationwide
and notes that the numbers have changed over the last several decades. The best
explanation would be:
A. expectant mothers are seeking prenatal care later, resulting in decreases in the
number.
B. improved prenatal care has reduced the numbers of fetal deaths.
C. increases are noted because of the growing number of pregnancies to teen
mothers.
D. increases are noted due the increasing number of older mothers becoming
pregnant.

Answer: B

Rationale: The number of fetal deaths in the United States has fallen. This has been
attributed to the improvement in the delivery of prenatal care.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 11

8. An infant at 33 weeks' gestation dies after 1 week of life in the neonatal
intensive care unit. This infant's death rate would be classified under which
statistical category?
A. infant death under one month
B. neonatal death
C. preterm gestational death
D. postneonatal death

, Answer: B

Rationale: The neonatal death rate is the number of deaths of an infant in the first
28 days of life. Gestational age is not a consideration when reporting deaths of
infants. The other categories are not classifications for reporting infant deaths.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 10

9. What makes the area of maternal-child health nursing a more extensive area for
consideration of legal issues than other areas of nursing?
A. Age of the clients
B. Caring for a fetus, an unseen client
C. Risk of labor and birth
D. Lack of evidence-based information

Answer: B

Rationale: When providing care for the pregnant client, the fetus is unseen and
unable to speak. Care for the maternal-child couplet, therefore, takes on a greater
risk for legal and ethical issues as the fetus is not "born" nor of age to give consent
for procedures.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 20

10. What makes the area of family nursing a difficult arena in which to provide care
at times?
A. the presence of family in the hospital rooms
B. family members who might not agree on treatments and a plan of care
C. family-centered care plans and use of community areas in acute care settings
D. nurses having different values from families

Answer: B

Rationale: The family may not agree of the plan of care or treatment plans with
each other or for their children. This is a difficult situation as the children do not
have their rights to make their own decisions and the family needs to agree.
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care

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