Test Bank for Maternal & Child Health Nursing 9th Edition by Silbert-Flagg
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Course
Nursing
Institution
Nursing
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 Fra...
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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