TEST BANK MATERNAL AND CHILD HEALTH NURSING 9TH EDITION BY JoAnne Silbert -Flagg Chapter 1: A Framework for Maternal and Child Health Nursing JoAnne Silbert: Maternal and Child Health Nursing 9th Edition 1. A program designed to decrease the infant mor tality 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 f ormat: 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 L evel: 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 influencin g 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 car e 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 beca use 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 i n 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 d ays 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" r efers 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, i t 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 fo r 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 no ted 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 Proces s 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 gestation al death D. postneonatal death
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