, Maternal and child health nursing 9th edition
TEST BANK FOR MATERNAL & CHILD HEALTH NURSING 9TH EDITION CARE
OF THE CHILDBEARING & CHILDREARING FAMILY By JoAnne Silbert-Flagg
1. For which reasons would a nurse review infant mortality statistics in the United States?
(Select all that apply.)
A) Measures the quality of pregnancy care
B) Reviews information on overall nutrition
C) Compares health with those of other states.
D) Determines infant health and available care
E) Provides an index of the country's general health
Ans: A, B, D, E
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
quality of pregnancy care, provides information on overall nutrition, and determines
infant health and available care. Infant mortality statistics compares the health with
those of other countries and not with those of other states.
2. The nurse is providing care in an organization that supports the maternal and child care
continuum. Which type of patient care area is an example of this approach?
A) Primary care
B) Team nursing
C) Case management
D) Family-centered care
Ans: D
Feedback:
Keeping the family at the center of care is important because the level of a family's
functioning is important to the health status of its members. A healthy family establishes
an environment conducive to growth and health-promoting behaviors to sustain family
members during crises. A family-centered approach enables nurses to better understand
individuals and their effect on others and, in turn, to provide more holistic care. Primary
nursing, team nursing, and case management do not necessary take into consideration
the maternal and child care continuum.
3. Which actions should the nurse perform when supporting the goals of maternal and
child health care? (Select all that apply.)
A) Advocates protecting the rights of the mother and fetus
B) Teaches family members interventions to improve health
C) Adheres to principles that focus on the needs of the mother
D) Encourages maternal hospitalization to regain strength and stamina
E) Assesses family members for strengths and specific needs or challenges
Ans: A, B, E
Feedback:
Actions that the nurse should perform when supporting the goals of maternal and child
health care include advocating the rights for the mother and fetus, teaching health
promotion interventions, and assessing the family for strengths and specific needs or
challenges. Adhering to principles that focus on the needs of the mother and
encouraging maternal hospitalization to regain strength and stamina are not actions that
support the goals of maternal and child health care.
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,Maternal and child health nursing 9th edition
4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus
of these goals?
A) Health promotion and disease prevention
B) Early diagnosis of chronic health problems
C) Effective use of medication to treat disease
D) Reduce the cost of health care and medications
Ans: A
Feedback:
The 2020 National Health Goals are intended to help citizens more easily understand the
importance of health promotion and disease prevention and to encourage wide
participation in improving health in the next decade. These goals do not focus on the
early diagnosis of chronic problems, use of medications to treat disease, or reduce the
cost of health care and medications.
5. The nurse has noticed a change in the type of care needed to support maternal and child
health issues. What does the nurse realize as reasons for the changes in care? (Select all
that apply.)
A) Smaller families
B) Less domestic violence
C) More employed mothers
D) Stable home environments
E) More single-parent families
Ans: A, C, E
Feedback:
Nursing care for maternal and child is changing because families are smaller, more
mothers are employed out of the home, and there are more single-parent families. There
is an increase in domestic violence, and families are less stable and more mobile, which
influences homelessness.
6. During an assessment, the nurse asks a patient from a non-English-speaking culture
which types of home remedies and herbs the patient uses for health care. What is the
purpose of asking the patient this question?
A) Analyze for herb–drug interactions
B) Understand the patient's philosophy of alternative health care
C) Determine the types of medications the patient will need to be prescribed
D) Explain to the physician the patient's preference for nontraditional medicine
approaches
Ans: A
Feedback:
Assessing what alternative measures are being used is important because the action of
an herb can interfere with prescribed medications. Assessing the use of herbal remedies
is not done to understand the patient's philosophy of alternative health care, determine
the types of medications the patient will need to be prescribed, or explain the patient's
preferences for nontraditional medicine approaches to the physician.
7. The nurse notes that statistics on maternal mortality had improved but are again
becoming elevated. What does the nurse realize as a reason for this change in maternal
mortality rates?
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, Maternal and child health nursing 9th edition
A) Earlier prenatal care
B) Gestational hypertension
C) Increased vaginal deliveries
D) Treatment for chronic diseases
Ans: B
Feedback:
This increasing rate in maternal mortality is associated with more cesarean births, more
gestational hypertension related to preexisting hypertensive disorders, and lack of health
insurance for many Americans. This increase is not because of earlier prenatal care,
increased vaginal deliveries, or treatment for chronic diseases.
8. A new mother asks the nurse if all of the new baby's injections can be given in one visit
because the mother is losing income from missing work because of the office visits.
What does this new mother's issue indicate to the nurse?
A) The mother needs to find an alternative employer.
B) The mother's income is more important that the baby's health.
C) Missing work does not support the baby's health maintenance visits.
D) The federal government needs to do more to support well-baby visits.
Ans: C
Feedback:
An area that needs additional research is finding effective stimuli to encourage women
to bring children for health maintenance visits. The mother losing income because of
missing work for well-baby visits will deter health maintenance visits for the baby going
forward. This mother's issue does not indicate that the mother needs to find another job,
that the mother's income is more important that the baby's health, or that the federal
government needs to do more to support well-baby visits.
9. The nurse works in a maternal and child care area that supports health promotion.
Which activities will the nurse perform to support this philosophy of health care?
(Select all that apply.)
A) Planning care
B) Patient teaching
C) Family counseling
D) New mother advocacy
E) Identifying nursing diagnoses
Ans: B, C, D
Feedback:
Extensive changes in the scope of maternal and child health nursing have occurred as
health promotion has become a greater priority in care. The nursing activities for health
promotion include teaching, counseling, and advocacy. Planning care and identifying
nursing diagnoses are a part of the nursing process and not specific to health promotion.
10. During a care conference, a nurse provides everyone with a copy of the latest research
on improving the success of breastfeeding for first-time mothers. Which Quality &
Safety Education for Nurses competency does this nurse's action support?
A) Quality improvement
B) Patient-centered care
C) Evidence-based practice
D) Teamwork and collaboration
Ans: C
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