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Maternity and Pediatric Nursing 1st Edition by Ricci - Test Bank
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, Ch. 1: Perspectives on Maternal and Child Health CarePage: 9
1. The United States ranks 21st for maternal mortality and 27th for infant mortality rates
when compared to the rest of the world. Which factor has the greatest impact on
decreasing these rates?
A) Resolving all language and cultural differences
B) Ensuring early and adequate prenatal care
C) Providing more extensive women's shelters
D) Encouraging all women to eat a balanced diet
Ans: B
Response:
The lack of prenatal care during pregnancy is a major factor contributing to a poor
outcome. Prenatal care is well known to prevent complications of pregnancy and to
support the birth of healthy infants. Infant mortality commonly includes problems
occurring at birth or shortly thereafter. Thus, ensuring early and adequate prenatal care
would have the greatest impact on decreasing these rates. Resolving all language and
cultural differences would be helpful but is unrealistic. Providing more extensive
women's shelters would be helpful for women who are victims of abuse. Encouraging
all women to eat a balanced diet is helpful but would not decrease infant mortality rates.
Page: 6
2. When integrating the principles of family-centered care, the nurse would include which
of the following?
A) Childbirth is viewed as a medical event.
B) Families are unable to make informed choices.
C) Childbirth results in changes in relationships.
D) Families require little information to make appropriate decisions.
Ans: C
Response:
Family-centered care is based on the following principles. Childbirth affects the entire
family and relationships will change. Childbirth is viewed as a normal, healthy event in
the life of the family. Families are capable of making decisions about their own care if
given adequate information and professional support.
Page: 5
3. When preparing a teaching plan for a group of women who are pregnant for the first
time, the nurse expects to review how maternity care has changed over the years. Which
of the following would the nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) First cesarean birth
C) X-rays used to assess pelvic size
Page 1
,D) Development of free-standing birth centers
Ans: D
Response:
In the 20th century (1900s), free-standing birth centers were developed. Puerperal fever
epidemics, the first cesarean birth, and the use of x-rays to assess pelvic size were
events occurring during the 19th century (1800s).
Page: 9
4. Which of the following is the most common cause of pregnancy-related mortality?
A) Hemorrhage
B) Embolism
C) Hypertension
D) Infection
Ans: B
Response:
According to the most recent statistics available, embolism is the leading cause of
pregnancy-related mortality, accounting for 20% of deaths. This is followed by
hemorrhage (17%), pregnancy-related hypertension (16%), and infection (13%).
Page: 11
5. The nurse is working with a group of community leaders to develop a plan to address
the special health needs of women. Which of the following conditions would the group
address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
Ans: B
Response:
The group needs to address cardiovascular disease, the number-one cause of death in
women regardless of racial or ethnic group. Smoking is related to heart disease and
cancer, although heart disease and cancer can occur in any woman regardless of her
smoking history. Cancer is the second leading cause of death, with women having a one
in three lifetime risk of developing cancer. Diabetes is another important health
condition that can affect women, but it is not the major health problem that heart disease
is.
Page: 29
6. When assessing a family for barriers to health care, the nurse would consider which
factor to be most important?
A) Language
B) Health care workers' attitudes
C) Transportation
Page 2
, D) Finances
Ans: D
Response:
Financial barriers are one of the most important factors that limit care. Families may not
have any medical insurance, may not have enough insurance to cover the services they
need, or may not be able to pay for services. Language, health care workers' attitudes,
and transportation are also barriers to health care but are not as fundamentally important
as finances.
Page: 6
7. A 3-year-old boy with encephalitis is scheduled for a lumbar puncture. Which of the
following actions by the nurse would demonstrate atraumatic care?
A) Using EMLA prior to lumbar puncture
B) Having his anxious mother stay in the waiting room
C) Explaining, using medical terms, what will happen
D) Starting the child's intravenous infusion in his room
Ans: A
Response:
Using EMLA prior to the lumbar puncture reduces the pain associated with the
procedure and is an example of atraumatic care. The presence of a parent during
procedures is supportive for the child and should be encouraged because it can reduce
stress. The explanation of what will happen should be given on the child's level. The IV
should not be started in the child's hospital room, which should remain a “safe” area.
Page: 7
8. The nurse is caring for a 14-year-old girl with multiple health problems. Which of the
following activities would best reflect evidence-based practice by the nurse?
A) Following blood pressure monitoring recommendations
B) Determining how often vital signs are monitored
C) Using hospital protocol for ordering diagnostic tests
D) Deciding on the medication dose
Ans: A
Response:
Using hospital protocol for ordering a diagnostic test, determining how often vital signs
are monitored, and deciding on the medication dose would be the physician's
responsibility. However, following blood pressure monitoring recommendations would
be part of evidence-based practice reflected in the nursing care delivered.
Page: 8
9. The nurse is providing care to an ill child and his family. Which of the following
activities would deviate from the basic principles of case management?
A) Collaborating with the family throughout the care path
B) Focusing on both the client's and the family's needs
Page 3
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