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OB Chapt 1Perspectives on Maternal
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OB Chapt 1Perspectives on Maternal
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OB Chapt 1Perspectives on Maternal,Newborn & Women's Health Care
When describing childbirth during the 18th century, which of the following would the
nurse include?
a) The majority of births occurred in the home with female midwives.
b) Books on childbirth education became readily available.
c) Streptococci were identified as the major cause of puerperal fever.
d) Heavy doses of narcotics were used during labor. - ANSWER The majority of
births occurred in the home with female midwives.
Correct
Explanation:
During the 18th century (1700s), female midwives attended the majority of all births
and these births occurred in the home setting. Louis Pasteur demonstrated that
streptococci were the major cause of puerperal fever during the 19th century
(1800s). The use of twilight sleep, in which heavy doses of narcotics were used
during labor, occurred during the early 20th century (1900s). Books on childbirth
education became readily available during the 20th century (1900s).
A nurse is speaking with a patient who has just learned that she is pregnant with her
first child. The nurse reads in the patient's chart that she does not drink alcohol on a
regular basis. However, the nurse decides to go ahead and warn the patient about
the dangers of drinking alcohol while pregnant. Which phase of health care would
this action be classified as?
a) Health maintenance
b) Health promotion
c) Health restoration
d) Health rehabilitation - ANSWER Health promotion
Correct
Explanation:
This action is an example of health promotion, which may be defined as educating
parents and children to follow sound health practices through teaching and role
modeling. Health maintenance is intervening to maintain health when risk of illness is
present. Health restoration is using conscientious assessment to be certain
symptoms of illness are identified and interventions are begun to return client to
wellness most rapidly. Health rehabilitation is helping prevent complications from
illness, helping a client with residual effects achieve an optimal state of wellness and
independence, and helping a client to accept inevitable death.
Which of the following is the best definition of "maternal mortality"?
a) The number of deaths of women of childbearing years per 100,000 births.
b) The number of deaths of women in childbirth per 1000 births
c) The number of near deaths of women of childbearing years per 1000 births
, d) The number of deaths of women related to childbearing per 100,000 births -
ANSWER The number of deaths of women related to childbearing per 100,000
births
Correct
Explanation:
So few women die in childbirth in a developed country that this statistic is based on
100,000, not the usual 1000 number. p11
The nursing instructor informs students that different cultures have different beliefs
and practices that affect maternal and children's health. Which of the following group
fosters little involvement of the father during labor and a stoic, quiet appearance of
the woman during labor?
a) Native Americans
b) Arab Americans
c) Asian Americans
d) African Americans - ANSWER Asian Americans
Explanation:
Asian Americans have little involvement of the father during labor and the woman
has a quiet and stoic appearance during labor.
The nursing student correctly identifies which of the following to be the contributing
factor to making hospitals more attractive for deliveries in the early 1900's?
a) They had childbirth classes.
b) It showed affluence and they provided pain management.
c) They had nurse midwives.
d) It allowed for the father to be involved. - ANSWER It showed affluence and they
provided pain management.
Correct
Explanation:
In the early 1900's many women were attracted to hospitals because this showed
affluence and hospitals provided pain management. Nurse midwives were not
located in hospitals at this time and childbirth classes did not evolve until the late
1950's when "natural childbirth" became popular again. The father was prohibited in
the delivery room until much later. p6
Which of the following groups has the lowest risk of infant mortality?
a) Hispanic American women
b) African American women
c) Native American women
d) Asian American women - ANSWER Asian American women
Correct
Explanation:
African, Hispanic, and Native Americans have the highest risk of infant mortality
because more than 40% of these populations do not receive any prenatal care.
The nursing instructor is teaching students about the types of anesthesia used
during labor and delivery. She informs the students that in the 1900's a heavy dose
, of narcotics and amnesiacs was used on women during childbirth in the United
States. This is referred to as which of the following?
a) light sedation
b) twilight sleep
c) hypnosis
d) sundown syndrome - ANSWER twilight sleep
Correct
Explanation:
Twilight sleep (a heavy dose of narcotics and amnesiacs) was used on women
during childbirth in the United States in the 1900's. Sundown syndrome refers to a
multitude of behavioral problems that begin to occur in the evening or while the sun
is setting. Hypnosis is a mental state or imaginative role while light sedation involves
the administration of small amounts of medication in order to deal with anxiety or
agitation. p7
The nursing instructor is introducing the students to Healthy People 2010 which
highlights the major health indicators of the 21st century that need to be addressed.
She informs the students that this includes national health goals for maternal, infant
and child health which include which of the following? (Check all that apply.)
a) increase low birth weights
b) increase the number of cesareans
c) reduce low birth weights
d) reduce maternal deaths
e) reduce fetal and infant deaths
f) reduce preterm births - ANSWER • reduce low birth weights
• reduce maternal deaths
• reduce fetal and infant deaths
• reduce preterm births
Correct
Explanation:
The National Health Goals identified by Healthy People 2010 for maternal, infant and
child health are numerous. Some of these include reducing the fetal and infant
deaths, reducing low birth weights, reducing maternal deaths, reducing preterm labor
and decreasing the number of cesareans.
Infant mortality, a standard measurement of the quality of health care in the country,
measures which of the following?
a) The number of babies who die at birth each year
b) The number of deaths per 10,000 live births every year
c) The number of deaths per 1000 live births yearly in children under age 12 months
d) The number of babies who die of communicable diseases each year - ANSWER
The number of deaths per 1000 live births yearly in children under age 12 months
Correct
Explanation:
The infant year is birth to 12 months; mortality refers to deaths.
Which of the following people is at highest risk for death?
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