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Ch 01 - 21st Century Maternity Nursing questions with answers.
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Ch 01 - 21st Century Maternity Nursingquestions with answers.
The improvements in perinatal care, particularly care of the mother-baby dyad before birth, have had
the greatest impact. There has been a decrease in some congenital anomalies, such as spina bifida, but
this has not had the greatest impact. Better maternal nutrition has had a positive influence but not the
greatest overall impact. Changes in funding have not had the greatest impact. ANS -What has had the
greatest impact on reducing infant mortality in the United States?
1
Improvements in perinatal care
2
Decreased incidence of congenital abnormalities
3
Better maternal nutrition
4
Improved funding for health care
1, 4, 5
The nurse regularly assesses the patient for risks to be alert to any complications. This will help prevent
a failure to rescue. In case of an obstetric emergency, the health care team needs to implement
interventions quickly to minimize harm. This is possible with a timely identification of complications.
Implementing interventions quickly for the patient's safety is more important than documenting the
patient's condition. Telehealth services are used only when the patient is separated by distance from a
health care provider. ANS -Which actions does the perinatal nurse take to minimize harm or prevent a
failure to rescue in an obstetric emergency? Select all that apply.
1
Assess the patient for risks.
2
Document the patient's condition.
3
,Use telehealth services.
4
Identify complications immediately.
5
Implement interventions quickly.
2
Obesity increases the risk for hypertension related to pregnancy and diabetes in pregnant women.
Miscarriage and fetal death are also other risks that may result from obesity. Hence the nurse needs to
inform the patient about these complications to prevent risks. The nurse needs to instruct the patient to
increase fluid intake in case of dehydration. Aerobic exercises are prescribed for diabetic patients and
not for pregnant women. The patient may choose to consult a nurse-midwife regarding childbirth
decisions. ANS -Which instruction does the nurse provide to an obese pregnant patient?
1
"You need to increase your fluid intake."
2
"There is an increased chance of complications."
3
"You need to learn aerobic exercises."
4
"You need to consult with a nurse-midwife."
1, 3, 4, 5
Healthy People 2020 promotes healthy behaviors across all life stages. Healthy People provides science-
based 10-year national objectives for improving the health of all Americans. It has four overarching
goals: (1) attaining high-quality, longer lives free of preventable disease, disability, injury, and premature
death; (2) achieving health equity, eliminating disparities, and improving the health of all groups; (3)
creating social and physical environments that promote good health for all; and (4) promoting quality of
life, healthy development, and healthy behaviors across all life stages
(www.healthypeople.gov/2020/about/default.aspx). The goals of Healthy People 2020 are based on
assessments of major risks to health and wellness, changes in public health priorities, and issues related
, to the health preparedness and prevention of our nation. ANS -Healthy People 2020 goals include:
Select all that apply.
1
promoting quality of life.
2
promoting healthy behaviors in middle adulthood.
3
attaining high-quality, longer lives.
4
eliminating health disparities.
5
creating social and physical environments that promote health.
2
Caucasians have lower infant morbidity and mortality rates than Hispanics, Asian Americans, African
Americans, Native Americans, and Alaska Natives. This disparity results from different biological,
environmental, and health factors such as birth defects, sexually transmitted infections, low educational
attainment, and low income. ANS -Which racial and ethnic group in the United States has lower infant
morbidity and mortality rates than other groups?
1
Hispanics
2
Caucasians
3
Asian Americans
4
African Americans
3
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