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Maternal & Child Care Exam Questions and Answers (SCORED A+)
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A woman is giving birth to her third child in a setting that allows her husband and other two children to be actively involved in the process. The nurse caring for the woman must also consider the husband and family as patients and work to meet their needs. This type of setting is termed: A.fami...

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Voorbeeld van de inhoud

Maternal & Child Care Exam Questions
and Answers (SCORED A+)

A woman is giving birth to her third child in a setting that allows her husband and other
two children to be actively involved in the process. The nurse caring for the woman
must also consider the husband and family as patients and work to meet their needs.
This type of setting is termed:



A.family-centered care

B.emergency care

C.hospice care

D.individual care - ANSWER-A. Family- Centered Care



Family-centered care is any setting in which the pregnant woman and family are treated
as one unit. The nurse assumes a major role in teaching, counseling, and supporting
the family. In emergency care settings, the nurse deals primarily with the patient who is
having difficulty. In hospice care settings, the nurse deals with patients who have
terminal illnesses. Individual care deals only with the patient and does not include the
family



What has had the greatest impact on reducing infant mortality in the United States?



A. Improvements in perinatal care

B. Decreased incidence of congenital abnormalities

C. Better maternal nutrition

D. Improved funding for health care - ANSWER-A. Improvements in perinatal care



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. This has had
a positive influence but not the greatest overall impact. Changes in funding have not
had the greatest impact

,Evidence-based practice is best described as:



A.Gathering evidence of mortality and morbidity in children.

B.Meeting physical and psychosocial needs of the family in all areas of practice.

C.Using a professional code of ethics as a means for professional self-regulation.

D.Providing care based on evidence gained through research and clinical trials. -
ANSWER-D. Providing care based on evidence gained through research and clinical
trials



This will assist the nurse in determining areas of concern and potential involvement. It is
not possible to meet all needs of the patient and family in all areas of practice. The
nurse is an advocate for the family. This is part of professional role and licensure.
Evidence-based practice is providing care based on evidence gained through research
and clinical trials. Practitioners must use the best available information on which to base
their interventions



A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?



A.Perform a nutrition assessment.

B. Refer the woman to a social worker.

C. Advise the woman to see an obstetrician, not a midwife.

D.Explain to the woman the importance of keeping her prenatal care appointments -
ANSWER-D. Explain to the woman the importance of keeping her prenatal care
appointments



Nutritional status is an important modifiable risk factor, but it is not the most important
action a nurse should take in this situation. The client may need assistance from a
social worker at some time during her pregnancy, but this is not the most important
aspect the nurse should address at this time. If the woman has identifiable high risk
problems, her health care may need to be provided by a physician. However, it cannot
be assumed that all African-American women have high risk issues. Additionally, this is
not the most important aspect on which the nurse should focus at this time, and it is not
appropriate for a nurse to advise or manage the type of care a client is to receive.
Consistent prenatal care is the best method of preventing or controlling risk factors
associated with infant mortality

, When a nurse is unsure about how to perform a client care procedure, the BEST action
would be to:



A.Ask another nurse.

B.Discuss the procedure with the client's physician.

C.Look up the procedure in a nursing textbook.

D.Consult the agency procedure manual and follow the guidelines for the procedure. -
ANSWER-D. Consult the agency procedure manual and follow the guidelines for the
procedure



Each nurse is responsible for his or her own practice. Relying on another nurse may not
always be safe practice. Each nurse is obligated to follow the standards of care for safe
client care delivery. Physicians are responsible for their own client care activity. Nurses
may follow safe orders from physicians, but they are also responsible for the activities
that they as nurses are to carry out. Information provided in a nursing textbook is basic
information for general knowledge and may not reflect the current standard of care or
individual state or hospital policies. It is always best to follow the agency's policies and
procedures manual when seeking information on correct client procedures. These
policies should reflect the current standards of care and state guidelines.



From the nurse's perspective, what measure should be the focus of the health care
system to reduce the rate of infant mortality further?



A.Implementing programs to ensure women's early participation in ongoing prenatal
care

B.Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days

C.Expanding the number of neonatal intensive care units (NICUs)

D.Mandating that all pregnant women receive care from an obstetrician - ANSWER-A.
Implementing programs to ensure women's early participation in ongoing prenatal care



Early prenatal care allows for early diagnosis and appropriate interventions to reduce
the rate of infant mortality. An increased length of stay has been shown to foster
improved self-care and parental education. However, it does not prevent the incidence
of leading causes of infant mortality rates, such as low birth weight. Early prevention

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