411 Chapter 1

the ability to apply knowledge about a clients culture to adapt to his or her health care accordingly is known as cultural_______________

competence

The United States lags behind other industrialized countries regarding infant mortality. The main factor that contributes to this is:

the large number of preterm births in the US

A nursing student is preparing a presentation illustrating the Human Genome Project. Which function will the student point out as being the primary focus?

identification of human genes and functions

The nurse is working with the parents of an infant and a toddler in the clinical setting. What statement by the parent would alert the nurse to assess the children further?

"We live in an old house, and we are planning to renovate it when the kids are older."

The nurse is caring for a child who says, "I'm tired of being in the hospital and I miss my own home." Which response by the nurse is most appropriate?

"What can we do to make your room seem more like home?"

The nurse is caring for a 14-year-old boy with a debilitating illness who wants to attend school. which intervention addresses the childs physical health but no his quality of life?

Assessing the childs daily O2 supplement needs.

In Arab American families______________

Husbands make all the healthcare decisions for the wife

A nurse is caring for a client who wishes to undergo an abortion. the nurse has concerns because abortion is against her personal convictions, and this is interfere with her professional duty. Which action should the nurse take to follow ANA code of ethics?

Make arrangements for alternate care providers

.A nurse witnesses a peer tell a client, "You are a mother now and you have to do what is best for you baby. You have to breastfeed her!" Which is the best action by the nurse?

Pull the nurse aside and inquire as to the content of the conversation.

A nurse is assisting a pregnant client in signing up for Medicaid to help with the cost of her medical care. The nurse explains that Medicaid is a federally funded program mandated by which act of Congress?

Title XIX of the Social Secruity Act

A nurse is reviewing a labor plan with a client who has been admitted to the labor and birth unit. The client states that she has been drinking a significant amount of herbal teas lately to help with uterine contractions. Which is the priority action by the nurse?

determine the type of herbal teas recently consumed

a _______ is a non-medical birth companion who provides quality emotional, physical, and educational support to the woman and family during childbirth and the postpartum period

doula

under certain conditions, a minor can be considered ___________ and can make health care decisions independently of parents

emancipated

An expectant mother has arranged for her massage therapist to provide gentle hand, arm, and neck massage for the client while she is in labor in the hospital. Which trend in today's health care environment is most related to this arrangement?

increasing use of alternative treatment modalities

The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is present. What would prevent informed consent from being obtained?

learning the mother is not the custodial parent

the nurse is updating the records of a 10-year-old girl who had her appendix removed. which action could jeopardize the privacy of the childs medical records.

letting another nurse use the nurses log-in session

The nurse working in a free health clinic is providing care to a 1-year-old girl and her single teenage mother. Which action would be most important initially?

observing the mother/child interaction

A group of women are attending a community presentation regarding the leading health concerns of women. Which interventions should the nurse recommend to have the greatestimpact on the leading cause of death?

weight control and being knowledgeable about family history of cardiovascular disease

A group of women are attending a community presentation regarding the leading health concerns of women. which interventions should the nurse recommend to have the greatest impact on the leading cause of death.

weight control and being knowledgeable about family history of cardiovascular disease

which physician is known as the father of pediatrics

Abraham Jacobi

the woman reports a desire to haver her extended family present during the labor and delivery would follow which cultural belief

Hispanic

Residing in an extended family example

Lives with her grandmother, her uncle, her mother, and her younger sister

A nurse is conducting a teaching session on sudden infant death syndrome (SIDS) for expectant parents. Which information should the nurse include? Select all that apply.

Sharing a room allows for monitoring of the infant. Place the infant on his or her back to sleep. Maintain neutral temperatures and avoid overheating.

A 15-year-old with leukemia tells the nurse that she wants to file for emancipation in order to control her own treatment plan. How does the nurse explain the process? Select all that apply.

The process is governed by individual state laws. The minor must be at least 14 years of age. The minor must demonstrate the ability to manage financial affairs.

Before World War II women moved from home to hospital births. What was the primary reason for that shift in maternity care?

They were convinced that setting would improve birth outcome

Which nursing activity requires the pediatric nurse to implement the ethical principle of nonmaleficence.

Weighing the potential harm causes by childs chemo with its potential benefits.

childrens temperament is categorized into three major groups: ________________, difficult, and slow to warm up

easy

Morbidity rates among children are most highly associated with which cause?

environmental factors

The nurse is caring for a 16-year-old boy with injuries from a car accident. Which activity describes the nurse's manager role?

facilitating return to school by working with the school nurse

the _________ is considered the basic social unit

family

The nurse is teaching a client the advantages and disadvantages of self-care. The nurse determines the session is successful when the client correctly chooses which point as bestdescribing self-care?

gaining information about and taking an active role in wellness

childrens medical records are only shared with legal parents, _____________, or others with written authorization by the parents

guardians

What is a current trend in child health care?

health promotion rather than health restoration is stressed

The nurse is caring for a 7-year-old boy with cystic fibrosis whose parents are intensely interested in all aspects of his condition and care. Which is the most effective way of advocating for this child and family?

helping parents access the areas multidisciplinary cystic fibrosis clinic

A client who has recently given birth arrives in a health care facility wanting to know ways to prevent sudden infant death syndrome (SIDS) in her infant. Which instructions should the nurse provide to address the concern?

place the infant on his or her back to sleep

the resiliency model of family stress and family adjustment and the adaptation response model identify the element of risk and _________ factors that aid a family in achieving positive outcomes

protective

A nurse is caring for a 31-year-old pregnant client who is subjected to intimate partner violence. The client has developed a feeling of hopelessness and does not feel confident in dealing with the situation at home, which makes her feel suicidal. Which nursing intervention should the nurse offer to help the client deal with her situation?

provide emotional support to empower the client to help herself

what is meant by maternal mortality rate

annual number of deaths from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes) during pregnancy and childbirth or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, per 100,000 live births, for specified year.

more children and adolescents die from _____________ injuries than from any other cause

unintentional

A nurse is providing cardiopulmonary resuscitation (CPR) to an infant with chronic health problems when the mother of the child tells the nurse to discontinue CPR. Which is the mostappropriate action by the nurse?

discontinue all resuscitation efforts

The maternal-child health nurse is providing care to the following clients. Which client would the nurse assess as being in the health restoration phase?

A 29-year-old G1P1L1 is assessed for ongoing complications from eclampsia, one week postpartum. Blood pressure is 128/92 mm Hg, heart rate 78 bpm, respiratory rate 22 breaths/min, temperature 98.8°F (37°C). Client states no headaches, no vision changes, and no seizure activity.

An infant at 33 weeks' gestation dies after 1 week of life in the neonatal intensive care unit. This infant's death rate would be classified under which statistical category?

neonatal

A group of nursing students are comparing the various changes in maternity care over the course of history and discover that the development of what medical treatment was mostinfluential in moving birth from the home into the hospital setting?

anesthesia and analgesic therapy

The nurse is caring for a 5-year-old girl with meningitis. What action by the nurse may be considered ethical behavior?

starting IV fluids even though the child protests

Consent for urgent treatment is needed for a minor. The parents are unable to be at the hospital. What action by the nurse constitutes informed consent?

telephone consent with two witnesses listening simultaneously

in order to advocate for children and families, the nurse must first acknowledge that the basic system in which health behavior and care are organized, secured, and performed is the:

family

During an initial assessment, a mother reports several problems she has been having coming to the local clinic. Which reported problem should the nurse give highest priority to in assisting this client?

family finances

_____________is the measure of prevalence of a specific illness in a population at a particular time

morbitity

The nurse is assessing a 9-year-old boy during a back-to-school checkup. Which finding is a factor for childhood injury?

mother reports she has used alcohol and drugs

A nurse informs a 19-year-old client that she is pregnant. The client immediately states that she plans to have an abortion. What would be the most appropriate response from the nurse to this client?

"I'll put together the information that you will need."

The nurse is presenting to a shelter for women and children who experienced intimate partner or family violience and is asked by a participant, "What does the No Child Left Behind Act mean?" How should the nurse best respond?

"It is a Federal program that will ensure all children in classrooms receive up-to-date research-based curriculum."

A nurse is determining whether or not informed consent has been obtained from the family of a child who is going to have abdominal surgery. Which statement by the family would lead the nurse to suspect that informed consent is lacking?

"We had to sign the form right away so the surgery could get scheduled."

The nurse is caring for several families enrolled in Medicaid in the prenatal setting. Which statement by an expectant mother would alert the nurse to assess the family further?

"We just moved here from another state and I am still getting used to the new town."

A nursing student asks an experienced nurse to explain the role of evidence-based practice on the maternal child unit. Which statement by the experienced nurse is most appropriate?

"Women have been able to be successful at having a natural birth after a cesarean birth."

After teaching nursing students about the trends in women and cancer in the United States, the nurse educator concludes that learning has taken place when the students make which statements? Select all that apply.

Cancer is the second leading cause of death among women. African American women are more likely than white women to get breast cancer. Lung cancer has the lowest survival rate in the United States of any cancer.

A national campaign to improve the health of the people in the United States has as one of its goals to "eliminate health disparities." What is the name of this national campaign?

Healthy People 2020

how do the risk factors for cardiovascular disease differ between men and women

Look past "crushing chest pain". Risk factors of heart dx differ between men and women in several other ways- for ex: menopause (associated with a significant rise in coronary events); diabetes, high cholesterol, and left ventricular hypertrophy; and repeated episodes of weight loss and gain.

A nurse who specializes in maternal and child health care performs many varied functions in diverse settings over the course of a year. Which action would be outside the nurse's scope of practice?

assist in the treatment and recovery of a woman with ovarian cancer

A nursing instructor is teaching a session investigating infant mortality as a standard measurement of the quality of health care in the country. The instructor determines the session is successful when the students correctly choose which factors as contributing to the high numbers of deaths in the United States? Select all that apply.

Preterm births Maternal complications Congenital deformities and chromosomal abnormalities

the nursing instructor is discussing culture with a group of nursing students. Which aspects should be included in the discussion of this topic.

a sense of personal space, primary language spoken by the family, religious beliefs of the individuals.

The nurse is reviewing the medical records of several infants. Which infant is at highest risk for death according to the infant mortality rate in the United States?

an infant born at a low birth weight

A client who has just given birth is concerned about the high rate of infant mortality in the United States. She is anxious about the health of her child and wants to know ways to keep her baby healthy. Which recommendation would best meet this goal?

breast-feed the infant

a client who has just given birth is concerned about the high rate of infant mortality in the US. She is anxious about the health of her child and wants to know ways to keep her baby healthy. Which recommendation would best meet this goal?

breastfeed the infant

A healthy client without a primary care provider is exploring the options available for a health care provider to assist with her pregnancy. Which health care provider can the nurse point out as a best option?

certified nurse midwife

the most common cause of infant deaths is _______________

chromosomal abnormalities and congenital anomalies which we have no control over.

what are the predictors of infant mortality

congenital anomalies remain the leading cause of infant mortality in the US. low birth weight, and prematurity are major indicators.

The nursing instructor is teaching a group of students about the history of maternity and family care. The instructor determines the session is successful when the students correctly choose which major change resulting from research by Klaus and Kennell?

family-centered care of today

A nurse is speaking with a client who has just learned that she is pregnant with her first child. The nurse reads in the client's chart that she does not drink alcohol on a regular basis. However, the nurse decides to go ahead and warn the client about the dangers of drinking alcohol while pregnant. Which phase of health care would this action be classified as?

health promotion

Cost containment in the health care field has become a sought-after necessity because of rising costs and the influence of managed care. Nurses are instrumental in assisting with cost containment of health care by prioritizing which strategy?

health promotion

The 5-year-old in the emergency room is having glass removed from a wound. Which action constitutes ethical behavior by the nurse?

holding the Childs hand in order to facilitate removal of the glass

when using positive reinforcement discipline strategies, what three characteristics of feedback are pivotal for success.

immediate, consistent, and frequent

A nurse is conducting an in-service program for a group of nurses on the health of women and their families, incorporating information from Healthy People 2020. The nurse determines that additional discussion and clarification is needed when the group makes which statement?

immunizations may be the cause of some illnesses being seen currently

A group of nurses are discussing the most recent statistics on death due to prematurity in the US. Which action, if implemented, would have the greatest impact on improving outcomes.

improve women's access to receiving prenatal care

A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and notes that the numbers have changed over the last several decades. The best explanation would be:

improved prenatal care has reduced the numbers of fetal deaths.

what are considered the major risk factors for developing breast cancer

positive family history, aging, and irregularities in the menstrual cycle at an early age. other risk factors include: excess weight, not having children, oral contraceptives, excessive alcohol consumption, a high-fat diet, and long-term use of hormone replacement therapy.

A nurse is doing a literature search on maternal mortality and finds that direct causes comprise the majority of maternal deaths. Direct causes are noted to be unpredictable reasons. Which action would be most appropriate to implement that would have the greatest impact on reducing these numbers?

practicing high standards of infection control

A nurse is investigating an outbreak of syphilis at the local college. Which is the appropriate first action by the nurse to reduce further spread of the infection?

provide free condoms and educational materials

_____________refers to a basic human quality involving the belief in something greater than oneself and a faith that affirms life positively

spirituality

An older couple approaches the nurse's station seeking information about their hospitalized grandchild. What should be the nurse's response?

tell the couple to seek information directly from the Childs parents

the nurse is running an education program for early grade-school children. Which topic would address the number one cause of death for this age group?

the importance of crossing streets safely

What societal issues greatly influence delivery of maternal and pediatric health care? Select all that apply.

Increased cultural and ethnic diversity of clients Cost of health care Low income of families

A nurse is providing teaching to a parenting class on childhood mortality prevention. Which topic would be the priority for the nurse to include?

seat belt safety

When describing birth during the 18th century, which description would be most accurate regarding maternal care during pregnancy and birth?

the majority of births occurred in the home with female midwives in attendance

A nurse educator is conducting a class on intimate partner violence for a group of new graduate nurses during orientation. Which statement by the educator best reflects current practice regarding these problems in women's health?

the nurse should screen for these problems at every client encounter

A 15-year-old client has just given birth and states that she does not want her infant to receive any newborn vaccines. What is the appropriate action for the nurse to take?

withhold the vaccines

An important role of the nurse caring for children and their families is that of child advocate. Which intervention best reflects this role?

working to change agency policy to better serve families