Ch. 1: Perspectives on Maternal, Newborn, and Women's Health Care

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 2030. 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 nurse informs a 19-year-old client that she is pregnant. The client immediately states that she plans to have an abortion (elective termination of pregnancy). What would be the most appropriate response from the nurse to this client?

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

A nurse working in the emergency department has witnessed women arriving in labor and experiencing complications that have led to poor outcomes. When reviewing the medical records of these clients, the nurse notes that a lack of which factor appears to be a common thread?

prenatal care

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 nurse teaching an introductory preconception health class includes discussion on the indexes of the health of the United States. Which statement made by the participants indicates an understanding of the content?

"The infant mortality rate is the barometer of the country's overall health."

A group of students are reviewing the historical aspects of birth. The students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during which time frame?

1900s

The nurse knows that the emancipated minor is considered to have the legal capacity of an adult and may make his or her own health care decisions. Which child would potentially be considered an emancipated minor?

A minor who is pregnant

What makes the area of maternal-child health nursing a more extensive area for consideration of legal issues than other areas of nursing?

Caring for a fetus, an unseen client

A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?

Breast cancer is more advanced in Black women when found.

The nurse is providing care to a woman who has just given birth to a healthy term neonate. The woman's partner arrives and asks about the neonate's status. Which action by the nurse would be appropriate?

Check the medical record for written client approval with whom to share information.

A woman comes to the prenatal clinic for a follow-up visit. During the assessment, the nurse notes multiple bruises over the client's arms, thighs, and back that are in various stages of healing. Which action would be most appropriate?

Document the findings.

The nurse is functioning in the primary role to care for a 12-year-old boy with metastatic cancer in the liver. Which activity is typical of advocacy?

Educating the family about choices they have

The nursing student correctly identifies which statement to be the contributing factor that made hospitals more attractive for births in the early 1900s?

Giving birth in a hospital suggested affluence, and the hospital provided pain management.

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

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

Improve women's access to receiving prenatal care.

The pediatric nurse knows that the children being treated are considered minors. Which statement accurately describes the regulations related to consent for medical treatment?

Parents ultimately are the decision makers regarding medical treatment for their children younger than the age of 18.

When integrating the principles of family-centered care, the nurse would include which concept?

People have taken increased responsibility for their own health.

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 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.

The nurse is caring for a 14-year-old boy with a growth hormone deficiency. Which action best reflects using the nursing process to provide quality care to children and their families?

Reviewing the effectiveness of interventions

A preschool-age child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights?

Telling the child the test will not hurt.

The nurse is caring for a 2-week-old girl with a metabolic disorder. Which activity would deviate from the characteristics of family-centered care?

Softening unpleasant information or prognoses.

A nurse is conducting a presentation for a group of pregnant women about factors affecting maternal and newborn health. When discussing the family as an influential factor, which information would the nurse need to keep in mind?

The uniqueness of families requires specific methods for support.

A pregnant client is to undergo a procedure. Prior to the procedure, a nurse determines that informed consent has been obtained from the client, offering protection for the client based on which principle?

autonomy

When assessing a family for barriers to health care, the nurse documents the psychosocial barriers. What is an example of this type of health care deficit?

academic difficulties

A nurse is conducting a presentation for a group of pregnant women about appropriate health promotion strategies to address issues related to infant mortality. Which strategy would the nurse encourage to reduce the infant's risk for infection after birth?

breastfeeding

A nurse has just started working at a clinic that has a large refugee client population. When providing care to this population group, which aspect would be most important for the nurse to recognize?

cultural differences

A nurse is providing care to a pregnant client who is to undergo an amniocentesis. Which action would be most appropriate for the nurse to perform related to the client's informed consent?

determining the client's understanding of the procedure

A nurse has started working at a new clinic that treats local immigrants. Which factor about the clients would be most important for the nurse to acknowledge when caring for them?

differences in culture

A group of nurses are working to provide quality care for their clients within the current health care environment of cost containment. Which strategy(ies) would be appropriate for the nurses to use? Select all that apply.

educating clients about seeking help for problems early on urging clients to participate in screening programs creating easy access programs for clients to receive immunizations

The nurse is organizing health information to teach a client basic principles that will help maintain wellness in the family. Which actions should the nurse prioritize in this teaching?

encouraging yearly checkups for all clients.

A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care?

increasing the number of women receiving prenatal care

The nursing faculty is teaching students about maternal mortality and morbidity rates for black women in the United States, noting that they are often three to four times higher than for white women. This fact can most accurately be contributed to which reason?

lack of access to adequate prenatal care

Poverty is a known contributory factor to poorer pregnancy outcomes for women. Which consequences of poverty can be directly linked to these poor outcomes? Select all that apply.

limited prenatal care teenage or unintended pregnancies increased frequency of preterm births lower levels of education

A nurse is conducting research in preparation for developing programs to improve maternal and newborn health. The nurse is reviewing statistics revealing the number of infant deaths occurring in the first 28 days of life. The nurse is researching which rate?

neonatal mortality rate

A nurse is conducting an in-service program for a group of maternal-neonatal nurses about factors affecting maternal and newborn health. As part of the presentation the nurse describes how the family has changed over the years. The nurse determines that the teaching was successful when the group identifies which family structure as having been considered the traditional structure?

nuclear

The nursing instructor is introducing students to Healthy People 2030, which highlights the major health indicators that need to be addressed. The nurse informs the students that this includes national health goals for maternal, infant, and child health. Which goal(s) would be included? Select all that apply.

reduce infant death rates reduce the rate of fetal deaths at 20 or more weeks of gestation increase infant birth weights reduce preterm births

The nurse working in an obstetrician's office demonstrates case management when which action is completed?

scheduling an appointment with a counselor when a client reports marital concerns

A nurse is working with a group of women who are victims of intimate partner violence. The nurse would focus interventions to achieve which outcomes? Select all that apply.

strength building empowerment provision of support

The World Health Organization's definition of health was approved in 1948 and included a definition of health as "a state of complete physical, mental, and social well-being." What data was not a part of this definition?

the new understanding of disease at cellular, individual, and societal levels

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

A recently licensed nurse is orienting to a pediatric unit in an acute care facility. The nurse is discussing causes of infant mortality with the preceptor. Which statement by the preceptor most accurately addresses this problem?

"The most common cause of infant deaths is chromosomal abnormalities and congenital anomalies, which we have no control over."

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 group of nursing students are examining the data of the local hospitals to determine the potential maternal needs of the community. Which factor will be the best statistical indicator of the adequacy of prenatal care?

Maternal mortality rate

It is recognized that nutritional deficiencies are a common problem in the United States. A persistent problem that nurses should screen all prenatal clients for is:

iron-deficiency anemia.

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 nurse is caring for a pregnant woman who has come to the prenatal clinic for a follow-up visit. During the visit, the woman asks the nurse, "I've heard about something called a doula. Can you explain what this is? Which response by the nurse would be most appropriate?

"A doula is someone who assists you during birth and afterwards offers support to you and your family."

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