Chapter 1 Perspectives on Maternal and Child Health Care PrepU
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 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
In an effort to improve the health status of women and their children, several national campaigns have been implemented. The campaign that reduced the incidence of sudden infant death syndrome (SIDS) by 50% was the:
Back to sleep campaign
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 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 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 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.
To decrease childhood mortality, pediatric nurses need to consistently engage in what activity throughout all age groups?
Teach injury prevention and proper safety practices.
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.
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 outcomes.
A nurse is providing care to several clients at the clinic. The nurse would obtain legal consent for care from the parent or legal guardian for which client?
a 15-year-old adolescent who is a high school student
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?
breastfeed the infant
A nurse is working in an ambulatory health care clinic located in a poor neighborhood. Which nursing intervention would provide the greatest benefit for the women and their children seen at this clinic?
educating the parents about preventive 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.
Pediatric nurses are developing more home care and community-based services for children with chronic illnesses because:
increasing numbers of children live with chronic disabilities due to advances in health care that allow children with formerly fatal diseases to survive.
Which statement best describes the pattern of maternal mortality since World War II?
it has steadily decreased
What is one reason that the United States has a higher infant mortality rate than other countries?
low birth weight
A client, 6 hours post-birth, has a severe postpartum hemorrhage that the health care providers are unable to control. She succumbed to the hemorrhage in the intensive care unit. The client's death would become part of the:
maternal mortality rate
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 death
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
What nursing intervention by the maternity nurse is the most important in providing family-centered care?
promoting uninterrupted infant bonding
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 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 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 child's parents.