Chapter 1 Prep U

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 nursing student demonstrates an understanding of fetal mortality rates when compared to the other mortality rates when she correctly describes the fetal mortality rate by which statement?

"The fetal mortality rate includes the intrauterine death of a fetus who is 20 weeks of gestation or more per 1,000 live births."

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 nurse is providing care to several clients. Which client would the nurse identify as being unable to provide consent for health care?

14-year-old male

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

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 most influential in moving birth from the home into the hospital setting?

Anesthesia and analgesic therapy

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 nurse is working as part of an interdisciplinary team providing care to women and children at a local community center. The nurse advocates for and provides comprehensive care to the clients across the continuum of care. The nurse is acting as:

Case manager

Which statement best describes the pattern of maternal mortality since World War II?

It has steadily decreased.

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.

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 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.

The nursing instructor is teaching students about the types of anesthesia used historically during labor and birth. She informs the students that in the 1900s, women often were placed in "twilight sleep" during birth. This type of anesthesia would be described as:

a heavy dose of anesthesia and amnesiacs.

A nurse is analyzing a journal article presenting statistics concerning newborn and infant health. Which condition has been determined to be the most likely cause of infant mortality in the United States?

congenital abnormalities

A nurse is providing care to a woman who has just given birth to a healthy newborn. Which action would least likely demonstrate application of the concept of family-centered care?

encouraging the woman to keep her other children at home

A nurse is working as part of a larger community group to develop programs to address current barriers to health care being experienced by women. The community is in the city with a large population of low-income families. On which factor should the group focus their efforts to address a main barrier to access to care?

health insurance

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 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 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.

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.

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