NUR 238 PrepU Chapter 1: Perspectives on Maternal and Child Health Care

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

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

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.

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 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 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

When preparing a teaching plan for a group of women during their first pregnancy, the nurse reviews how maternity care has changed over the years. Which information would the nurse include when discussing events occurring in the 20th century?

development of birthing centers

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 nursery nurse is preparing a consent form for the circumcision of a newborn. The mother of the child is 16 years of age. The baby's father is not participating in the care. When planning to complete the surgical consent, which action by the nurse is most appropriate?

Ask the baby's mother to sign the surgical consent.

A young mother with an ill child tells the visiting nurse that she belongs to the Christian Scientist religious group and will not seek medical attention for the child. Which statement bestreflects the mother's religion's beliefs about health?

Healing will come through prayer and spiritual regeneration only.

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 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 client learns she is 6 weeks' pregnant and asks the nurse for the name of the local abortion clinic. What is the most appropriate response by the nurse?

Provide the client with the requested information.

Which physician is known as the "Father of Pediatrics"?

Abraham Jacobi

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 nurse is caring for a child. Which individual would the nurse identify as being primarily responsible for initiating and coordinating health care?

parents

Morbidity data indicates that support is needed from pediatric nursing groups to establish improved and additional services for children with what health issues?

mental health and behavioral disorders

The pediatric nurse knows that the state of children's health in the United States is evaluated by specific determinants and measures of health status. These determinants include:

race and ethnicity.

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

It has steadily decreased.

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.

The nurse is presenting to a shelter for women and children who experienced intimate partner violence 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."

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."

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."

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."

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 working as part of a research team evaluating children for participation in a research study. The nurse demonstrates respect when the nurse obtains assent from children over which age?

7

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

Environmental factors

In 2007 the World Factbook published statistics that showed the United States still lagged behind other industrialized nations in the incidence of infant mortality. What is one reason that the United States has a higher infant mortality rate than other countries?

Low birth weight

The nurse is assessing a 9-year-old boy with pneumonia. Which finding is a factor for this child's morbidity?

Medical records reveal a history of asthma.

The parent of an 11-year-old girl with an inoperable brain tumor confides to the nurse that her daughter's physician is "pushing them" to convince their daughter to participate in a controversial treatment that has a high risk for side effects. She further states that she told him twice that they were not interested. What would be the nurse's best response to this situation?

Meet with the physician and disclose the concerns of the family; refer the case to the institutional ethics committee if not resolved.

Which statements about the maternal mortality and morbidity rates for black women in the United States indicate an understanding of the issue? Select all that apply.

Quality obstetrical health care may not be available in the community. Bias among health care providers toward the Black population fosters distrust. Black women often have limited or no health care insurance coverage. Many Black women have low socioeconomic status.

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.

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.

The maternal-child health nurse provides care to which client populations working within an appropriate scope of practice? Select all that apply.

a 52-year-old posthysterectomy client a 14-year-old primigravida client a 2-week-old preterm infant

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.

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

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.

A client, 6 hours postpartum, 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

After teaching a group of nursing students about major threats to children's health, the instructor determines that the teaching was successful when the students state that:

the prevalence of chronic disease is increasing.