Chapter 1 Prep U

Parents who recently experienced the death of their unborn child ask the nurse, "What is a fetal death?" What is the nurse's best response?

"It refers to the intrauterine fetal death at any time during pregnancy."

After teaching a group of nursing students about the concept of maternal mortality, the nurse determines that additional teaching is needed when one of the students makes which statement?

"The rate includes accidental causes of maternal deaths."

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. -Lung cancer has the lowest survival rate in the United States of any cancer.

The labor and birth nurse is precepting a nursing student. The preceptor informs the student that there are indicators for increased infant mortality. She includes which as predictors of higher infant mortality? Select all that apply.

-Chromosomal abnormalities -Prematurity

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 teaching a birthing class to expectant fathers. A father wants to know how he can directly help his partner. How should the nurse respond? Select all that apply.

-"You can be supportive by encouraging your partner during labor." -"Providing a back rub helps with pain and provides relaxation." -"Be aware that hormonal changes may make your partner have some behavior changes temporarily." -"Involving yourself in infant care provides for better family bonding."

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 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 -Reduce preterm births.

A nurse is preparing for a health promotion presentation for new mothers. Which topics would be appropriate for the nurse to include in the presentation? Select all that apply.

-breastfeeding encouragement -proper infant sleep position -infants in smoke-free environments

A nurse educator is preparing for a class discussion on the high mortality rate in the 17th and 18th centuries. Which information would the nurse likely include in the discussion? Select all that apply.

-women giving birth often died from dehydration. -exhaustion during labor occurred, resulting in death

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 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

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.

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 as part of a multidisciplinary group tasked with creating programs to address the major health issues affecting women. The group would most likely focus their efforts on which condition?

Cardiovascular disase

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 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

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 nursing instructor is discussing the infant mortality rate with a group of students. The instructor determines the discussion is successful when the students correctly choose which action as a priority to help decrease infant mortality in the United States?

Improving accessibility to postnatal health care for infants

The nurse researcher investigates the morbidity rate in the United States. Which statement accurately reflects this concept?

Morbidity measures the prevalence of a specific illness in a population at a particular time.

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.

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 12-year-old child hospitalized for internal injuries following a motor vehicle accident. For which medical treatment would the nurse ensure that an informed consent is completed beyond the one signed at admission?

Spinal tap

A family is seeking sources for payment of health care costs. When talking with the family, the nurse determines that the family makes too much money to qualify for the federal program. Which source would the nurse likely recommend?

State child health insurance program

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?

Tellin the child the test will not hurt.

A child needs a consent form signed for a minor surgical procedure. Which statement accurately describes the responsibility of the physician or nurse when obtaining the consent?

The nurse is responsible for determining that the parents or legal guardians understand what they are signing by asking them pertinent questions.

The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy People 2030. Which nursing action reflects the nurse fostering this health care agenda?

The nurse volunteers at a local health care clinic providing free vaccinations for low-income

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.

The nurse working in labor and birth explains that the historical rationale for performing an amniocentesis in 1966, when this procedure was introduced, was to accomplish which assessment?

assess fetal growth

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 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

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

On a routine prenatal visit, the nurse is concerned that the client may have a substance use disorder. To ensure proper care of her client, the nurse should:

refer the client to available community services.

What statements best describe giving birth to a child in 1700s America? Select all that apply.

-Female midwives attended the majority of all births at home. -Men did not attend births because it was considered indecent. -Women faced birth with the fear of death.

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 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 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 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 needs to ensure an informed consent has been obtained to provide care to a young client. Which aspect would be the most important for the nurse to consider related to the informed consent?

knowing the laws in the state where care is being provided

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

A client in a childbirth class asks the nurse, "What are the most common pregnancy-related complications?" The nurse would include which complications when responding? Select all that apply.

-preterm labor -hemorrhage -emboli

The nurse is caring for a child brought to the emergency department by a babysitter. The child needs an emergency appendectomy, and the parents cannot be contacted. What would be the nurse's best response to this situation?

Document failed attempts to obtain consent to allow emergency care.

A nurse is preparing a presentation for a local community group about health status and children's health. Which measure would the nurse include as one of the most significant?

Infant mortality rate

When utilizing a doula during labor, the client would expect which services to be included? Select all that apply.

-The doula will provide emotional, physical, and educational support. -The doula will act as a nonmedical companion.

The nursing faculty is explaining to her students the historical background regarding the reasoning for the introduction of nurseries in the 1900s. Which statement most accurately explains the reason for the nurseries?

Mothers could not care for their babies due to chloroform gas

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."

The nursing instructor is teaching students about the many different roles that nurses play in fostering a healthier life for people. These roles would include which actions? Select all that apply.

-providing direct care. -minister through emotional support. -providing comfort -providing information and advice -serving as a client advocate.