Term 4 Maternity and OB Study guide Chapter 1

________________ is the measure of prevalence of a specific illness in a population at a particular time.

morbidity

The nurse is assessing a 9-year-old boy during a back-to- school check-up. Which finding is a factor for childhood injury?

mother reports she has abused alcohol and drugs

A nurse is caring for a client who wishes to undergo an abortion. The nurse has concerns because abortion is against her personal convictions, and this is interfering with her professional duty. Which action should the nurse take to follow American Nurse's (ANA) code of ethics for nurses?

Make arrangements for alternate care providers

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

Which nursing activity requires the pediatric nurse to implement the ethical principle of nonmaleficence?

weighing the potential harm caused by a child's chemotherapy with its potential benefits

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

The nurse is updating the records of a 10 year old girl who had her appendix removed. Which action could jeopardize the privacy of the child's medical records?

letting another nurse use the nurse's log-in session

A recently licensed nurse is orienting to a pediatric unit in an acute care facility. The nurse is discussing causes of infant mortality with her 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 client tells the nurse that she is getting divorced and wants to be sure that her soon-to-be ex- husband cannot have access to her medical information. Which response would be the most accurate for the nurse to give the client?

" You have the right to say who can access your health records and who cannot"

The nursing instructor is discussing culture with a group of nursing students. Which aspects should be included in the discussion of this topic? (Select all that apply)

- a sense of personal space - primary language spoken by the family - religious beliefs of the individuals

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

The nurse is caring for a 14 year old boy with debilitating illness who wants to attend school. Which intervention addresses the child's physical health but not his quality of life?

assessing the child's daily oxygen supplement needs

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 this goal?

breastfeed the infant

The ability to apply knowledge about a client's culture to adapt his or her health care accordingly is known as cultural _______________

competence

The parents of a 12-year-old child preparing to undergo surgery explain to the nurse that their religious beliefs do not allow for blood transfusions. What initial action by the nurse is most appropriate?

document the parents' requests.

A ________________ is a nonmedical birth companion who provides quality emotional, physical, and educational support to the woman and family during childbirth and the postpartum period.

doula

Children's temperament is categorized into three major groups: _______________, difficult, and slow to warm up

easy

Under certain conditions, a minor can be considered _________________ and can make health care decisions independently of parents.

emancipated

The nurse is caring for a client with end-stage breast cancer. When the nurse takes chemotherapy medication into the client's room, the client states, " I'm too tired to fight anymore. I don't want any more medication that may prolong my life." The client husband is at the bedside and states, "No! You have to give my wife her medication. I can't let her go" What action by the nurse is most appropriate?

explain to the husband that his wife has the right to refuse medication and care.

The ______________ is considered the basic social unit.

family

Children's medical records are only shared with legal parents, ____________, or others, with written authorization by the parents.

guardians

The school nurse is caring for several children who witnessed an 8-year-old girl get hit by car on the way to school. Which intervention is least important to the nursing plan of care for these children?

making phone calls to the parents of the children counseled

A client who has recently given arrives in a health care facility wanting to know ways to prevent sudden infant death syndrome (SIDS) in her infant. Which instructions should the nurse provides to address the concerns?

place the infant on his or her back to sleep

The resiliency model of family stress and family adjustment and the adaptation response model identify the element of risk and _____________ factors that aid a family in achieving positive outcome.

protective

A nurse is caring for a 31- year old pregnant client who is subjected to abuse by her partner. The client is subjected to abuse by her partner. 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 pregnant client comes to the local health clinic for her scheduled prenatal visit. On her chart, the nurse notices that the client indicated that she resides in an extended family situation. Which arrangement would validate the information?

she lives with her grandmother, her uncle, her mother, and her younger sister

_____________ refers to a basic human quality involving the belief in something greater than oneself and a faith that affirms life positively.

spirituality

The nurse is caring for a pregnant Arab American woman. Which statement most accurately describes the client's potential health care beliefs?

the husband makes all the healthcare decisions for the wife

The nurse is caring for a Hispanic client who is in labor. The client appears to closely follow traditional cultural behaviors. Which behavior would most likely to be noted by the nurse?

the woman reports a desire to have her extended family present during labor and delivery

More children and adolescents die from __________________ injuries than from any other cause.

unintentional