Chapter 1 Maturnity
In caring for patients, a health care team often uses critical pathways. Which of the following are reasons critical pathways are used? a) Decreases cost for the patient and hospital. b) Helps to establish a trusting relationship with patients. c) Is followed by all members of the health team. d) Provides organization for the care of the patient.
Decreases cost for the patient and hospital.
In caring for patients, a health care team often uses critical pathways. Which of the following are reasons critical pathways are used? a) Is followed by all members of the health team. b) Helps to establish a trusting relationship with patients. c) Provides organization for the care of the patient. d) Decreases cost for the patient and hospital.
Decreases cost for the patient and hospital.
When educating nursing students about the major health concerns in the 21st century, which statement would indicate that the students understood the Healthy People 2010 Report? a) "Environmental quality is not related to health care." b) "Obesity, drug use, and smoking are major problems." c) "Nutrition is one of the major focuses of health care in the 21st century." d) "Immunizations may be the cause of some illnesses."
"Obesity, drug use, and smoking are major problems."
When educating nursing students about the major health concerns in the 21st century, which statement would indicate that the students understood the Healthy People 2010 Report? a) "Nutrition is one of the major focuses of health care in the 21st century." b) "Obesity, drug use, and smoking are major problems." c) "Environmental quality is not related to health care." d) "Immunizations may be the cause of some illnesses."
"Obesity, drug use, and smoking are major problems."
A nurse is instructing students about trends in maternal health in developed and developing countries. Which of the following indicators provides the most information about the global adequacy of maternal and perinatal health? a) Access to sexual and reproductive care. b) Incidence of low birth weight infants. c) Maternal mortality rate. d) Infant mortality rate.
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The United States ranks 21st for maternal mortality and 27th for infant mortality rate compared with the rest of the world. Which factor has the greatest impact on decreasing these rates? a) Providing more extensive women's shelters b) Resolving all language and cultural differences c) Encouraging all women to eat a balanced diet d) Assuring early and adequate prenatal care
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Which of the following people is at highest risk for death? a) 5 year old b) 6 month old c) 15 year old d) 18 month old
6 month old
What physician is known as the "Father of Pediatrics"? a) Ren Spitz b) Joseph Brennaman c) Abraham Jacobi d) John Bowlby
Abraham Jacob
Which of the following is essential to the contribution of the health of a woman and fetus? a) Social support b) Prenatal care c) Emotional support d) All of the above
All of the above
During this century, the focus on health has shifted to all but which of the following? a) Health promotion b) Wellness c) Analysis of morbidity and mortality d) Disease prevention
Analysis of morbidity and mortality
Which of the following groups has the lowest risk of infant mortality? a) Native American women b) African American women c) Asian American women d) Hispanic American women
Asian American women
A nurse who specializes in maternal and child health care performs many varied functions in diverse settings over the course of a year. Which of the following would she be least likely to do, as it would be outside her scope of practice? a) Assist in the treatment and recovery of a woman with ovarian cancer b) Discuss methods of alleviating morning sickness with a patient in her first trimester c) Provide preconceptual health care to a patient d) Read a recent journal article on breastfeeding and its benefits for new mothers
Assist in the treatment and recovery of a woman with ovarian cancer
A nurse counsels a 14-year-old girl on the risks of teenage birth and on methods of contraception. The nurse knows that such interventions have helped reduce which of the following measures in the past 10 years in the United States? a) Childhood morbidity rate b) Birth rate c) Child mortality rate d) Infant mortality rate
Birth rate
After hearing of a lawsuit being filed by a patient against another nurse, a nurse becomes concerned about her own potential liability in working with premature infants at high risk for morbidity and mortality. Which of the following actions is most essential for the nurse to take to protect herself in the event of litigation? a) Staying up to date on the research in her field b) Carefully documenting every intervention she makes with a patient c) Having the parents of each infant she works with sign a liability waiver form d) Having an attending physician confirm each intervention she makes before she makes it
Carefully documenting every intervention she makes with a patient
What makes the area of maternal-child health nursing a more extensive area for consideration of legal issues than other areas of nursing? a) Caring for a fetus, an unseen patient b) Age of the patients c) Lack of evidence-based information d) Risk of labor and delivery
Caring for a fetus, an unseen patient
After teaching nursing students the basic concepts of family-centered care, which of the following statements would indicate that the nursing students understood family-centered care? a) "Mothers are the family members affected by childbirth." b) "Childbirth is a medical procedure." c) "Families are not capable of making health care decisions for themselves." d) "Childbirth affects the entire family, and relationships will change."
Childbirth affects the entire family, and relationships will change."
When integrating the principles of family-centered care, the nurse would include which of the following? a) Families require little information to make appropriate decisions b) Childbirth is viewed as a procedural event c) Families are unable to make informed choices d) Childbirth results in changes in relationships
Childbirth results in changes in relationships
An important aspect of maternal-child health care is the use of critical thinking. What is one aspect of critical thinking? a) Clinical judgment b) Evidence-based practice c) Research d) Local standard of care
Clinical judgment
What is the leading cause of infant mortality in the United States? a) Congenital abnormalities b) Respiratory distress syndrome c) Prematurity d) Low birth weight
Congenital abnormalities
The neonatal death rate is defined as which of the following? a) Death in the first 6 months of life b) Death in the first year of life c) Death in utero in the last 28 days of pregnancy d) Death in the first 28 days of life
Death in the first 28 days of life
The LVN providing care for Mrs. Jones and her newborn son is in the process of passing out morning medications to Mrs. Jones and her other patients. While in Mrs. Jones's room the nurse makes suggestions on different positions to hold the newborn while breastfeeding. What is the most important part of these nursing interventions? a) Identifying outcomes from care given on the previous shift b) Assessing maternal-infant interactions c) Documenting the care given d) Evaluating Mrs. Jones' ability to feed her infant
Documenting the care given
The nurse is reviewing the discharge needs of postpartum women, who generally experience shorter hospital stays than were common for women in the past. Which of the following factors has most influenced this trend of shorter hospital stays? a) Access to quality community care. b) More cooperative efforts between caregivers and families. c) Efforts to contain healthcare costs. d) A shift toward a wellness focus in healthcare.
Efforts to contain healthcare costs.
The nurse is reviewing the discharge needs of postpartum women, who generally experience shorter hospital stays than were common for women in the past. Which of the following factors has most influenced this trend of shorter hospital stays? a) More cooperative efforts between caregivers and families. b) A shift toward a wellness focus in healthcare. c) Access to quality community care. d) Efforts to contain healthcare costs.
Efforts to contain healthcare costs.
Which of the following conditions accounts for the most common cause of pregnancy-related mortality? a) Embolism b) Infection c) Hemorrhage d) Hypertension
Embolism
Which of the following is the basic unit of society? a) Government b) Family c) Nation d) Race
Family
When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important? a) Finances b) Language c) Health care workers' attitudes d) Transportation
Finances
Cost containment in the health care field has become a sought-after necessity because of rising costs and the influence of managed care. Which of the following is a cost-containment strategy implemented by nurses? a) Alternative Delivery Systems b) Health Promotion c) Quality Improvement d) Patient teaching
Health Promotion
A nurse is speaking with a patient who has just learned that she is pregnant with her first child. The nurse reads in the patient's chart that she does not drink alcohol on a regular basis. However, the nurse decides to go ahead and warn the patient about the dangers of drinking alcohol while pregnant. Which phase of health care would this action be classified as? a) Health maintenance b) Health promotion c) Health rehabilitation d) Health restoration
Health promotion
A national campaign to improve the health of the people in the United States has as one of its goals to "eliminate health disparities". What is the name of this national campaign? a) National Maternal and Child Health Bureau (MCHB) Center for Child Death Review b) Pregnancy Risk Assessment Monitoring System (PRAMS) c) National Health and Nutrition Examination Survey (NHANES) d) Healthy People 2010
Healthy People 2010
A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which of the following? a) Increasing the education level of parents b) Increasing the number of women receiving prenatal care c) Changing genetic traits d) Reducing the number of home births
Increasing the number of women receiving prenatal care
An expectant mother has arranged for her massage therapist to provide gentle hand, arm, and neck massage for the patient while she is in labor in the hospital. Which trend in today's health care environment is most related to this arrangement? a) Regionalizing intensive care b) Initiating cost containment c) Meeting the work needs of pregnant and breastfeeding women d) Increasing use of alternative treatment modalities
Increasing use of alternative treatment modalities
A nurse working in a pediatrician's office has requested that a generic brand of cotton swabs be ordered in place of a more expensive brand name. Which trend in today's health care environment is most related to this nurse's action? a) Increasing use of technology b) Increasing reliance on home care c) Initiating cost containment d) Increasing health insurance coverage cost
Initiating cost containment
Which of the following best describes the pattern of maternal mortality since World War II? a) It has steadily decreased. b) After decreasing until the 1960s, it has increased steadily. c) It has steadily increased. d) It has remained constant.
It has steadily decreased.
A new mother is nervous about sudden infant death syndrome (SIDS) and asks the nurse how to prevent it when the newborn is ready to sleep. The nurse tells the mother to: a) Lay the newborn on her stomach, with her face turned. b) Lay the newborn on her side. c) Let the newborn sleep in the same bed as the parents. d) Lay the newborn on her back, rather than on her stomach.
Lay the newborn on her back, rather than on her stomach.
A nurse has just assisted in the delivery of a premature neonate. She recognizes that which of the following factors, when associated with prematurity, is a leading cause of death in neonates? a) Maternal hemorrhage b) Low birth weight c) Famine d) Low proportion of young adult men
Low birth weight
An important change in maternal and child health care that nurses must often explain is the new emphasis on ambulatory care. This change in emphasis is meant to achieve which of the following? a) Decrease responsibility for parents b) Reduce the number of hospitals needed c) Reduce the number of drug interactions d) Prevent the separation of children from parents
Prevent the separation of children from parents
An important change in maternal and child health care that nurses must often explain is the new emphasis on ambulatory care. This change in emphasis is meant to achieve which of the following? a) Reduce the number of drug interactions b) Reduce the number of hospitals needed c) Decrease responsibility for parents d) Prevent the separation of children from parents
Prevent the separation of children from parents
A Scottish physician named Alexander Gordon first realized that many women were becoming sick and even dying because of an infection transmitted from patient to patient by the attending physicians and nurses. What is this infection called? a) Erysipelas b) Childbirth fever c) Peritonitis d) Puerperal fever
Puerperal fever
When describing childbirth during the 18th century, which of the following would the nurse include? a) Heavy doses of narcotics were used during labor. b) Books on childbirth education became readily available. c) The majority of births occurred in the home with female midwives. d) Streptococci were identified as the major cause of puerperal fev
The majority of births occurred in the home with female midwives.
Which of the following is the best definition of "maternal mortality"? a) The number of near deaths of women of childbearing years per 1000 births b) The number of deaths of women of childbearing years per 100,000 births. c) The number of deaths of women related to childbearing per 100,000 births d) The number of deaths of women in childbirth per 1000 births
The number of deaths of women related to childbearing per 100,000 births
Infant mortality, a standard measurement of the quality of health care in the country, measures which of the following? a) The number of deaths per 1000 live births yearly in children under age 12 months b) The number of deaths per 10,000 live births every year c) The number of babies who die at birth each year d) The number of babies who die of communicable diseases each year
The number of deaths per 1000 live births yearly in children under age 12 months
In 1965 Medicaid, a federally funded program, was initiated. It supplied block grants to states to provide health care to those who have low income and who meet other state-determined eligibility criteria. What federal mandate was Medicaid created under? a) Title XXI of the Social Security Act b) Title XI of the Social Security Act c) Title XIX of the Social Security Act d) Title IX of the Social Security Act
Title XIX of the Social Security Act
The United States ranks 21st for maternal mortality and 27th for infant mortality rate compared with the rest of the world. Which factor has the greatest impact on decreasing these rates? a) Assuring early and adequate prenatal care b) Providing more extensive women's shelters c) Encouraging all women to eat a balanced diet d) Resolving all language and cultural differences
assuring early and adequate pernatl care
A nurse is instructing students about trends in maternal health in developed and developing countries. Which of the following indicators provides the most information about the global adequacy of maternal and perinatal health? a) Infant mortality rate. b) Access to sexual and reproductive care. c) Incidence of low birth weight infants. d) Maternal mortality rate.
maternal mortality rate
The nursing process is a scientific method and proven form of problem solving. It consists of what component? a) Health teaching b) Follow-up c) Documentation d) Planning
planning
Which of the following factors have contributed to the decline in the maternal mortality rate? Select all that apply. a) Increased participation of women in prenatal care b) Better control of hemorrhage and infection c) Increased use of anesthesia with childbirth d) Increased control of complications associated with hypertension of pregnancy e) Use of ultrasound to detect disorders
• Increased participation of women in prenatal care • Better control of hemorrhage and infection • Increased control of complications associated with hypertension of pregnancy • Use of ultrasound to detect disorders
