OB Chapter 1

When providing family-centered care for a new mother and infant, which is the appropriate action by the nurse? Oversee care provided by the mother. Encourage rooming-in to develop bonding. Limit interactions by other family members. Have the infant stay in the nursery.

Encourage rooming-in to develop bonding.

Morbidity rates among children are most highly associated with which cause? School violence Environmental factors Suicide and homicide Firearms at home

Environmental factors

A nurse is conducting a monthly chart audit in the newborn nursery. Which finding could indicate an ethical consideration of practice? 7% increase in the number of clients Overall 2% decrease in length of stay Change in bottle feeding protocol 200% increase in IV cath attempts

200% increase in IV cath attempts

A young couple are very excited to learn they are expecting their first child and question the nurse about which test they need to discover its gender. Which procedure will best provide this information to the couple? Chorionic villus sampling HGP Ultrasound Amniocentesis

Ultrasound

A young female client is pregnant for the first time and is uncertain who to seek prenatal care from. The nurse should point out which health care provider as the likely choice?

Obstetrician

The nurse is reviewing the chart of a pediatric client (above). What data support a high risk for infant mortality?

maternal factors

For how many weeks does the immediate postpartum period last? Fill in the blank with the correct number.

6 weeks

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? Answer the partner's questions honestly and without hesitation. Check the medical record for written client approval with whom to share information. Ask the partner for identification first before sharing any information. Tell the partner that no information can be shared with him or her at this time.

Check the medical record for written client approval with whom to share information.

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: community. government. health care facility. family.

family.

The period surrounding birth, from conception through pregnancy and birth, is called: perinatal maternal fetal neonatal

perinatal

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." "Obesity, drug use, and smoking are major problems." "Environmental quality is directly related to health care." "Maintaining a physically active lifestyle is strongly encouraged."

"Immunizations may be the cause of some illnesses being seen currently."

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? "Since families are more stable than in the past, nurses are not as concerned about these problems as they used to be." "Asking every client about intimate partner and family violence is the best way to elicit accurate information." "The nurse is not legally responsible for reporting suspected intimate partner violence." "The nurse should screen for these problems at every client encounter."

"The nurse should screen for these problems at every client encounter."

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." "My sister-in-law is due to have her baby the same month as our baby is due." "In my culture, we have family help us care for the baby in our home for several months." "I plan to give birth in a hospital setting with my family at my side."

"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 enjoy taking walks in the park and playing outside as much as possible." "We live in an old house, and we are planning to renovate it when the kids are older." "We have baby gates installed at the top and bottom of our stairs in our home." "We have to hire babysitters sometimes because our parents are not able to help babysit."

"We live in an old house, and we are planning to renovate it when the kids are older."

The nursing instructor is explaining the utilization of regionalized or centralized care to a group of maternal infant students. Which example should the instructor point out best demonstrates regionalized or centralized care? An at-risk mother is sent to a specialized facility to deliver. Sick infants are sent to a facility close to the client's home to receive care. Mothers deliver in the communities in which they live. All deliveries occur at one central facility.

An at-risk mother is sent to a specialized facility to deliver.

The nurse is reviewing the medical records of several infants. Which infant is at highest risk for death according to the infant mortality rate in the United States? An infant born to adolescent parents An infant born at 38 weeks' gestation An infant born at a low birth weight An infant born to a 43-year-old mother

An infant born at a low birth weight

Which of the following age groups has the lowest mortality rate? 0 to 2 years 14 to 18 years 5 to 14 years 2 to 5 years

5 to 14 years

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 with financial independence who is living with his parents A minor who puts his or her medical decisions in writing A child older than 13 years of age who asks for emancipation A minor who is pregnant

A minor who is pregnant

The nursing instructor is teaching a session comparing the various steps of the nursing process. The instructor determines the session is successful when the students correctly choose which step as the first one?

Assessment

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? Provide preconceptual health care to a client. Discuss methods of alleviating morning sickness with a client in her first trimester. 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.

Assist in the treatment and recovery of a woman with ovarian cancer.

When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief? Families are unable to make informed choices due to stress. Birth results in changes in relationships. Birth is viewed as a medical event. Families require little information to make appropriate decisions for care.

Birth results in changes in relationships.

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? Clinical nurse specialist (CNS) Lay midwife Women's health nurse practitioner (NP) Certified nurse midwife

Certified nurse midwife

A nurse is providing cardiopulmonary resuscitation (CPR) to an infant with chronic health problems when the mother of the child tells the nurse to discontinue CPR. Which is the most appropriate action by the nurse? Discontinue all resuscitation efforts. Continue CPR until help arrives. Stop and call 911. Continue chest compression only.

Discontinue all resuscitation efforts.

The nurse is functioning in the primary role to care for a 12-year-old boy with metastatic cancer in the liver. Which activity is typical of advocacy? Telling parents about clinical guidelines Instructing parents about proper home care Teaching the family about types of cancers Educating the family about choices they have

Educating the family about choices they have

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 Alternative birth systems Quality improvement Client teaching

Health promotion

What is not a trend in child health care today? Nursing roles are increasing because of the decreasing centrality of families. Children are hospitalized for observation less often than previously. Child health care is moving into regional centers. Health restoration is stressed over health promotion.

Health restoration is stressed over health promotion.

A nursing student is preparing a presentation illustrating the Human Genome Project. Which function will the student point out as being the primary focus? Treatment of gene mutations Detection of genetic mutations in children Genetic testing in adults Identification of human genes and functions

Identification of human genes and functions

A nurse is working as part of a community group to develop programs to lower risks to the health status of children and adolescents. Which issue will the group identify as the priority for program development? learning disorders inadequate health insurance unintentional (accidental) injuries communicable diseases

unintentional (accidental) injuries

The 6-year-old child is being prepared for a venipuncture. The child is tearful and reports feeling afraid. Which response by the nurse is most therapeutic?

It is okay to cry if you are hurt or afraid

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

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. Male gender of infant Preterm births Maternal age 30 to 34 years Congenital deformities and chromosomal abnormalities Maternal complications

Preterm births Congenital deformities and chromosomal abnormalities Maternal complications

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? Call the hospital chaplain to talk to the client. Tell the client that abortion (elective termination of pregnancy) results in death of the fetus. Ask the health care provider to discuss the issue with the client. Provide the client with the requested information.

Provide the client with the requested information

A nurse witnesses a peer tell a client, "You are a mother now and you have to do what is best for you baby. You have to breastfeed her!" Which is the best action by the nurse? Fill out an incident report to go in the nurse's personnel file. Approach the client later and provide correct information. Immediately interrupt the conversation and reprimand the nurse. Pull the nurse aside and inquire as to the content of the conversation.

Pull the nurse aside and inquire as to the content of the conversation.

The nurse is caring for a pregnant client in a prenatal clinic who states, "I want to view this labor and delivery as a natural process....not like an illness." How will the nurse respond? Provide the names of several obstetricians in the local area for consideration. Schedule the client for a tour of the women's unit at a large urban hospital. Offer education regarding how to best utilize pharmacologic pain medication during labor. Refer the client to a midwife in preparation for a birth in a birthing center.

Refer the client to a midwife in preparation for a birth at a birthing center

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. Co-bedding or sharing a bed creates parental bonding. Place the infant on his or her back to sleep. Maintain neutral temperatures and avoid overheating. Allow the infant to sleep with a bottle. Sharing a room allows for monitoring of the infant.

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

Infant mortality rates are a good index of general health. Which of the following statements is true regarding a comparison of infant mortality rates of the United States to those of 30 countries with the lowest infant mortality rates? The United States has a lower rate of infant mortality. The United States has an average rate of infant mortality. The United States has a higher rate of infant mortality. The United States has a similar rate of infant mortality.

The United States has a higher rate of infant mortality.

The nurse is reviewing the nursing care plan on a pediatric client admitted to the hospital with a respiratory illness. Which goal is written correctly? The client will walk 200 feet (60 meters) with an oxygen saturation of 95% or greater without oxygen. The client will have an oxygen saturation of greater than 95% on room air within 8 hours. The client will have a better respiratory rate and better oxygen saturation by tomorrow at 0800. The client will breathe better by the end of the shift today.

The client will have an oxygen saturation of greater than 95% on room air within 8 hours

The nurse is admitting a client to the emergency clinic and notes that the client's gender expression is different than the gender noted in the driver's license and insurance documentation. What is the nurse's best response? The nurse needs to clarify the conflict between the driver's license and the client's appearance. The nurse should refer to the client using the pronoun based on the legal documented gender. The nurse should communicate with the client based on the client's preferred pronoun. The nurse should communicate with the client by the gender indicated on the driver's license. The nurse should avoid using any gender specific pronouns or anything that relates to either gender.

The nurse should communicate with the client based on the client's preferred pronoun.

A 15-year-old client has just given birth and states that she does not want her infant to receive any newborn vaccines. What is the appropriate action for the nurse to take? Call the primary care provider. Administer the newborn vaccines. Withhold the vaccines. Ask the grandparents for permission.

Withhold the vaccines

A nurse is conducting a presentation for a group of pregnant women about appropriate health promotion strategies to address issues related to infant mortality. Which strategy would the nurse encourage to reduce the infant's risk for infection after birth? newborn development support groups breastfeeding sleeping on the back folic acid supplementation

breastfeeding

The nurse is providing care to an ill child and his family. Which activity reflects the use of the assessment step of the nursing process when providing care for children? evaluating care provided by the interdisciplinary team analyzing data to make judgments about the child's health state collecting data about the child and family developing a care plan that incorporates child goals

collecting data about the child and family

Which statement correctly defines the term "infant death rate"? number of deaths occurring at birth or in the first 12 months of life per 1,000 live births number of deaths occurring in the first 28 days of life per 1,000 live births number of deaths in utero of fetuses 500 g or more per 1,000 live births death of a live-born child before his or her first birthday.

death of a live-born child before his or her first birthday.

A 16-year-old child is admitted to the hospital for treatment after a motor vehicle crash. Review of the child's record reveals that she has the legal right to consent to and make decisions for her own treatment. What is the term for this client's status? emancipated minor independent practitioner self-guardian health care surrogate by proxy

emancipated minor

A nurse is working as part of a group to develop programs that address global health goals. Which target area(s) would the group likely focus on? Select all that apply.

end the AIDS epidemic universal access to reproductive health services reduction of pregnant parent mortality improved preventive efforts for substance use disorders

A nurse is spending the summer volunteering as a maternal and child health care professional in a clinic in a developing nation stricken by famine. The nurse notes that the low percentage of men in the population due to war as well as poor nutrition make conception rarer among the women encountered for care. Which measure of maternal and child health would best confirm the nurse's observations? fertility rate fetal death rate birth rate maternal mortality rate

fertility rate

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? language low health literacy transportation health insurance

health insurance

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 restoration health maintenance health promotion health rehabilitation

health promotion

What is the effect of low birth weights in babies born in the United States? fewer deliveries in hospitals increased infant mortality rates higher costs of care higher states of obesity in adulthood

increased infant mortality rates

An expectant mother has arranged for her massage therapist to provide gentle hand, arm, and neck massage for the client while she is in labor in the hospital. Which trend in today's health care environment is most related to this arrangement? reduction of health care costs through the utilization of nonlicensed care providers increasing use of alternative treatment modalities initiating more holistic care meeting the work needs of pregnant and breastfeeding women

increasing use of alternative treatment modalities

The nurse working in an obstetrician's office demonstrates case management when which action is completed? scheduling an appointment with a counselor when a client reports martial concerns offering the client education about disposable diaper and cloth diapers encouraging the client to bring the partner to each prenatal office visit assisting the client in telling the partner about test results following an amniocentesis

scheduling an appointment with a counselor when a client reports martial concerns