Chapter 1 - Perspectives on Maternal and Child Health Care Questions

Taken from

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permissive or laissez fair parenting

-parents have little control over the behavior of their children -rules or standards may be inconsistent, unclear, or nonexistent -negative effects include children being impulsive, low happiness, poor school performance, problems with authority, lacking responsibility and independence

who is more likely to get breast cancer? a. a white woman b. an African American woman

A

Bed rest maintained for the first 3 days postpartum

African Americans

Quiet stoic appearance of woman during labor

Asian Americans

The nurse is preparing a class for a group of students about homelessness. Which factors contribute to homelessness? Select all that apply. a. Decrease in the number of people living in poverty b. Rises in unemployment c. Exposure to abuse or neglect d. Cutbacks in public welfare programs e. Development of community crisis centers

B, C, D

The following events were milestones in the support of women's and children's health. Place the events in the correct sequence, from oldest to most recent. a. Declaration of the Rights of the Child approved b. WIC program established c. U.S. Children's Bureau established d. Sheppard-Towner Act passed e. Family and Medical Leave Act passed f. Education for All Handicapped Children Act passed

C, D, A, B, F, E

Childbirth is viewed as a normal, natural process; entire family may be present during birth

Hispanics

Breastfeeding withheld for the first 2 to 3 days after birth

Native Americans

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. A sense of personal space b. A person's race c. Primary language spoken by the family d. level of education e. religious beliefs of the individuals

a, c, e

Which nursing activity requires the pediatric nurse to implement the ethical principle of nonmaleficence? a. encouraging an adolescent client to take ownership of her health status independent of her parents b. weighing the potential harm caused by a child's chemotherapy with its potential benefits c. mediating between a father, who wants his infant circumcised, and the mother who is opposed d. providing empathic, holistic care to a family who has just learned that their child's prognosis is poor

b

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? a. place the infant on his or her back to sleep b. breastfeed the infant c. begin feeding of solids by age 4 months d. give the infant liquid vitamins daily

b

A recently licensed nurse is orientating 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? a. "most infants that die during infancy are victims of abuse and neglect." b. "the most common cause of infant deaths is chromosomal abnormalities and congenital anomalies, which we have no control over." c. Most of the infant deaths I have seen are related to SIDS d. "infant death rates combine deaths from birth through the first year of life. That is why the numbers are so high."

b

The nurse is assessing a 9-year-old boy during a back-to-school check-up. Which finding is a factor for childhood injury? a. records show child weighed 2,450 g at birth b. mother reports she has abused alcohol and drugs c. the parents adopted the boy from Guatemala d mother reports the child is hostile to other children

b

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? a. The woman is stoic during intense contractions, showing little emotion b. The woman reports a desire to have her extended family present during the labor and delivery c. The woman defers to her husband during interactions d. The woman wishes to labor unclothed

b

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? a. changing identification and passwords monthly b. letting another nurse use the nurse's log-in session c. closing files before stepping away from computer d. printing out confidential information for transmittal

b

___ are more likely than ___ to die from suicide

boys; girls

health promotion strategies to use after birth of the fetus:

breast-feeding -reduces the risk for allergic and autoimmune diseases, and the risk of obesity and its complications -has been shown to reduce rates of infection in infants and to improve their long-term health sleeping -emphasizing the importance of placing an infant on his or her back to sleep will reduce the incidence of SIDS -parents/partners should not share a bed with an infant younger than 12 weeks old avoid exposing the infant to tobacco smoke

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? a. track the incidence of violent crime against pregnant women b. examine health disparities between ethnic groups c. improve women's access to receiving prenatal care d. identify specific national health goals related to maternal and infant health

c

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? a. Yearly gynecologic exams b. prompt attention to respiratory tract infections c. weight control and being knowledgeable about family history of cardiovascular disease d. regular neurologic exams to note any cognitive or behavioral changes early

c

A nurse is caring for a 31-year-old pregnant client who 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? a. counsel the client's partner to refrain from subjecting his partner to abuse b. help the client understand the legal impact of her situation to help protect her c. provide emotional support to empower the client to help herself d. introduce the client to a women's rights group.

c

Which factor would most likely be responsible for a pregnant women's failure to receive adequate prenatal care in the United States? a. Belief that it is not necessary in a normal pregnancy b. Use of denial to cope with pregnancy c. Lack of health insurance to cover expenses d. Inability to trust traditional medical practices

c

___ is the third leading cause of death in people of ages 10-14?

suicide

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

competence

What are the predictors of infant mortality?

congenital anomalies remain the leading cause; low birth weight and prematurity are other major indicators

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? a. "Don't worry about things like that, you have too much else to worry about right now." b. "Husbands always have access to their wife's health records." c. "We have to give him access to your records in case they impact your divorce proceedings." d. "You have the right to say who can access your health records and who cannot."

d

A client who has recently given birth arrives in a health care facility wanting to know ways to prevent sudden infant death syndrome in her infant. Which instructions should the nurse provide to address the concern? a. place the infant in warm clothes b. feed the infant only breast milk c. provide very soft bedding for the crib d. place the infant on his or her back to sleep

d

What is meant by maternal mortality rate?

the annual number of deaths from any cause related to or aggravated by pregnancy or its management during pregnancy and childbirth or within 42 days of termination of pregnancy, irrespective of the duration and site of pregnancy, per 100,000 live births, for a specified year

A ______ is a nonmusical 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 _______ is considered the basic social unit.

family

the order of learning culture

family, in school, community

scoliosis is more common in?

females

When using positive reinforcement discipline strategies, what three characteristics of feedback are pivotal for success?

for positive reinforcement to be effective, feedback must be immediate, consistent, and frequent

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

guardians

color blindness is more common in?

males

How do the risk factors for cardiovascular disease differ between men and women?

men have the "crushing chest" pain whereas women may have menopause, diabetes, high cholesterol levels, and left ventricular hypertrophy; repeated episodes of weight loss and gain

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

morbidity

authoritative parenting

parenting style characterized by emotional warmth, high standards for behavior, explanation and consistent enforcement of rules, and inclusion of children in decision making

corporal punishment

physical punishment

What are considered the major risk factors for developing breast cancer?

positive family history, aging, irregularities in the menstrual cycle, excess weight, not having children, oral contraceptive use, excessive alcohol consumption, a high-fat diet, and long-term use of hormone replacement therapy

How has the Women, Infants, Children programs supported the health of women and children?

provides nutritional supplementation and education to low-income families, women who are pregnant, postpartum or lactating, and infants and children up to age 5

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

spirituality

authoritarian parenting

style of parenting in which parent is rigid and overly strict, showing little warmth to the child

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

unintentional

causes of childhood mortality:

unintentional injuries congenital malformations cancer suicide homicide diseases of the heart influenza pneumonia

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 state, "I'm too tired to fight any more. I don't want any more medication that may prolong my life." the client's husband is at the bedside and state, "No! You have to give my wife her medication. I can't let her go." What action by the nurse is most appropriate? a. give the medication as prescribed and make a referral to pastoral services b. explain to the husband that his wife has the right to refuse medication and care c. encourage the client to heed her husband's wishes d. state that the nurse has to give the medication unless the health care provider prescribes that the medication be stopped

b

The nurse is caring for a 14-year-old boy with a debilitating illness who wants to attend school. Which intervention addresses the child's physical health but not his quality of life? a. helping the child modify trendy clothing to his needs b. consulting with the school nurse at the child's school c. assessing the child's daily oxygen supplement needs d. Adapting technologies for use outside of the home

c

The nurse is caring for a pregnant Arab American woman. Which statement most accurately describes the client's potential health care beliefs? a. folk remedies are commonly used in women's health care b. the woman will participate in birthing classes as long as her husband accompanies her c. the husband makes all the healthcare decisions for the wife d. birth control is considered an acceptable method for natality limitations

c

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 Nurses Association's code of ethics for nurses? a. provide emotional support to the client while caring for her b. not allow her personal convictions to interfere with her profession c. involve the client's family in convincing the client against an abortion d. make arrangements for alternate care providers

d

A pregnant client come 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 this information? a. she lives with her mother, step-father, and his two sons b. she lives with her best and her three children c. she lives with her husband and her daughter and son of whom she has joint custody d. she lives with her grandmother, her uncle, her mother, and her younger sister

d

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? a. ask the grandmother of the newborn to sign the surgical consent b. determine if the baby's father is older than 18 years, and if so ask him to sign c. recommend that the court appoint a guardian for the baby d. ask the baby's mother to sign the surgical consent

d

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? a. explain to the parents that the surgeon will make the final decision in the event a blood transfusion is needed by the child. b. ask the child what their preference will be c. contact the hospital attorney d. document the parents' request

d

The school nurse is caring for several children who witnessed an 8-year-old girl get hit by a car on the way to school. Which intervention is least important to the nursing plan of care for these children? a. determining that the children were traumatized by what they saw b. arranging for counseling for the children who saw the accident c. including friends of the injured child to receive counseling too d. making phone calls to the parents of the children counseled

d

When caring for an adolescent, in which instance must the nurse share information with the parents, no matter which state care is provided in? a. Pregnancy counseling b. Depression c. Contraception d. Tuberculosis

d

When preparing a presentation for a local woman's group on women's health problems, what would the nurse include as the number-one cause of mortality for women in the United States? a. Breast cancer b. Childbirth complications c. Injury resulting from violence d. Heart disease

d