Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care

A nurse informs a 19-year-old client that she is pregnant. The client immediately states that she plans to have an abortion. What would be the most appropriate response from the nurse to this client?

"I'll put together the information that you will need."

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.

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?

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

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 African American women when found

Which statement best describes the pattern of maternal mortality since World War II?

It has steadily decreased.

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?

Provide emotional support to empower the client to help herself.

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 health care decisions for the wife.

When describing birth during the 18th century, which description would be most accurate regarding maternal care during pregnancy and birth?

The majority of births occurred in the home with female midwives in attendance.

The nursing instructor is teaching students about the types of anesthesia used historically during labor and birth. She informs the students that in the 1900s, women often were placed in "twilight sleep" during birth. This type of anesthesia would be described as:

a heavy dose of anesthesia and amnesiacs.

The nurse is providing care to a pregnant client from the Middle East. The client tells the nurse that she will not make a decision without her husband's approval. The nurse interprets this statement as reflecting

cultural difference.

A nurse has just started working at a clinic that has a large refugee client population. When providing care to this population group, which aspect would be most important for the nurse to recognize

cultural differences

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 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

The nurse is organizing health information to teach a client basic principles that will help maintain wellness in the family. Which actions should the nurse prioritize in this teaching?

encouraging yearly checkups for all clients

The nursing student correctly identifies which statement to be the contributing factor that made hospitals more attractive for births in the early 1900s

giving birth in a hospital suggested affluence, and the hospital provided pain management.

A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care?

increasing the number of women receiving prenatal care

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?

initiating cost containment

It is recognized that nutritional deficiencies are a common problem in the United States. A persistent problem that nurses should screen all prenatal clients for is:

iron-deficiency anemia.

The nursing faculty is teaching students about maternal mortality and morbidity rates for African American women, noting that they are often three to four times higher than for white women. This fact can most accurately be contributed to which reason

lack of access to adequate prenatal care

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