Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment

The maternal child health nurse provides care to which client populations working within an appropriate scope of practice? Select all that apply

a 52-year-old posthysterectomy client a 14-year-old primigravida client a 2-week-old preterm infant

A 33-week gestation infant dies after 1 week of life in the neonatal intensive care unit. This infant's death rate would be classified under which statistical category?

neonatal death

Father of Pediatrics

Abraham Jacobi

Which aspect of client wellness has not been a focus of health during the 21st century ?

Analysis of morbidity and mortality

The pediatric nurse is performing research on the development of pediatric care. Which health care provider does the nurse identify as the father of pediatrics?

Arthur Jacobi

Asian American women have the lowest risk of infant mortality of all cultural groups. Which statement best explains this phenomena?

Asian American women have better access to prenatal care.

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?

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?

Birth results in changes in relationships

During a care conference, a nurse provides everyone with a copy of the latest research on improving the success of breast-feeding for first-time mothers. Which Quality & Safety Education for Nurses competency does this nurse's action support?

Evidence-based practice

The nurse is planning goals for a client admitted with an exacerbation of chronic obstructive pulmonary disease (COPD). Which factors will the nurse consider when developing the client's outcomes? Select all that apply.

Client-focused Attainable Measurable Realistic

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

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

The nurse is reviewing the 2020 National Health Goals and notes that which is a focus of these goals?

Health promotion and disease prevention

The family is the basic unit of society. Which statement correctly illustrates the importance of this concept related to how society functions?

Healthy, well-functioning families provide members of all ages with fulfilling, supporting relationships

A public health nurse is reviewing the statistics of infant and maternal mortality in the United States. Which factor does the nurse identify as the leading cause of maternal mortality

Hemorrhage

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 2020. 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

The student nurse is teaching breast-feeding to a group of clients on the postpartum unit. The student recognizes that this action represents which component of the nursing process?

Implementation

A nurse is trying to reduce a mother's anxiety about her child being in the hospital. What would be the best way to accomplish this?

Include the mother in the medical decision-making.

a nursing group is examining their hospital's maternal outcomes for the previous 5 years. Which identified factors have contributed to the decline in the maternal mortality rate? Select all that apply.

Increased participation of women in prenatal care Better management of hemorrhage and infection Use of ultrasound to detect disorders Closer monitoring for complications associated with hypertension of pregnancy

After World War I, infant mortality continued to rise despite acceptance of the germ theory and strict asepsis for the neonate. Which theory resulted

Infants suffered from lack of stimulation

A maternal nurse reviews the development of maternity care prior to the acceptance of the germ theory. Which statement(s) does the nurse identify as true? Select all that apply

Infection and mortality rates were much higher in hospitals than at home. Infection after birth was marked by high fever

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

It has steadily decreased.

Which factor contributes to the United States' increased infant mortality rate when compared to other industrialized nations?

Large number of preterm births

A new mother asks the nurse if all of the new baby's injections can be given in one visit because the mother is losing income from missing work because of the office visits. What does this new mother's issue indicate to the nurse?

Missing work does not support the baby's health maintenance visits.

The nurse is caring for a mother who has just given birth to twins of 28 weeks' gestation, each weighing 2 kg. What is the health risk for the mother and the twins

Neonatal death

Which statement correctly defines the term "perinatal death rate"?

Number of deaths per 1000 live births beginning when the fetus reaches 500 g and ending 28 days after birth

The nursing process is a scientific method and proven form of problem solving. It includes what component?

Planning

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?

Puerperal fever

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.

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.

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

A nurse is assisting a pregnant client in signing up for Medicaid to help with the cost of her medical care. The nurse explains that Medicaid is a federally funded program mandated by which act of Congress?

Title XIX of the Social Security Act

The pediatric nurse is reviewing statistics on the risks of morbidity and mortality among children. What does the nurse identify as the largest risk to all children and adolescents in the United States?

Unintentional injury

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 promotion

A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and notes that the numbers have changed over the last several decades. The best explanation would be:

improved prenatal care has reduced the numbers of fetal deaths.

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

Withhold the vaccines

The nurse is caring for a child who says, "I'm tired being in the hospital and I miss my own home." Which response by the nurse is most appropriate?

What can we do to make your room seem more like home?"

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 a

Preterm births Maternal complications Congenital deformities and chromosomal abnormalities

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