MATERNITY- CH1

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 at a low birth weight

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.

A pregnant client is to undergo a procedure. Prior to the procedure, a nurse determines that informed consent has been obtained from the client, offering protection for the client based on which principle?

Autonomy

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 has started working at a new clinic that treats local immigrants. Which factor about the clients would be most important for the nurse to acknowledge when caring for them?

Differences in culture

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

The nursing instructor is introducing students to Healthy People 2030, which highlights the major health indicators that need to be addressed. The nurse informs the students that this includes national health goals for maternal, infant, and child health. Which goal(s) would be included? Select all that apply.

-Reduce infant death rates. -Reduce preterm births. -Increase infant birth weights. -Reduce the rate of fetal deaths at 20 or more weeks of gestation.

A group of students are reviewing the historical aspects of birth. The students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during which time frame?

1900s

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 who is pregnant.

A nurse is providing care to a pregnant woman and her partner. The couple asks the nurse about umbilical cord blood banking. Which statement by the nurse would be most appropriate?

"Private cord banks often require a fee for storing the blood obtained from your baby."

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 nurse is caring for a pregnant woman who has come to the prenatal clinic for a follow-up visit. During the visit, the woman asks the nurse, "I've heard about something called a doula. Can you explain what this is? Which response by the nurse would be most appropriate?

"A doula is someone who assists you during birth and afterwards offers support to you and your family."

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

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

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."

A nurse preceptor and a new nurse are discussing culture and its impact on women's health. The new nurse asks, "Where does a person first learn about culture?" Which response by the preceptor would be most appropriate?

"It begins first with the family."

The nursing student demonstrates an understanding of fetal mortality rates when compared to the other mortality rates when she correctly describes the fetal mortality rate by which statement?

"The fetal mortality rate includes the intrauterine death of a fetus who is 20 weeks of gestation or more per 1,000 live births."

A nurse is working as part of an interdisciplinary team providing care to women and children at a local community center. The nurse advocates for and provides comprehensive care to the clients across the continuum of care. The nurse is acting as:

Case manager

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

A woman comes to the prenatal clinic for a follow-up visit. During the assessment, the nurse notes multiple bruises over the client's arms, thighs, and back that are in various stages of healing. Which action would be most appropriate?

Document the findings

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?

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

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

It has steadily decreased

The nursing faculty is teaching students about maternal mortality and morbidity rates for black women in the United States, 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

The nurse is updating the records of a woman who recently gave birth to a healthy 7-lb (3,175-g) newborn. Which action could jeopardize the privacy of the woman's medical records?

Letting another nurse use the nurse's login session

The nursing faculty is explaining to her students the historical background regarding the reasoning for the introduction of nurseries in the 1900s. Which statement most accurately explains the reason for the nurseries?

Mothers could not care for their babies due to chloroform gas.

A nurse writes the following on a child's electronic medical record: "The child will state the signs and symptoms that indicate an exacerbation of asthma." The nurse is involved in which component of the nursing process?

Outcome identification

The pediatric nurse knows that the children being treated are considered minors. Which statement accurately describes the regulations related to consent for medical treatment?

Parents ultimately are the decision makers regarding medical treatment for their children younger than the age of 18.

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?

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

A preschool-age child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights?

Telling the child the test will not hurt.

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 have an oxygen saturation of greater than 95% on room air within 8 hours.

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 reviewing a copy of the U.S. Surgeon General's Report, Healthy People 2030. Which nursing action reflects the nurse fostering this health care agenda?

The nurse volunteers at a local health care clinic providing free vaccinations for low-income populations.

The nurse manager is conducting an in-service for new staff. What will the nurse teach about the history of birth in the United States?

The use of medications, including "twilight sleep," led to more births in the hospital setting rather than at home.

Before World War II women moved from home to hospital births. What was the primary reason for that shift in maternity care?

They were convinced the setting would improve birth outcomes

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.

A nurse is providing care to a 10-month-old infant who is brought to the free clinic by her 18-year-old mother. Which action by the nurse would be the priority at this initial visit?

conducting an assessment of the infant's cognitive milestones

An infant at 33 weeks' gestation 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

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

The nurse working in a free health clinic is providing care to a 1-year-old girl and her single teenage mother. Which action would be most important initially?

observing the mother/child interaction