Chapter 1: Perspectives on Maternal and Child Health Care

Variability

Fluctuations in the fetal heart rate that are a push and pull effect from the parasympathetic and sympathetic systems appear as

C

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

D

A nurse is reading a journal article about the trends in health care and health care delivery over the past several centuries. When reading about the practices during the 18th century, which information would the nurse most likely find? A) use of physicians for birth B) epidemics of puerperal fever C) use of twilight sleep for childbirth D) absence of men attending childbirth

B

A group of nurses are discussing the reasons for the United States' low rankings for infant and maternal mortality (27% and 21% respectively) and what impact they could make on them in their practice. Which action could nurses implement to reduce these rates? A) ensuring that all pregnant clients receive their immunizations B) assuring early and adequate prenatal care C) providing more extensive women's shelters D) encouraging all women to eat a balanced

B, E

A group of students are reviewing an article describing information related to indicators for women's health and the results of a national study. Which would the students identify as being satisfactory for women? Select all that apply. A) Smoking cessation B) Colorectal cancer screening C) Violence against women D) Health insurance coverage E) Mammograms

A

A nurse is assigned to care for a pregnant woman of Native American descent who is experiencing an illness. The nurse develops a plan of care for this client integrating the client's cultural background and implementing interventions based on the understanding that this client most likely views illness as the result of: A) supernatural forces. B) inadequate diet. C) possession by spirits or demons. D) imbalance between external and internal energy

D

A nurse is assigned to care for an Asian American client. The nurse plans his care recognizing that which statement best explains an Asian American's view of illness? A) Illness is caused by supernatural forces. B) Illness is a punishment for sins. C) Illness may be caused by God's will or evil influences. D) Illness is due to an imbalance between yin and yang.

D

A nurse is conducting a presentation to a local women's community group about strategies to promote health and wellness and prevent illness. After the presentation, the nurse determines that the teaching was successful based on which statement by the group when describing health? A) "Health is the state of being completely disease free." B) "It is based on analysis of statistics about diseases and deaths." C) "Health is simply a state of overall wellness." D) It is complete physical, mental, and social well-being."

A

A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issue of informed consent. The nurse determines 6. that the teaching was effective when the group identifies which situation as a violation of informed consent? A) performing a procedure on a 15-year-old without parental consent B) serving as a witness to the signature process on an operative permit C) asking whether the client understands what she is signing following receiving education D) getting verbal consent over the phone for an emergency procedure from the spouse of a unconscious woman

C

A nurse is developing a plan of care for a pregnant client to address the continuum of care from pregnancy through childbirth. Which aspect would the nurse include as essential to enhancing the woman's birthing experience? A) ensuring adherence to strict specific routines B) involving a pediatric physician for care of the child after birth C) educating the client about the importance of a support person D) assigning several nurses to act as the woman's support team

C

A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, and childbirth. Which would be most important for the nurse to incorporate into that plan? A) Adhering to strict, specific routines B) Involving a pediatric physician C) Educating the client about the importance of a support person D) Assigning several nurses as a support team

A

A nurse is integrating information about family-centered care when developing a teaching plan for a pregnant woman and her family. Which statement by the woman indicates to the nurse that the teaching was effective? A) "It's not just me affected by the baby. My whole family will be affected." B) "This is a stressful time for our family, so we won't be making any of the health care decisions." C) "Since I'm the mother, this whole process of childbirth will affect me primarily." D) "Childbirth is a medical problem, so it can affect everyone.

C

A nurse is participating in an online continuing education course that addresses maternal and newborn health. The nurse is engaging in an interactive activity that requires checking off the causes associated with pregnancy-related mortality. Which condition if checked by the nurse as a cause indicates the need to go back and review the information? A) hemorrhage B) embolism C) precipitous labor D) infection

C

A nurse is preparing a presentation for a local community group about health status and children's health. Which rate would the nurse include as one of the most significant measures? A) fetal mortality rate B) neonatal mortality rate C) infant mortality rate D) maternal mortality rate

D

A nurse is reading a journal article about health status goals and how they have evolved 20. over the years. Which issue would the nurse most likely identify as the focus of these goals in the past century? A) disease prevention B) health promotion C) wellness D) morbidity and mortality analysis

B

A nurse is working as part of a committee that is developing facility policies to enhance 22. family-centered care. The committee demonstrates application of the principles of this concept when they implement which guideline? A) Describe to each family that childbirth is a procedure requiring specific steps. B) Provide families with information to encourage them to make informed choices. C) Educate families about the need to maintain the status quo in relationships. D) Limit discussion of information about decision making to family requests for such.

A, B, C, D, E

A nurse is working as part of group to develop programs that address factors affecting maternal, newborn, and women's health. The group demonstrates understanding of the information when they target programs to address which deficiencies? Select all that apply. A) literacy B) employment opportunities C) mobility D) political representation E) skills

D

A nurse manager is interviewing a potential candidate for employment in the perinatal clinic. During the interview, the nurse manager asks the nurse about her understanding of family-centered care. Which statement by the interviewee demonstrates understanding of this concept? A) "Families lack the ability to make health care decisions for themselves." B) "Childbirth rarely affects the relationships within a family." C) "Mothers are the family members affected by childbirth." D) "Sensitivity to and respect for the family's culture is important."

A, B, D, E

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. A) Increased participation of women in prenatal care B) Use of ultrasound to detect disorders C) Increased use of anesthesia with childbirth D) Closer monitoring for complications associated with hypertension of pregnancy E) Better management of hemorrhage and infection

A

A pregnant client comes to the emergency department experiencing preterm labor with ruptured membranes. After obtaining the client's history, the nurse would identify which factor as most likely contributing to the possibility of a poor outcome for this client? A) lack of prenatal care B) lack of employment C) lack of adequate nutrition D) lack of formal education

Cervix

Lower part of the uterus that opens to the vagina

wellbeing

Moderate variability is a good sign of fetal

Baseline

Refers to an average fetal heart rate that occurs over a 10 minute period

Estrogen

Secreted by the ovaries

A

The family is the basic unit of society. Which statement correctly illustrates the importance of this concept related to how society functions? A) Healthy, well-functioning families provide members of all ages with fulfilling, supporting relationships. B) The family serves as a place that encourages members to autonomously function in pursuit of personal pleasures. C) Society functions best when families determine how they will interface with others without having to deal with the overall consequences. D) Work is an important part of family function but is not necessary for success if one member can fulfill multiple roles

A, B, E

The nursing student correctly identifies African Americans to have consistently higher infant mortality rates than other ethnic groups. What factors that contribute to this problem can nurses have the greatest impact upon? (Check all that apply.) A) Encouraging regular maternal prenatal visits B) Nutritional teaching prior to and during pregnancy C) Improving maternal educational levels D) Supporting maternal choices for alternative birthing methods E) Discouraging use of tobacco and non-prescribed medications during pregnancy.

Variable

Type of deceleration that is abrupt and does not always consistently correlate with a contraction

Late

Type of decelerations that occur after the peak of a contraction

Fourteen

What day in a 28 day cycle does ovulation usually occur

D

When assessing a family for possible barriers to health care, the mother reports several problems she has been having when coming to her local clinic. The nurse would consider which reported problem as having the greatest impact on this family's health care? A) language barrier B) health care workers' attitudes C) transportation to the clinic D) family finances

C

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? A) "Obesity, drug use, and smoking are major problems." B) "Maintaining a physically active lifestyle is strongly encouraged" C) "Immunizations may be the cause of some illnesses being seen currently." D) "Environmental quality is directly related to health care."

D

A nurse is providing family-centered care to a pregnant woman and her family. When implementing care, which action by the nurse would be most appropriate? A) making the decisions for the woman B) focusing on medical procedures associated with birth C) informing the woman what pain relief methods will be used during labor D) asking the woman about her plans for labor and birth

A

After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when the students make which statement? A) "The rate includes accidental causes for deaths." B) "It addresses pregnancy-related causes." C) "The duration of the pregnancy is not a concern." D) "The time frame is typically for a specified year.

FSH

Hormone secreted from anterior pituitary gland responsible for ovarian follicle maturation

follicular phase

Ovarian cycle phase when follicles in the ovary grow and form a mature egg

A, C, D

The nurse instructs the new mother about some health promotion strategies that could significantly improve her infant's health and chance of survival. These would include which of the following? (Check all that apply.) A) breastfeeding B) placing infant on stomach to sleep C) placing infant on back to sleep D) mothers joining support groups E) formula feeding

A

The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? A) getting telephone consent with two people listening to the verbal consent B) providing emergency care without parental consent C) contacting the child's aunt or uncle to obtain their consent D) asking the courts to grant permission on the child's behalf

B

The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition as the priority? A) smoking B) heart disease C) diabetes D) cancer

C

The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which educational program would the group most likely identify as the priority? A) risk reduction strategies for diabetes B) methods for smoking cessation C) ways to adopt a heart-healthy lifestyle D) importance of cancer screening and early detection

D

When preparing a teaching plan for a group of women during their first pregnancy, the nurse reviews how maternity care has changed over the years. Which information would the nurse include when discussing events occurring in the 20th century? A) epidemics of puerperal fever B) performance of the first cesarean birth C) X-ray developed to assess pelvic size D) development of free-standing birth centers