Chapter 1- study for test- Maternity and Peds

monthly audit in the new born nursery, which finding could indicate an ethical consideration of practice

200% increase in IV cath attempts

research evaluating team, obtains assent from children over which age as a sign of respect

7

what does the no child left behind act mean

It is a federal program that will ensure all children in classrooms receive up to date research based curriculum

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

best demonstrates regionalized or centralized care

an at risk mother is sent to a specialized facility to deliver

medical treatment was most influential in moving births from home to the hospital was because

anesthesia and analgesic therapy

a client who has just given birth is concerned about the high rate of infant morality and wants to know ways to keep her baby healthy, the best recommendation would be to

breast feed the infant

maternal health nursing is a more extensive area for consideration of legal issues because

caring for a fetus and unseen client

The nurse is admitting a client into the ER and notes that the gender expression is different than the gender noted on the drivers license and insurance documentation. The nurse should

communicate with the client based on the clients pronoun

single 18 year old women In her second trimester presents at the clinic with vaginal bleeding, she tells the nurse she has been using cocaine to calm her nerves, the nurses best response would be to

consult the health are facilities institutional committee for an appropriate response

the school nurse is caring for several children that witnessed an accident in which an 8 year old girl was struck by a car, the most important 1st step is to

determine whether the children were traumatized by the accident

a nurse is providing cpr to an infant when the mother tells you to discontinue cpr you should

discontinue all resuscitation efforts

average length of stay of postpartum women of today with the past and notes stay is shorter, which factor has most influenced this trend in shorter hospital stays

efforts to contain health care costs

client reports increased stress levels and anxiety before a routine ultrasound, the best action by the nurse would be to

encourage the client to meditate for a few minutes

morbidity rates among children are most highly associated with

environmental factors

the nurse is caring for a 16 year old boy with injuries from a car accident, what activity describes the nurses manager role

facilitating return to school by working with the school nurse

major change resulting from research by Klaus and Kennell

family centered care of today

major overlooked problem within the local public health office

fetal mortality

The line at the well-child walk-in clinic is long, with closing time near. Which child does the nurse assess based on knowledge of morbidity data? a) The teen needing a sports assessment b) The foreign-born adopted child c) The toddler with a "poor appetite" d) The infant at the 25th percentile on the growth chart

foreign born adopted child

in order to file for emancipation the process is

governed by individual state laws minor must be at least 14 years of age minor must demonstrate the ability to manage financial affairs

goal as the primary focus for critical pathways

it decreases cost for the client at the hospital

in 2007 the world factbook published statistics that showed the united states lagged behind other industrialized nations in the incidence of infant mortality. what is one reason the USA has a higher infant mortality rate than other countries

low birth weight

statistical factor that best incidates the adequacy of prenatal care

maternal mortality rate

Morbidity data indicate that support is needed from pediatric nursing groups to establish improved and additional services for children with what health issues?

metal health and behavioral disorders

the nurse is working in a free health clinic providing care to a 1 year old girl, and her single teenage mother. Which action is most important initially

observing the mother/child interaction

planning education for the parents of a child who is scheduled to begin chemotherapy

obtain a small conference room and arrange the chairs in a circle for both the nurse and family members to sit

major threat to childrens health

prevalence of chronic disease is increasing

Medicaid predetermines the rates to be paid by

prospective payment system

first action by nurse to prevent syphilis spread in a local college

provide free condoms and educational materials

state of childrens health in the united states is evaluated by

race and ethnicity

health promotion for a 6 year old girl, which intervention best supports healthy people goals

recommending a helmet for biking

etiology of most infections in females after birthing in the 1700s

reproductive tract infection

a nurse is faced with a ethical conflict involving the the care of a child, the childs parents disagree with the physician about using a feeding tube, the nurse sees benefits and limitations of both parties views. the best action would be

take the issue to the institutional ethics committee for advice

infant mortality rates, which statement most accurately addresses this problem

the most common cause of infant deaths is chromosomal abnormalities and congetial abnormalities that we have no control over

after completing an assessment the nurse examines the information to develop a wellness diagnosis for the client to identify which potential goal

the potential for improvement in health

major threats to childrens health

the prevalence of chronic disease is increasing

Additional teaching is needed about the concept of maternal mortality when a student says

the rate includes accidental causes for deaths

concept of maternal mortality, additional teaching is needed when a student makes which statement

the rate includes accidental causes for deaths

Before World War 2 women moved from home to hospital births, what was the primary reason for the shift in maternity care

they were convinced that setting would improve birth outcomes

a child says they miss home while in the hospital, the nurses best response would be to ask

what can we do to make your room seem more like home

high mortality rate in the 17th and 18th centuries

women giving birth often died of dehydration exhaustion during labor occurred, resulting in death

an important role of the nurse caring for children and their families is that of a child advocate, which intervention reflects this role

working to change agency policy to better serve families