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

A nurse receives a phone call from the neighbor of the laboring client she is caring for, inquiring on the status of the baby. Which is the appropriate response by the nurse?

"I am not able to disclose any information."

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

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.

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?

Abraham Jacobi

Which physician is known as the "Father of Pediatrics"?

Abraham Jacobi

The nurse is planning an educational session for community members to address the issue of school-age child mortality. Which topic should the nurse identify as the highest priority for this population?

Accidents

Which actions should the nurse perform when supporting the goals of maternal and child health care? Select all that apply.

Advocates protecting the rights of the mother and fetus Assesses family members for strengths and specific needs or challenges Teaches family members interventions to improve health

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 nurse is preparing to teach a class to high school students on the risks of teenage birth and the various methods of contraception. The nurse recognizes that enhanced provisions of sex education to adolescents have had a positive influence on which measurement in the past 10 years in the United States?

Birth rate

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.

The nurse is providing care to a woman who has just given birth to a healthy term neonate. The woman's partner arrives and asks about the neonate's status. Which action by the nurse would be appropriate?

Check the medical record for written client approval with whom to share information.

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 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

The nurse is teaching breast-feeding to a group of clients on the postpartum unit. The nurse 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 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

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 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 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.

A nurse is conducting a presentation for a group of pregnant women about appropriate health promotion strategies to address issues related to infant mortality. Which strategy would the nurse encourage to reduce the infant's risk for infection after birth?

breastfeeding

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 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

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