Chapter One-Perspectives on Maternal and Child Health Care

A client, 6 hours post-birth, has a severe postpartum hemorrhage that the health care providers are unable to control. She succumbed to the hemorrhage in the intensive care unit. The client's death would become part of the:

Maternal mortality rate

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

'll put together the information that you need." it is important to not respond to this client with any judgement or biased information.

Healthy People 202 initiative was created by the federal government partly to improve maternal-child care. Which statements describe the initiative? (select all that apply) -the initiative will take into consideration the environment in which people live. The initiative will collect data on the number of children in families. -The initiative will assess the age of individuals in quality of life data. -The initiative will consider the ease of access to health services -The initiative will utilize genetics of individuals as an influence of health.

-The initiative will take into consideration the environment in which people live. -The initiative will assess the age of individuals in quality of life data. -The initiative will consider the ease of access to health services. -The initiative will utilize genetics of individuals as an influence of health.

A nurse is admitting a female client to the cardiac unit diagnosed with a possible myocardial infarction. During the admission assessment, which symptoms would the nurse expect to find? Select all that apply -crushing chest pain -temperature above 38 Celsius -nausea -unbalanced -pain in the right arm

-nausea, unbalanced, and pain in right arm.

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

Abraham Jacobi

Morbidity rates among children are most highly associated with which cause?

Environmental Causes

The nurse is providing care to a new mother and infant according to the Quality & Safety Education for Nurses competency approach. Which action should the nurse perform to demonstrate the skill for the competency of safety? -ensure ID bands are on the mother and child -ensure that the preference of personal values are known -introducing members of the health care team -documenting patient care using computerized spreadsheets.

Ensure the mother and newborn have intact identification bands.

The nurse is providing care in an organization that supports the maternal and child care continuum. Which type of patient care area is an example of this approach?

Family centered care

What makes the area of family nursing a difficult arena to provide care at times?

Family members who might not agree on treatments and plan of care.

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

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.

An expectant mother has arranged for her massage therapist to provide gentle hand, arm, and neck massage for the client while she is in labor in the hospital. Which trend in today's health care environment is most related to this arrangement?

Increasing use of alternative treatment modalities.

When preparing a client for surgery, the nurse explains that the use of an antiseptic during the surgery has greatly improved client survival rates and was started by which physician?

Joseph Lister

A young female client is pregnant for the first time and is uncertain who to seek prenatal care from. The nurse should point out which health care provider as the best choice?

Obstetrician

More nurses are stepping into the role of the advanced practice nurse. Which nurse's role would be to provide care for children under the age of 18?

Pediatric Nurse Practitoner

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

Perinatal death rate

The nurse is focusing on health promotion for a 6-year-old girl. Which intervention best supports Healthy People goals?

Recommending a helmet for biking.

The nurse is assessing a 9 year old boy with pneumonia. Which finding is a factor for this child's mortality? -child's height and weight are not average for his age -the child has a normal WBC count -the child is in a boy scout troop -the child has a history of asthma

The child's history of asthma is a morbidity factor for additional childhood illness, particularly respiratory illness.

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 that setting would improve birth outcomes.

During an assessment, the nurse asks a patient from a non-English-speaking culture which types of home remedies and herbs the patient uses for health care. What is the purpose of asking the patient this question?

analyze for herb-drug interactions

A client who has just given birth is concerned about the high rate of infant mortality in the United States. She is anxious about the health of her child and wants to know ways to keep her baby healthy. Which recommendation would best meet this goal?

breast feed the infant.

A healthy client without a primary care provider is exploring the options available for a health care provider to assist with her pregnancy. Which health care provider can the nurse point out as a best option? -certified midwife -lay midwife -NP -RN

certified midwife

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

evidenced based practice

The nurse is caring for a 16-year-old boy with injuries from a car accident. Which activity describes the nurse's manager role?

facilitating return to school by working with the school nurse.

In order to advocate for children and families, the nurse must first acknowledge that the basic system in which health behavior and care are organized, secured, and performed is the: -family -government -healthcare services -family doctor

family

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.

Pediatric nurses are developing more home care and community based services for children with chronic illnesses because:

increasing numbers of children live with chronic disabilities due to advances in health care that allow children with formerly fatal diseases to survive.

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

The nurse has noticed a change in the type of care needed to support maternal and child health issues. What does the nurse realize as reasons for the changes in care? (Select all that apply.) -More single parent families -less domestic violence -more employed mothers -smaller families

smaller families, more employed mothers, more single-parent families.

The nurse is running an education program for early grade-school children. Which topic would address the number one cause of death for this age group?

the importance of crossing streets safely

The nurse is presenting to a shelter for abused women and children and is asked by a participant, "What does the No Child Left Behind Act mean?" How should the nurse best respond?

"It is a Federal program that will ensure all children in classrooms receive up-to-date research-based curriculum."

A nursing student is preparing a presentation illustrating the Human Genome Project. Which function will the student point out as being the primary focus?

Identification of human genes and functions

The nurse is caring for a pregnant Arab American woman. Which statement most accurately describes the client's potential health care beliefs? -the pregnant women would only attend birthing classes if the husband was present -the husband makes all health care decisions for the wife -they are more likely to engage in folk remedies.

The husband makes all the health care decisions for the wife.

A nurse is caring for a 31-year-old pregnant client who is subjected to abuse by her partner. The client has developed a feeling of hopelessness and does not feel confident in dealing with the situation at home, which makes her feel suicidal. Which nursing intervention should the nurse offer to help the client deal with her situation?

provide emotional support to empower the client to help protect herself.

A group of women are attending a community presentation regarding the leading health concerns of women. Which interventions should the nurse recommend to have the greatest impact on the leading cause of death? -weight control and being knowledgeable about family history of cardiovascular disease -meeting with a gynecologist yearly -signs/symptoms of respiratory tract infection

weight control and being knowledgeable about family history of cardiovascular disease