[Maternity] Chapter 1: Perspectives on Maternal, Newborn and Women Health

A public health nurse is developing programs to educate parents on infant mortality. Which complications would the nurse include in the education? Select all that apply. A. Tricuspid atresia B. 39-week gestation birth C. 3,6 kg birth weight D. Anencephalus E. Spina bifida

A. Tricuspid atresia D. Anencephalus E. Spina bifida

The nursing student correctly identifies black infants to have consistently higher infant mortality rates than other ethnic groups in the United States. What factors that contribute to this problem can nurses have the greatest impact upon? Select 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 nonprescribed medications during pregnancy

A. encouraging regular maternal prenatal visits E. discouraging use of tobacco and nonprescribed medications during pregnancy

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 priority condition? A. Smoking B. Heart disease C. Diabetes D. Cancer

B. Heart disease

A nurse is working as part of a committee that is developing facility policies to enhance family-centered care. The committee demonstrates application of the principles of this concept when they implement which guideline? A. Describe to each family that birth 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.

B. Provide families with information to encourage them to make informed choices.

A group of nurses are discussing the reasons for the United States' low rankings for infant and maternal mortality and what impact they could make on these mortality rates 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 diet

B. assuring early and adequate prenatal care

When integrating the principles of family-centered care into the birthing process, the nurse would base 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

C. Birth results in changes in relationships.

A nurse is developing a plan of care for a pregnant client to address the continuum of care from pregnancy through birth. 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 care provider 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. educating the client about the importance of a support person

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. precipitous labor

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

C. ways to adopt a heart-healthy lifestyle

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. "Birth rarely affects the relationships within a family." C. "Mothers are the family members affected by birth." D. "Sensitivity to and respect for the family's culture is important."

D. "Sensitivity to and respect for the family's culture is important."

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 birthing centers (LDRPs)

D. Development of free-standing birthing centers (LDRPs)

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."

D. It is complete physical, mental, and social well-being."

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 find? A. use of health care providers for birth B. epidemics of puerperal fever C. use of twilight sleep for birth D. absence of men attending birth

D. absence of men attending birth

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 birth will affect me primarily." D. "Birth is a medical problem, so it can affect everyone."

A. "It's not just me affected by the baby. My whole family will be affected."

A perinatal nurse is interviewing a group of women in the community about health care services. Assessment of these services reveals that many of them are being underutilized. Which statement from the women would assist the nurse in identifying potential reasons for this underutilization? Select all that apply. A. "The services are hard to get to by public transportation." B. "The clinic is only open during the morning hours." C. "The staff seems to look down on us when we do come in." D. "There are staff there that can speak our language." E. "You need insurance to go to the clinic."

A. "The services are hard to get to by public transportation." B. "The clinic is only open during the morning hours." C. "The staff seems to look down on us when we do come in." E. "You need insurance to go to the clinic."

A pregnant woman is to undergo an invasive procedure to evaluate the status of her fetus. To ensure informed consent, which action would be the priority responsibility of the nurse providing care to this woman? A. Asking relevant questions to determine the client's understanding B. Providing a detailed description of the risks and benefits of the procedure C. Explaining the exact steps that will occur during the procedure D. Offering suggestions for alternative options for treatment

A. Asking relevant questions to determine the client's understanding

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. Healthy, well-functioning families provide members of all ages with fulfilling, supporting relationships.

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 birth D. Closer monitoring for complications associated with hypertension of pregnancy E. Better management of hemorrhage and infection

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

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 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

A. Performing a procedure on a 15-year-old without parental consent

The nurse instructs the new mother about some health promotion strategies that could significantly improve her infant's health and chance of survival. These strategies would include which actions? Select 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. breastfeeding C. placing infant on back to sleep D. mothers joining support groups

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

D. asking the woman about her plans for labor and birth

A nurse is reading a journal article about health status goals and how they have evolved 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

D. morbidity and mortality analysis