Maternal & Child Care Exam Question and Answer
1. A woman is giving birth to her third child in a setting that allows her
husband and other two children to be actively involved in the
process. The nurse caring for the woman must also consider the
husband and family as patients and work to meet their needs. This
type of setting is termed correct answer:
A. family-centered
care B.emergency
care C.hospice care
D.individual care correct answer: A. Family- Centered Care
Family-centered care is any setting in which the pregnant woman and family are treated as one unit. The
nurse assumes a major role in teaching, counseling, and supporting the family. In emergency care
settings, the nurse deals primarily with the patient who is having diflculty. In hospice care settings, the
nurse deals with patients who have terminal illnesses. Individual care deals only with the patient and
does not include the family
2. What has had the greatest impact on reducing infant mortality in
the United
States?
A. Improvements in perinatal care
B. Decreased incidence of congenital abnormalities
C. Better maternal nutrition
D. Improved funding for health care correct answer: A. Improvements in perinatal
care
The improvements in perinatal care, particularly care of the mother-baby dyad before birth, have had the
greatest impact. There has been a decrease in some congenital anomalies, such as spina bifida, but this has
not had the greatest impact. This has had a positive influence but not the greatest overall impact.
Changes in funding have not had the greatest impact
3. Evidence-based practice is best described as correct answer:
,A. Gathering evidence of mortality and morbidity in children.
B. Meeting physical and psychosocial needs of the family in all areas of
practice.
C. Using a professional code of ethics as a means for professional
self-regula- tion.
D. Providing care based on evidence gained through research and
clinical tri-
,als. correct answer: D. Providing care based on evidence gained through research and clinical trials
This will assist the nurse in determining areas of concern and potential involvement. It is not possible to
meet all needs of the patient and family in all areas of practice. The nurse is an advocate for the family.
This is part of professional role and licensure. Evidence-based practice is providing care based on
evidence gained through research and clinical trials. Practitioners must use the best available
information on which to base their interventions
4. A 23-year-old African-American woman is pregnant with her first
child. Based
on the statistics for infant mortality, which plan is most important for
the nurse to implement?
A. Perform a nutrition assessment.
B. Refer the woman to a social worker.
C. Advise the woman to see an obstetrician, not a midwife.
D. Explain to the woman the importance of keeping her prenatal care
appoint- ments correct answer: D. Explain to the woman the importance of keeping her prenatal
care appointments
Nutritional status is an important modifiable risk factor, but it is not the most important action a nurse
should take in this situation. The client may need assistance from a social worker at some time during
her pregnancy, but this is not the most important aspect the nurse should address at this time. If the
woman has identifiable high risk problems, her health care may need to be provided by a physician.
However, it cannot be assumed that all African-American women have high risk issues. Additionally, this is
not the most important aspect on which the nurse should focus at this time, and it is not appropriate for
a nurse to advise or manage the type of care a client is to receive. Consistent prenatal care is the best
method of preventing or controlling risk factors associated with infant mortality
5. When a nurse is unsure about how to perform a client care
procedure, the BEST action would be to correct answer:
A. Ask another nurse.
B. Discuss the procedure with the client's physician.
C. Look up the procedure in a nursing textbook.
, D. Consult the agency procedure manual and follow the
guidelines for the procedure. correct answer: D. Consult the agency procedure
manual and follow the guidelines for the procedure
Each nurse is responsible for his or her own practice. Relying on another nurse may not always be safe
practice. Each
1. A woman is giving birth to her third child in a setting that allows her
husband and other two children to be actively involved in the
process. The nurse caring for the woman must also consider the
husband and family as patients and work to meet their needs. This
type of setting is termed correct answer:
A. family-centered
care B.emergency
care C.hospice care
D.individual care correct answer: A. Family- Centered Care
Family-centered care is any setting in which the pregnant woman and family are treated as one unit. The
nurse assumes a major role in teaching, counseling, and supporting the family. In emergency care
settings, the nurse deals primarily with the patient who is having diflculty. In hospice care settings, the
nurse deals with patients who have terminal illnesses. Individual care deals only with the patient and
does not include the family
2. What has had the greatest impact on reducing infant mortality in
the United
States?
A. Improvements in perinatal care
B. Decreased incidence of congenital abnormalities
C. Better maternal nutrition
D. Improved funding for health care correct answer: A. Improvements in perinatal
care
The improvements in perinatal care, particularly care of the mother-baby dyad before birth, have had the
greatest impact. There has been a decrease in some congenital anomalies, such as spina bifida, but this has
not had the greatest impact. This has had a positive influence but not the greatest overall impact.
Changes in funding have not had the greatest impact
3. Evidence-based practice is best described as correct answer:
,A. Gathering evidence of mortality and morbidity in children.
B. Meeting physical and psychosocial needs of the family in all areas of
practice.
C. Using a professional code of ethics as a means for professional
self-regula- tion.
D. Providing care based on evidence gained through research and
clinical tri-
,als. correct answer: D. Providing care based on evidence gained through research and clinical trials
This will assist the nurse in determining areas of concern and potential involvement. It is not possible to
meet all needs of the patient and family in all areas of practice. The nurse is an advocate for the family.
This is part of professional role and licensure. Evidence-based practice is providing care based on
evidence gained through research and clinical trials. Practitioners must use the best available
information on which to base their interventions
4. A 23-year-old African-American woman is pregnant with her first
child. Based
on the statistics for infant mortality, which plan is most important for
the nurse to implement?
A. Perform a nutrition assessment.
B. Refer the woman to a social worker.
C. Advise the woman to see an obstetrician, not a midwife.
D. Explain to the woman the importance of keeping her prenatal care
appoint- ments correct answer: D. Explain to the woman the importance of keeping her prenatal
care appointments
Nutritional status is an important modifiable risk factor, but it is not the most important action a nurse
should take in this situation. The client may need assistance from a social worker at some time during
her pregnancy, but this is not the most important aspect the nurse should address at this time. If the
woman has identifiable high risk problems, her health care may need to be provided by a physician.
However, it cannot be assumed that all African-American women have high risk issues. Additionally, this is
not the most important aspect on which the nurse should focus at this time, and it is not appropriate for
a nurse to advise or manage the type of care a client is to receive. Consistent prenatal care is the best
method of preventing or controlling risk factors associated with infant mortality
5. When a nurse is unsure about how to perform a client care
procedure, the BEST action would be to correct answer:
A. Ask another nurse.
B. Discuss the procedure with the client's physician.
C. Look up the procedure in a nursing textbook.
, D. Consult the agency procedure manual and follow the
guidelines for the procedure. correct answer: D. Consult the agency procedure
manual and follow the guidelines for the procedure
Each nurse is responsible for his or her own practice. Relying on another nurse may not always be safe
practice. Each
