Childbearing & Childrearing Family 8��h Edi��ion
Tes�� Bank / Ins��an�� Tes�� Bank For Ma��ernal
& Child Heal��h Nursing: Care of ��he Childbearing
& Childrearing Family 8��h Edi��ion Au��hors:
JoAnne Silber��-Flagg, Pilli��
Wri��en by:wazaskiAplus
1. For which reasons would a nurse review infan� mor�ali�y s�a�is�ics in �he
Uni�ed S�a�es?(Selec� all �ha� apply.)
A) Measures �he quali�y of pregnancy care
B) Reviews informa�ion on overall nu�ri�ion
C) Compares heal�h wi�h �hose of o�her s�a�es
D) De�ermines infan� heal�h and available care
E) Provides an index of �he coun�ry's general
heal�hAns: A, B, D, E
Feedback:
Infan� mor�ali�y s�a�is�ics provide an index of a coun�ry's general heal�h,
measures �hequali�y of pregnancy care, provides informa�ion on overall
nu�ri�ion, and de�ermines infan� heal�h and available care. Infan� mor�ali�y
s�a�is�ics compares �he heal�h wi�h �hose of o�her coun�ries and no� wi�h
�hose of o�her s�a�es.
2. The nurse is providing care in an organiza�ion �ha� suppor�s �he ma�ernal and
child carecon�inuum. Which �ype of pa�ien� care area is an example of �his
approach?
A) Primary care
B) Team nursing
C) Case managemen�
D) Family-cen�ered
careAns: D
Feedback:
Keeping �he family a� �he cen�er of care is impor�an� because �he level of a
family's func�ioning is impor�an� �o �he heal�h s�a�us of i�s members. A
heal�hy family es�ablishesan environmen� conducive �o grow�h and heal�h-
promo�ing behaviors �o sus�ain family members during crises. A family-cen�ered
approach enables nurses �o be��er unders�and individuals and �heir effec� on
o�hers and, in �urn, �o provide more holis�ic care. Primarynursing, �eam nursing,
and case managemen� do no� necessary �ake in�o considera�ion �he ma�ernal
and child care con�inuum.
Page 1
, Ma��ernal & Child Heal��h Nursing: Care of ��he
Childbearing & Childrearing Family 8��h Edi��ion
Tes�� Bank / Ins��an�� Tes�� Bank For Ma��ernal
& Child Heal��h Nursing: Care of ��he Childbearing
& Childrearing Family 8��h Edi��ion Au��hors:
JoAnne Silber��-Flagg, Pilli��
Wri��en by:wazaskiAplus
3. Which ac�ions should �he nurse perform when suppor�ing �he goals of
ma�ernal andchild heal�h care? (Selec� all �ha� apply.)
A) Advoca�es pro�ec�ing �he righ�s of �he mo�her and fe�us
B) Teaches family members in�erven�ions �o improve heal�h
C) Adheres �o principles �ha� focus on �he needs of �he mo�her
D) Encourages ma�ernal hospi�aliza�ion �o regain s�reng�h and s�amina
E) Assesses family members for s�reng�hs and specific needs or
challengesAns: A, B, E
Feedback:
Ac�ions �ha� �he nurse should perform when suppor�ing �he goals of ma�ernal
and child heal�h care include advoca�ing �he righ�s for �he mo�her and fe�us,
�eaching heal�h promo�ion in�erven�ions, and assessing �he family for
s�reng�hs and specific needs or challenges. Adhering �o principles �ha� focus on
�he needs of �he mo�her and encouraging ma�ernal hospi�aliza�ion �o regain
s�reng�h and s�amina are no� ac�ions �ha�suppor� �he goals of ma�ernal and
child heal�h care.
4. The nurse is reviewing �he 2020 Na�ional Heal�h Goals and no�es �ha� which is
a focusof �hese goals?
A) Heal�h promo�ion and disease preven�ion
B) Early diagnosis of chronic heal�h problems
C) Effec�ive use of medica�ion �o �rea� disease
D) Reduce �he cos� of heal�h care and
medica�ionsAns: A
Feedback:
The 2020 Na�ional Heal�h Goals are in�ended �o help ci�izens more easily
unders�and �heimpor�ance of heal�h promo�ion and disease preven�ion and �o
encourage wide par�icipa�ion in improving heal�h in �he nex� decade. These goals
do no� focus on �he early diagnosis of chronic problems, use of medica�ions �o
�rea� disease, or reduce �he cos� of heal�h care and medica�ions.
Page 2
, Ma��ernal & Child Heal��h Nursing: Care of ��he
Childbearing & Childrearing Family 8��h Edi��ion
Tes�� Bank / Ins��an�� Tes�� Bank For Ma��ernal
& Child Heal��h Nursing: Care of ��he Childbearing
& Childrearing Family 8��h Edi��ion Au��hors:
JoAnne Silber��-Flagg, Pilli��
Wri��en by:wazaskiAplus
5. The nurse has no�iced a change in �he �ype of care needed �o suppor� ma�ernal
and childheal�h issues. Wha� does �he nurse realize as reasons for �he changes in
care? (Selec� all�ha� apply.)
A) Smaller families
B) Less domes�ic violence
C) More employed mo�hers
D) S�able home environmen�s
E) More single-paren�
familiesAns: A, C, E
Feedback:
Nursing care for ma�ernal and child is changing because families are smaller, more
mo�hers are employed ou� of �he home, and �here are more single-paren� families.
Thereis an increase in domes�ic violence, and families are less s�able and more
mobile, whichinfluences homelessness.
6. During an assessmen�, �he nurse asks a pa�ien� from a non-English-speaking
cul�ure which �ypes of home remedies and herbs �he pa�ien� uses for heal�h
care. Wha� is �hepurpose of asking �he pa�ien� �his ques�ion?
A) Analyze for herb–drug in�erac�ions
B) Unders�and �he pa�ien�'s philosophy of al�erna�ive heal�h care
C) De�ermine �he �ypes of medica�ions �he pa�ien� will need �o be prescribed
D) Explain �o �he physician �he pa�ien�'s preference for non�radi�ional
medicineapproaches
Ans: A
Feedback:
Assessing wha� al�erna�ive measures are being used is impor�an� because �he
ac�ion of an herb can in�erfere wi�h prescribed medica�ions. Assessing �he use of
herbal remediesis no� done �o unders�and �he pa�ien�'s philosophy of
al�erna�ive heal�h care, de�ermine �he �ypes of medica�ions �he pa�ien� will
need �o be prescribed, or explain �he pa�ien�'s preferences for non�radi�ional
medicine approaches �o �he physician.
Page 3
, Ma��ernal & Child Heal��h Nursing: Care of ��he
Childbearing & Childrearing Family 8��h Edi��ion
Tes�� Bank / Ins��an�� Tes�� Bank For Ma��ernal
& Child Heal��h Nursing: Care of ��he Childbearing
& Childrearing Family 8��h Edi��ion Au��hors:
JoAnne Silber��-Flagg, Pilli��
Wri��en by:wazaskiAplus
7. The nurse no�es �ha� s�a�is�ics on ma�ernal mor�ali�y had improved bu� are
again becoming eleva�ed. Wha� does �he nurse realize as a reason for �his change
in ma�ernalmor�ali�y ra�es?
A) Earlier prena�al care
B) Ges�a�ional hyper�ension
C) Increased vaginal deliveries
D) Trea�men� for chronic
diseasesAns: B
Feedback:
This increasing ra�e in ma�ernal mor�ali�y is associa�ed wi�h more cesarean
bir�hs, more ges�a�ional hyper�ension rela�ed �o preexis�ing hyper�ensive
disorders, and lack of heal�hinsurance for many Americans. This increase is no�
because of earlier prena�al care, increased vaginal deliveries, or �rea�men� for
chronic diseases.
8. A new mo�her asks �he nurse if all of �he new baby's injec�ions can be given in one
visi�because �he mo�her is losing income from missing work because of �he office
visi�s. Wha� does �his new mo�her's issue indica�e �o �he nurse?
A) The mo�her needs �o find an al�erna�ive employer.
B) The mo�her's income is more impor�an� �ha� �he baby's heal�h.
C) Missing work does no� suppor� �he baby's heal�h main�enance visi�s.
D) The federal governmen� needs �o do more �o suppor� well-baby
visi�s.Ans: C
Feedback:
An area �ha� needs addi�ional research is finding effec�ive s�imuli �o encourage
women �o bring children for heal�h main�enance visi�s. The mo�her losing income
because of missing work for well-baby visi�s will de�er heal�h main�enance visi�s
for �he baby goingforward. This mo�her's issue does no� indica�e �ha� �he
mo�her needs �o find ano�her job, �ha� �he mo�her's income is more impor�an�
�ha� �he baby's heal�h, or �ha� �he federal governmen� needs �o do more �o
suppor� well-baby visi�s.
Page 4