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NURG 019 Chp 1 Prep U.

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Correct response: • It has steadily decreased. Explanation: Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, p. 9. Chapter 1: Perspectives on Maternal and Child Health Care - Page 9 Question 6 See full question 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? You Selected: • neonatal death Correct response: • neonatal death Explanation: Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, p. 12. Chapter 1: Perspectives on Maternal and Child Health Care - Page 12 Question 7 See full question Consent for urgent treatment is needed for a minor. The parents are unable to be at the hospital. What action by the nurse constitutes informed consent? You Selected: • Explaining the needed treatment to the minor and documenting this action Correct response: • Telephone consent with two witnesses listening simultaneously Explanation: Telephone consent documented with two witness signatures is appropriate. None of the other options constitutes informed consent. Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, p. 49. Chapter 1: Perspectives on Maternal and Child Health Care - Page 49 Question 8 See full question 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? You Selected: • health promotion Correct response: • health promotion Explanation: Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed., Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, p. 13. Chapter 1: Perspectives on Maternal and Child Health Care - Page 13 Question 9 See full question 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? You Selected: • Initiating more holistic care Correct response: • Increasing use of alternative treatment modalities Explanation: There is a growing tendency for families to use alternative forms of therapy, such as acupuncture or therapeutic touch, in addition to (or instead of) traditional health care measures. Nurses have an increasing obligation to be aware of complementary or alternative therapies such as these as they have the potential to either enhance or detract from the effectiveness of traditional therapy. The other answers do not pertain to the arrangement the client has made to have her massage therapist present at her labor. Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed., Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, pp. 35-36. Chapter 1: Perspectives on Maternal and Child Health Care - Page 35- 36 Question 10 See full question 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.) You Selected: • More single-parent families • More employed mothers Correct response: • Smaller families • More employed mothers • More single-parent families Explanation: Question 11 See full question The nurse works in a maternal and child care area that supports health promotion. Which activities will the nurse perform to support this philosophy of health care? (Select all that apply.) You Selected: • Planning care • Patient teaching • Identifying nursing diagnoses • New mother advocacy Correct response: • Patient teaching • Family counseling • New mother advocacy Explanation: Question 12 See full question 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? You Selected: • Ensure the mother and newborn have intact identification bands. Correct response: • Ensure the mother and newborn have intact identification bands. Explanation: Question 13 See full question The nurse is caring for a pregnant Arab American woman. Which statement most accurately describes the client's potential health care beliefs? You Selected: • The husband makes all the health care decisions for the wife. Correct response: • The husband makes all the health care decisions for the wife. Explanation: Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, p. 35. Chapter 1: Perspectives on Maternal and Child Health Care - Page 35 Question 14 See full question Before World War II women moved from home to hospital births. What was the primary reason for that shift in maternity care? You Selected: • They were convinced that setting would improve birth outcomes. Correct response: • They were convinced that setting would improve birth outcomes. Explanation: Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, p. 9. Chapter 1: Perspectives on Maternal and Child Health Care - Page 9 Question 15 See full question A young mother with an ill child tells the visiting nurse that she belongs to the Christian Scientist religious group and will not seek medical attention for the child. Which statement best reflects the mother's religion's beliefs about health? You Selected: • Healing will come through prayer and spiritual regeneration only. Correct response: • Healing will come through prayer and spiritual regeneration only. Explanation: Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, p. 38. Chapter 1: Perspectives on Maternal and Child Health Care - Page 38 Question 16 See full question Which statements about the maternal mortality and morbidity rates for African American women indicate understanding of the issue? Select all that apply. You Selected: • African American women have a genetic link to high-risk pregnancies. • Bias among health care providers towards the African American population fosters distrust. • African American women often have limited or no health care insurance coverage. • Quality obstetrical health care may not be available in the community. • Many African American women have low socioeconomic status. Correct response: • Quality obstetrical health care may not be available in the community. • Bias among health care providers towards the African American population fosters distrust. • African American women often have limited or no health care insurance coverage. • Many African American women have low socioeconomic status. Explanation: Reference: • Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives on Maternal and Child Health Care, pp. 11-12. Chapter 1: Perspectives on Maternal and Child Health Care - Page 11- 12 Question 17 See full question 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? You Selected:

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Chp 1
Question 1 See full question

A nurse is caring for a child. Which individual would the nurse identify as
being primarily responsible for initiating and coordinating health care?
You Selected:


Parents

Correct response:


Parents

Explanation:
Reference:

Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd
ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives
on Maternal and Child Health Care, p. 23.
Chapter 1: Perspectives on Maternal and Child Health Care - Page 23
Question 2 See full question

In an effort to improve the health status of women and their children, several
national campaigns have been implemented. The campaign that reduced the
incidence of Sudden Infant Death Syndrome (SIDS) by 50% was the:
You Selected:


Back to Sleep Campaign.

Correct response:


Back to Sleep Campaign.

Explanation:
Reference:

Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd
ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives
on Maternal and Child Health Care, p. 45.
Chapter 1: Perspectives on Maternal and Child Health Care - Page 45
Question 3 See full question

In 2007 the World Factbook published statistics that showed the United
States still lagged behind other industrialized nations in the incidence of

,infant mortality. What is one reason that the United States has a higher
infant mortality rate than other countries?
You Selected:


Low birth weight

Correct response:


Low birth weight

Explanation:
Reference:

Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd
ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives
on Maternal and Child Health Care, p. 13.
Chapter 1: Perspectives on Maternal and Child Health Care - Page 13
Question 4 See full question

Many experts suggest that parents read to their unborn children and play
music to provide early stimulation. If a pregnant patient questions you about
the likely effect of such activities on the fetus, what could you accurately tell
her?
You Selected:


Reading to an unborn child has been shown to improve
future language skills.

Correct response:


The sound of her voice will comfort the infant.

Explanation:

The fetus can hear while in utero, and playing music or reading to the infant
can help connect the infant with the mother and father prior to delivery.
There is no evidence of accelerated development in musical skill, language,
or creativity in a child that listened to music in utero.
Question 5 See full question

Which statement best describes the pattern of maternal mortality since
World War II?
You Selected:


It has steadily decreased.

,Correct response:


It has steadily decreased.

Explanation:
Reference:

Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd
ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives
on Maternal and Child Health Care, p. 9.
Chapter 1: Perspectives on Maternal and Child Health Care - Page 9
Question 6 See full question

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?
You Selected:


neonatal death

Correct response:


neonatal death

Explanation:
Reference:

Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd
ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives
on Maternal and Child Health Care, p. 12.
Chapter 1: Perspectives on Maternal and Child Health Care - Page 12
Question 7 See full question

Consent for urgent treatment is needed for a minor. The parents are unable
to be at the hospital. What action by the nurse constitutes informed consent?
You Selected:


Explaining the needed treatment to the minor and documenting this
action

Correct response:


Telephone consent with two witnesses listening simultaneously

Explanation:

, Telephone consent documented with two witness signatures is appropriate.
None of the other options constitutes informed consent.
Reference:

Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd
ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives
on Maternal and Child Health Care, p. 49.
Chapter 1: Perspectives on Maternal and Child Health Care - Page 49
Question 8 See full question

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?
You Selected:


health promotion

Correct response:


health promotion

Explanation:
Reference:

Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd
ed., Philadelphia: Wolters Kluwer Health, 2017, Chapter 1: Perspectives
on Maternal and Child Health Care, p. 13.
Chapter 1: Perspectives on Maternal and Child Health Care - Page 13
Question 9 See full question

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?
You Selected:


Initiating more holistic care

Correct response:


Increasing use of alternative treatment modalities

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