TEST BANK FOR
MATERNAL AND
CHILD HEALTH
NURSING 8TH
EDITION BY SILBERT
FLAGG.
Chapter 1:
A Framework for Maternal and Child Health Nursing
• For which reasons would a nurse review infant mortality statistics in the United
States?(Select all that apply.)
• Measures the quality of pregnancy care
• Reviews information on overall nutrition
• Compares health with those of other states
• Determines infant health and available care
• Provides an index of the country's general
healthAns: A, B, D, E
Feedback:
Infant mortality statistics provide an index of a country's general health, measures
thequality of pregnancy care, provides information on overall nutrition, and
, determines infant health and available care. Infant mortality statistics compares the
health with those of other countries and not with those of other states.
• The nurse is providing care in an organization that supports the maternal and child
carecontinuum. Which type of patient care area is an example of this approach?
• Primary care
• Team nursing
• Case management
• Family-centered
careAns: D
Feedback:
Keeping the family at the center of care is important because the level of a family's
functioning is important to the health status of its members. A healthy family
establishesan environment conducive to growth and health-promoting behaviors to
sustain family members during crises. A family-centered approach enables nurses to
better understand individuals and their effect on others and, in turn, to provide more
holistic care. Primary nursing, team nursing, and case management do not necessary
take into consideration the maternal and child care continuum.
• Which actions should the nurse perform when supporting the goals of maternal
andchild health care? (Select all that apply.)
• Advocates protecting the rights of the mother and fetus
• Teaches family members interventions to improve health
• Adheres to principles that focus on the needs of the mother
• Encourages maternal hospitalization to regain strength and stamina
• Assesses family members for strengths and specific needs or
challenges Ans: A, B, E
Feedback:
Actions that the nurse should perform when supporting the goals of maternal and
child health care include advocating the rights for the mother and fetus, teaching
health promotion interventions, and assessing the family for strengths and specific
needs or challenges. Adhering to principles that focus on the needs of the mother and
encouraging maternal hospitalization to regain strength and stamina are not actions
that support the goals of maternal and child health care.
• The nurse is reviewing the 2020 National Health Goals and notes that which is a
focusof these goals?
• Health promotion and disease prevention
• Early diagnosis of chronic health problems
• Effective use of medication to treat disease
• Reduce the cost of health care and
medicationsAns: A
Feedback:
, The 2020 National Health Goals are intended to help citizens more easily understand
the importance of health promotion and disease prevention and to encourage wide
participation in improving health in the next decade. These goals do not focus on the
early diagnosis of chronic problems, use of medications to treat disease, or reduce the
cost of health care and medications.
• 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 allthat apply.)
• Smaller families
• Less domestic violence
• More employed mothers
• Stable home environments
• More single-parent
families Ans: A, C, E
Feedback:
Nursing care for maternal and child is changing because families are smaller, more
mothers are employed out of the home, and there are more single-parent families.
There is an increase in domestic violence, and families are less stable and more
mobile, whichinfluences homelessness.
• 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 thepurpose of asking the patient this question?
• Analyze for herb–drug interactions
• Understand the patient's philosophy of alternative health care
• Determine the types of medications the patient will need to be prescribed
• Explain to the physician the patient's preference for nontraditional
medicineapproaches
Ans: A
Feedback:
Assessing what alternative measures are being used is important because the action
of an herb can interfere with prescribed medications. Assessing the use of herbal
remedies is not done to understand the patient's philosophy of alternative health care,
determine the types of medications the patient will need to be prescribed, or explain
the patient's preferences for nontraditional medicine approaches to the physician.
• The nurse notes that statistics on maternal mortality had improved but are again
becoming elevated. What does the nurse realize as a reason for this change in
maternalmortality rates?
• Earlier prenatal care
• Gestational hypertension
• Increased vaginal deliveries
• Treatment for chronic
diseases Ans: B
, Feedback:
This increasing rate in maternal mortality is associated with more cesarean births,
more gestational hypertension related to preexisting hypertensive disorders, and lack
of healthinsurance for many Americans. This increase is not because of earlier
prenatal care, increased vaginal deliveries, or treatment for chronic diseases.
• A new mother asks the nurse if all of the new baby's injections can be given in one
visit because the mother is losing income from missing work because of the office
visits. What does this new mother's issue indicate to the nurse?
• The mother needs to find an alternative employer.
• The mother's income is more important that the baby's health.
• Missing work does not support the baby's health maintenance visits.
• The federal government needs to do more to support well-baby
visits. Ans: C
Feedback:
An area that needs additional research is finding effective stimuli to encourage women
to bring children for health maintenance visits. The mother losing income because of
missing work for well-baby visits will deter health maintenance visits for the baby
going forward. This mother's issue does not indicate that the mother needs to find
another job, that the mother's income is more important that the baby's health, or that
the federal government needs to do more to support well-baby visits.
• 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.)
• Planning care
• Patient teaching
• Family counseling
• New mother advocacy
• Identifying nursing
diagnoses Ans: B, C, D
Feedback:
Extensive changes in the scope of maternal and child health nursing have occurred as
health promotion has become a greater priority in care. The nursing activities for
healthpromotion include teaching, counseling, and advocacy. Planning care and
identifying nursing diagnoses are a part of the nursing process and not specific to
health promotion.
• During a care conference, a nurse provides everyone with a copy of the latest
researchon improving the success of breastfeeding for first-time mothers. Which
Quality & Safety Education for Nurses competency does this nurse's action support?
• Quality improvement
• Patient-centered care
• Evidence-based practice
MATERNAL AND
CHILD HEALTH
NURSING 8TH
EDITION BY SILBERT
FLAGG.
Chapter 1:
A Framework for Maternal and Child Health Nursing
• For which reasons would a nurse review infant mortality statistics in the United
States?(Select all that apply.)
• Measures the quality of pregnancy care
• Reviews information on overall nutrition
• Compares health with those of other states
• Determines infant health and available care
• Provides an index of the country's general
healthAns: A, B, D, E
Feedback:
Infant mortality statistics provide an index of a country's general health, measures
thequality of pregnancy care, provides information on overall nutrition, and
, determines infant health and available care. Infant mortality statistics compares the
health with those of other countries and not with those of other states.
• The nurse is providing care in an organization that supports the maternal and child
carecontinuum. Which type of patient care area is an example of this approach?
• Primary care
• Team nursing
• Case management
• Family-centered
careAns: D
Feedback:
Keeping the family at the center of care is important because the level of a family's
functioning is important to the health status of its members. A healthy family
establishesan environment conducive to growth and health-promoting behaviors to
sustain family members during crises. A family-centered approach enables nurses to
better understand individuals and their effect on others and, in turn, to provide more
holistic care. Primary nursing, team nursing, and case management do not necessary
take into consideration the maternal and child care continuum.
• Which actions should the nurse perform when supporting the goals of maternal
andchild health care? (Select all that apply.)
• Advocates protecting the rights of the mother and fetus
• Teaches family members interventions to improve health
• Adheres to principles that focus on the needs of the mother
• Encourages maternal hospitalization to regain strength and stamina
• Assesses family members for strengths and specific needs or
challenges Ans: A, B, E
Feedback:
Actions that the nurse should perform when supporting the goals of maternal and
child health care include advocating the rights for the mother and fetus, teaching
health promotion interventions, and assessing the family for strengths and specific
needs or challenges. Adhering to principles that focus on the needs of the mother and
encouraging maternal hospitalization to regain strength and stamina are not actions
that support the goals of maternal and child health care.
• The nurse is reviewing the 2020 National Health Goals and notes that which is a
focusof these goals?
• Health promotion and disease prevention
• Early diagnosis of chronic health problems
• Effective use of medication to treat disease
• Reduce the cost of health care and
medicationsAns: A
Feedback:
, The 2020 National Health Goals are intended to help citizens more easily understand
the importance of health promotion and disease prevention and to encourage wide
participation in improving health in the next decade. These goals do not focus on the
early diagnosis of chronic problems, use of medications to treat disease, or reduce the
cost of health care and medications.
• 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 allthat apply.)
• Smaller families
• Less domestic violence
• More employed mothers
• Stable home environments
• More single-parent
families Ans: A, C, E
Feedback:
Nursing care for maternal and child is changing because families are smaller, more
mothers are employed out of the home, and there are more single-parent families.
There is an increase in domestic violence, and families are less stable and more
mobile, whichinfluences homelessness.
• 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 thepurpose of asking the patient this question?
• Analyze for herb–drug interactions
• Understand the patient's philosophy of alternative health care
• Determine the types of medications the patient will need to be prescribed
• Explain to the physician the patient's preference for nontraditional
medicineapproaches
Ans: A
Feedback:
Assessing what alternative measures are being used is important because the action
of an herb can interfere with prescribed medications. Assessing the use of herbal
remedies is not done to understand the patient's philosophy of alternative health care,
determine the types of medications the patient will need to be prescribed, or explain
the patient's preferences for nontraditional medicine approaches to the physician.
• The nurse notes that statistics on maternal mortality had improved but are again
becoming elevated. What does the nurse realize as a reason for this change in
maternalmortality rates?
• Earlier prenatal care
• Gestational hypertension
• Increased vaginal deliveries
• Treatment for chronic
diseases Ans: B
, Feedback:
This increasing rate in maternal mortality is associated with more cesarean births,
more gestational hypertension related to preexisting hypertensive disorders, and lack
of healthinsurance for many Americans. This increase is not because of earlier
prenatal care, increased vaginal deliveries, or treatment for chronic diseases.
• A new mother asks the nurse if all of the new baby's injections can be given in one
visit because the mother is losing income from missing work because of the office
visits. What does this new mother's issue indicate to the nurse?
• The mother needs to find an alternative employer.
• The mother's income is more important that the baby's health.
• Missing work does not support the baby's health maintenance visits.
• The federal government needs to do more to support well-baby
visits. Ans: C
Feedback:
An area that needs additional research is finding effective stimuli to encourage women
to bring children for health maintenance visits. The mother losing income because of
missing work for well-baby visits will deter health maintenance visits for the baby
going forward. This mother's issue does not indicate that the mother needs to find
another job, that the mother's income is more important that the baby's health, or that
the federal government needs to do more to support well-baby visits.
• 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.)
• Planning care
• Patient teaching
• Family counseling
• New mother advocacy
• Identifying nursing
diagnoses Ans: B, C, D
Feedback:
Extensive changes in the scope of maternal and child health nursing have occurred as
health promotion has become a greater priority in care. The nursing activities for
healthpromotion include teaching, counseling, and advocacy. Planning care and
identifying nursing diagnoses are a part of the nursing process and not specific to
health promotion.
• During a care conference, a nurse provides everyone with a copy of the latest
researchon improving the success of breastfeeding for first-time mothers. Which
Quality & Safety Education for Nurses competency does this nurse's action support?
• Quality improvement
• Patient-centered care
• Evidence-based practice
