,A program designed to decrease the infant mortality rate in the United States would
probably make the greatest impact if it focused on which aspect of care?
A) offering increased WICC availability
B) reducing the number of home births
C) increasing the education level of parents
D) increasing the number of women receiving prenatal care - Ans: D
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Page: 11
Feedback: Receiving prenatal care has proven to be a major strategy for reducing infant
mortality. The other interventions will not directly impact infant mortality rates to the
degree that prenatal care will.
What is a current trend in child health care?
A) Children are hospitalized for observation more than previously.
B) Health promotion rather than health restoration is stressed.
C) Child health care is moving out of regional centers.
D) Nursing roles are decreasing because of the increasing role of families. - Ans: B
Client Needs: Safe, Effective Care Environment: Management of Care
Cognitive Level: Remember
Page: 16
Feedback: It is recognized that keeping individuals well is more cost effective for a
system than helping ill individuals return to wellness.
The nurse is running an education program for early grade-school children. Which topic
would address the number one cause of death for this age group?
A) The importance of crossing streets safely
B) The importance of immunizations
C) Prevention of infection and communicable disease
D) Exercise and good nutrition - Ans: A
Client Needs: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Apply
Page: 11
Feedback: Motor-vehicle accidents are a leading cause of death in this age group.
Which trend is currently influencing maternal and child healthcare?
A) An expansion of community based services
,B) Closure of regionalized healthcare centers
C) The availability of additional family support
D) A reduction in the number of latch key kids - Ans: A
Client Needs: Health Promotion and Maintenance
Cognitive Level: Remember
Page: 15-16
Feedback: The trend for community care is increasing because it has the potential to
provide cost-effective health promotion/disease prevention patient care services to large
numbers of children and families in an environment that is familiar to them.
Regionalization of care is increasing because of the need for more specialized or
advanced care. There is also an increase in the number of mothers who must work
outside the home because they do not have extended family members to provide care
for their children. This has resulted in an increase in the number of latchkey children left
home alone after school while their mother works.
Which statement correctly defines the term "perinatal death rate"?
A) Number of deaths in utero of a fetus 500 g or more per 1000 live births
B) Number of deaths per 1000 live births occurring in the first 28 days of life
C) Number of deaths per 1000 live births occurring at birth or in the first 12 months of
life
D) Number of deaths per 1000 live births beginning when the fetus reaches 500 g and
ending 28 days after birth - Ans:
Client Needs: Health Promotion and Maintenance
Cognitive Level: Remember
Page: 10
Feedback: The term "perinatal" refers to the time of birth and that closely following it or
the time "around birth."
A nurse is doing a literature search on maternal mortality and finds that direct causes
comprise the majority of maternal deaths. Direct causes are noted to be unpredictable
reasons. Which action would be most appropriate to implement that would have the
greatest impact on reducing these numbers?
A) Practicing high standards of infection control.
B) Monitoring maternal glucose levels in mothers with type 1 diabetes.
C) Referring to a cardiologist for any arrhythmias.
D) Administering oxytocic medications for increased postpartum bleeding.
E) Beginning antibiotics prior to birth for a febrile mother. - Ans: A
Client Needs: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Analyze
Page: 12
Feedback: Few women die giving birth in a developed countries, but it still happens.
Health care providers can have the greatest impact on reducing these numbers by
, implementing good infection control measures, appropriate use of antibiotics during
labor and postpartum periods, and use of oxytocics for maternal bleeding to prevent
hemorrhage. Diabetes and cardiac arrhythmias are not considered direct causes, that
is, they are known and predictable.
Which statement best describes the pattern of maternal mortality since World War II?
A) It has steadily decreased.
B) It has remained constant.
C) It has steadily increased.
D) After decreasing until the 1960s, it has increased steadily. - Ans: A
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Page: 12
Feedback: Improved prenatal care and early ambulation after birth are factors that have
decreased maternal death rates following birth over the past 70 years.
A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and
notes that the numbers have changed over the last several decades. The best
explanation would be:
A) expectant mothers are seeking prenatal care later, resulting in decreases in the
number.
B) improved prenatal care has reduced the numbers of fetal deaths.
C) increases are noted because of the growing number of pregnancies to teen mothers.
D) increases are noted due the increasing number of older mothers becoming pregnant.
- Ans: B
Client Needs: Health Promotion and Maintenance
Cognitive Level: Analyze
Page: 11
Feedback: The number of fetal deaths in the United States has fallen. This has been
attributed to the improvement in the delivery of prenatal care.
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?
A) infant death under one month
B) neonatal death
C) preterm gestational death
D) postneonatal death - Ans: B
Client Needs: Health Promotion and Maintenance
Cognitive Level: Analyze
Page: 10
probably make the greatest impact if it focused on which aspect of care?
A) offering increased WICC availability
B) reducing the number of home births
C) increasing the education level of parents
D) increasing the number of women receiving prenatal care - Ans: D
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Page: 11
Feedback: Receiving prenatal care has proven to be a major strategy for reducing infant
mortality. The other interventions will not directly impact infant mortality rates to the
degree that prenatal care will.
What is a current trend in child health care?
A) Children are hospitalized for observation more than previously.
B) Health promotion rather than health restoration is stressed.
C) Child health care is moving out of regional centers.
D) Nursing roles are decreasing because of the increasing role of families. - Ans: B
Client Needs: Safe, Effective Care Environment: Management of Care
Cognitive Level: Remember
Page: 16
Feedback: It is recognized that keeping individuals well is more cost effective for a
system than helping ill individuals return to wellness.
The nurse is running an education program for early grade-school children. Which topic
would address the number one cause of death for this age group?
A) The importance of crossing streets safely
B) The importance of immunizations
C) Prevention of infection and communicable disease
D) Exercise and good nutrition - Ans: A
Client Needs: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Apply
Page: 11
Feedback: Motor-vehicle accidents are a leading cause of death in this age group.
Which trend is currently influencing maternal and child healthcare?
A) An expansion of community based services
,B) Closure of regionalized healthcare centers
C) The availability of additional family support
D) A reduction in the number of latch key kids - Ans: A
Client Needs: Health Promotion and Maintenance
Cognitive Level: Remember
Page: 15-16
Feedback: The trend for community care is increasing because it has the potential to
provide cost-effective health promotion/disease prevention patient care services to large
numbers of children and families in an environment that is familiar to them.
Regionalization of care is increasing because of the need for more specialized or
advanced care. There is also an increase in the number of mothers who must work
outside the home because they do not have extended family members to provide care
for their children. This has resulted in an increase in the number of latchkey children left
home alone after school while their mother works.
Which statement correctly defines the term "perinatal death rate"?
A) Number of deaths in utero of a fetus 500 g or more per 1000 live births
B) Number of deaths per 1000 live births occurring in the first 28 days of life
C) Number of deaths per 1000 live births occurring at birth or in the first 12 months of
life
D) Number of deaths per 1000 live births beginning when the fetus reaches 500 g and
ending 28 days after birth - Ans:
Client Needs: Health Promotion and Maintenance
Cognitive Level: Remember
Page: 10
Feedback: The term "perinatal" refers to the time of birth and that closely following it or
the time "around birth."
A nurse is doing a literature search on maternal mortality and finds that direct causes
comprise the majority of maternal deaths. Direct causes are noted to be unpredictable
reasons. Which action would be most appropriate to implement that would have the
greatest impact on reducing these numbers?
A) Practicing high standards of infection control.
B) Monitoring maternal glucose levels in mothers with type 1 diabetes.
C) Referring to a cardiologist for any arrhythmias.
D) Administering oxytocic medications for increased postpartum bleeding.
E) Beginning antibiotics prior to birth for a febrile mother. - Ans: A
Client Needs: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Analyze
Page: 12
Feedback: Few women die giving birth in a developed countries, but it still happens.
Health care providers can have the greatest impact on reducing these numbers by
, implementing good infection control measures, appropriate use of antibiotics during
labor and postpartum periods, and use of oxytocics for maternal bleeding to prevent
hemorrhage. Diabetes and cardiac arrhythmias are not considered direct causes, that
is, they are known and predictable.
Which statement best describes the pattern of maternal mortality since World War II?
A) It has steadily decreased.
B) It has remained constant.
C) It has steadily increased.
D) After decreasing until the 1960s, it has increased steadily. - Ans: A
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Page: 12
Feedback: Improved prenatal care and early ambulation after birth are factors that have
decreased maternal death rates following birth over the past 70 years.
A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and
notes that the numbers have changed over the last several decades. The best
explanation would be:
A) expectant mothers are seeking prenatal care later, resulting in decreases in the
number.
B) improved prenatal care has reduced the numbers of fetal deaths.
C) increases are noted because of the growing number of pregnancies to teen mothers.
D) increases are noted due the increasing number of older mothers becoming pregnant.
- Ans: B
Client Needs: Health Promotion and Maintenance
Cognitive Level: Analyze
Page: 11
Feedback: The number of fetal deaths in the United States has fallen. This has been
attributed to the improvement in the delivery of prenatal care.
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?
A) infant death under one month
B) neonatal death
C) preterm gestational death
D) postneonatal death - Ans: B
Client Needs: Health Promotion and Maintenance
Cognitive Level: Analyze
Page: 10
