Health Nursing 5th Edition by Susan Scott Ricci
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Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
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(ANSWERS AT THE END OF EVERY CHAPTER)
1 The United States ranks 50th in the world for maternal mortality
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. and 41st among industrialized nations for infant mortality rate.
When developing programs to assist in decreasing these rates,
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which factor would most likely need to be addressed as having
the greatest impact?
A Resolving all language and cultural differences
)
B Assuring early and adequate prenatal care
)
C Providing more extensive womens shelters
)
D Encouraging all women to eat a balanced diet
)
,2 When integrating the principles of family-centered care, the
. nurse would include which of the following?
A Childbirth is viewed as a procedural event
)
B Families are unable to make informed choices
)
C Childbirth results in changes in relationships
)
D Families require little information to make appropriate
) decisions
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A
,3 When preparing a teaching plan for a group of first-time
. pregnant women, the nurse expects to review how maternity
care has changed over the years. Which of the following would
the nurse include when discussing events of the 20th century?
A Epidemics of puerperal fever
)
B Performance of the first cesarean birth
)
C Development of the x-ray to assess pelvic size
)
D Creation of free-standing birth centers
)
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4 After teaching a group of students about pregnancy-related
. mortality, the instructor determines that additional teaching is
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needed when the students identify which condition as a leading
cause?
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A Hemorrhage
)
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B Embolism
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C Obstructed labor
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D Infection
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5 The nurse is working with a group of community health
. members to develop a plan to address the special health needs
of women. Which of the following conditions would the group
address as the major problem?
,A Smoking
)
B Heart disease
)
C Diabetes
)
D Cancer
)
6 When assessing a family for possible barriers to health care, the
. nurse would consider which factor to be most important?
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A Language
)
B Health care workers attitudes
)
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C Transportation
)
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D Finances
)
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7 After teaching a group of nursing students about the issue of
. informed consent. Which of the following, if identified by the
student, would indicate an understanding of a violation of
informed consent?
A Performing a procedure on a 15-year-old without consent
)
B Serving as a witness to the signature process
)
,C Asking whether the client understands what she is signing
)
D Getting verbal consent over the phone for emergency
) procedures
8 The nurse is trying to get consent to care for an 11-year-old boy
. with diabetic ketoacidosis. His parents are out of town on
vacation, and the child is staying with a neighbor. Which action
would be the priority?
A Getting telephone consent with two people listening to the
) verbal consent
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B Providing emergency care without parental consent
)
C Contacting the childs aunt or uncle to obtain their consent
)
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D Advocating for termination of parental rights for this situation
)
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9 After teaching nursing students about the basic concepts of
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. family-centered care, the instructor determines that the teaching
was successful when the students state which of the following?
A Childbirth affects the entire family, and relationships will
) change.
B Families are not capable of making health care decisions for
) themselves.
C Mothers are the family members affected by childbirth.
)
D Childbirth is a medical procedure.
)
,1 A nursing instructor is preparing a class discussion on the
0 trends in health care and health care delivery over the past
. several centuries. When discussing the changes during the past
century, which of the following would the instructor be least
likely to include?
A Disease prevention
)
B Health promotion
)
C Wellness
)
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D Analysis of morbidity and mortality
)
1 A nurse is assigned to care for an Asian American client. The
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1 nurse develops a plan of care with the understanding that based
. on this clients cultural background, the client most likely views
illness as which of the following?
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A Caused by supernatural forces.
A
)
B A punishment for sins.
)
C Due to spirits or demons.
)
D From an imbalance of yin and yang
)
,1 A nurse is developing a plan of care for a woman to ensure
2 continuity of care during pregnancy, labor, and childbirth.
. Which of the following would be most important for the nurse
to incorporate into that plan?
A Adhering to strict, specific routines
)
B Involving a pediatric physician
)
C Educating the client about the importance of a support person
)
D Assigning several nurses as a support team
)
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1 A nursing instructor is preparing a class discussion on case
3 management in maternal and newborn health care. Which of
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. the following would the instructor include as a key
component? Select all that apply.
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A Advocacy
)
A
B Coordination
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C Communication
)
D Resource management
)
E Event managed care
)
, 1 After teaching a group of students about the concept of
4 maternal mortality, the instructor determines that additional
. teaching is needed when the students state which of the
following?
A The rate includes accidental causes for deaths.
)
B It addresses pregnancy-related causes.
)
C The duration of the pregnancy is not a concern.
)
D The time frame is typically for a specified year.
)
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1 A group of students are reviewing the historical aspects about
5 childbirth. The students demonstrate understanding of the
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. information when they identify the use of twilight sleep as a
key event during which time frame?
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A 1700s
)
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B 1800s
)
C 1900s
)
D 2000s
)
1 A nurse is providing care to a woman who has just delivered a
6 healthy newborn. Which action would least likely demonstrate
. application of the concept of family-centered care?