n n n
l & Child Health Nursing
n n n n
Care of the Childbearing & Childrearing Family
n n n n n n
9th Edition B
n n
y
JoAnne Silbert-Flagg
n
, Chapter 1 A Framework for Maternal and Child Health Nursing
n n n n n n n n n
1. Fornwhichn reasonsn would n annursenreview ninfant nmortalitynstatisticsn inn thenUnitednStates?n (
Select n alln that n apply.)
A) Measuresn then qualitynof n pregnancyn care
B) Reviewsn informationn onn overalln nutrition
C) Comparesn healthn withn thosen of n othern states
D) Determinesn infant n healthn and n availablen care
E) Providesnannindexnof nthencountry'sngeneralnhealthn
Ans:n A,n B,n D,n E
Feedback:
Infant n mortalitynstatisticsn providenannindexnof nancountry'sn generaln health,nmeasuresnthen qual
ityn of n pregnancyn care,n providesn informationn onnoveralln nutrition,n and ndeterminesn infant nhe
althn and n availablen care.n Infant nmortalityn statisticsn comparesn thenhealthn withn thosen ofn othern
countriesn and n not n withn thosen of n othern states.
2. Thennursenisn providingncareninn ann organizationn that n supportsnthenmaternaln andnchild ncarenc
ontinuum.n Whichn typen of n patient n caren arean isn ann examplen of n thisn approach?
A) Primaryncare
B) Teamn nursing
C) Casen management
D) Family-
centered ncaren Ans:n D
Feedback:
Keepingn then familyn at n thencentern ofncaren isn important n becausen then leveln of nanfamily'sn functi
oningnisn important n ton thenhealthnstatusnof nitsn members.n Anhealthynfamilynestablishesn ann envi
ronment n conduciven ton growthn and n health-
promotingn behaviorsn ton sustainn familyn membersn duringn crises.n An family-
centered n approachn enablesn nursesn ton bettern understandnindividualsnand ntheirn effect nonnothe
rsn and,n inn turn,n ton providen moren holisticn care.n Primaryn nursing,n teamn nursing,n and n casen ma
nagement n don not n necessaryn takenintonconsiderationn thenmaternaln andn child ncaren continuum
.
Pagen 1
, 3. Whichnactionsnshould n then nursenperformnwhenn supportingnthengoalsn ofnmaternalnandnc
hild n healthn care?n (Select n alln that n apply.)
A) Advocatesn protectingn then rightsn of n then mothern and n fetus
B) Teachesn familynmembersn interventionsn ton improven health
C) Adheresn ton principlesn that n focusn onn then needsn of n then mother
D) Encouragesnmaternaln hospitalizationn ton regainn strengthn and n stamina
E) Assessesnfamilynmembersnfornstrengthsnand nspecificnneedsnornchallengesn
Ans:n A,n B,n E
Feedback:
Actionsn that n thennursen shouldn performn whennsupportingn then goalsn ofnmaternaln andn child nhe
althn caren includen advocatingn thenrightsn forn then mothern andnfetus,n teachingn healthn promotio
nn interventions,n and n assessingn then familyn forn strengthsn and n specificn needsn orn challenges.n
Adheringn ton principlesn that n focusnonn then needsnof nthenmothern andnencouragingnmaternalnho
spitalizationntonregainnstrengthn and nstaminanarennot n actionsnthat n support n then goalsn of n mater
naln and n child n healthn care.
4. Thennursenisn reviewingnthen 2020n Nationaln HealthnGoalsn andnnotesnthatnwhichnisn anfocusno
f n thesen goals?
A) Healthn promotionn and n diseasen prevention
B) Earlyndiagnosisn of n chronicn healthn problems
C) Effectiven usen of n medicationn ton treat n disease
D) Reducenthencost nofnhealthncarenand nmedicationsn
Ans:n A
Feedback:
Then2020n Nationaln HealthnGoalsn arenintendedntonhelpn citizensn moreneasilynunderstand nthen i
mportancen of n healthn promotionn and ndiseasen preventionn and n ton encouragen widen participati
onn inn improvingn healthn inn then next n decade.nThesen goalsn donnotn focusn onn then earlyn diagnosi
sn of n chronicn problems,n usen of n medicationsn tontreat ndisease,n orn reducenthencost nof n healthn car
en and n medications.
Pagen 2
, 5. Then nursen hasn noticed n an changen innthentypen ofn caren neededn ton supportn maternaln and n childn h
ealthn issues.n What ndoesn then nursen realizen asn reasonsnfornthen changesn inn care?n (Select n allnth
at n apply.)
A) Smallernfamilies
B) Lessn domesticn violence
C) Morenemployed n mothers
D) Stablen homen environments
E) Morensingle-
parent nfamiliesn Ans:n A,n C,n E
Feedback:
Nursingn caren forn maternaln and n child n isn changingn becausen familiesn aren smaller,n moren moth
ersn arenemployed n out n of n then home,n and n theren aren moren single-
parent n families.n Theren isn ann increasen inn domesticn violence,n and nfamiliesn aren lessn stablen andn
moren mobile,n whichn influencesn homelessness.
6. Duringn ann assessment,n then nursen asksn an patientnfromn an non-English-
speakingn culturen whichntypesnof nhomen remediesnand nherbsnthenpatientn usesnfornhealthnc
are.n What n isnthen purposen of n askingn then patient n thisn question?
A) Analyzen forn herb–drugn interactions
B) Understand n then patient'sn philosophynof n alternativen healthn care
C) Determinenthen typesn of n medicationsn then patient n willn need n ton ben prescribed
D) Explainntonthenphysiciannthenpatient'snpreferencenfornnontraditionalnmedicinen
approaches
Ans:n A
Feedback:
Assessingn what n alternativen measuresn aren beingn used n isn important n becausen then actionn ofn an
nherbncanninterferenwithn prescribed n medications.n Assessingnthenusenof nherbaln remediesn isn n
ot n donen tonunderstandn thenpatient'snphilosophyn of n alternativen healthncare,n determinen thenty
pesn of n medicationsn then patient n willn need n tonben prescribed,n orn explainn then patient'sn preferen
cesn forn nontraditionaln medicinen approachesn ton then physician.
Pagen 3