Chapter 1: A Framework for Maternal and Child Health Nursing
1. A program designed to decrease the indien mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care?
A. offering increased WICC arbit
B.
C.
reducing the aber of home but
increasing the education level of parents
D. increasing the mumber of women receiving prenatal care
Answer: D
Rationale: Receiving prenatal care has proven to be a major strategy for seducing in
mortality. The other interventions will not directly impact infant mortality rates to the degree that petal care will
Question format: Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level Apply
Cheat Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 11-13
2 What is a curent trend in child healthcare?
A. Children are hospitalized for observation more than previously.
8. 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 flies.
Anwer: B
Rationale: It is recognized that keeping individuals well is more cost effective for a system than helping indultum to welhess
Question format Maple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level Remember
Cheat Needs: Health Promotion and Maintenance
Integrated Process: Naning Process
Reference: p. 6-8
3. These inning an education program for early grade-school children. Which topic would address thember one case of death for this age group?
A. The importance of crossing sheets safely
B.
The importance of
c. Prevention of infection and communicable disease
D. Exercise and good nutrition
Anwer: A
Rationale Motor vehicle accidents are a leading cause of death in this age group. Question format: Multiple Choice
Chapter 1: A Framework for Mineral and Child Health Nursing
Cognitive Level Apply
Cheat Needs: Health Promotion and Maintenance
Integrated Process: Teaching Learning Reference:p. 14
4 Which trend is currently influencing uneral and child health care?
A.
an expansion of community-based services
B. closure of regionalized health care centers C. the availabry of additional family support D. a reduction in the number of latchy d
Answer: A
Rationale: The trend for community care is increasing because it has the potential to provide cost-effective health promotion disease prevention chest care services to largembers of Children and families in an environment that is
to them
Regionalization of care is increasing because of the need for more specialized or advanced car There is also an increase in the member of mothers who must work outside the house because they do not have extended family members to provide care for their children. This has resulted in in increase in the number of linchley children left house alone after school while the mother works
Question format Multiple Choice
Chapter 1: A Framework for Manemal and Child Health Naring
Cognitive Level: Remember
Chent Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 16
5. Which statement correctly defines the term “perinatal death rate”?
A. number of deaths in unero of a fenas 500 g or more per 1000 live births
B. number of deaths per 1000 live births occurring in the first 28 days oflife
C. number of deaths per 1000 live births occurring at birth or in the first 12 months oflife D.mber of deaths per 1000 live births beginning when the fetus reaches 500g and ending 2 days after birth
Answer: D
Rationale: The term “perinatal” refers to the time of birth and the time closely following it, or the time “around birth”
Question format Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level Remember
Cheat Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 10
6 Which statement best describes the patter of maternal mortality since World War II A. It has steadily decreased
8. It has remained constant
C. It has steadily increased
D. After decreasing until the 1960s, it has increased steadily
Aner A
Rationale: Improved prenatal care and early ambulation ather birth are factors that have decreased maternal death rates following birth over the past 70 years.
Question format Multiple Choice
Chapter 1: A Framework for Materal and Child Hearing
Cognitive Level: Apply
Chent Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 13
7. A mase is seeing the statistical outcomes related to fetal deaths nationwide and notes thatthembers 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. proved prenatal care has reduced the mbers of fetal deaths
8.
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
Answer: B
Rationale: The mumber of fetal deaths in the United States has fallen. This has been attributed to
the improvement in the delivery of prenatal care.
Question format Multiple Choice
Chapter 1: A Framework for Materal and Child Health Nursing
Cognitive Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Ref: p. 11
8 An inftat 33 weeks’ gestation dies after 1 week of life in the neonatal intensive
care unit. This infant’s death rate would be classified underwhich statistical category?
A. infant death under one month
B.
taldeath
C. pret gestational death
D. postnatal death
Answer: B
Rationale: The sectal death rate is the number of deaths of an infant in the first 28 days of life. Gestational age is not a consideration when reporting deaths of infants. The other categories are not classifications for reporting infint deaths
Question format Multiple Choice
Chapter 1: A Framework for Mineral and Child Health Nursing
Cognitive Level: Understand
Client Needs: Sade. Effective Care Environment Management of Care
Integrated Process Nursing Process
Reference: p. 10
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9. What makes the area of maternal-child health nursing a more extensive area for consideration of legal issues than other areas of tuning?
A.
8.
Age of the clients
Caring for a fetas, an une client
C. Risk of labor and birth
D. Lack of evidence-based information
Answer: B
Rationale: When providing care for the pregnant client, the fetus is unseen and unable to speak Care for the maternal-child couplet, therefore, takes on a greater risk for legal and ethical issues as the fetus is not “bom” nor of age to give consent for procedures
Question format Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Corative Level: Understand
Cheat Needs: Sade, Effective Care Environment Management of Care
Integrated Process Nursing Process
Reference: p. 20
A.
What makes the era of flying a difficult area in which to providecare at times? the presence of fly in the hospital rooms
8. fly members who might not agree on treatments and a plan of car
C. fly-centered care plans and use of community areas in acute care settings
D. ses having different values free flies
Answer: B
Rationale: The fly may not agree of the plan of care or treatment plans with each other
or for their children. This is a difficult situation as the children do not have their rights to
make their own decisions and the family needs to agree
Question format Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Apply
Client Needs: Sade, Effective Care Environment Management of Care
Integrated Process: Nursing Process Reference 20
11 What term is used to represent the number of deaths in the first 28 days of life?
A.
death rate
B. infant death rate
C. fetal death rate
D. couple death rate
Answer: A
Rationale: The secatal death rate is the number of deaths of an infint in the first 28 days of Me
Question format Multiple Choice
Chapter 1: A Framework for Maternal and Child Health Nursing
Cognitive Level: Remember
Client Needs: Sade, Effective Care Environment Management of Care Integrated Process: Nursing Process
Reformon p. 11
12 Ame is reviewing inden mortality statistics in the United States. Which information would the nurse likely find? Select all that apply.
A. measures the quality of pregnancy care
B. review of information on overall nutrition
C. comparison of health with those of other states
D. determination of infant health and available care
E. provision of an index of the country’s general
Aner A. B.D.E
Rationale: Infint mortality statistics provide an index of a country’s general health, measures the quality of pregnancy care, provides information on overall nation, and determines in
health and available care Infant mortality statistics compares the health with those of other countries and not with those of other states
Question for Multiple Select
Chapter 1: A Framework for Materal and Child Health Nursing
Cognitive Level: Apply
Chent Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 11
13 Theme is providing care in an organization that supports the maternal and childcare Which type of chest care area is an example of this approach?
cot
A. primary care
B. teaming
C. case management D. fmily-centered ce
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