Test Bank For Maternal & Child Health Nursing:
Care of the Childbearing & Childrearing Family
8th Edition Authors: JoAnne Silbert-Flagg, Pillit
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CHILDBEARING AND CHILDBEARINGFAMILY 8TH EDITION TEST
BANK
1. For which reasons would a nurse review infant mortality statistics in the United States?
(Select all that apply.)
A) Measures the quality of pregnancy care
B) Reviews information on overall nutrition
C) Compares health with those of other states
D) Determines infant health and available care
E) Provides an index of the country's general health
Ans: A, B, D, E
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
quality 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.
2. The nurse is providing care in an organization that supports the maternal and child care
continuum. Which type of patient care area is an example of this approach?
A) Primary care
B) Team nursing
C) Case management
D) Family-centered care
Ans: 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 establishes
an 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.
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3. Which actions should the nurse perform when supporting the goals of maternal and
child health care? (Select all that apply.)
A) Advocates protecting the rights of the mother and fetus
B) Teaches family members interventions to improve health
C) Adheres to principles that focus on the needs of the mother
D) Encourages maternal hospitalization to regain strength and stamina
E) 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.
4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus
of these goals?
A) Health promotion and disease prevention
B) Early diagnosis of chronic health problems
C) Effective use of medication to treat disease
D) Reduce the cost of health care and medications
Ans: 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.
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5. 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 all
that apply.)
A) Smaller families
B) Less domestic violence
C) More employed mothers
D) Stable home environments
E) 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, which
influences homelessness.
6. 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 the
purpose of asking the patient this question?
A) Analyze for herb–drug interactions
B) Understand the patient's philosophy of alternative health care
C) Determine the types of medications the patient will need to be prescribed
D) Explain to the physician the patient's preference for nontraditional medicine
approaches
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.
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7. 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 maternal
mortality rates?
A) Earlier prenatal care
B) Gestational hypertension
C) Increased vaginal deliveries
D) 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 health
insurance for many Americans. This increase is not because of earlier prenatal care,
increased vaginal deliveries, or treatment for chronic diseases.
8. 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?
A) The mother needs to find an alternative employer.
B) The mother's income is more important that the baby's health.
C) Missing work does not support the baby's health maintenance visits.
D) 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.
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9. 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.)
A) Planning care
B) Patient teaching
C) Family counseling
D) New mother advocacy
E) 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 health
promotion include teaching, counseling, and advocacy. Planning care and identifying
nursing diagnoses are a part of the nursing process and not specific to health promotion.
10. During a care conference, a nurse provides everyone with a copy of the latest research
on improving the success of breastfeeding for first-time mothers. Which Quality &
Safety Education for Nurses competency does this nurse's action support?
A) Quality improvement
B) Patient-centered care
C) Evidence-based practice
D) Teamwork and collaboration
Ans: C
Feedback:
Providing research material supports the Quality & Safety Education for Nurses
competency of evidence-based practice because the nurse is integrating the best current
evidence with clinical expertise and patient/family preferences and values for delivery
of optimal health care. Providing research evidence does not support the Quality &
Safety Education for Nurses competencies of quality improvement, patient-centered
care, or teamwork and collaboration.
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11. The nurse is caring for a mother who has just given birth to twins of 28 weeks gestation,
each weighing 2 kg. What is the health risk for the mother and the twins?
A) Child mortality
B) Neonatal death
C) Infant mortality
D) Maternal mortality
Ans: B
Feedback:
Neonatal death reflects the quality of care available to women during pregnancy and
childbirth and the quality of care available to infants during the first month of life. The
leading causes of death during this time are prematurity with associated low birth
weight. Child mortality is the number of people who die during childhood years. Infant
mortality is the number of infants who die before the age of 1 year. Maternal mortality
is the number of women who die from activities related to childbirth.
12. The nurse is planning an educational session for community members to address the
issue of school-age child mortality. Which topic should the nurse identify as the highest
priority for this population?
A) Cancer
B) Assault
C) Suicide
D) Accidents
Ans: D
Feedback:
For the school-age child between the ages of 5 and 14 years, the number one cause of
mortality is from unintentional injuries or accidents. Other top five causes for child
mortality include cancer, assault, and suicide.
13. While providing care to a child, the nurse informs the parents about the treatment plans
and helps the parents make decisions about the child's care needs. What do this nurse's
actions support?
A) Autonomy
B) Empowerment
C) Accountability
D) Informed consent
Ans: B
Feedback:
Nurses promote empowerment of parents and children by respecting their views and
concerns, regarding parents as important participants in their own or their child's health,
keeping them informed, and helping and supporting them to make decisions about care.
The nurse's actions are not being done to support autonomy, accountability, or informed
consent.
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14. The nurse has been hired to provide care to patients on a maternal and child unit. What
will the nurse use to as a guide to legally provide care to this patient population?
A) Code of ethics
B) Nursing research
C) Standards of practice
D) Evidence-based guidelines
Ans: C
Feedback:
Understanding standards of care can help nurses practice within appropriate legal
parameters. The Code of Ethics will help with ethical situations. Nursing research and
evidence-based guidelines will help with providing care that is based upon best
practices.
15. The nurse is providing care to a new mother and infant according to the Quality &
Safety Education for Nurses competency approach. Which action should the nurse
perform to demonstrate the skill for the competency of safety?
A) Assess the mother for preferences based on personal values.
B) Ensure the mother and newborn have intact identification bands.
C) Introduce all members of the care team to the mother and family.
D) Document patient care using computerized spreadsheets and forms.
Ans: B
Feedback:
Action to demonstrate the skill of the competency of safety is to ensure that the mother
and newborn have intact identification bands. Assessing the mother for preferences
based on personal values is the skill associated with patient-centered care. Introducing
all members of the care team to the mother and family is the skill associated with
teamwork and collaboration. Documenting patient care using computerized spreadsheets
and forms is the skill associated with quality improvement.
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1. A school-age child, a member of a family with a mother, father, and toddler, is
hospitalized. The father is employed outside of the home, and the mother stays at home
with the other child. The mother is challenged with supporting both children at this time.
What should the nurse suggest to the mother?
A) Place the toddler in day care.
B) Suggest the father take time off to help.
C) Ask extended family members to help out during this time.
D) Visit with the patient after the father comes home from work.
Ans: C
Feedback:
In a time of crisis, the nuclear family is challenged because there are few family
members to share the burden or look at a problem objectively. The nurse should suggest
that the family locate and reach out to support people in their extended family during a
crisis. Placing the toddler in day care and suggesting the father take time off to help
might negatively impact the family's financial situation and would be inappropriate for
the nurse to suggest these options. The option of visiting the school-age child after the
father comes home from work may not support the child adequately during the
hospitalization.
2. A preadolescent patient, a member of a single-parent family, has abdominal pain and the
health care provider suspects that an appendectomy might need to be performed. The
patient's father is asking for a second opinion, whereas the mother tells the nurse to do
whatever needs to be done to help the patient. What does the nurse need to assess before
moving forward with planning care for this patient?
A) Permission to miss school
B) Identify the custodial parent
C) The type of health insurance
D) Plans for help upon discharge
Ans: B
Feedback:
The nurse needs to identify who is the custodial parent. This is especially important
when consent forms for care need to be signed. Once this information is obtained, the
nurse needs to clearly document it in the patient's medical record. Permission to miss
school, health insurance, and needs after discharge do not necessarily need to be
assessed prior to planning care for the patient.
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3. During a family assessment, the nurse learns that the male parent smokes. What should
the nurse do with this information to support the 2020 National Health Goals?
A) Document the information in the medical record.
B) Explain that smoking can cause long-term health problems.
C) Ask if the male parent has made any efforts towards smoking cessation.
D) Suggest that smoking be done away from other family members because of health
concerns.
Ans: C
Feedback:
One of the 2020 National Health Goals is to increase the percentage of adult smokers
aged 18 years and older attempting to stop smoking from 48.3% to 80%. To support this
goal, the nurse should ask the parent if any efforts toward smoking cessation have been
taken. The nurse needs to do more than just document the information. Explaining that
smoking can cause long-term health problems may not be an effective strategy to
encourage the parent to stop smoking. Suggesting that smoking be done away from
other family members is assuming that the parent is smoking with the family members
present.
4. During a family assessment, it is identified that the mother is unemployed but stays at
home to prepare meals, monitor medication doses, and comfort the children with
emotional issues. The father works outside of the home and pays the bills. Which terms
should the nurse use to document the role of the father in this family? (Select all that
apply.)
A) Provider
B) Nurturer
C) Culture bearer
D) Health manager
E) Financial manager
Ans: A, E
Feedback:
The provider is considered the person who brings home the money, which would be the
father because he works outside of the home. The person who pays the bills is
considered the financial manager. The nurturer would be the one who makes the meals
or the mother in this situation. The health manager is also the mother because she is the
person who monitors medication doses. There is no evidence to support that either the
mother or father function in the role as culture bearer.
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