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Test Bank for Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family 9th Edition By JoAnne Silbert-Flagg ||Complete A+ Guide$17.99
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Test Bank for Maternal & Child Health Nursing: Care
of the Childbearing & Childrearing Family 9th Edition
||Complete A+ Guide
Chapter 1: A Framework for Maternal and Child Health Nursing
1. For which reasons would a nurse review infant mortality statistics in the United States?
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(Select all that apply.)
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A) Measures the quality of pregnancy care r r r r r
B) Reviews information on overall nutrition r r r r
C) Compares health with those of other states r r r r r r
D) Determines infant health and available care r r r r r
E) Provides an index of the country's general health r r r r r r r
Ans: A, B, D, E
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Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
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quality of pregnancy care, provides information on overall nutrition, and determines
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infant health and available care. Infant mortality statistics compares the health with those
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of other countries and not with those of other states.
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2. The nurse is providing care in an organization that supports the maternal and child care
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continuum. Which type of patient care area is an example of this approach?
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A) Primary care r
B) Team nursing r
C) Case management r
D) Family-centered care r
Ans: D
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Feedback:
Keeping the family at the center of care is important because the level of a family's
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functioning is important to the health status of its members. A healthy family establishesan
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environment conducive to growth and health-promoting behaviors to sustain family
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members during crises. A family-centered approach enables nurses to better understand
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individuals and their effect on others and, in turn, to provide more holistic care. Primary
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nursing, team nursing, and case management do not necessary take into consideration the
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maternal and child care continuum.
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,TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 9TH EDITION
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3. Which actions should the nurse perform when supporting the goals of maternal and
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child health care? (Select all that apply.)
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A) Advocates protecting the rights of the mother and fetus r r r r r r r r
B) Teaches family members interventions to improve health r r r r r r
C) Adheres to principles that focus on the needs of the mother r r r r r r r r r r
D) Encourages maternal hospitalization to regain strength and stamina r r r r r r r
E) Assesses family members for strengths and specific needs or challenges r r r r r r r r r
Ans: A, B, E
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Feedback:
Actions that the nurse should perform when supporting the goals of maternal and child
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health care include advocating the rights for the mother and fetus, teaching health
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promotion interventions, and assessing the family for strengths and specific needs or
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challenges. Adhering to principles that focus on the needs of the mother and
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encouraging maternal hospitalization to regain strength and stamina are not actions that
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support the goals of maternal and child health care.
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4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focusof
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these goals?
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A) Health promotion and disease prevention r r r r
B) Early diagnosis of chronic health problems r r r r r
C) Effective use of medication to treat disease r r r r r r
D) Reduce the cost of health care and medications r r r r r r r
Ans: A
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Feedback:
The 2020 National Health Goals are intended to help citizens more easilyunderstand the
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importance of health promotion and disease prevention and to encourage wide
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participation in improving health in the next decade. These goals do not focus on the
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early diagnosis of chronic problems, use of medications to treat disease, or reduce the
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cost of health care and medications.
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,TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 9TH EDITION
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5. The nurse has noticed a change in the type of care needed to support maternal and child
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health issues. What does the nurse realize as reasons for the changes in care? (Select all
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that apply.)
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A) Smaller families r
B) Less domestic violence r r
C) More employed mothers r r
D) Stable home environments r r
E) More single-parent families r r
Ans: A, C, E
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Feedback:
Nursing care for maternal and child is changing because families are smaller, more
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mothers are employed out of the home, and there are more single-parent families. Thereis
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an increase in domestic violence, and families are less stable and more mobile, which
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influences homelessness.
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6. During an assessment, the nurse asks a patient from a non-English-speaking culture
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which types of home remedies and herbs the patient uses for health care. What is the
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purpose of asking the patient this question?
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A) Analyze for herb–drug interactions r r r
B) Understand the patient's philosophy of alternative health care r r r r r r r
C) Determine the types of medications the patient will need to be prescribed r r r r r r r r r r r
D) Explain to the physician the patient's preference for nontraditional medicine r r r r r r r r r
approaches r
Ans: A r
Feedback:
Assessing what alternative measures are being used is important because the action of an
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herb can interfere with prescribed medications. Assessing the use of herbal remediesis not
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done to understand the patient's philosophy of alternative health care, determine the
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types of medications the patient will need to be prescribed, or explain the patient's
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preferences for nontraditional medicine approaches to the physician.
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, TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 9TH EDITION
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7. The nurse notes that statistics on maternal mortality had improved but are again
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becoming elevated. What does the nurse realize as a reason for this change in maternal
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mortality rates?
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A) Earlier prenatal care r r
B) Gestational hypertension r
C) Increased vaginal deliveries r r
D) Treatment for chronic diseases r r r
Ans: B
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Feedback:
This increasing rate in maternal mortality is associated with more cesarean births, more
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gestational hypertension related to preexisting hypertensive disorders, and lack of health
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insurance for many Americans. This increase is not because of earlier prenatal care,
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increased vaginal deliveries, or treatment for chronic diseases.
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8. A new mother asks the nurse if all of the new baby's injections can be given in one visit
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because the mother is losing income from missing work because of the office visits.
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What does this new mother's issue indicate to the nurse?
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A) The mother needs to find an alternative employer. r r r r r r r
B) The mother's income is more important that the baby's health.
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C) Missing work does not support the baby's health maintenance visits. r r r r r r r r r
D) The federal government needs to do more to support well-baby visits.
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Ans: C
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Feedback:
An area that needs additional research is finding effective stimuli to encourage women to
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bring children for health maintenance visits. The mother losing income because of
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missing work for well-baby visits will deter health maintenance visits for the baby going
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forward. This mother's issue does not indicate that the mother needs to find another job,
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that the mother's income is more important that the baby's health, or that the federal
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government needs to do more to support well-baby visits.
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