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A series of multiple choice questions and answers related to the foundations of maternity, women's health, and child health nursing. It covers topics such as prenatal care, diabetes management, family-centered care, and the impact of socioeconomic status on health. The questions and answers provide insights into key concepts and challenges in this field of nursing.
Typology: Exercises
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Chapter 1: Foundations of Maternity, Women's Health, and Child Health NursingA 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first baby was born by cesarean because the baby was too large to fit through the woman's pelvis. She has also developed gestational diabetes during this pregnancy. When discussing with the woman her options for places of birth, what is the best choice for her?... A. Home birth B. Birth center C. LDRP in a hospital setting D. It does not matter - ansC. LDRP in a hospital setting (Rationale: Because of her complications, the woman is not a candidate for home birth or a birth center. Home births and freestanding birthing centers should be used for patients with very low risk for complications. The woman's past history and present complication with this pregnancy place her in a high-risk category. Therefore, due to her complications, the woman needs to be in a setting where emergency care is quickly available.) A 27-year-old woman newly diagnosed with diabetes is admitted to an agency to regulate her medication and receive patient teaching on diabetes. She is assigned a case manager on her first day. To best explain this role to the woman, the nurse states that a case manager will... A. Decide which patient teaching is necessary for the woman B. Manage and collaborate the woman's care to ensure optimal outcomes C. Be responsible for reviewing the woman's chart for errors
D. Decide which method of treatment is most cost affective for the agency - ansB. Manage and collaborate the woman's care to ensure optimal outcomes (Rationale: This may be a part of the duties of the case manager. The case manager will coordinate the patient teaching. Also, she will coordinate all services needed by the woman. A case manager will focus on both quality and cost outcomes. They will coordinate services needed and manage the care collaboratively to ensure optimal outcomes. Part of the duty of the quality assurance team is the responsibility of reviewing the woman's chart for errors. The case manager is concerned about cost effectiveness, but the main focus is to ensure quality outcomes.) A 4-year-old is hospitalized for treatment of pneumonia. The nurse informs the child's mother that the pediatric unit is a Family-Centered Child Care unit. What does this mean for her?... A. She will be allowed input into her child's care. B. She will not be able to stay at night with her child but must stay during the day. C. She will not be allowed to visit her child, because it is considered to cause emotional distress. D. She will be responsible for her child's total care. - ansA. She will be allowed input into her child's care. (Rationale: Family-Centered Child Care recognizes and respects the pivotal role of the family in the child's life. It supports families and views parents and professionals as equal partners. Family-Centered Child Care units encourage parents to stay with the child around the clock. The child's mother will share care of the child in this setting. Parents and professionals are viewed as equals.) A woman brings her two sons, ages 2 and 4, to the health clinic. She tells the nurse
that they have been in the United States for only 1 year and are homeless. Because of this history, the nurse will assess the children for infections and... A. Congenital defects B. Allergies C. Accelerated growth patterns D. Malnutrition - ansD. Malnutrition (Rationale: Congenital defects and allergies would not be a result of homelessness. Most homeless children will have decelerated growth and development patterns due to malnutrition and decrease in stimuli. Homeless women and children are at high risk for poor nutrition and exposure to various infections.) A woman is giving birth to her third child in a setting that allows her husband and children to be actively involved in the process. The nurse caring for her must also consider the husband and the two children as patients and work to meet their needs. This type of setting is termed... A. Family-centered care B. Emergency are C. Hospice care D. Individual care - ansA. Family-centered care (Rationale: Family-centered care is any setting where the pregnant woman and her family are treated as one unit. The nurse assumes a major role in teaching, counseling, and supporting the family. In emergency care settings, the nurse deals primarily with the patient who is having difficulty. In hospice care settings, the nurse deals with patients who have
terminal illnesses. Individual care deals only with the patient and does not include the family.) During a presentation on prenatal care, the student nurse stated, "In 2000 the maternal mortality rate for African-American women was 22." The number "22" in this statement means there have been... A. 22 maternal deaths per 100,000 live births B. 22 serious maternal illnesses per 1000 live births C. 88 maternal deaths per 100 live births D. 88 serious maternal illness per 100 live births - ansA. 22 maternal deaths per 100,000 live births (Rationale: Maternal mortality rate is based on the number of maternal deaths from childbirth or complications of pregnancy, childbirth, or puerperium per 100,000 live births. It does not deal with serious illnesses. The figure of 88 deaths per 100 live births is incorrect.) In the 19th century, the most common cause of infant death was __________________. - ans"infectious diarrhea" (Rationale: Infectious diarrhea was caused by contaminated milk. The mothers used milk from infected cows and did not have refrigeration to prevent further bacteria growth.) Some problems associated with hospital births in the early 1960s include the following issues: (Choose all that apply.)...
A. Patient teaching was not valued. B. Bonding was hindered due to strong medications given to the mother. C. There was an increased use of midwives. D. The father was not included in the process. - ansA. Patient teaching was not valued. B. Bonding was hindered due to strong medications given to the mother. D. The father was not included in the process. (Rationale: The nurses primary function was to follow medical orders, so teaching was not valued. Strong medications were given to the patient that left her heavily sedated. Fathers were usually sent to the waiting room. The use of lay midwives was declining at this time and nurse-midwives were not well established.) The most overwhelming adverse influence on health is... A. Race B. Customs C. Socioeconomic status D. Genetic constitution - ansC. Socioeconomic status (Rationale: Although children of different racial groups have differing health issues, socioeconomic status is a key predictor. On a population basis, customs is not an overwhelming adverse influence. A higher percentage of lower-class individuals have some health problem at any one time than other individuals in different classes. There is a high correlation between poverty and poor nutrition. On a population basis, genetic constitution is not an overwhelming adverse influence.)
The nurse has been assigned to care for a patient during the night shift. The patient's medication to prevent seizures was due at 6 AM. At that time the nurse was involved with another patient and did not administer the medication. At 10 AM, the patient ambulated to the bathroom, had a seizure, fell, and later developed brain damage as a result of the fall. The nurse can be sued for... A. Abandonment B. Malpractice C. A civil tort D. Nothing, the nurse is immune because she was assisting another patient - ansB. Malpractice (Rationale: Abandonment would have occurred if the nurse had not provided any care for the patient, or if the nurse had walked away from his or her job. Malpractice has 4 elements that must be proved: a duty [the nurse was assigned to care for the patient], breach of duty [the nurse did not render care by neglecting the medication]; damage [the patient suffered brain damage]; proximate cause [brain damage was due to the fall during the seizure]. A civil tort is a civil wrong or injury. Malpractice is a type of tort. This answer is incorrect, because malpractice is more specific to the root of the question. The nurse is not immune if she neglects one patient for another.) The role of the pediatric nurse is influenced by trends in health care. What is the greatest trend in health care?... A. Primary focus on treatment of disease or disability B. National health care planning on a distributive or an episodic basis C. Accountability to professional codes and international standards D. Shift of focus to health promotion and disease prevention. - ansD. Shift of focus to health promotion and disease prevention.
(Rationale: Primary focus on treatment of disease or disability is traditionally the role of the physician. National health care planning on a distributive or an episodic basis is not a major trend. Accountability to professional codes and international standards is an established responsibility, not a trend. Shifting focus to health promotion and disease prevention is the current focus of health care in which nursing plays a major role. )