Test Bank for Maternity and Pediatric Nursing, 2nd Edition Susan Scott Ricci

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Origin: Chapter 1, 1 Chapter: 1 Client Needs: B Cognitive Level: Comprehension Difficulty: Moderate Integrated Process: Nursing Process Objective: 3 Page and Header: 10, Maternal Mortality 1.T... he United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rates. When developing programs to assist in decreasing theses rates, which factor would most likely need to be addressed as having the greatest impact? A) Resolving all language and cultural differences B) Ensuring early and adequate prenatal care C) Providing more extensive women's shelters D) Encouraging all women to eat a balanced diet Ans: B Feedback: The lack of prenatal care during pregnancy is a major factor contributing to a poor outcome. Prenatal care is well known to prevent complications of pregnancy and to support the birth of healthy infants. Infant mortality commonly includes problems occurring at birth or shortly thereafter. Thus, ensuring early and adequate prenatal care would have the greatest impact on decreasing these rates. Resolving all language and cultural differences would be helpful but is unrealistic. Providing more extensive women's shelters would be helpful for women who are victims of abuse. Encouraging all women to eat a balanced diet is helpful but would not decrease infant mortality rates. Origin: Chapter 1, 2 Chapter: 1 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/Learning Objective: 2 Page and Header: 6, 9 The History of Maternal and Newborn health and Health Care, Box 1.1 2.When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A) Epidemics of puerperal fever B) First cesarean birth C) X-rays used to assess pelvic size D) Development of freestanding birth centers Ans: D Feedback: Full file at http://testbankinstant.CH/Test-Bank-for-Maternity-and-PediatricNursing,-2nd-Edition-Susan-Scott-Ricci In the 20th century (1900s), freestanding birth centers were developed. Puerperal fever epidemics, the first cesarean birth, and the use of x-rays to assess pelvic size were events occurring during the 19th century (1800s). Origin: Chapter 1, 3 Chapter: 1 Client Needs: B Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing Process Objective: 3 Page and Header: 10, Maternal Mortality 3.After teaching a group of nursing students about pregnancy-related mortality, the instructor determines that additional teaching is necessary when the students identify which condition as a leading cause? A) Hemorrhage B) Embolism C) Hypertension D) Infection Ans: B Feedback: Most pregnancy-related complications are preventable. The leading causes of pregnancyrelated mortality are hemorrhage, infection, preeclampsia-eclampsia, obstructed labor, and unsafe abortion. Embolism is not a leading cause. Origin: Chapter 1, 4 Chapter: 1 Client Needs: D-3 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 4 Page and Header: 13, Women's Health Indicators 4.The nurse is working with a group of community leaders to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A) Smoking B) Heart disease C) Diabetes D) Cancer Ans: B Feedback: The group needs to address cardiovascular disease, the number-one cause of death in women regardless of racial or ethnic group. Smoking is related to heart disease and download full file at http://testbankinstant.com Full file at http://testbankinstant.CH/Test-Bank-for-Maternity-and-PediatricNursing,-2nd-Edition-Susan-Scott-Ricci cancer, although heart disease and cancer can occur in any woman regardless of her smoking history. Cancer is the second leading cause of death, with women having a one in three lifetime risk of developing cancer. Diabetes is another important health condition that can affect women, but it is not the major health problem that heart disease is. Origin: Chapter 1, 5 Chapter: 1 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 7 Page and Header: 41, Finances 5.A nurse is assessing a family for barriers to health care. Which factor would the nurse identify to be most important? A) Language B) Health care workers' attitudes C) Transportation D) Finances [Show More]

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