Chapter 18: Health Planning for Maternal-Infant and Child Health Settings

Chapter 18: Health Planning for Maternal-Infant and Child Health Settings

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse wants to address the rate of infant mortality in underdeveloped countries. The nurse knows that addressing which of the following risk factors would be most effective in reducing the infant mortality rate?

A.	Maternal health
B.	Poor breastfeeding habits
C.	Socioeconomic status
D.	Vaccine preventable infections

 

 

ANS:  B

Objective: 1. Describe maternal, infant, and child health from a global and national perspective.

1. 422

Heading: Introduction

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Pregnancy; Promoting Health; Nursing

Difficulty: Moderate

	Feedback
A	This is incorrect. The two biggest risk factors for infant mortality are malnutrition and insufficient or poor breastfeeding.
B	This is correct. The two biggest risk factors for infant mortality are malnutrition and insufficient or poor breastfeeding.
C	This is incorrect. The two biggest risk factors for infant mortality are malnutrition and insufficient or poor breastfeeding.
D	This is incorrect. The two biggest risk factors for infant mortality are malnutrition and insufficient or poor breastfeeding.

 

 

PTS:   1                    CON:  Pregnancy | Promoting Health | Nursing

 

2. A nurse is evaluating global maternal mortality rate to look for patterns. Overall, the nurse notices that MMR is declining, except in

A.	The United States
B.	Switzerland
C.	Spain
D.	Sudan

 

 

ANS:  A

Objective: 1. Describe maternal, infant, and child health from a global and national perspective.

1. 423-424

Heading: Trends in Maternal, Infant, and Child Health

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Comprehension [Understanding]

Concept: Pregnancy; Promoting Health; Evidence-Based Practice; Nursing

Difficulty: Moderate

	Feedback
A	This is correct. Globally, the maternal mortality rate is declining. In the United States, however, maternal mortality rate is rising.
B	This is incorrect. Maternal mortality rate is declining in Switzerland and throughout the world. In the United States, however, maternal mortality rate is rising.
C	This is incorrect. Maternal mortality rate is declining in Spain and throughout the world. In the United States, however, maternal mortality rate is rising.
D	This is incorrect. Maternal mortality rate is declining in Sudan and throughout the world. In the United States, however, maternal mortality rate is rising.

 

 

PTS:   1                    CON:  Pregnancy | Promoting Health | Evidence-Based Practice | Nursing

 

3. A group of nurses is visiting a community where they want to address the rate of tobacco use in pregnant women, but they only have a short amount of time to prepare for their trip. What is their first step?

A.	Create a fish bone diagram.
B.	Assess the community for social and demographic data.
C.	Create objective, easy to assess goals.
D.	Identify populations more likely to smoke.

 

 

ANS:  A

Objective: 3. Apply health promotion planning to maternal, infant, and child health.

1. 426-433

Heading: Population Focus in Maternal, Infant, and Child Health > Review of Assessment and Planning in Maternal, Infant, and Child Health Settings

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Pregnancy; Promoting Health; Assessment; Critical Thinking; Nursing

Difficulty: Moderate

 

	Feedback
A	This is correct. Fish boning is a good first step for performing a focused assessment, which is what the nurses need to do since they only have a short time to prepare. It identifies root causes of a complicated issue that can guide the nurse’s assessment.
B	This is incorrect. Fish boning is a good first step for performing a focused assessment, which is what the nurses need to do since they only have a short time to prepare. It identifies root causes of a complicated issue that can guide the nurse’s assessment.
C	Before setting goals, the nurses should assess the community and their needs. Fish boning is a good first step for performing a focused assessment.
D	This would likely be identified during the community assessment. Fish boning is a good first step for performing a focused assessment, which is what the nurses need to do since they only have a short time to prepare.

 

 

PTS:   1                    CON:  Pregnancy | Promoting Health | Assessment | Critical Thinking | Nursing

 

4. A couple is undergoing in vitro fertilization, and they are having a discussion with their doctor about how many embryos to transfer into the wife’s uterus. The female partner is 31 and both are in good health. They have an excellent prognosis for pregnancy. How many embryos would the nurse expect the doctor to recommend that they transfer?

A.	1
B.	2
C.	3
D.	4

 

 

ANS:  A

Objective: 3. Apply health promotion planning to maternal, infant, and child health.

1. 434-435

Heading: Prematurity and Low Birth Weight

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Pregnancy; Promoting Health; Nursing

Difficulty: Difficult

 

	Feedback
A	This is correct. Complications associated with multiple gestations include preterm delivery and low birth weight. There are a number of other medical complications associated with preterm delivery and LBW.
B	This is incorrect. The doctor should advise them to transfer one embryo due to the complications associated with multiple gestations, which include preterm delivery and low birth weight and their associated health issues.
C	This is incorrect. The doctor should advise them to transfer one embryo due to the complications associated with multiple gestations, which include preterm delivery and low birth weight and their associated health issues.
D	This is incorrect. The doctor should advise them to transfer one embryo due to the complications associated with multiple gestations, which include preterm delivery and low birth weight and their associated health issues.

 

 

PTS:     1          CON:   Pregnancy | Promoting Health | Nursing