Chapter 1- Perspectives on Maternal, Newborn, and Women’sHealth Care

1. The United States ranks 50th in the world for maternal mortality and 41st among

industrialized nations for infant mortality rate. When developing programs to assist in decreasing

these rates, which factor would most likely need to be addressed as having the greatest impact?

A) Resolving all language and cultural differences

B) Assuring early and adequate prenatal care

C) Providing more extensive women’s shelters

D) Encouraging all women to eat a balanced diet

2. When integrating the principles of family-centered care, the nurse would include which of the

following?

A) Childbirth is viewed as a procedural event

B) Families are unable to make informed choices

C) Childbirth results in changes in relationships

D) Families require little information to make appropriate decisions

3. 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) Performance of the first cesarean birth

C) Development of the x-ray to assess pelvic size

D) Creation of free-standing birth centers

4. After teaching a group of students about pregnancy-related mortality, the instructor determines

that additional teaching is needed when the students identify which condition as a leading cause?

A) Hemorrhage

B) Embolism

C) Obstructed labor

D) Infection

5. The nurse is working with a group of community health members 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

6. When assessing a family for possible barriers to health care, the nurse would consider which

factor to be most important?

A) Language

B) Health care workers’ attitudes

C) Transportation

D) Finances

7. After teaching a group of nursing students about the issue of informed consent. Which of the

following, if identified by the student, would indicate an understanding of a violation of

informed consent?

A) Performing a procedure on a 15-year-old without consent

B) Serving as a witness to the signature process

C) Asking whether the client understands what she is signing

D) Getting verbal consent over the phone for emergency procedures

8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.

His parents are out of town on vacation, and the child is staying with a neighbor. Which action

would be the priority?

A) Getting telephone consent with two people listening to the verbal consent

B) Providing emergency care without parental consent

C) Contacting the child’s aunt or uncle to obtain their consent

D) Advocating for termination of parental rights for this situation

9. After teaching nursing students about the basic concepts of family-centered care, the instructor

determines that the teaching was successful when the students state which of the following?

A) “Childbirth affects the entire family, and relationships will change.”

B) “Families are not capable of making health care decisions for themselves.”

C) “Mothers are the family members affected by childbirth.”

D) “Childbirth is a medical procedure.”

10. A nursing instructor is preparing a class discussion on the trends in health care and health

care delivery over the past several centuries. When discussing the changes during the past

century, which of the following would the instructor be least likely to include?

A) Disease prevention

B) Health promotion

C) Wellness

D) Analysis of morbidity and mortality

11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care

with the understanding that based on this client’s cultural background, the client most likely

views illness as which of the following?

A) Caused by supernatural forces.

B) A punishment for sins.

C) Due to spirits or demons.

D) From an imbalance of yin and yang