Chapter 1: Perspectives on Maternal and Child Health Care 1. The 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 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 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 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 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