(Test Bank) Maternity And Pediatric Nursing

Ricci,Kyle,Carman, 4

Nursing

Test Bank

4th Edition

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Test Bank for Maternity And Pediatric Nursing, The downloadable file consists of 967 pages, and the total size of the file is 9.18 MB. Purchase now only for highly discounted price.

Author(s): Ricci, Kyle, Carman

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PRIMEXAM.COM Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank Chapter 1 1. When integrating the principles of family -centered care into the birthing process, the nurse would base care upon which belief? A. Birth is viewed as a medical event. B. Families are unable to make informed choices due to stress. C. Birth results in changes in relationships. D. Families require little information to make appropriate decisions for care. Answer: C Rationale: Family -centered care is based on the followinagbirpb.rcionmc/tiepstles: Birth affects the entire family, and relationshi ps will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Integrated Process: Caring Reference: p. 7 2. The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which priority condition? A. Smoking B. Heart disease C. Diabetes D. Cancer Answer: B Rationale: The group needs to address cardi ovascular di s e a s e , th e number one cause of death in women regardless of racial or ethnic group. Smoking is related to heart disease and the development of cancer. However, heart disease and cancer can occur in any woman regardless of her smoking histoarbyirb..cComa/ntecster 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. However, it is not the major health problem that heart disease is. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process PRIMEXAM.COM Reference: p. 12 3. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issueaobirfb.icnofmo/tremst ed consent. The nurse determines that the teaching w as effective when the group identifies which situation as a violation of informed consent? A. Performing a procedure on a 15-year-old without parental consent B. Serving as a witness to the signature process on an oapbierbr.caotmiv/teest permit C. Asking whether the client understands what she is signing following receiving education D. Getting verbal consent over the phone for an emergeanbicrby.copmr/otecstedure from the spouse of a unconscious woman Answer: A Rationale: In most states, only clients over the age of 18 can legally provide consent for health care. Serving as a witness to the signature process, asking whether the client understands what she is signing, andagbirebt.ctoimn/gtesvt erbal consent over the phone for emergency procedures are all key to informe d consent and are not violations. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive Level: Analyze Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursi ng Process Reference: p. 45 4. A pregnant woman is to undergo an invasive procedure to evaluate the status of her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset responsibility of the nurse providing care to this woman? priorit y A. Asking relevant questions to determine the client's understanding B. Providing a detailed description of the risks and benefits of the procedure C. Explaining the exact steps that will occur during the parboirbc.ceodmu/terset D. Offering suggestions for alternat ive options for treatment Answer: A Rationale: The nurse's responsibilities related to informed consent include: Ensuring the consent form is completed with signatures from the client; serving as a witness to the signature process; and determining w hether the calbiierbn.ctomu/tnesdt erstands what she is signing by asking her pertinent questions. The physician, advanced practice nurse, or midwife is responsible for informing the client about the procedure and obtaining consent by providing a detailed description of the procedure or treatment, its potential risks and benefits, and alternative methodsaabivrba.ciolma/btelset . Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs : Safe, Effective Care Environment: Management of Care PRIMEXAM.COM Integrated Process: Nursing Process Reference: p. 45 5. A 9-month -old with glaucoma requires surgery. The inabfiarbn.cto'ms/tepsat rents are divorc ed. To obtain informed consent, which action would be most appropriate? A. Contacting the father for informed consent B. Obtaining informed consent from the mother C. Seeking a court ruling on the course of care D. Determining sole or joint custody by the parents Answer: D Rationale: The most appropriate action would be to determine legal custody by court decree. If the parents have joint custody, then either parent may give consent, but it is always best to have consent given by baboirtbh.copma/terset nts. The parent with only physical custody may give consent for emergency care. The last resort is getting a court ruling; usually this is not necessary unless the parents disagree about the care of the child. Question format: Multiple Choice Chapter 1: Perspe ctives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Manageambirbe.cnotm/otefstCare Integrated Process: Nursing Process Reference: p. 47 6. Which statement made by a nursing student would beabsirtb.cionmd/tiecsat te that her education on family -centered care was fully understood? A. "Childbirth affects the entire family, and relationships will change." B. "Families are usually not capable of making health caarbeirbd.ceomc/itseisot ns for themselves, especia lly in stressful situations." C. "Mothers are the only family member affected by childbirth." D. "Since childbirth is a medical procedure, it may affect everyone." Answer: A Rationale: Childbirth affects the entire family, and relati oabnirbs.hcoimp/steswt ill change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Psychosocial Integrity Integrated Process: Nursing Process Reference: p. 15 7. Which aspect of client wellness has not been a focus aobfirbh.ceoma/lttehst during the 21st century ? PRIMEXAM.COM A. Disease prevention B. Health promotion C. Wellness D. Analysis of morbidity and mortality Answer: D Rationale: The focus on health has shifted to disease preabvireb.ncotmio/tnes,t health promotion, and wellne ss. In the last century, much of the focus was on analyzing morbidity and mortality rates. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Remember Client Needs: Health Promotion and Maintenan ce Integrated Process: Nursing Process Reference: , p. Health Status of Women and Children 8. A nurse is planning a continuum of care for a client duabriirbn.cgomp/treestgnancy, labor, and childbirth. What is the most important factor in enhancing the birthing experience? A. Adhering to strict specific routines B. Involving a pediatric physician C. Educating the client about the importance of a supporatbirpb.ecorms/otenst D. Assigning several nurses as a support team Answer: C Rationale: Educating the client about the importance of a support person during labor and delivery has been shown to improve and enhance the birthing experience. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Remember Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 5 -7 9. The nurse is administering a number of therapeutic inatbeirbr.vcoemn/tteisot ns for neonates, infants, and children on the pediatric unit. Which intervention contributes to an increase in chronic illness seen in early childhood? A. Administering antibiotics to prevent lethal infections B. Vaccinating children to prevent childhood diseases C. Using mechanical ventilation for premature infants D. Using corticosteroids as a treatment for asthma Answer: C Rationale: Using mechanical ventilation and medications to foster lung development in premature infants increases their survival rate. Yet thaebiribn.cfoamn/ttesst who survive are often faced with myriad chronic illness es. Administering antibiotics to prevent lethal PRIMEXAM.COM infections, vaccinating children to prevent childhood diseabairsbe.csom, /atenstd using corticosteroids as a treatment for asthma may cause side effects, but do not contribute to chronic illness in children. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Remember Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 5 -7 10. The nurse is reviewing a copy of the U.S. Surgeon Gaebinrbe.croaml/'tesstReport, Healthy People 2020. Which nursing action best reflects the nurse fostering this health care agenda? A. The nurse signs up for classes to obtain an advance d degree in nursing. B. The nurse volunteers at a local health care clinic provaibdiribn.cgomf/rteeset low-income populations. vaccinations for C. The nurse performs an in-service on basic hospital equipment for student nurses. D. The nurse compiles nursing articles on evidence -baseadb irbp.croamc/tteisctes in nursing to present at a hospital training seminar. Answer: B Rationale: Healthy People 2020 is a comprehensive health promotion and disease prevention agenda that is working toward improving the quantity a nd quality of life for all Americans. Overarching goals are to eliminate preventable disease, disability, injury, and premature death; achieve health equity, elimabinirba.ctoem/dteisst parities, and improve the health of all groups; create physical and soc ial environments that promote good health; and promote healthy development and behaviors across every stage of life. Volunteering at a local health care clianbiircb.cdomir/etecsttly reflects the goal of improving the health of all groups of people. Signing up for classes, performing in-services on equipment, and compiling nursing articles on evidence -based practices in nursing are all worthwhile activities that foster health care delivery, but are not as directly linked to the agenda of promoting heaablitrbh.coinm/ttehste community. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 9 11. When assessing a family for barriers to health care, the nurse documents the psychosocial barriers. What is an example of this type of health care deficit? A. Academic difficulties B. Respiratory illness C. Poor sanitation D. Inherited diseases Answer: A PRIMEXAM.COM Rationale: Environmental and psychosocial factors are now an identified area of concern in children. They include academic differences, complex psychiatric disorders, self-harm and harm to others, use of firearmsa,birhb.ocosmt/itleistty at school, substance use disorder, HIV/AIDS, and adverse effects of the media. Respiratory illness and inherited diseases are health problems, and poor sanitation is an environmental factor. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Psychosocial Integrity Integrated Process: Nursing Process Reference: p. 13 12. When integrating the principles of family -centered caabrireb,.cotmh/etesnt urse would include which concept? A. Parents want nurses to make decisions about their child's treatment. B. Families are unable to make informed choices. C. People have taken increased responsibility for their own health. D. Families require little information to make appropriate decisions. Answer: C Rationale: Due to the influence of managed care, the focus on prevention, better education, and technological advances, people have taken increased responsibility for their own health. Parents now want informatio n abouatbirtbh.ceomir/tecsht ild's illness, to participate in making decisions about treatment, and to accompany their children to all health care situations. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 15 13. The nurse is caring for a 2-week -old girl with a metaabbiorbl.cicomd/teisstorder . Which activity would deviate from the chara cteristics of family -centered care? A. Softening unpleasant information or prognoses B. Evaluating and changing the nursing plan of care C. Collaborating with the child and family as equals D. Showing respect for the family's beliefs and wishes Answer: A Rationale: Family -centered care requires that the nurse provide open and honest information to the child and family. It is inappropriate to soften unpleasant information or prognoses. Evaluating and changing the nabuirrbs.cionmg/tepstlan of care to fit PRIMEXAM.COM the needs of the child and family, collaborating with thema.csome/qteustals, and showing respect for their beliefs and wishes are guidelines for family -centered care. Question format: Multiple Choice Chapte r 1: Perspectives on Maternal and Child Health Caabrierb Cognitive Level: Understand Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Teaching/Learning Reference: p. 39 14. The nurse is caring for a 14-year-old girl with multiple health problems. Which activity would best reflect evidence -based practice by thabeirbn.cuomrs/tees?t A. Following blood pressure monitoring recommendations B. Determining how often the vital signs are monitored C. Using hospital protocol for ordering diagnostic tests D. Deciding the prescribed medication dose Answer: A Rationale: Using hospital protocol for ordering a diagnostic test, determining how often the vital signs are monitored, and deciding the medication dose ordered would be th e health care provider's responsibility. However, following blood pressure monitoring recommendations would be part of aebvirbi.dcoemn/tceset -based practice reflected in the nursing care delivered. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 13 15. The nurse is functioning in the primary role to care for a 12-year-old boy with metastatic cancer in the liver. Which activity is typical of advocacy? A. Instructing parents about proper home care B. Educating the family about choices they have C. Telling parents about clinical guidelines D. Teaching the family about types of cancers Answer: B Rationale: Educating the family about choices they haveabrierbg.coamr/dteisnt g therapies for the cancer in the child's liver is an example of advocacy, in which the nurse advances the interests of the child and family by informing them of options and assistin g them to make informed decisions. Telling parents about proper home care, clinical guidelines, and the types of cancers are all done in the pabriirmb.caomry/ t esrtole of educator. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Safe, Effective Care Environment: Management of Care PRIMEXAM.COM Integrated Process: Caring Reference: p. 14 16. The nurse is caring for a 14-year-old boy with a growabtirhb.chomo/rtemst one deficiency. Which action bestreflects using the nursing process to provide quality care to children and their families? A. Reviewing the effectiveness of interventions B. Questioning the facility standards for care C. Earning continuing education credits D. Ensuring reasonable costs for care provided Answer: A Rationale: The nursing process is used to care for the child and family during health promotion, maintenance, restoration, and rehabilitation.abIirtb.icsoma/tepstroblem-solving method based on the scientific method that allows nursing care to be planned and implemented in a thorough, organized manner to ensure quality and consistency of care. The nursing process is applicable to all health careabsirebt.ctoimn/gtesst and consists of five steps: assessment, nursing diagnosis, outcome identification and planning, implementation, and outcome evaluation. Reviewing the effectiveness of interventions is related to outcome evaluation in the nursing process. Even though the three remaining answer options are valuable in ensuarbiirnbg.coqm/uteastlity of care in health care facilities, they do not involve the direct care of the child and family using the nursing process. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 4 17. A preschool child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights? A. Arranging for her mother to be with her B. Telling the child the test will not hurt C. Assuring the child that the test will be done quickly D. Introducing the child to the lab technicians Answer: B Rationale: Telling the child the test will not hurt lacks veracity. It is not a lie, but it does not honor the child's right to be educated honestly about his or her health care. Arranging for the mother to be with the child, assuring th e child that the test will be done quickly, and introducing the child to the lababtierbc.chonm/itcesiat ns are actions that honor the child's bill of health care rights. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive Level: Understand PRIMEXAM.COM Client Needs: Safe, Effective Care Environment: Manageambirbe.cnotm/otefstCare Integrated Process: Nursing Process Reference: p. 49 18. The pediatric nurse know s that the children being treated are considered minors. Which statement accurately describes the regulations related to consent for medical treatment? A. Children older than age 16 can provide their own conasbeirnb.tcofmo/tre,stor refusal of, medical procedu res. B. A guardian ad litem may be appointed by the parents to serve to praobtireb.ccotmt/theset child's best interests. C. Parents ultimately are the decision makers regarding medical treatment for their children younger than the age of 18. D. When divorce occurs, the parent with whom the childabisirb.lciovmin/tegst on a daily basis will be granted custody of the child. Answer: C Rationale: Parents ultimately are the decision makers for their children. Generally, only persons over the age of majority (18 year s of age) can legally provide consent for health care. Minors (children younger than 18 years aobfirba.cgome/)tesgt enerally require adult guardians to act on their behalf. Biological or adoptive parents are usually considered to be the child's legal guard ian. When divorce occurs, one or both parents may be granted custody of the child. In certain cases (such as child violence or neglect, or during foster care), a guardian adabliribt.ecomm / temstay be appointed by the courts. This person generally serves to protect the child's best interests. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive Level: Understand Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 45-46 19. The nurse is caring for a 12 -year-old child hospitalized for internal injuries following a motor vehicle accident. For which medical treabairtbm.coemn/tetstwou ld the nurse ensure that an informed consent is complete d beyond the one signed at admission? A. Diagnostic imaging B. Cardiac monitoring C. Blood testing D. Spinal tap Answer: D Rationale: Most care given in a health care setting is covered by the initial consent for treatment signed when the child becomes a clien t at that office or clinic or by the consent to treatment signed upon admission to the haboirsb.pcoitma/tlesot r other inpatient facility. Certain procedures, however, require a specific process of informed PRIMEXAM.COM consent, including major and minor surgery; invasive praobcirbe.cdoumr/teesst such as lumbar puncture or bone marrow aspiration; treatments placing the child at higher risk, such as chemotherapy or radiation therapy; procedures or treatments involving research; photography involving children; and applying arbeirsb.tcroami/ntetsst Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand to children. Client Needs: Safe, Effective Care Environ ment: Manageamb i rbe.cnotm/otefstCare Integrated Process: Nursing Process Reference: p. 45-46 20. A child needs a consent form signed for a minor surgical procedure. Which statement accurately describes the responsibilities of the health care providers when ob taining the consent? A. The physician is responsible for ensuring that the conasbeirbn.ctomfo/tersmt signatures from the parents or legal guardians. is completed with B. The physician is responsible for serving as a witness to the signature process. C. The nurse is responsible for informing the child and faabmirbi.lcyoma/tbesot ut the procedure and obtaining consent. D. The nurse is responsible for determining that the parents or legal guardians understand what they are signing by asking them pertinent questions. Answer: D Rationale: The nurse's responsibility related to informed consent includes the following: determining that the parents or legal guardi anabsirbu.cnomd/etersst tand what they are signing by asking them pertinent questions, ensuring that the consent form is completed with signatures from the parents or legal guardians, and serving as a witness to the signature process. The physician or advanabcirebd.copmr/teasct titioner providing or performing the treatment and/or procedure is responsible for inform ing the child and family about the procedure and obtaining consent by providing a detailed description of the procedure or treatment, the potential risks and benefits, and alternative methods available. Question format: Multiple Choice Chapter 1: Persp ectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 46 21. The nurse is caring for a child brought to the emergency depa rtment by a babysitter. The child needs an emergency appendectomy and the parents cannot be contacted. What would be the nurse's best response to this situation? A. Have the babysitter sign the consent form even if sheabdirbo.ceosm/nteostt have signed papers to do so. B. Have the primary care physician for the child sign the consent form. C. Document failed attempts to obtain consent to allow eabmirbe.cromg/etenstcy care. D. Delay medical care until the child's next of kin can be contacted. PRIMEXAM.COM Answer: C Rationale: Health care providers can provide emergenc yabtirrbe.caotmm/teestnt to a child without consent if they have made reasonable attempts to contact the child's parent or legal guardian (American Academy of Pedi atrics, Committee on Pediatric Emergency Medicine, 2007). If the parent is not available, then the person in charge may give consent for emergency treatment if thaatbirpb.ecorms/otenst has a signed form from the parent or legal guardian allowing him or her to do so. During an emergency situation, a verbal consent via the telephone may be obtained. In urgent or emergent situations, appropriate medical careabnireb.vcoemr/tessht ould be delayed or withheld due to an inability to obtain consent. Question format : Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 46 22. The nurse knows that the eman cipated minor is considered to have the legal capacity of an adult and may make his or her own health care decisions. Which child would potentially be considered an emancipated mainbirobr.c?om A. A minor with financial independence who is living with his parents B. A minor who is pregnant C. A child older than 13 years of age who asks for emancipation D. A minor who puts his or her medical decisions in writianbigrb Answer: B Rationale: Emancipation may be considered in any of the following situations, depending on the state's laws: membership in a branch of the armed services, marriage, court-determined emancipation, financial independence and living apart from parents, college attendance, pregnancy, mother yoaubinrbg.coemr/ttehstan 18 years of age, and a runaway. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 46 23. After describing the procedure and medical necessity, the nurse asks a 14-year- old child to assent to a skin graft. Which statement accurately describes the requirements for this type of assent? A. The age of assent occurs at 12 years old. B. It is not necessary to obtain assent from a minor for a procedure. C. A minor can dissent to a procedure but his or her wisahbeirbs.caomre/tesnt ot binding. PRIMEXAM.COM D. In some cases, such as cases of significant morbidityaobirrb.mcomo/rtetsat lity, dissent may need to be overridden. Answer: D Rationale: Assent means agreeing to something. In pediatric health care, the term assent refers to the child's participation in the decision -making process about health care (McCu llough & Stein, 2009). In some cases,asbiurbc.choma/tesstcases of significant morbidity or mortality, dissent may need to be overridden. The age of assent depends on the child's developmental level, maturity, and psychological state. The converse of assent , dissent (disagreeing with the treat maebinrbt.copmla/tenst), when given by an adolescent 13 to 17 years of age, is considered binding in some states. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Nursing Process Reference: p. 47 24. The family is the basic unit of society. Which statement correctly illustrates the importance of this concept rela ted to how society functions? A. Healthy, well -functioning families provide members oafbairbl.lcoamg/teesst with fulfilling, supporting relationships. B. The family serves as a place that encourages members to autonomously function in pursuit of personal pleasur es. C. Society functions best when families determine how tahbeirby.cowmi/tlelsitnterface with others without having to deal with the overall consequences. D. Work is an important part of family function but is not necessary for success if one member can fulfill multiple roles. Answer: A Rationale: The family is the basic unit of society. In ordearbirfbo.cromt/hteisst to work well, members of the family must work together. Families make a central contribution to enhance the quality of our society. Families mu st consider how their actions will impact others, and one member cannot fulfill all roles wiatbhirbin.cotmh/teestfamily. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 15 25. A nursing group is examining their hospital's maternaabilrbo.cuomtc/teosmt es for the previous 5 years. Which identified factors have contributed to the decline in the maternal mortality rate? Select all that apply. A. Increased participation of women in prenatal care B. Use of ultrasound to detect disorders PRIMEXAM.COM C. Increased use of anesthesia with birth D. Closer monitoring for complications associated with hypertension of pregnancy E. Better management of hemorrhage and infection Answer: A, B, D, E Rationale: The following factors have contributed to the decline in the maternal mortality rate: increased participation of women in prenaabtirab.lcocma/treest; greater detection of disorders such as ectopic pregnancy or placenta previa; prevention of related complications through the use of ultrasound; increased control of complications associated with hypertension of pregnanc y; and decrea saebidrb.ucosme/teostf anesthesia with birth. Question format: Multiple Select Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Pr ocess Reference: p. 9 26. The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which educational program would the group most likely identify as the priority? A. risk reduction strategies for diabetes B. methods for smoking cessation C. ways to adopt a heart -healthy lifestyle D. importance of cancer screening and early detection Answer: C Rationale: The group needs to address cardiovascular disease, the number one cause of death in women regardless of racial or ethnic group. Thus, education for adopting a heart -healthy lifestyle would be the priority. Smoking is related to heart disease and the development of cancer. However, heartadbiribs.ecoams/teestand cancer can occur in any woma n 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 thabairbt.ccoamn/tesat ffect women. However, it is not the major health problem that heart disease is, and thus educational programs focusing on smoking cessation, cancer screening and early detection, and diabetes risk reduction would be lesser priorities. Question format: Multiple Choice Chapter 1: Perspect ives on Maternal and Child Health Care Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 12 -13 27. A perinatal nurse is interviewing a group a women inabtirhb.ceomc/otemst munity abou t health care services. Assessment of these services reveals that many of them are PRIMEXAM.COM PRIMEXAM.COM being underutilized. Which statement from the women waboirub.lcdoma/tsesstist the nurse in identifying potential reasons for this underutilization? Select all that apply. A. "The services are hard to get to by public transportation." B. "The clinic is only open during the morning hours." C. "The staff seems to look down on us when we do come in." D. "There are staff there that can speak our language." E. "You need insurance to go to the clinic." Answer: A, B, C, E Rationale: Access to care can be jeopardized by lower inacboirbm.coems/teastnd greater responsibilities when juggling work and family. Lack of finances or transportation , geographic misdistribution of health care providers, no babysitters, language or cultural barriers, distrust of health care providers, inconvenient clinic hours, and the poor attitudes of health care workers often discourage calibeirnb.ctosmf/treostm seeking health care. Having staff that speak the language of the client population would be helpful in encouraging clients to use the services. Question format: Multiple Select Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Ana lyze Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p. 14 28. A nurse is preparing a class discussion on cardiovascular disease in women. When discussing the priority risk factors for this diseas ea,bwirbh.coicmh/tewst ould the nurse least likely include? Select all that apply. A. Menopause B. Diabetes diagnosis C. Weight cycling D. Gender E. Age Answer: D, E Rationale: CVD is the leading cause of death in women. aRbiirsb.kcomfa/tecsttors of CVD differ between men and women with menopause, diabetes, and repeated weight losses and gains increasing the risk for coronary morbidity and mortality in women. Yo-yo dieting or yo -yo effect, also known as weight cycling is a major risk factor. Gender and age are not major risk factors and should not be conabsiribd.ceorme/tdestin this list. Question format: Multiple Select Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Integrated Process: Nursing P rocess Reference: p. 12