Deck 19: Maternal-Child Health

Question 1

A community health nurse is conducting an in-service program for a group of maternal and child health nurses. When describing the critical population health indicators affecting this population globally and nationally, the nurse would include which components? Select all that apply.

A) Maternal mortality rate
B) Infant mortality rate
C) HIV/AIDS cases
D) Crude mortality rate
E) Fetal alcohol syndrome

Answer 1

Maternal mortality rate
Infant mortality rate
HIV/AIDS cases
Fetal alcohol syndrome

Question 2

A community health nurse is conducting a program at a local women's health clinic for a group of at-risk women of birth age. When describing low-birth-weight and very-low-birth-weight babies to this group, which statement would the nurse most likely include?

A) Low birth weight occurs more often in Whites and Hispanics than African Americans.
B) Birth weight is one of the most important predictors of infant mortality.
C) The incidence of low birth weight in the United States is decreasing related to the increase in multiple births.
D) Recent trends in very-low-birth-weight babies indicate that this area no longer needs attention.

Answer 2

Birth weight is one of the most important predictors of infant mortality.

Question 3

A community health nurse is developing a program that would encourage mothers to use breast-feeding exclusively for their babies' nutrition for the first 6 months. The nurse implements this program on the understanding about which concept?

A) Exclusive breast-feeding promotes better growth and development.
B) Its lower cost provides more money for other needed items.
C) Infant mortality would significantly decrease.
D) It would aid in decreasing maternal mortality rates.

Answer 3

Infant mortality would significantly decrease.

Question 4

A community health nurse is reviewing information about the Healthy People 2030 goals as preparation for implementing strategies in the local community. Which goal would the nurse identify as having been met?

A) Reduction in low-birth-weight infants
B) Reduction in total preterm births
C) Increase in the number of infants put to sleep on their backs
D) Increased proportion of mothers breast-feeding at 6 months

Question 5

A nurse is preparing a presentation to a group of community officials about maternal and child health and the need for educational programs to foster achievement of Healthy People 2030 goals. Which area would the nurse continue to emphasize even in light of the objective having been met?

A) Infants sleeping on their backs
B) Breast-feeding
C) Early prenatal care
D) Substance use and abuse

Question 6

A community health nurse is providing a class for pregnant women about the dangers of alcohol consumption during pregnancy. After teaching the group, the nurse determines that the teaching was successful when the group identifies which effects in the newborn as being related to alcohol consumption by the mother? Select all that apply.

A) Intellectual impairment
B) Low birth weight
C) Leukemia
D) Respiratory distress
E) Altered growth and development
F) Childhood cancers

Question 7

A community health nurse is working with a group of pregnant women in the community to reduce lifestyle risk factors associated with low-birth-weight newborns and infant mortality. Which factor would the nurse address?

A) Multiparity
B) College- level education
C) Environmental toxins
D) Single gestation pregnancy

Question 8

A community health nurse visits a local women's health center to provide teaching about the effects of smoking during pregnancy. One of the women in the class asks the nurse, "But aren't e-cigarettes safer?" Which response by the nurse would be most appropriate?

A) "Yes, they are much safer than smoking cigarettes."
B) "Actually, there isn't any information about their safety."
C) "No, they still pose a threat to the baby and you."
D) "It's okay to use them as long as you don't inhale."

Question 9

A local community health center is providing classes to childbearing families about the effects of alcohol use during pregnancy. During one of the classes, a community health nurse describes fetal alcohol spectrum disorder (FASD). The nurse determines that the teaching was successful when the class identifies which finding as common in the newborn?

A) Large for gestational age
B) Facial abnormalities
C) Hypoactive behavior
D) Enhanced intellectual development

Question 10

A community health nurse integrates knowledge of which concept when providing preconception counseling to a group of women and the need for adequate weight gain during pregnancy?

A) Maternal nutritional habits do not affect later life.
B) Inadequate weight gain increases the woman's risk for cesarean birth.
C) Prolonged labor can occur with too little or too much weight gain.
D) Adequate weight gain is positively correlated with normal birth weight.

Question 11

After teaching a group of pregnant women about the need for proper oral health during pregnancy, which statement by the group indicates the need for additional teaching?

A) "We should continue seeing the dentist like we always do."
B) "Chewing sugar-free gum is okay even with the pregnancy."
C) "If we need dental work, we can postpone it until after the birth."
D) "Flossing and brushing are just as important now as before."

Question 12

A community health nurse is working with the adolescent population at the local women's clinic. Which roles would the nurse most likely assume to ensure positive outcomes for this population? Select all that apply.

A) Clinician
B) Educator
C) Counselor
D) Provider of referrals
E) Friend

Question 13

A pregnant woman with hypertensive disease presents to the community health center for follow-up. Which action would be most appropriate for the community health nurse to include when teaching the woman about controlling her blood pressure at this time?

A) Ensuring rest periods with legs elevated
B) Limiting her daily intake of fluid
C) Restricting intake of fresh fruits
D) Encouraging additional weight gain

Question 14

A community health nurse is making a home visit to a postpartum woman. The nurse suspects that the woman may be experiencing depression. During a home postpartum visit, a community health nurse suspects that the woman is experiencing depression. Which response would be most appropriate?

A) "You should try drinking more caffeine to help you be less tired."
B) "Don't worry. Good mothers don't hurt their babies."
C) "It might help if you try to nap while the baby is napping."
D) "You should be able to be the perfect housekeeper while you're on maternity leave."

Question 15

A community health nurse is conducting a program for a group of nurses from the local maternal and child health centers about various community nutritional programs available. The nurse determines that the teaching was effective when the group identifies which result is attributable to the WIC program?

A) Increase in expenditures for health care
B) Decrease in rates of large-for-gestational age babies
C) Reduction in the rates of infant iron deficiency anemia
D) Drop in breast-feeding rates

Question 16

A community health nurse is reviewing a journal article about child health and statistics related to various age groups. Which condition would the nurse most likely find as the major cause of death due to injuries in the 1- to 4-year-old population?

A) Pneumonia
B) Suffocation
C) Drowning
D) Motor vehicle crash

Question 17

A community health nurse is developing a plan to address the needs of pregnant adolescents. When setting up educational programs for this group, which methods would the nurse most likely implement to promote success? Select all that apply.

A) Classroom lectures
B) Informal group discussions
C) Creative craft sessions
D) Small group games
E) Interactive computer activities

Question 18

A community health nurse implements a teaching program for new parents about ways to prevent injuries and reduce infant mortality. Which suggestion would the nurse include as most important?

A) "Never leave the infant alone on a dressing table or couch."
B) "Check the temperature of the bath water before bathing."
C) "Stay within an arm's length when the baby is in the tub."
D) "Put the infant to sleep on his or her back."

Question 19

A community health nurse is involved in a screening program for lead exposure. The nurse would target this program primarily to which age group?

A) Birth to 1¹/₂-year-olds
B) 1¹/₂- to 3-year-olds
C) 3- to 5-year-olds
D) 5- to 7-year-olds

Question 20

A community health nurse is conducting an in-service program for a group of nurses working at the local health clinics about immunizations and disease prevention. The nurse determines that additional teaching is needed when the group identifies which issue as underlying the changes in vaccine doses and formulations at the start of the 19st century?

A) Increased virulence of the vaccine-preventable disease causative organisms.
B) Waning of pertussis immunity with age necessitating immunization of adults who would be around infants.
C) Increased immunity when varicella vaccine given in two doses has been found to increase immunity.
D) Outbreaks of measles in populations with parental refusal and personal belief exemptions.

Question 21

A community health nurse is making a family home visit. The family consists of the mother, father, 1-year-old child, and 4-year-old child. The mother states that the 4-year-old child who is in preschool had a cold last week and now the 1-year-old child has it. She asks the nurse if she can use the over-the-counter cold medication that she gave to the 4-year-old child for the 1-year-old child. Which response would be most appropriate?

A) "It shouldn't be a problem if you use that same medication for the 1-year-old child."
B) "I don't know if the medicine will work, but you can try it and see."
C) "That type of medicine should not be used in children under age 2."
D) "You should use a smaller dose but watch if it makes the child irritable."

Question 22

A community health nurse is working with a group of parents who have infants and toddlers. Which instruction would the nurse include in a teaching plan for this group about measures to reduce dental caries?

A) "Serve sugary foods at mealtimes and not as snacks."
B) "Use a sippy cup to give them juice in between meals."
C) "Allow your older infants to fall asleep drinking a bottle."
D) "Allow them to eat snacks throughout the day."

Question 23

A community health nurse is involved in secondary prevention level activities focusing on child abuse and neglect. Which activity would the nurse most likely implement?

A) Prenatal parent preparation classes
B) Public service announcements for positive parenting
C) Education to improve family functioning skills
D) Respite care for families with special needs children

Question 24

A community health nurse is conducting an educational program for a group of parents at a local community health center about promoting adequate brain development in children during the first 2 years of life. The nurse determines that the teaching was effective when the group identifies which nutrient as most important?

A) Vitamins
B) Fats
C) Protein
D) Carbohydrates

Question 25

A community health nurse is working to develop a program to address the problem of HIV/AIDS in maternal and child health populations and mother-to-child transmission. Which area would be most important for the nurse to focus on?

A) Early antiretroviral treatment
B) Safer sex practices
C) Handwashing practices
D) Nutritional supplements

Question 26

A community health nurse is providing care to a group of pregnant women at risk for hypertensive disease of pregnancy. When teaching this group about preventive measures, which suggestions would the nurse most likely include? Select all that apply.

A) Selecting processed foods for meals
B) Ensuring adequate fluid intake
C) Obtaining regular exercise
D) Limiting fresh fruit intake
E) Ensuring adequate time for rest

Question 27

A community health nurse is reviewing a program at a local women's community health center for pregnant women. The nurse is conducting an evaluation of the effectiveness of the center's screening for gestational diabetes. The nurse determines that the program is effective as evidenced by documentation of this screening occurring at which time?

A) At 12 weeks' gestation
B) Between 16 and 18 weeks' gestation
C) Around 24 weeks' gestation
D) At 28 weeks' gestation

Question 28

A community health nurse is conducting a teaching session with a group of pregnant women who have gestational diabetes. The nurse determines that the teaching was successful when the women state that which problem could occur in the infant?

A) "Our babies might be small for the gestational age."
B) "Our babies might suffer injuries at birth."
C) "Our babies have low blood sugars when born."
D) "Our babies might have heart conditions."

Question 29

A community health nurse is preparing a program for a local parent group about measures to prevent drowning in children. Which measures would the nurse most likely include in the discussion? Select all that apply.

A) Encouraging parents to have their children learn how to swim.
B) Limiting the bathwater to 4 to 6 inches for bathing.
C) Keeping children within eyesight when in the water.
D) Eliminating water collection containers around the home.
E) Keeping toilet lids up, in an open position.

Question 30

A nurse is caring for a pregnant woman who had high blood glucose levels during her 25th week of pregnancy. Which statement is included in teaching the client about gestational diabetes?

A) "There is an increased risk of hypertension and urinary tract infections."
B) "It is possible to reverse gestational diabetes during pregnancy."
C) "Insulin is the treatment of choice for gestational diabetes."
D) "Decreasing the intake of carbohydrates will keep the blood sugar lower."

Question 31

A nurse is preparing to develop a screening program for school-aged children to assess for adverse childhood events. Which question should be included in the screening?

A) "Have you witnessed anyone hurting you or one of your siblings?"
B) "Do you feel like you want to hurt yourself?"
C) "Do you like the neighborhood you live in?"
D) "How many times have you seen the police driving around the neighborhood?"

Question 32

A nurse is caring for a 1-year-old child who was diagnosed with an acute respiratory illness. The nurse is teaching the caregiver about how to manage the illness. Which statements are included in the instruction? Select all that apply.

A) Over-the-counter cold and cough medications are safe to use.
B) Ibuprofen and acetaminophen can be used but follow the directions on the bottle.
C) Use of a humidifier may assist with keeping the secretions moist.
D) Offering cold liquids is an easy way to promote hydration.
E) Avoid large crowds or going out into public while the illness continues.