Maternal and Child Study Guide

Maternal and Child Study Guide Chapter 1

• Which factor significantly contributed to the shift from home births to hospital births in

the early 20th century?

• Puerperal sepsis was identified as a risk factor in labor and delivery.
• Forceps were developed to facilitate difficult births.
• The importance of early parental-infant contact was identified.
• Technologic developments became available to physicians.

• Family-centered maternity care developed in response to
• demands by physicians for family involvement in childbirth.
• the Sheppard-Towner Act of 1921.
• parental requests that infants be allowed to remain with them rather than in a

nursery.

• changes in pharmacologic management of labor.

• Which setting for childbirth allows the least amount of parent-infant contact?
• Labor/delivery/recovery/postpartum room
• Birth center
• Traditional hospital birth
• Home birth

• As a result of changes in health care delivery and funding, a current trend seen in the

pediatric setting is

• increased hospitalization of children.

• decreased number of children living in poverty.
• an increase in ambulatory care.
• decreased use of managed care.

• The Women, Infants, and Children (WIC) program provides
• well-child examinations for infants and children living at the poverty level.
• immunizations for high-risk infants and children.
• screening for infants with developmental disorders.
• supplemental food supplies to low-income pregnant or breastfeeding women.

• In most states, adolescents who are not emancipated minors must have the permission of

their parents before

• treatment for drug abuse.
• treatment for sexually transmitted diseases (STDs).
• accessing birth control.
• surgery.

• The maternity nurse should have a clear understanding of the correct use of a clinical

pathway. One characteristic of clinical pathways is that they

• are developed and implemented by nurses.
• are used primarily in the pediatric setting.
• set specific time lines for sequencing interventions.
• are part of the nursing process.

• The fastest growing group of homeless people is
• men and women preparing for retirement.
• migrant workers.
• single women and their children.
• intravenous (IV) substance abusers.

• A nurse wishes to work to reduce infant mortality in the United States. Which activity

would this nurse most likely participate in?

• Creating pamphlets in several different languages using an interpreter.
• Assisting women to enroll in Medicaid by their third trimester.
• Volunteering to provide prenatal care at community centers.
• Working as an intake counselor at a women's shelter.

• The intrapartum woman sees no need for a routine admission fetal monitoring strip. If she

continues to refuse, what is the first action the nurse should take?

• Consult the family of the woman.
• Notify the provider of the situation.
• Document the woman's refusal in the nurse's notes.
• Make a referral to the hospital ethics committee.

• Which statement is true regarding the "quality assurance" or "incident" report?
• The report assures the legal department that no problem exists.
• Reports are a permanent part of the patient's chart.
• The nurse's notes should contain, "Incident report filed, and copy placed in chart."
• This report is a form of documentation of an event that may result in legal action.

• Elective abortion is considered an ethical issue because
• abortion law is unclear about a woman's constitutional rights.
• the Supreme Court ruled that life begins at conception.
• a conflict exists between the rights of the woman and the rights of the fetus.
• it requires third-party consent.

• Which woman would be most likely to seek prenatal care?
• A 15-year-old who tells her friends, "I don't believe I'm pregnant."
• A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
• A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
• A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.

• A woman who delivered her baby 6 hours ago complains of headache and dizziness. The

nurse administers an analgesic but does not perform any assessments. The woman then has a tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the nurse be interpreted in relation to standards of care?

a. Negligent: the nurse failed to assess the woman for possible complications

b. Negligent: because the nurse medicated the woman

• Not negligent: the woman had signed a waiver concerning the use of side rails

d. Not negligent: the woman did not inform the nurse of her symptoms as soon as

they occurred