Deck 17: Health Planning for Maternal-Infant and Child Health Settings

Question 1

A team of community health nurses is visiting a community where they want to address tobacco use in pregnant women, but they only have a short amount of time to prepare for their trip. What is their first step?
1)Create a fishbone diagram.
2)Assess the community for social and demographic data.
3)Create objective, easy to assess goals.
4)Identify populations more likely to use tobacco.

Answer 1

1

Question 2

The nurses working in a large urban medical center labor and delivery unit are concerned about the increase in the maternal mortality rate among African America women. They begin by linking the information from the medical records with the death certificate records. What risk factors associated with increased risk for MMR will not be apparent through this review?
1)Amount of prenatal care
2)Number of weeks gestation
3)Systemic racism
4)Complications of pregnancy

Answer 2

3

Question 3

A public health nurse, newly hired by a rural public health department in South Carolina, is interested in learning more about pregnancy outcomes in the county and the state compared to national level data. She begins with national and state statistics on rates for C-sections and low birth weight. All of the following are appropriate data sources to use except:
1)PeriStats.
2)Office of Minority Health.
3)PRAMS.
4)PubMed.

Answer 3

4

Question 4

Nurses working in a parental clinic located in a rural county in Kentucky are concerned about fetal exposure to tobacco. With almost a quarter of the women reporting tobacco use, the nurses decide to implement a program to help reduce fetal exposure. Which of the following would not be a recommended approach to reducing fetal risk?
1)Offering a smoking cessation peer-led support group at the clinic.
2)Offering referrals for nicotine replacement.
3)Screening all women for tobacco use and secondhand smoke exposure.
4)Recommended that the women who use tobacco switch to E-cigarettes.

Question 5

Doreen, a maternal-child health nurse, has volunteered to go to a country in Sub-Saharan Africa and work with other nurses there to help develop programs aimed at reducing the maternal and infant mortality rates. Doreen begins to examine the maternal mortality rate (MMR) and finds that there is an overall downward trend. However, she notices that since 1990 the MMR trended upward in:
1)The United States.
2)Switzerland.
3)Spain.
4)South Sudan.

Question 6

A nurse is looking to lower the high teen pregnancy rate at the local high school. The nurse has performed an assessment and begun work on developing goals to address the pregnancy rate. Which of the following concerns should be considered when working with and educating this population? (Select all that apply.)
1)It is illegal in some communities to provide sexual education to teens.
2)The teen needs parental permission to participate.
3)Teens are not interested in sexuality education.
4)Teens do not usually respond to school programs.
5)Educational content and programs are often regulated by school policy.

Question 7

Doreen, a maternal-child health nurse working in Sub-Saharan Africa, has joined a local team of nurses, and they are building a program to help improve access to perinatal care. As part of their planning process, the team wishes to include the under-5 mortality rate. This represents:
1)The number of children under 5 who died per 1,000 live births.
2)The number of children under 5 who died per every 10,000 live births.
3)The probability of a child born in a specific year dying before the age of 5 per 1,000 births.
4)The probability of a child born in a specific year dying before the age of 5 per 10,000 births.

Question 8

The PHN working in the maternal and child health division of a large urban public health department suggests that, to help improve pregnancy outcomes, the PHD should take an upstream approach. Which of the following best describes this type of approach?
1)Hiring doulas to assist women during delivery.
2)Increasing the number of well-baby home visits.
3)Increasing the number of childbirth classes.
4)Implementing a preconception health outreach program for women thinking of becoming pregnant.

Question 9

Doreen, a maternal-child health nurse, has volunteered to go to a country in Sub-Saharan Africa and work with other nurses there to help develop programs aimed at reducing the maternal and infant mortality rates. Doreen is familiar with the top five leading causes of infant mortality in the U.S. She realizes that the top five causes are globally different and will require different strategies. Which of the following is among the top five causes of infant mortality in the U.S. that is not one of the top five causes globally?
1)Sudden infant death syndrome (SIDS)
2)Preterm birth
3)Diarrhea and malaria
4)Pneumonia

Question 10

A pediatric nurse is putting together a series of educational handouts to give to moms when they come in for well-baby visits. What is the most important piece of information to include on the handout about healthy sleep habits?
1)Dress the baby in lightweight, loose-fitting clothes.
2)Put the baby to sleep on his or her back.
3)Don't begin strict sleep training until the baby is at least 3 to 4 months old.
4)Use a lightweight, small blanket if the room is cold.

Question 11

At a large urban hospital, the nurse manager of the labor and delivery unit is aware that over the past 5 years there has been an influx of immigrants into their community who come from such diverse parts of the world such as Asia and Africa. She notices that there has been little attention to addressing cultural issues related to the birth experience and wishes to institute a culturally relevant care environment. What aspects of the birthing experience might differ based on culture? (Select all that apply.)
1)Personal control during the birthing process
2)Support from the partner
3)Care provided by providers
4)Pain during childbirth.

Question 12

A nurse working on the postpartum unit of the hospital is providing post-discharge planning for a young woman 3 days after delivery. The young woman shares that she is a single mom who lost her part-time job because of the pregnancy and has no one to help her at home. She doesn't have any supplies for the baby and does not have a crib. How does the nurse respond?
1)Delay discharging the baby until the mother can demonstrate that she has the needed supplies.
2)Refer the mother to the local home visiting program for new mothers and children less than 5 years of age to help link her with services.
3)File a report with child protective services to remove the baby from a potentially unsafe environment.
4)Refer the mother for further psychological evaluation.

Question 13

A nurse is working at a community-based prenatal clinic. Recently, the nurse and physician have started evaluating outcomes and discovered a rise in pregnancy complications, especially in their overweight and obese patients. After performing their community assessment, the staff sets a goal to reduce complications in their pregnant patients by 15% in 3 years. Which of the following are likely to be the most effective interventions? (Select all that apply.)
1)Establish an office policy that any patient undergoing IVF have a BMI under 30.
2)Place patient education materials about weight and pregnancy in the reception area.
3)Include a weight and blood pressure assessment as part of the initial visit and subsequent visits as appropriate.
4)Partner with a nutritionist who specializes in the care and management of overweight women.
5)Hold weekly seminars and weight loss support groups.

Question 14

A nurse working in a prenatal community clinic wants to focus on reducing premature birth and knows that which of the following is a possible cause?
1)Bacterial infection
2)Psychological stress
3)Hypertension
4)All of the above

Question 15

Doreen, a maternal-child health nurse working in Sub-Saharan Africa, has joined a local team of nurses, and they are building a program to help improve access to perinatal care. Doreen and her colleagues learn that there is funding in place to provide low-cost and free contraceptives to women, but the unplanned pregnancy rate has not changed, despite the program being in effect for 2 years. What should be the team's first step?
1)Develop culturally relevant educational materials to distribute to women of childbearing age.
2)Conduct an outreach program to the communities to distribute contraceptives.
3)Host community focus groups with the communities they serve that include a cross-section of women to help learn about their views of contraceptives and the current program.
4)Begin looking for grants to increase funding so they can establish a women's health and family planning center in the community.

Question 16

A nurse is beginning to work with a local community to address rising obesity rates in pregnant women. Which of the following statements about setting goals during the planning process is correct?
1)Both long- and short-term goals must be identified.
2)Only short-term goals should be identified initially.
3)Goals should be formed first to help guide the community assessment.
4)The goals should address negative health outcomes.