Deck 18: Health Planning for Maternal-Infant and Child Health Settings

Question 1

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.

A)It is illegal in some communities to provide sexual education to teens.
B)Does the teen need parental permission to participate?
C)Teens are not interested in sexuality education.
D)Teens do not usually respond to school programs.
E)Educational content and programs are often regulated by school policy.

Answer 1

Does the teen need parental permission to participate?
Educational content and programs are often regulated by school policy.

Question 2

A nurse is working at an in vitro fertilization (IVF) center. 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 percent in three years. Which of the following are likely to be the most effective interventions? Select all that apply.

A)Establish an office policy that any patient undergoing IVF have a BMI under 30.
B)Place patient education materials about weight and pregnancy in the reception area.
C)Include a weight and blood pressure assessment as part of the initial visit and subsequent visits as appropriate.
D)Partner with a nutritionist who specializes in the care and management of overweight women.
E)Hold weekly seminars and weight loss support groups.

Answer 2

Establish an office policy that any patient undergoing IVF have a BMI under 30.
Include a weight and blood pressure assessment as part of the initial visit and subsequent visits as appropriate.
Partner with a nutritionist who specializes in the care and management of overweight women.
Hold weekly seminars and weight loss support groups.

Question 3

A nurse wants to address the rate of infant mortality in a low income country. The nurse knows that addressing which of the following risk factors would be most effective in reducing the infant mortality rate?

A)Poor maternal health literacy
B)Poor breastfeeding habits
C)Socioeconomic status
D)Vaccine preventable infections

Answer 3

Poor breastfeeding habits

Question 4

As a part of a community policy using upstream approaches to improve pregnancy outcomes, a nurse would be looking to establish which of the following changes?

A)Hiring doulas to assist women during delivery
B)Scheduling phone calls to women two weeks after bringing their baby home from the hospital
C)Increasing offerings of childbirth classes
D)Conducting preconception and nutrition consultations for women who are thinking of becoming pregnant

Question 5

A nurse is teaching a class about national and international initiatives to improve the health and well-being of women, infants, and children. Which of the following statements is incorrect?

A)Safer pregnancy and birth is a priority of the Millennium Development Goals.
B)One of the objectives of Healthy People 2020 is to reduce low birth weight and very low birth weight by 10%.
C)Two of the Millennium Development Goals directly address the health of women, infants, and children.
D)The goals for lowering low birth weight and very low birth weight in Healthy People 2010 were met.

Question 6

A nurse is working with a small community in rural Africa. 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 two years. How should the nurse proceed?

A)Withdraw funding from the community, since it does not seem to be effective.
B)Provide printed materials on how to properly use condoms and spermicide gels.
C)Host a small community focus group with several key women to discuss reasons why the program isn't effective.
D)Begin looking for grants to increase funding so they can establish a women's health and family planning center in the community.

Question 7

A nurse is working with a local pregnancy organization to promote nutrition in young pregnant women. The organization serves a diverse population, as it is situated in a middle-income neighborhood in a very populated city. What must the nurses remember during their assessment?

A)To complete a cultural community assessment
B)The unique nutritional needs of pregnancy
C)The availability of fresh foods in the neighborhood
D)Both A and C

Question 8

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?

A)Create a fishbone diagram.
B)Assess the community for social and demographic data.
C)Create objective, easy to assess goals.
D)Identify populations more likely to smoke.

Question 9

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?

A)Bacterial infection
B)Psychological stress
C)Hypertension
D)All of the above

Question 10

A nurse is volunteering in a low income country to improve maternal and child health in the community. To get a basic idea of the health of this population, the nurse should begin by evaluating all but which of the following indicators?

A)Under-five mortality rate
B)Maternal mortality rate
C)Infant mortality rate
D)Preterm birth rate

Question 11

A nurse working on the postpartum unit of the hospital is providing post discharge planning for a young woman three 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?

A)Refuse to discharge the baby with his mother.
B)Refer to the local home visiting program for new mothers and children less than 5 years of age to help link her with services.
C)File a report with child protective services to remove the baby from this unsafe environment.
D)Request a psych consult for the mother.

Question 12

A public health nursing student is starting to do research for a dissertation. The student is specifically looking for national and state statistics on rates for C-sections and low birth weight. All of the following are appropriate data sources to use except:

A)PeriStats
B)Office of Minority Health
C)PRAMS
D)PubMed

Question 13

A public health nurse (PHN) is evaluating global maternal mortality rate (MMR) to look for patterns. Overall, the nurse notices that the MMR has actually trended upward in:

A)The United States
B)Switzerland
C)Spain
D)Sudan

Question 14

A nurse who works on the labor and delivery floor of the hospital has observed that the rate of cesarean sections on the floor is close to 35%. The nurse and colleagues have agreed that this needs to be addressed. What should be their first step?

A)Begin teaching natural childbirth classes.
B)Speak with the physicians about the current statistics and the need to address it.
C)Perform a community assessment to determine what factors are contributing to the elevated C-section rate.
D)Set a hospital goal to lower the C-section rate to under 30% within 5 years.

Question 15

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?

A)Dress the baby in lightweight, loose fitting clothes.
B)Put the baby to sleep on his or her back.
C)Don't begin strict sleep training until the baby is at least 3 to 4 months old.
D)Use a lightweight, small blanket if the room is cold.

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?

A)Both long- and short-term goals must be identified.
B)Only short-term goals should be identified initially.
C)Goals should be formed first to help guide the community assessment.
D)The goals should address negative health outcomes.