CHAPTER 3 Maternal & Child Care case study : Laura 101 EXAM (ACTUAL2024-2025) WITH WELL VERIFIED CORRECT ANSWERS WITH RATIONALES GRADED A+

CHAPTER 3 Maternal &
Child Care case study :
Laura 101 EXAM
(ACTUAL2024-2025)
WITH WELL VERIFIED
CORRECT ANSWERS
WITH RATIONALES
GRADED A+
A woman is giving birth to her third child in a
setting that allows her husband and other two
children to be actively involved in the process.
The nurse caring for the woman must also
consider the husband and family as patients
and work to meet their needs. This type of
setting is termed:
A.family-centered care
B.emergency care
C.hospice care
D.individual care - ANSWER-A. Family- Centered
Care
Rationale: Family-centered care is any setting in
which the pregnant woman and family are
treated as one unit. The nurse assumes a major
role in teaching, counseling, and supporting the
family. In emergency care settings, the nurse
deals primarily with the patient who is having
difficulty. In hospice care settings, the nurse
deals with patients who have terminal illnesses.
Individual care deals only with the patient and
does not include the family
What has had the greatest impact on reducing
infant mortality in the United States?
A. Improvements in perinatal care
B. Decreased incidence of congenital
abnormalities
C. Better maternal nutrition
D. Improved funding for health care - ANSWERA. Improvements in perinatal care
Rationale: The improvements in perinatal care,
particularly care of the mother-baby dyad
before birth, have had the greatest impact.
There has been a decrease in some congenital
anomalies, such as spina bifida, but this has not
had the greatest impact. This has had a positive
influence but not the greatest overall impact.
Changes in funding have not had the greatest
impact
Evidence-based practice is best described as:
A.Gathering evidence of mortality and
morbidity in children.
B.Meeting physical and psychosocial needs of
the family in all areas of practice.
C.Using a professional code of ethics as a
means for professional self-regulation.
D.Providing care based on evidence gained
through research and clinical trials. - ANSWERD. Providing care based on evidence gained
through research and clinical trials
Rationale: This will assist the nurse in
determining areas of concern and potential
involvement. It is not possible to meet all needs
of the patient and family in all areas of practice.
The nurse is an advocate for the family. This is
part of professional role and licensure.
Evidence-based practice is providing care based
on evidence gained through research and
clinical trials. Practitioners must use the best
available information on which to base their
interventions
A 23-year-old African-American woman is
pregnant with her first child. Based on the
statistics for infant mortality, which plan is
most important for the nurse to implement?
A.Perform a nutrition assessment.
B. Refer the woman to a social worker.
C. Advise the woman to see an obstetrician, not
a midwife.
D.Explain to the woman the importance of
keeping her prenatal care appointments -
ANSWER-D. Explain to the woman the
importance of keeping her prenatal care
appointments
Rationale: Nutritional status is an important
modifiable risk factor, but it is not the most
important action a nurse should take in this
situation. The client may need assistance from
a social worker at some time during her
pregnancy, but this is not the most important
aspect the nurse should address at this time. If
the woman has identifiable high risk problems,
her health care may need to be provided by a
physician. However, it cannot be assumed that
all African-American women have high risk
issues. Additionally, this is not the most
important aspect on which the nurse should
focus at this time, and it is not appropriate for a
nurse to advise or manage the type of care a
client is to receive. Consistent prenatal care is
the best method of preventing or controlling
risk factors associated with infant mortality