Changing Maternal-Child Health Care Environment. Questions with explained answers. Rated A+

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For which reasons would a nurse review infant mortality statistics in the United States? Select all that apply. Measures the quality of pregnancy care Reviews information on overall nutrition C... ompares health with those of other states Determines infant health and available care Provides an index of the country's general health - ✔✔Measures the quality of pregnancy care Reviews information on overall nutrition Determines infant health and available care Provides an index of the country's general health Explanation: Infant mortality statistics provide an index of a country's general health, measures the quality of pregnancy care, provides information on overall nutrition, and determines infant health and available care. Infant mortality statistics compares the health with those of other countries and not with those of other states. The nurse is planning an educational session for community members to address the issue of school-age child mortality. Which topic should the nurse identify as the highest priority for this population? Cancer Assault Suicide Accidents - ✔✔Accidents Explanation: For the school-age child between the ages of 5 and 14 years, the number one cause of mortality is from unintentional injuries or accidents. Other top five causes for child mortality include cancer, assault, and suicide. The nurse works at the local public health office. Which is a major but often overlooked problem in this setting? fetal mortality infant mortality neonatal mortality maternal mortality - ✔✔fetal mortality Explanation: Fetal mortality is a major, but often overlooked, public health problem. This refers to the spontaneous intrauterine death at any time during pregnancy, commonly referred to as a miscarriage. The fetal mortality rate in the United States is 6.2 per 1,000 live births. The impact of fetal mortality on families is considerable and provides a picture of the quality of maternal health and prenatal care. A client with a history of type 1 diabetes mellitus is questioning the nurse concerning the best option for the health care provider to assist with her pregnancy and delivery of her newborn. The nurse determines the client needs additional information to make a wise decision when she suggests seeking the care of which specialist? Obstetrician Certified Nurse Midwife Neonatologist Perinatologist - ✔✔Neonatologist Explanation: An obstetrician, certified nurse midwife, or perinatologist may be involved in the pregnancy and delivery of a newborn. The neonatologist may be present at the time of birth; however, the neonatologist's focus is to provide specialized care to at-risk newborns The nursing instructor is explaining the utilization of regionalized or centralized care to a group of maternal infant students. Which example should the instructor point out best demonstrates regionalized or centralized care? -All deliveries occur at one central facility. -An at-risk mother is sent to a specialized facility to deliver. -Mothers deliver in the communities in which they live. -Sick infants are sent to a facility close to the clients home to receive care. - ✔✔An at-risk mother is sent to a specialized facility to deliver. Explanation: Regionalized or centralized care was designed to prevent duplication of services in communities. To accomplish this goal, a regional or central facility may be created that contains the most highly specialized care in one central location even though it may not be the closest facility to the client's home. Regionalized or centralized care may require that a sick infant go to a facility that is actually farther away from the community in order to receive specialized care. A new mother asks the nurse if all of the new baby's injections can be given in one visit because the mother is losing income from missing work because of the office visits. What does this new mother's issue indicate to the nurse? -The mother needs to find an alternative employer. -The mother's income is more important that the baby's health. -Missing work does not support the baby's health maintenance visits. -The federal government needs to do more to support well-baby visits. - ✔✔Missing work does not support the baby's health maintenance visits. Explanation: An area that needs additional research is finding effective stimuli to encourage women to bring children for health maintenance visits. The mother losing income because of missing work for well-baby visits will deter health maintenance visits for the baby going forward. This mother's issue does not indicate that the mother needs to find another job, that the mother's income is more important that the baby's health, or that the federal government needs to do more to support well-baby visits. A nurse needs to ensure an informed consent has been obtained to provide care to a young client. Which aspect would be the most important for the nurse to consider related to the informed consent? -Knowing the laws in the state where care is being provided -Determining if the child is emancipated -Establishing if the parents are competent -Contacting the parents prior to giving emergency care - ✔✔-Knowing the laws in the state where care is being provided Explanation: Knowing the laws in the state where care is being given is the most important consideration because laws vary from state to state. Emancipation is a legal consideration that is viewed differently by laws of different states. Establishment of parental competency is a legal consideration that may be judged differently by laws of different states. Contacting the parents prior to giving emergency care is a legal consideration that may be judged differently by laws of different states. The nursing instructor is discussing the infant mortality rate with a group of students. The instructor determines the discussion is successful when the students correctly choose which action as a priority to help decrease infant mortality in the United States? -Improving maternal nutrition during pregnancy -Spending more money on health care for infants and mothers -Improving accessibility to postnatal health care for infants -Mothering classes for all primiparous mothers - ✔✔-Improving accessibility to postnatal health care for infants Explanation: Infant deaths are due to many factors, including congenital malformations, deformations, and chromosomal abnormalities; disorders related to short gestation and low birth weight; and newborns affected by maternal complications of pregnancy. The mother's nutritional status would affect a limited number of infants. Making postnatal health care available and affordable would have the greatest impact on improving infant health and reducing the number of infant deaths. Spending more money on health care has proven to not improve infant survival rates postnatally. Although providing for mothering classes and improving maternal nutrition would be a good idea, these measures will not positively impact infant survival rates. The community health nurse is working with a group of clients receiving prenatal care. The nurse recognizes that there is racial disparity in the maternal mortality rate for which of the following racial groups? White Asian Black Hispanic Indian - ✔✔Black Explanation: Racial disparity in the United States occurs predominately among black women with regard to mortality rate and pregnancy complications. While there may be racial disparity with access to health care for other ethnic groups, the maternal morality rate is higher among black women [Show More]

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