Chapter: 1
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Page and Header: 10, Maternal Mortality
1.The United States ranks 50th in the world f
...
Chapter: 1
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Page and Header: 10, Maternal Mortality
1.The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rates. When developing programs to assist in
decreasing theses rates, which factor would most likely need to be addressed as having
the greatest impact?
A) Resolving all language and cultural differences
B) Ensuring early and adequate prenatal care
C) Providing more extensive women's shelters
D) Encouraging all women to eat a balanced diet
Ans: B
Feedback:
The lack of prenatal care during pregnancy is a major factor contributing to a poor
outcome. Prenatal care is well known to prevent complications of pregnancy and to
support the birth of healthy infants. Infant mortality commonly includes problems
occurring at birth or shortly thereafter. Thus, ensuring early and adequate prenatal care
would have the greatest impact on decreasing these rates. Resolving all language and
cultural differences would be helpful but is unrealistic. Providing more extensive
women's shelters would be helpful for women who are victims of abuse. Encouraging all
women to eat a balanced diet is helpful but would not decrease infant mortality rates.
Origin: Chapter 1, 2
Chapter: 1
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 2
Page and Header: 6, 9 The History of Maternal and Newborn health and Health Care,
Box 1.1
2.When preparing a teaching plan for a group of first-time pregnant women, the nurse
expects to review how maternity care has changed over the years. Which of the
following would the nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) First cesarean birth
C) X-rays used to assess pelvic size
D) Development of freestanding birth centers
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