Health Planning for Maternal, Infant and Child Health Settings Flashcards
A nurse wants to address the rate of infant mortality in underdeveloped countries. The nurse knows that addressing which of the following risk factors would be most effective in reducing the infant mortality rate?
a. maternal health
b. poor breastfeeding habits
c. socioeconomic status
d. vaccine preventable infections
b. poor breastfeeding habits
A nurse is evaluating global maternal mortality rate to look for patterns. Overall, the nurse notices that MMR is declining, except in
a. the united states
b. switzerland
c. spain
d. sudan
a. the united states
A group of nurses is visiting a community where they want to address the rate of 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 fish bone diagram
b. assess the community for social and demographic data
c. create objective, easy to assess goals
d. identify populations more likely to smoke
a. create a bone fish diagram
A couple is undergoing in vitro fertilization, and they are having a discussion with their doctor about how many embryos to transfer into the wife’s uterus. The female partner is 31 and both are in good health. They have an excellent prognosis for pregnancy. How many embryos would the nurse expect the doctor to recommend that they transfer?
a. 1
b. 2
c. 3
d. 4
a. 1
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. How should they proceed?
a. begin teaching natural childbirth classes
b. speak with the physician 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 rates
d. set a hospital goal to lower the c-section rate under 30% within 5 years
c. perform a community assessment to determine what factors are contributing to the elevated c-section rates
nurse is volunteering in a third-world community to improve maternal and child health in the community. To get a basic idea of the health of the population, the nurse should evaluate
a. under five mortality rate
b. maternal mortality rate
c. infant mortality rate
d. preterm birth weight
c. infant mortality rate
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. withdrawl funding from the community, since it does not seem to be effective
b. provide printed materials on how to properly use condoms and spermicide gel
c. host a small communty 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 woman’s health and family planning center in the community
c. host a small community focus group with several key women to discuss reasons why the program isn’t effective
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 or 4 months old
d. use a lightweight, small blanket if the room is cold
b. put the baby to sleep on his or her back
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 birth weight and very low birth weight in healthy people 2010 were met
d. the goals for lowering birth weight and very low birth weight in healthy people 2010 were met
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
d. conducting preconception and nutrition consultations
Which of the following health problems would be the priority for a nurse planning for new policy initiatives?
a. rising c-section rates
b. new influenza strain targeting young children
c. rising rates of obesity in pregnancy
d. high rate of accidents in children under five
b. new influenza strain targeting young children
A public health nursing student is starting to do research for a dissertation. The student is specifically looking for C-section rates and low birth weight statistics. All of the following are appropriate sources to use except
a. peristats
b. office of minority health
c. PRAMS
d. PubMed
d. PubMed
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 initally
c. goals should be formed first to help guide the community assessment
d. the goals should address negative health outcomes
a. both long and short term goals must be identified
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. dietary and allergy restrictions
d. the availability of fresh foods in the neighborhood
a. to complete a cultural community assessment
A nurse is working on the postpartum unit of the hospital. The nurse is caring for a young woman who is three days after delivery and is about to be discharged with her young son. The nurse notices that the young woman seems hesitant to be involved in the baby’s care and frequently sends him back to the nursery once her family goes home. How does the nurse respond?
a. refuse to discharge the baby with his mother
b. refer the family to a home care agency so they can receive home visits
c. file a report with child protective services
d. request a psych consult for the mother
b. refer the family to a home care agency to they can recieve home visits
