During a care conference, a nurse provides everyone with a copy of the latest research on improving the success of breastfeeding for first-time mothers. Which Quality & Safety Education for Nurses competency does this nurse's action support?

The number of pregnancies per 1,000 women of childbearing age is referring to the

The systematic investigation of problems that have implications for nursing practice usually carried out by nurses is referred to as

The nurse is providing care to a new mother and infant according to the Quality & Safety Education for Nurses competency approach. Which action should the nurse perform to demonstrate the skill for the competency of safety?

The nurse is reviewing the 2020 National Health Goals and notes that which is a focus of these goals?

Extensive changes in the scope of maternal and child health nursing have occurred as health promotion has become a greater priority in care. The nursing activities for health promotion include

The nurse is providing care in an organization that supports the maternal and child care continuum. Which type of patient care area is an example of this approach?

Which nursing action supports a 2020 National Health Goal that addresses cultural diversity?

The nurse notes that statistics on maternal mortality had improved but are again becoming elevated. What does the nurse realize as a reason for this change in maternal mortality rates?

A nurse review infant mortality statistics in the United States for all of these reasons, EXCEPT?

The nurse providing care to patients in the labor and delivery suite desires to support the 2020 National Health Goals to reduce maternal and infant mortality after labor and birth. Which action should the nurse perform to support these goals?

The nurse is completing a physical assessment with a patient who has just learned of being pregnant. The patient's last menstrual period was August 15. When should the nurse instruct the patient that the baby will be due?

Intervening to maintain health when risk of disease is present, for example, teaching a group of sexually active adolescents about contraception and prevention of sexually transmitted infections.

A nursing assistant informed the nurse that Mr. Chung asked why the hospital where his baby is being cared for is termed a “Magnet hospital.” The nurse would want team members to know which rationale?

Mrs. Chung’s doctor has told her that her baby’s most dangerous time will be until the perinatal period ends. When does the perinatal period take place?

Nurses must always be aware of quality improvement because as society changes with new situations, nursing care must make responding adjustments. Which of the following is a trend that will influence the care that the Chung family’s new baby is likely to receive?

A growing body of knowledge suggests skin-to-skin contact between mother and baby immediately after birth provides numerous benefits, including regulating heartbeat and temperature for the baby and promoting feelings of calm and well-being in both mother and baby. To see if fathers were interested in participating in this form of care (often called kangaroo care), researchers interviewed seven new fathers who had spent time in skin-to-skin interaction with their newborn. Findings showed kangaroo care allowed fathers to feel more in control and also that they were doing something good for their infant. Based on the previous study, what action would the nurse take?

Mrs. Chung waited until she was 42 years old to have her second baby. She asks the nurse if that is the reason her baby was born prematurely. Which statement would be the most reassuring for her?

Melissa Chung is concerned as to how she will give consent for procedures for her newborn baby because the baby is hospitalized so far away. Which statement would be best to reassure her?

The nurse has been hired to provide care to patients on a maternal and child unit. What will the nurse use to as a guide to legally provide care to this patient population?

True or False: Standards of maternal and child health nursing practice have been formulated by the American Nurses Association to serve as guidelines for practice.

True or False: The most meaningful and important measure of maternal and child health is the infant mortality rate

True or False: Maternal and child health care have both legal and ethical considerations and responsibilities over and above those in other areas of practice because of the role of the fetus and child.

True or False: Practice roles in maternal and child health nursing are expanding rapidly as nurses become more versed in evidence-based practice and technologic skills.

True or False: Trends in maternal and child health nursing include changes in the settings of care, increased concern about healthcare costs, improved preventive care, and family-centered care.

The nurse is preparing to obtain a health history from a patient with preeclampsia who is at home. In which area should the nurse conduct the assessment?

A pregnant patient is being admitted for severe preeclampsia. In which room location should the nurse place this patient?

While conducting the first prenatal health history visit, the nurse learns that a pregnant patient is taking various herbal remedies and over-the-counter medications for minor ailments. Which nursing diagnosis should the nurse identify as being appropriate for the patient at this time?

What advice should the nurse provide to a patient who is 4 months pregnant and owns a cat?

A female patient has forgotten to take an ovulation suppressant for two mornings in a row. What should the nurse advise the patient to do?

The nurse is teaching a patient on the use of a diaphragm for contraception. Which patient statement indicates that instruction has been not been effective?

A patient asks the nurse if a cervical cap is better than a diaphragm for contraception. What should explain as the advantages of a cervical cap?

The nurse instructs a patient on the use of a vaginal estrogen/progestin rings (NuvaRing) for contraception. Which patient statement indicates that additional instruction is needed?

When should the nurse instruct a female patient using the basal body temperature method of contraception to refrain from having sexual intercourse?

A postpartum patient asks the nurse when the subdermal hormone implant for contraception can be inserted. What should the nurse respond to this patient?

The nurse is teaching a patient in the first trimester of pregnancy about the importance of folic acid in the diet and how folic acid supplements might be beneficial. For which reason is the nurse teaching the patient about this vitamin?

The nurse is caring for a patient who desires to become pregnant within a few months. Which outcome regarding folic acid intake would be appropriate for this patient?

The nurse teaches the importance of avoiding nonessential substances to a young adult female who is 6 weeks pregnant. Which patient statement indicates that teaching has been effective?

A pregnant patient is concerned that the baby is going to drown in the uterus because of the fluid. What should the nurse respond about fetal respiration?

Immediately following an epidural block, a pregnant patient's blood pressure suddenly falls to 90/50 mmHg. What action should the nurse do first?

A woman is scheduled to have epidural anesthesia for a cesarean birth. What should the nurse anticipate to include in the preoperative plan of care while the patient waits for the anesthetic?

A nurse who specializes in maternal and child health care performs many varied functions in diverse settings over the course of a year. Which action would be outside the nurse's scope of practice?

A nurse is speaking with a client who has just learned that she is pregnant with her first child. The nurse reads in the client's chart that she does not drink alcohol on a regular basis. However, the nurse decides to go ahead and warn the client about the dangers of drinking alcohol while pregnant. Which phase of health care would this action be classified as?

A client in her third trimester has just learned that she has developed gestational diabetes. The nurse gives her an injection of insulin to help return her blood glucose levels to normal. The nurse is participating in whch phase of health care?

A nurse is caring for a woman who has just given birth to a child with Down syndrome. The nurse is focusing on how to help this client adapt to the changes associated with becoming a mother of a child with special needs. Which nursing theory would be most helpful to this nurse?

A nurse is spending the summer volunteering as a maternal and child health care professional in a clinic in a developing nation stricken by famine. The nurse notes that the low percentage of men in the population due to war as well as poor nutrition make conception more rare among the women encountered for care. Which measure of maternal and child health would best confirm the nurse's observations?

A nurse has just assisted in the birth of a premature neonate. The nurse recognizes that which factor, when associated with prematurity, is a leading cause of death in neonates?

A nurse working in a pediatrician's office has requested that a generic brand of cotton swabs be ordered in place of a more expensive brand name. Which trend in today's health care environment is most related to this nurse's action?

An expectant mother has arranged for her massage therapist to provide gentle hand, arm, and neck massage for the client while she is in labor in the hospital. Which trend in today's health care environment is most related to this arrangement?

After hearing of a lawsuit being filed by a client against another nurse, a nurse becomes concerned about the potential liability in working with premature infants at high risk for morbidity and mortality. Which action is most essential for the nurse to take to limit liability in the event of litigation?

A nurse has just learned that the hospital where the nurse is employed has been named a magnet hospital by the American Nurses' Credentialing Center. Which characteristic would the nurse most likely identify as meeting the criteria for this status? All of the following EXCEPT:

A new single mother is sharing her concerns about the cost of daycare with her nurse. She is new to the area. The nurse recognizes that which trend is contributing to this client's concerns? All of the following EXCEPT:

The maternal child health nurse provides care to which client populations working within an appropriate scope of practice? All of the following EXCEPT:

When providing family-centered care for a new mother and infant, which is the appropriate action by the nurse?

Which of the 2020 National Health Goals should a maternal child health nurse working in a developed nation focus on for the betterment of clients? All of the following EXCEPT:

A nurse is helping a couple choose a contraception method that is right for them. Which is the least likely factor the nurse should consider?

A young woman is newly married and is seeking advice on contraception. She is in a monogamous relationship and would like a temporary contraceptive, as she plans to have children in the future. Her husband dislikes the feel of condoms. Also, she mentions that she typically experiences dysmenorrhea and has a history of recurrent urinary tract infections. Which method should the nurse recommend?

A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions that she has a papillomavirus infection. Also, she says she is terrible about remembering to take pills. Which method should the nurse recommend?

The nurse is providing contraception counseling to a perimenopausal woman who has had negative reactions to oral contraceptives in the past and would like a long-term, nonhormone-based method that has a high rate of success. Neither she nor her husband wants to undergo surgery, however. Which method should the nurse recommend?

A couple is considering vasectomy as a contraception option. However, the husband is nervous about how such a procedure would affect his sexual functioning. Which information should the nurse mention to the man?

A nurse is counseling a 17-year-old girl on the importance of contraception. The girl states that she is not really concerned about getting pregnant; she says that she will deal with it if and when it happens. Which point should the nurse emphasize with the client regarding the risks of unintended pregnancies? All of the following EXCEPT:

True or False: Men who want their sperm to be available for the future can have it sperm banked before vasectomy.

True or False: The majority of pregnancy terminations are done in cases in which the pregnancy threatens the mother's life.

True or False: Dilation and curettage is the method of abortion used when the gestational age of a pregnancy is still less than 13 weeks.

A newly married couple asks the nurse which “natural” way of family planning would be most effective in preventing pregnancy. What is the most appropriate response by the nurse?

A nurse is assessing a 26-year-old married female client for use of oral contraception. Which findings in her health history would suggest that natural family planning may be a better option? All of the following EXCEPT:

When educating a class of high school students on safer sex choices, the nurse would highlight which method as the most effective in preventing pregnancy and sexually transmitted infections?

A pregnant client in the first trimester asks the nurse about taking medications while she is pregnant. She tells the nurse that she heard that it can be harmful to the fetus if medications are taken at certain times during pregnancy. What is the best response by the nurse?

A patient is to have an amniocentesis with ultrasound. What does the nurse explain to the patient that amniocentesis can determine? Select all that apply.

A woman is taking vaginal progesterone suppositories during her first trimester because her body does not produce enough of it naturally. She asks the nurse what function this hormone has in her pregnancy. What should the nurse explain is the primary function of progesterone?

A woman in her 15 week of pregnancy is about to undergo amniocentesis. Which nursing intervention should be made first?

An expectant mother in week 30 of her pregnancy reports to the nurse that she has been doing her kick counts several times a day and the fetus has been kicking at a rate of about 4 times per hour, on average. The nurse interprets this finding as suggesting which situation?

A nurse is helping a patient prepare for ultrasound examination. Which intervention would be most appropriate for the nurse to implement?

A pregnant client is undergoing a fetal biophysical profile. Which parameter of the profile helps measure long-term adequacy of the placental function?

A woman has just learned that she is pregnant and would like to know how soon she can find out via ultrasound the sex of her fetus. The nurse should respond with which of the following?

True or False: Smoking may be a cause of ectopic (tubal) pregnancy.

When describing the characteristics of the amniotic fluid to a pregnant woman, which would the nurse include?

A woman in her 15 week of pregnancy is about to undergo amniocentesis. Which of the following nursing interventions should be made first?

A nurse is preparing a patient for rhythm strip testing. She places the woman into a semiFowler's position. What is the appropriate rationale for this measure?

A pregnant patient is undergoing a fetal biophysical profile. Which parameter of the profile helps measure long-term adequacy of the placental function?

A patient is in her 22 week of pregnancy and is preparing to have her fundal height measured. Given the patient's stage of gestation and following McDonald's rule, what result does the nurse expect?

A woman from Brazil and her husband are visiting the office for a prenatal checkup. Which of the following would be the best nursing intervention to show respect to the couple and their cultural and individual values related to childbirth?

A 16-year-old girl arrives at the office for her first prenatal visit. After missing her period, she took two home pregnancy tests, both of which were positive, and came in a week ago for a blood test. The blood test also was positive. Today she appears pale and apprehensive, and asks, "Is there any other kind of test I can take, just to make sure?" Which of the following would be the most accurate nursing diagnosis of this patient?

A 39-year-old woman is pregnant with her first child and appears to be thrilled about it. Now in her second trimester, she talks enthusiastically with the nurse about the latest maternity clothes she has bought and models them for the nurse. She also discusses the latest trends in health foods, which she has adopted since learning of her pregnancy. The nurse interprets this information as reflecting which primary emotional response to pregnancy?

A couple is talking with a nurse about the pregnant woman's current experience with morning sickness in the first trimester. While they are talking, the nurse notes that the woman's husband appears clammy and pale. After a moment, he excuses himself to go to the restroom. When he returns, he jokes that he has "caught" his wife's morning sickness. He also remarks that he has gained weight recently. The nurse should explain to the couple that the husband is experiencing which of the following?

A client who has just given a blood sample for pregnancy testing in the health care provider's office asks the nurse what method of confirming pregnancy is the most accurate. The nurse explains the difference between presumptive symptoms, probable signs, and positive signs. What should the nurse mention as an example of a positive sign, which may be used to diagnose pregnancy?

A woman in the third trimester of her first pregnancy expresses fear about the birth canal being wide enough for her to push the baby through it during labor. She is a petite person, and the baby seems so large. She asks the nurse how this will be possible. To help alleviate the client's fears, the nurse should mention the role of the hormone that softens the cervix and collagen in the joints, which allows dilation and enlargement of the birth canal. What is this hormone?

A woman in her third trimester shows the nurse a narrow, brown line that has formed on her abdomen, running from her belly button down to her pubic region. She expresses concern about this and asks the nurse whether it is normal. The nurse explains that this is a normal occurrence of pregnancy and that it results from the release of melanocyte-stimulating hormone from the pituitary, causing the appearance of extra pigmentation on the skin. What is the name of this phenomenon?

A nurse urges a pregnant client at the first prenatal office visit to begin taking iron supplements immediately. What is the rationale for this intervention?

True or False: Morning sickness is associated with rising levels of human chorionic gonadotropin (hCG) and progesterone.

True or False: Pregnant women seem to be more susceptible to carpal tunnel syndrome than others.

Which change related to the vital signs is expected in pregnant women?

A woman who is 10-weeks pregnant comes to the health center for an evaluation. As part of the interview, the nurse assesses how the woman is adjusting to the pregnancy. The nurse would most likely expect the woman to display which emotional response?

A nurse is assessing a 25-year-old woman during a preconceptual visit. The nurse understands that anemia can be a problem that develops during pregnancy. Therefore, she conducts which of the following to establish a baseline measure related to this condition?

The nurse is assessing a woman who is pregnant for the first time. Which of the following terms applies to this client?

As part of the assessment of a client's health history during the first prenatal visit, the nurse is having the client complete a 24-hour recall to establish what and how much the woman is eating. In which section of the health history should the nurse record this information?

During the health assessment of a pregnant client who is 30 years old, the nurse discusses preventive breast care. Which recommendation would the nurse include?

During the initial prenatal visit, a client indicates that she frequently experiences stress incontinence. Which of the following should the nurse recommend to the client to help relieve this condition?

A nurse is preparing to perform a physical examination of a pregnant woman at her first prenatal visit. Which of the following actions should the nurse perform before beginning the physical examination?

As part of her physical examination of a pregnant client, the nurse examines the woman's breasts. Which are healthy breast changes that indicate pregnancy? All of the following EXCEPT:

True or False: Following her first prenatal visit, a woman will be scheduled for a sonogram to confirm pregnancy length and document healthy fetal growth at 3 to 5 weeks of pregnancy.

A client at 29-weeks gestation tells the nurse she is experiencing aches in her hips and joints. What would the nurse do next?

The nurse is assessing a primipara's fundal height at 36 weeks' gestation and notes the fundus is now located at the xiphoid process of the sternum. The client asks if this is normal. Which response to the client would be best?

A teenager arrives in the emergency department in active labor having no prenatal care. Upon examination in L & D, the nurse notices a cluster of pinpoint vesicles with a red base on her vulva which the teenager asks the nurse to not touch "her rash" because it hurts when touched. At this point, which intervention should the nurse perform next?

During initial examination in the labor room, the nurse notes a large amount of white, bubbly discharge around the vaginal walls that has a foul smell. The nurse suspects the woman has which type of sexually transmitted disease?

During the inital obstetrical clinic visit, the nurse shares with a client of African descent that several blood studies will be drawn. What screening is performed for women of African descent because of the ethnically inherited nature of some disease?

A young woman in her first trimester confesses to the nurse when questioned that she is probably not consuming enough calories. The nurse should explain to this client that deficient nutrition can hinder the baby's growth, which at this point in her pregnancy is primarily via an increase in the number of cells formed. This type of growth is known as which of the following?

A woman whose body mass index (BMI) is 32 has just learned that she is pregnant. Which of the following should the nurse advise her regarding her weight over the course of her entire pregnancy?

A nurse counsels a pregnant woman regarding her recommended daily allowance of calories. She advises her to obtain her carbohydrate calories from complex carbohydrates rather than simple carbohydrates. What is the best rationale for this guidance?

A woman relates to the nurse that she understands that dietary fat is bad for her and that she should avoid it during pregnancy. How should the nurse respond?

A nurse explains to a pregnant woman the importance of consuming adequate iodine in her diet. Which of the following conditions can a deficiency in iodine lead to?

A nurse is assessing a client's nutritional intake during pregnancy. What is the best method for accomplishing this?

A woman in her 20s explains to the nurse that she would like to eat more healthy foods during her pregnancy but complains about the high cost of food. She confides that she just makes minimum wage at her job and that things are tight for her financially. What would be the most appropriate intervention for the nurse to make?

A woman in her third trimester is suffering from heartburn. What should the nurse advise her to do?

A woman in her first trimester shares with the nurse that she has been experiencing terrible nausea when she gets up in the morning. Which action should the nurse suggest? All of the following EXCEPT:

True or False: Taking a fiber laxative is a better choice for preventing constipation than eating fiber-rich foods

True or False: Some women report cravings for nonfood substances such as clay, dirt, cornstarch, or ice cubes during pregnancy.

When teaching a client about nutrition during pregnancy, the nurse should include which longterm outcomes in the plan of care? All of the following EXCEPT:

During a preconception visit, the nurse teaches the client about the risk of inadequate nutrition in early pregnancy. Which statement by the client indicates understanding of the nurse’s teaching?

The nurse is reviewing the laboratory test results of a client in labor. Which finding would the nurse consider normal?

A patient comes to the birthing suite and informs the nurse that "the baby is coming" and "I feel like I have to have a bowel movement." It is likely that the woman is which of the following stages of labor?

A nurse is preparing a patient for rhythm strip testing. She places the woman into a semiFowler's position. What is the appropriate rationale for this measure?

A woman is in the second stage of labor and is crowning. Which diameter of the fetal skull that is smallest should align with the anteroposterior diameter of the mother's pelvis, which is the narrowest diameter at the pelvic inlet?

The obstetrician is examining a woman who is in early labor to determine the positioning of the fetus. The nurse knows that which of the following fetal attitudes would be the most advantageous for birth?

A young woman recently gave birth to a healthy 7 lb, 6 oz (3,304 g) baby girl. There were no complications during the birth, and the mother appears to be well. Which of the following should the nurse do to assess this client's psychological state after the pregnancy?

A nurse is monitoring a client during the second stage of labor. Which finding in the mother should cause concern for the nurse?

A nurse is performing a physical assessment of a woman in labor. As part of her assessment, she examines the outer and inner surfaces of her lips. What is the best rationale for this assessment?

A nurse is performing a vaginal examination of a woman in the early stages of labor. The woman has been at 2 cm dilated for the past 2 hours, but effacement has progressed steadily. Which statement by the nurse would best encourage the client regarding her progress?

A nurse is assisting a client who is in the first stage of labor. Which principle should the nurse keep in mind to help make this client's labor and birth as natural as possible?

A nurse is coaching a woman during the second stage of labor. Which action should the nurse encourage the client to do at this time?

True or False: An infant born by cesarean birth is usually able to establish respirations more easily than one born vaginally.

A woman in week 16 of her pregnancy calls her primary care provider's office to report that she has experienced abdominal cramping, cervical dilation, vaginal spotting, and the passing of tissue. The nurse instructs the client to bring the passed tissue to the hospital with her. What is the correct rationale for this instruction?

A client at 34 weeks gestation has reported to the hospital in labor. The following is documented on history and physical assesmment: No rupture of membranes, mild cramping, no bleeding Reassurring pattern on fetal heart monitor Cervix is dilated 3 cm, effacement 30%. The nurse anticipates which treatment plan?

During a routine prenatal visit, a client is found to have proteinuria and a blood pressure rise to 140/90 mm Hg. The nurse recognizes that the client has which condition?

A client has been admitted to the hospital with a diagnosis of severe preeclampsia. Which nursing intervention is the priority?

A pregnant client with severe preeclampsia has developed HELLP syndrome. In addition to the observations necessary for preeclampsia, what other nursing intervention is critical for this client?

A woman in week 35 of her pregnancy with severe hydramnios is admitted to the hospital. The nurse recognizes that which concern is greatest regarding this client?

True or False: Vaginal bleeding during pregnancy is always a deviation from the normal.