Chapter 21 Maternal-Child Health

Chapter 21  Maternal-Child Health

Complete Chapter Questions And Answers
 

Sample Questions

1.
Critical population health indicators that affect childbearing women, infant, toddler, and preschool populations globally and in the United States include which of the following? Select all that apply.
A)
Maternal mortality rate
B)
Infant mortality rate
C)
HIV/AIDS
D)
Crude mortality rate
E)
Fetal alcohol syndrome
Ans:
A, B, C, E

Feedback:

Critical population health indicators that affect childbearing women, infant, toddler, and preschool populations globally and in the United States include maternal mortality rate, infant mortality rate, HIV/AIDS, and fetal alcohol syndrome. Crude mortality rate does not apply specifically to childbearing women, infant, toddler, and preschool populations.

2.
Which one of the following statements about low-birth-weight and very-low-birth-weight babies is most accurate?
A)
Low-birth-weight is more common in Whites and Hispanics than African Americans.
B)
Birth weight is one of the most important predictors of infant mortality.
C)
The incidence of low-birth-weight in the United States is decreasing in relation to the increase in multiple births.
D)
Recent trends in very-low-birth-weight babies show that they continue to have morbidity with significant increases in survival.
Ans:
B

Feedback:

Birth weight is one of the most important predictors of infant mortality. Low birth weight is more common in African Americans than in Whites and Hispanics. The overall incidence of low-birth-weight is increasing slightly, which can be explained by increased multiple births. Recent trends in very-low-birth-weight babies show that they continue to have morbidity with no significant increases in survival.

3.
A community health nurse is developing a program that would encourage mothers to use breast-feeding exclusively for their babies’ nutrition for the first 6 months. The nurse bases this program on the understanding about which of the following?
A)
Exclusive breast-feeding promotes better growth and development.
B)
Its lower cost provides more money for other needed items.
C)
Infant mortality would significantly decrease.
D)
It would aid in decreasing maternal mortality rates.
Ans:
C

Feedback:

Approximately 1.3 million infants would survive annually if mothers were able to exclusively breast-feed their infants for 6 months. The lack of breast-feeding is related to decreased survival and increased morbidity from infections, lower intelligence test scores, increased cardiac risk factors, and inadequate nutrition. The superiority of breast milk and lower costs would not be factors for developing a community health program for breast-feeding. Exclusive breast-feeding is not associated with decreasing maternal mortality rates.

4.
A community health nurse is integrating the Healthy People 2010 goals into suggested programs for a local community. Which of the following goals would the nurse identify as having been met?
A)
Reduction in low-birth-weight infants
B)
Reduction in total preterm births
C)
Increase in the number of infants put to sleep on their backs
D)
Increased proportion of mothers breast-feeding at 6 months
Ans:
C

Feedback:

After years of working toward improving maternal–child health, the United States has made limited progress. One objective, however, has been met: 70% of infants are now being put to sleep on their backs (up from 35% baseline), largely due to public health educational efforts and reminders. Objectives for LBW, VLBW, and preterm births all moved away from their Healthy People 2010 targets. Breast-feeding is beneficial to both mother and infant, and in 2005, almost 73% of infants were breast-fed for some period of time. However, the goal has not been met.

5.
Which Healthy People 2020 goal that has been established has been met?
A)
The number of infants being put to sleep on their backs and the rate for sudden infant death syndrome
B)
Improving the proportion of infants who are breast-fed
C)
Reduce the rate of fetal and infant deaths
D)
Reduce the occurrence of fetal alcohol syndrome
Ans:
A

Feedback:

After years of working toward improving maternal–child health, the United States has made limited progress. One objective, however, has been met; 70% of infants are now being put to sleep on their backs, up from a 35% baseline. The rate for sudden infant death syndrome (SIDS) had dropped by over 50% since 1994. The proportion of infants who are breast-fed and reducing the rate of fetal and infant deaths and occurrence of fetal alcohol syndrome have not been met.