Question 1

A nurse is looking to lower the high teen pregnancy rate at the local high school. The nurse has performed an assessment and begun work on developing goals to address the pregnancy rate. Which of the following concerns should be considered when working with and educating this population? Select all that apply.

Accepted Answer

B,E

Question 2

A nurse is working at an in vitro fertilization (IVF) center. Recently, the nurse and physician have started evaluating outcomes and discovered a rise in pregnancy complications, especially in their overweight and obese patients. After performing their community assessment, the staff sets a goal to reduce complications in their pregnant patients by 15 percent in three years. Which of the following are likely to be the most effective interventions? Select all that apply.

Accepted Answer

A,C,D,E

Question 3

A nurse wants to address the rate of infant mortality in a low income country. The nurse knows that addressing which of the following risk factors would be most effective in reducing the infant mortality rate?

Accepted Answer

Poor breastfeeding habits are a major risk factor for infant mortality. Breastfeeding provides infants with essential nutrients and antibodies that help protect them from infection.

Question 4

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?

Accepted Answer

Upstream approaches focus on prevention and addressing root causes. Conducting preconception and nutrition consultations helps improve pregnancy outcomes by addressing health and lifestyle factors before conception.

Question 5

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?

Accepted Answer

The goals for lowering low birth weight and very low birth weight in Healthy People 2010 were not met.

Question 6

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?

Accepted Answer

Conducting a focus group with key women in the community can help identify cultural, educational, or logistical barriers to the use of contraceptives, allowing for more effective program adjustments.

Question 7

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?

Accepted Answer

The nurse should consider both the cultural community assessment to understand diverse dietary practices and the availability of fresh foods to address potential barriers to accessing nutritious options.

Question 8

A team of community health nurses is visiting a community where they want to address tobacco use in pregnant women, but they only have a short amount of time to prepare for their trip. What is their first step?

Accepted Answer

The answer of A team of community health nurses is...

Question 9

A nurse working in a prenatal community clinic wants to focus on reducing premature birth and knows that which of the following is a possible cause?

Accepted Answer

All of the above factors are possible causes of premature birth. Bacterial infections, psychological stress, and hypertension can all increase the risk of premature birth. Therefore, reducing these risk factors may help to reduce premature births.

Question 10

A nurse is volunteering in a low income country to improve maternal and child health in the community. To get a basic idea of the health of this population, the nurse should begin by evaluating all but which of the following indicators?

Accepted Answer

The preterm birth rate is a specific indicator of birth outcomes, but it is not as comprehensive as the other indicators in assessing overall maternal and child health. The under-five mortality rate, maternal mortality rate, and infant mortality rate provide broader insights into the health status and healthcare quality of the population.

Question 11

A nurse working on the postpartum unit of the hospital is providing post discharge planning for a young woman three days after delivery. The young woman shares that she is a single mom who lost her part time job because of the pregnancy and has no one to help her at home. She doesn't have any supplies for the baby and does not have a crib. How does the nurse respond?

Accepted Answer

The nurse should refer the young woman to the local home visiting program for new mothers and children less than 5 years of age to help link her with services. This program can provide her with the support and resources she needs to care for her baby.

Question 12

A public health nursing student is starting to do research for a dissertation. The student is specifically looking for national and state statistics on rates for C-sections and low birth weight. All of the following are appropriate data sources to use except:

Accepted Answer

PubMed is a database of biomedical literature and is not a direct source for national and state statistics on C-sections and low birth weight.

Question 13

A public health nurse (PHN) is evaluating global maternal mortality rate (MMR) to look for patterns. Overall, the nurse notices that the MMR has actually trended upward in:

Accepted Answer

The United States has seen an increase in maternal mortality rates in recent years, unlike many other developed countries where the rates have been declining or stabilizing.

Question 14

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. What should be their first step?

Accepted Answer

The first step should be to perform a community assessment to understand the factors contributing to the high C-section rate, which will inform any subsequent actions or interventions.

Question 15

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?

Accepted Answer

Putting the baby to sleep on their back is the most important piece of information to include on the handout about healthy sleep habits. This position has been shown to significantly reduce the risk of sudden infant death syndrome (SIDS).

Question 16

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?

Accepted Answer

Both long- and short-term goals are important to identify during the planning process. Short-term goals can help to create momentum and provide a sense of achievement, while long-term goals provide direction and help to ensure the sustainability of the project. Additionally, identifying goals should come after completing a community assessment, as this will ensure that the goals are tailored to the specific needs and assets of the community. Finally, goals should address positive health outcomes, rather than negative ones, as this helps to promote a strengths-based approach and empowers the community to take ownership of their health.

Quiz 18: Health Planning for Maternal-Infant and Child Health Settings