Question 1

Which of the following offers the best explanation as to why it is important for low-income women to seek prenatal care?

Accepted Answer

A)  To provide the extra support from a nurse who listens 
B)  To begin the process of obtaining hospital care for delivery for a reduced cost 
C)  To have time to begin healthy behaviors to ensure a healthy infant 
D)  To obtain referrals for other helpful services 
A)  To provide the extra support from a nurse who listens 
B)  To begin the process of obtaining hospital care for delivery for a reduced cost 
C)  To have time to begin healthy behaviors to ensure a healthy infant 
D)  To obtain referrals for other helpful services D

Question 2

A woman vows to quit smoking and drinking immediately upon the surprising news that she is 2 months pregnant. Which of the following concerns would the nurse have for this woman?

Accepted Answer

A)  Those with whom she shares living quarters might smoke or drink. 
B)  Fetal damage may already have occurred. 
C)  Peers may encourage her to resume old habits, and peer pressure is very strong. 
D)  She won't be able to keep her vow. 
A)  Those with whom she shares living quarters might smoke or drink. 
B)  Fetal damage may already have occurred. 
C)  Peers may encourage her to resume old habits, and peer pressure is very strong. 
D)  She won't be able to keep her vow. B

Question 3

When considering the benefits for the recipients, which is more beneficial: Medicaid or private insurance?

Accepted Answer

A)  Private insurance, because it is accepted by all providers, whereas Medicaid is not 
B)  Private insurance, because it gives its beneficiaries more benefits than Medicaid gives 
C)  Medicaid, because it includes early and periodic screening, diagnosis, and treatment services 
D)  Medicaid, because it is available for all children 
A)  Private insurance, because it is accepted by all providers, whereas Medicaid is not 
B)  Private insurance, because it gives its beneficiaries more benefits than Medicaid gives 
C)  Medicaid, because it includes early and periodic screening, diagnosis, and treatment services 
D)  Medicaid, because it is available for all children C

Question 4

How do the policies on children's health in the United States differ from the policies on children's health in other industrialized nations?

Accepted Answer

A)  Most industrialized nations, including the United States, have similar policies. 
B)  U.S. policies are more market based and less social justice based. 
C)  U.S. policies are voluntary, whereas in most countries they are required by law. 
D)  Although industrialized nations have policies on children's health, the United States does not. 
A)  Most industrialized nations, including the United States, have similar policies. 
B)  U.S. policies are more market based and less social justice based. 
C)  U.S. policies are voluntary, whereas in most countries they are required by law. 
D)  Although industrialized nations have policies on children's health, the United States does not.

Question 5

A mother was very proud that she had cut back smoking from two packs a day, which she had smoked for years, to only half a pack a day. Which of the following would be the most appropriate response by the nurse?

Accepted Answer

A)  "I wish all smoking moms could see your example!" 
B)  "I'm so proud of you. You're down to only 25% of what you used to smoke!" 
C)  "That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely." 
D)  "Your baby will really appreciate your efforts at quitting, especially if you do not resume after the baby is born." 
A)  "I wish all smoking moms could see your example!" 
B)  "I'm so proud of you. You're down to only 25% of what you used to smoke!" 
C)  "That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely." 
D)  "Your baby will really appreciate your efforts at quitting, especially if you do not resume after the baby is born."

Question 6

Which of the following indicators would be most informative in assessing the health of a newborn?

Accepted Answer

A)  Apgar score at birth 
B)  Birth weight and length of gestation 
C)  Mother's education and income from employment 
D)  When the mother began prenatal care at her local clinic 
A)  Apgar score at birth 
B)  Birth weight and length of gestation 
C)  Mother's education and income from employment 
D)  When the mother began prenatal care at her local clinic

Question 7

A mother explained that she had just dropped her 3-year-old off at her own mother's so she could come in for the required examination for her new job. She excitedly shared her hopes that she would be able to afford a used car rather than having to ride a bus all the time. Which of the following would be the most appropriate response by the nurse?

Accepted Answer

A)  "I'm sure the exam won't show any problems. I'm so excited for you." 
B)  "Don't forget to buy a child's seat when you get your car." 
C)  "How do you think your child will adapt to you being at work all day?" 
D)  "It's fantastic that you have a new job in this rough economy. Will your mother be able to continue to babysit?" 
A)  "I'm sure the exam won't show any problems. I'm so excited for you." 
B)  "Don't forget to buy a child's seat when you get your car." 
C)  "How do you think your child will adapt to you being at work all day?" 
D)  "It's fantastic that you have a new job in this rough economy. Will your mother be able to continue to babysit?"

Question 8

Which of the following best explains why an employer would care about the health needs of local children?

Accepted Answer

A)  The children are the employer's future workforce. 
B)  The employer needs positive media coverage and no scandals. 
C)  The community will provide greater support to employers that have family-based policies. 
D)  Staying home to take care of sick children will impact the productivity of the workplace. 
A)  The children are the employer's future workforce. 
B)  The employer needs positive media coverage and no scandals. 
C)  The community will provide greater support to employers that have family-based policies. 
D)  Staying home to take care of sick children will impact the productivity of the workplace.

Question 9

A school nurse has identified that there has been an increase in sexually transmitted infections (STIs) among the adolescents attending the school. Which of the following interventions should be completed by the nurse?

Accepted Answer

A)  Arrange for the health department to come to the school to give information and treatment on a confidential basis 
B)  Encourage the athletic coaches to distribute condoms in such a way that a boy can obtain them in private 
C)  Have English teachers assign stories about the problems that result from adolescent pregnancy 
D)  Have the bus drivers put a comic book about sexuality, STIs, and preventive measures on each seat 
A)  Arrange for the health department to come to the school to give information and treatment on a confidential basis 
B)  Encourage the athletic coaches to distribute condoms in such a way that a boy can obtain them in private 
C)  Have English teachers assign stories about the problems that result from adolescent pregnancy 
D)  Have the bus drivers put a comic book about sexuality, STIs, and preventive measures on each seat

Question 10

A nurse is developing a community education program about how to prevent sudden infant death syndrome (SIDS). Which of the following information would be included in the presentation? (Select all that apply.)

Accepted Answer

A)  Always place a baby on his or her back to sleep. 
B)  Use a semi-firm sleep surface. 
C)  Allow the baby to sleep in a position that provides the most comfort. 
D)  Allow the baby to sleep with a favorite toy or blanket. 
E)  Do not let the baby get too hot during sleep.
F) Avoid exposing the baby to cigarette or cigar smoke. 
A)  Always place a baby on his or her back to sleep. 
B)  Use a semi-firm sleep surface. 
C)  Allow the baby to sleep in a position that provides the most comfort. 
D)  Allow the baby to sleep with a favorite toy or blanket. 
E)  Do not let the baby get too hot during sleep.
F) Avoid exposing the baby to cigarette or cigar smoke.

Question 11

Which of the following statements best describes how the United States compares with other countries on infant mortality rate?

Accepted Answer

A)  Best of all the industrialized nations 
B)  About in the middle of the industrialized nations 
C)  Near the bottom of the industrialized nations 
D)  Gradually improving among the industrialized nations 
A)  Best of all the industrialized nations 
B)  About in the middle of the industrialized nations 
C)  Near the bottom of the industrialized nations 
D)  Gradually improving among the industrialized nations

Question 12

What proportion of U.S. citizens are children?

Accepted Answer

A)  12% 
B)  16% 
C)  20% 
D)  24% 
A)  12% 
B)  16% 
C)  20% 
D)  24%

Question 13

A woman confides in the nurse that she and her husband want to become parents as soon as possible. Which of the following statements would be the best reply from the nurse?

Accepted Answer

A)  "Ask some young parents if you can babysit for a while to get in practice." 
B)  "Can you afford to become parents with all the items a baby will need?" 
C)  "Consider whether you are really ready to become parents." 
D)  "Start living as healthy a lifestyle as possible right now." 
A)  "Ask some young parents if you can babysit for a while to get in practice." 
B)  "Can you afford to become parents with all the items a baby will need?" 
C)  "Consider whether you are really ready to become parents." 
D)  "Start living as healthy a lifestyle as possible right now."

Question 14

Using a public health perspective, which of the following has responsibility for a child's health?

Accepted Answer

A)  The child's family 
B)  The businesses in the community 
C)  The entire community 
D)  The school system 
A)  The child's family 
B)  The businesses in the community 
C)  The entire community 
D)  The school system

Question 15

Which of the following best describes why infant mortality rate is used as an international comparison of a country's health status?

Accepted Answer

A)  Every country, regardless of other priorities, focuses on care of infants and their mothers. 
B)  It is easy to obtain and compare such data. 
C)  It reflects medical care quality and access and public health practice. 
D)  The World Health Organization requires these data be reported to them each year. 
A)  Every country, regardless of other priorities, focuses on care of infants and their mothers. 
B)  It is easy to obtain and compare such data. 
C)  It reflects medical care quality and access and public health practice. 
D)  The World Health Organization requires these data be reported to them each year.

Question 16

A young mother was very proud because she had been taking her 9-month-old with her to various garage sales where she had purchased a lot of toys for very little money. Which of the following would be the most appropriate response by the nurse?

Accepted Answer

A)  "Be sure there are no small pieces as young children can easily choke." 
B)  "Fantastic. Saving money on toys will allow you to buy more fresh fruits and vegetables." 
C)  "Toddlers love new toys; they will help with cognitive development." 
D)  "You are doing an excellent job of giving your child lots of stimulation with new playthings." 
A)  "Be sure there are no small pieces as young children can easily choke." 
B)  "Fantastic. Saving money on toys will allow you to buy more fresh fruits and vegetables." 
C)  "Toddlers love new toys; they will help with cognitive development." 
D)  "You are doing an excellent job of giving your child lots of stimulation with new playthings."

Question 17

Which of the following actions should be taken by a typical community preparing for the expected demographic changes in the United States?

Accepted Answer

A)  Build more elementary schools 
B)  Build more high schools 
C)  Build more colleges 
D)  Build more adult condominiums 
A)  Build more elementary schools 
B)  Build more high schools 
C)  Build more colleges 
D)  Build more adult condominiums

Question 18

A school nurse at a high school suggests that all students have an educational unit on newborn care in their required health class. Which of the following provides the best rationale for this suggestion?

Accepted Answer

A)  Because all adults should be knowledgeable in basic child care 
B)  Because the first year of life is the most hazardous until old age 
C)  To help convince students not to engage in sexual intercourse 
D)  To demonstrate the incredible responsibilities in parenthood 
A)  Because all adults should be knowledgeable in basic child care 
B)  Because the first year of life is the most hazardous until old age 
C)  To help convince students not to engage in sexual intercourse 
D)  To demonstrate the incredible responsibilities in parenthood

Question 19

Which of the following would be a source of care if families are employed at a salary above the poverty line, but at too low of an income for health insurance?

Accepted Answer

A)  Local health department clinics that provide care on a sliding scale 
B)  Health care providers who donate time and pharmaceutical samples to free clinics 
C)  School health clinics 
D)  The state Children's Health Insurance Program (CHIP) 
A)  Local health department clinics that provide care on a sliding scale 
B)  Health care providers who donate time and pharmaceutical samples to free clinics 
C)  School health clinics 
D)  The state Children's Health Insurance Program (CHIP)

Question 20

Which of the following groups of children is at the highest risk to have poor health?

Accepted Answer

A)  African American children living in a suburb 
B)  Asian children living in an outer urban area 
C)  Hispanic children living in the inner city 
D)  White children living in a rural area 
A)  African American children living in a suburb 
B)  Asian children living in an outer urban area 
C)  Hispanic children living in the inner city 
D)  White children living in a rural area

Exam 16: Child and Adolescent Health

Which of the following offers the best explanation as to why it is important for low-income women to seek prenatal care?

A woman vows to quit smoking and drinking immediately upon the surprising news that she is 2 months pregnant. Which of the following concerns would the nurse have for this woman?

When considering the benefits for the recipients, which is more beneficial: Medicaid or private insurance?

How do the policies on children's health in the United States differ from the policies on children's health in other industrialized nations?

A mother was very proud that she had cut back smoking from two packs a day, which she had smoked for years, to only half a pack a day. Which of the following would be the most appropriate response by the nurse?

Which of the following indicators would be most informative in assessing the health of a newborn?

Which of the following best explains why an employer would care about the health needs of local children?

A school nurse has identified that there has been an increase in sexually transmitted infections (STIs) among the adolescents attending the school. Which of the following interventions should be completed by the nurse?

A nurse is developing a community education program about how to prevent sudden infant death syndrome (SIDS). Which of the following information would be included in the presentation? (Select all that apply.)

Which of the following statements best describes how the United States compares with other countries on infant mortality rate?

What proportion of U.S. citizens are children?

A woman confides in the nurse that she and her husband want to become parents as soon as possible. Which of the following statements would be the best reply from the nurse?

Using a public health perspective, which of the following has responsibility for a child's health?

Which of the following best describes why infant mortality rate is used as an international comparison of a country's health status?

A young mother was very proud because she had been taking her 9-month-old with her to various garage sales where she had purchased a lot of toys for very little money. Which of the following would be the most appropriate response by the nurse?

Which of the following actions should be taken by a typical community preparing for the expected demographic changes in the United States?

A school nurse at a high school suggests that all students have an educational unit on newborn care in their required health class. Which of the following provides the best rationale for this suggestion?

Which of the following would be a source of care if families are employed at a salary above the poverty line, but at too low of an income for health insurance?

Which of the following groups of children is at the highest risk to have poor health?

Health: A Community View

Historical Factors: Community Health Nursing in Context

Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice

Health Promotion and Risk Reduction

Epidemiology

Community Assessment

Community Health Planning, Implementation, and Evaluation

Community Health Education

Case Management

Policy, Politics, Legislation, and Community Health Nursing

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Cultural Diversity and Community Health Nursing

Environmental Health

Health in the Global Community

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Populations Affected by Disabilities

Homeless Populations

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