A nurse is educating a group of nursing students about factors that influence maternal and women's health outcomes. Which of the following factors most significantly impact maternal health in the United States?

Occupation

Level of education

Access to prenatal care

Marital status

Answer and Explanation

The Correct Answer is C

A. Occupation: While a woman’s job may influence exposure to stress or hazards, it is not the most significant factor affecting maternal health. Its impact varies greatly and is often tied to broader issues like income and healthcare access.

B. Level of education: Education can affect health literacy and decision-making, but it is not the strongest determinant of maternal health outcomes. Its effects are indirect and often mediated through other factors like healthcare access and socioeconomic status.

C. Access to prenatal care: Timely and consistent prenatal care enables early detection and management of pregnancy complications, improving both maternal and fetal outcomes. Lack of access contributes to higher rates of morbidity and mortality, making it a key determinant in the U.S.

D. Marital status: Marital status may influence emotional and financial support, but it does not consistently predict maternal health outcomes. Access to care and quality of services play a more direct role in determining maternal well-being.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. 1+ pitting sacral edema: Mild pitting edema is a common clinical feature of preeclampsia, especially in the lower extremities or sacral area due to fluid retention. This finding aligns with expected symptoms and is not inconsistent with the diagnosis.

B. 3+ protein in the urine: Significant proteinuria (≥300 mg/24 hr or ≥1+ on dipstick) is a key diagnostic criterion for preeclampsia. A 3+ result reflects marked protein loss and supports the diagnosis, not contradicts it.

C. Blood pressure 148/98 mm Hg: A systolic pressure ≥140 mm Hg or diastolic ≥90 mm Hg on two readings at least 4 hours apart confirms hypertension in pregnancy. This value fits the diagnostic criteria for preeclampsia.

D. Deep tendon reflexes of +1: Clients with preeclampsia often exhibit hyperreflexia (+3 or +4) due to CNS irritability. A reflex score of +1 is diminished and inconsistent with the expected heightened neuromuscular activity seen in preeclampsia.

A. The client requires a rubella vaccination at this time. B. The client requires a rubella immunization following delivery. C. The client is immune to the rubella virus. D. The client is not experiencing a rubella infection at this time.

Correct Answer is B

Explanation

A. The client requires a rubella vaccination at this time: Rubella is a live attenuated virus vaccine and is contraindicated during pregnancy. Administering it during gestation poses a risk of congenital rubella syndrome. The client must wait until after delivery for vaccination. Therefore, immunization now is inappropriate and unsafe.

B. The client requires a rubella immunization following delivery: A negative rubella titer indicates that the client is not immune to rubella and is at risk for infection. Rubella infection during pregnancy can cause serious fetal anomalies. The vaccine should be administered postpartum before discharge. This ensures immunity for future pregnancies.

C. The client is immune to the rubella virus: Immunity is confirmed by a positive rubella titer, not a negative one. A negative result shows susceptibility and lack of protective antibodies. Therefore, this interpretation is incorrect. The client is not immune and needs vaccination after delivery.

D. The client is not experiencing a rubella infection at this time: While a negative titer may imply no current infection, it primarily reflects a lack of immunity. It does not provide diagnostic information about active or recent infection. The main concern here is the absence of antibodies. Thus, this choice misinterprets the titer result.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is educating a group of nursing students about factors that influence maternal and women's health outcomes. Which of the following factors most significantly impact maternal health in the United States?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Correct Answer is D

Explanation

A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?

Correct Answer is B

Explanation

A pregnant client at 28 weeks gestation reports experiencing leg discomfort and noticing bulging veins in her legs. The nurse explains that varicose veins are common during pregnancy. What is the primary physiological change during pregnancy that contributes to the development of varicose veins?

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?

A nurse is teaching a client who is postpartum and has an order for an injection of Rh, (D) immunoglobulin. Which of the following should be included in the teaching?

A nurse is caring for a client diagnosed with severe preeclampsia who is receiving intravenous magnesium sulfate for seizure prophylaxis. Which of the following findings should prompt the nurse to immediately intervene?