From the nurse's perspective, what measure should be the focus of the health care system to reduce the rate of infant mortality further?
Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
Mandating that all pregnant women receive care from an obstetrician
Expanding the number of neonatal intensive care units (NICUS)
implementing programs to ensure women's early participation in ongoing prenatal care
The Correct Answer is D
A. Extending postpartum hospital stays offers limited benefit in reducing infant mortality, as most neonatal deaths are related to conditions arising before or during birth rather than after discharge. The focus should instead be on prevention through early prenatal care.
B. While obstetricians provide specialized care, many healthy pregnancies can be safely managed by nurse-midwives or family physicians. Access to care, not provider type, has a greater influence on reducing infant mortality rates.
C. Although NICUs are vital for high-risk or premature infants, they address complications after they occur rather than preventing them. Preventive strategies in prenatal care are more effective in reducing overall infant mortality.
D. Early and consistent prenatal care promotes maternal health, early detection of complications, and improved fetal outcomes. Such programs help prevent preterm birth, low birth weight, and other major contributors to infant mortality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 12 weeks: At 12 weeks gestation, the uterus has just risen out of the pelvis and can usually be palpated just above the symphysis pubis. It is not yet large enough to reach the level of the umbilicus at this point.
B. 36 weeks: By 36 weeks, the uterus typically reaches the xiphoid process as it expands to accommodate fetal growth. At this stage, the fundal height is well above the umbilicus, often causing maternal discomfort due to pressure on the diaphragm.
C. 20 weeks: Around 20 weeks gestation, the fundus of the uterus is usually palpable at the level of the maternal umbilicus. This finding is a standard clinical marker used to estimate gestational age and monitor fetal growth during routine prenatal exams.
D. 8 weeks: At 8 weeks gestation, the uterus remains a pelvic organ and is not palpable abdominally. It can only be assessed via bimanual examination or transvaginal ultrasound during early pregnancy.
Correct Answer is ["40% to 50%"]
Explanation
A maternal blood volume increase of approximately 40% to 50% occurs during pregnancy to meet the heightened metabolic demands of the mother and fetus. This expansion enhances uteroplacental perfusion, compensates for blood loss at delivery, and maintains adequate circulation despite reduced systemic vascular resistance. The increased plasma volume also contributes to physiologic anemia of pregnancy due to hemodilution but is essential for sustaining optimal fetal oxygenation and nutrient transport.
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