Which interventions would help alleviate the problems associated with access to health care for maternity patients? (Select all that apply.)
Provide job training
Provide transportation to prenatal visits.
Provide low-cost or no-cost health care insurance.
Mandate that physicians make house calls.
Provide child care so that a pregnant woman may keep prenatal visits.
Correct Answer : B,C,E
A. Provide job training: While job training may improve long-term socioeconomic status, it does not directly address the immediate barriers maternity patients face in accessing health care. The focus should be on interventions that improve access to prenatal and perinatal services.
B. Provide transportation to prenatal visits: Lack of reliable transportation is a major barrier to receiving timely prenatal care. Providing transportation ensures that pregnant women can attend regular checkups, improving early detection of complications and maternal-fetal outcomes.
C. Provide low-cost or no-cost health care insurance: Financial constraints often limit access to quality maternity care. Affordable or free health coverage helps women obtain prenatal screenings, nutritional counseling, and necessary interventions throughout pregnancy.
D. Mandate that physicians make house calls: Mandating house calls is impractical and not a sustainable solution for improving access. Expanding community health programs and outreach services is more feasible and cost-effective for supporting pregnant women.
E. Provide child care so that a pregnant woman may keep prenatal visits: Many women miss prenatal appointments due to lack of child care. Offering safe and accessible child care services removes this barrier and encourages consistent participation in prenatal care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. " Increased levels of relaxin and progesterone during pregnancy cause joint and ligament laxity, including in the feet. Combined with weight gain and fluid retention, this leads to arch flattening and mild, often permanent, foot size increase.
B. Foot infections typically present with localized redness, pain, and warmth rather than generalized foot enlargement. In this case, bilateral and gradual changes are physiological, not infectious.
C. Calcium loss from the bones does not cause enlargement or shape changes in the feet. Pregnancy-related calcium shifts mainly support fetal bone development and do not result in deformities or foot growth.
D. Foot swelling or enlargement is unrelated to fetal growth restriction. It reflects maternal musculoskeletal and circulatory changes, not a complication affecting fetal development.
Correct Answer is ["B","C","D"]
Explanation
A. Coffee: Moderate caffeine intake (less than 200 mg per day) is generally considered safe during pregnancy. Excessive amounts may increase the risk of miscarriage or low birth weight, but caffeine itself is not classified as a teratogen.
B. Alcohol: Alcohol is a well-known teratogen that can cross the placenta and disrupt fetal development. Prenatal alcohol exposure can cause fetal alcohol spectrum disorders (FASDs), leading to growth restriction, facial abnormalities, and neurodevelopmental impairments.
C. Radiation exposure: High levels of radiation, especially during early pregnancy, can damage rapidly dividing fetal cells and cause congenital malformations, growth restriction, or pregnancy loss. Even diagnostic exposure should be carefully monitored and minimized.
D. MMR vaccine: The MMR (measles, mumps, rubella) vaccine contains live attenuated viruses and is contraindicated during pregnancy due to potential teratogenic effects on the developing fetus. Women are advised to avoid conception for at least 4 weeks after receiving it.
E. Folic acid: Folic acid is not a teratogen; it is protective against neural tube defects such as spina bifida and anencephaly. Supplementation before and during early pregnancy supports normal neural development and reduces major congenital anomalies.
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