NCAS Maternal and Child Health 2

Question 1

A pregnant woman in her third trimester reports a sudden severe headache, visual changes, and upper right quadrant pain. The nurse suspects:

Accepted Answer

Preeclampsia with severe features requiring immediate referral

Answer

Severe headache, visual changes, and right upper quadrant pain in the third trimester are warning signs of severe preeclampsia requiring emergency evaluation.

Question 2

The Title V Maternal and Child Health Block Grant program in the US primarily aims to:

Accepted Answer

Improve the health of mothers, children, and children with special health needs through state-run programs

Answer

Title V provides federal funding to states to improve maternal and child health, with specific focus on reducing infant mortality and supporting children with special health care needs.

Question 3

Which immunization is recommended for all pregnant women between 27 and 36 weeks gestation to protect the newborn from pertussis?

Accepted Answer

Tdap (tetanus, diphtheria, acellular pertussis)

Answer

Tdap is recommended during each pregnancy between 27–36 weeks to transfer maternal antibodies to the fetus, protecting newborns from whooping cough before they can be vaccinated.

Question 4

A community health nurse is assessing a 6-week postpartum mother who reports persistent sadness, inability to bond with her baby, and insomnia. The nurse should first screen for:

Accepted Answer

Postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS)

Answer

Symptoms persisting beyond 2 weeks postpartum suggest postpartum depression; the Edinburgh Postnatal Depression Scale is the validated tool for community screening.

Question 5

Which term describes the approach of providing comprehensive health services to women across their entire reproductive lifespan, including preconception, prenatal, and interconception care?

Accepted Answer

Life course approach to maternal health

Answer

The life course approach recognizes that maternal and infant health outcomes are shaped by cumulative exposures and experiences across a woman's entire lifespan.

NCAS - Nursing Community Assessment Service Practice Test

NCAS - Nursing Community Assessment Service Practice Test

NCAS Maternal and Child Health 2