Maternal and Child Health Flashcards

A community nurse is providing anticipatory guidance to parents of a 6-month-old. Which solid food introduction guidance aligns with current AAP recommendations?

Answer: Introduce iron-rich pureed foods around 6 months while continuing breastfeeding

The AAP recommends introducing iron-rich pureed foods around 6 months while continuing breast milk or formula, with no delay in introducing allergenic foods.

Which childhood vaccine-preventable disease has resurged in US communities due to vaccine hesitancy and is characterized by a severe cough with inspiratory 'whoop'?

Answer: Pertussis (whooping cough)

Pertussis has experienced outbreaks in communities with low vaccination rates; it is characterized by paroxysmal cough followed by an inspiratory whoop, dangerous in infants.

In the US, the childhood immunization schedule is jointly recommended by which organizations?

Answer: CDC, AAP, and AAFP

The US childhood immunization schedule is developed and recommended jointly by the CDC's Advisory Committee on Immunization Practices (ACIP), the AAP, and the AAFP.

A community health nurse notes that children in a low-income neighborhood have blood lead levels above 3.5 mcg/dL. The MOST likely primary source of lead exposure in older US housing is:

Answer: Lead-based paint and dust

Lead-based paint and the dust it generates when deteriorating is the most common source of childhood lead poisoning, especially in homes built before 1978.

Which maternal risk factor is most strongly associated with preterm birth in the US?

Answer: Previous preterm birth

A prior preterm birth is the strongest predictor of subsequent preterm birth, making obstetric history a critical component of prenatal risk assessment.

What does the term 'interconception care' refer to in maternal-child health programs?

Answer: Health care provided to women between pregnancies to improve outcomes for future pregnancies

Interconception care addresses risk factors and chronic conditions between pregnancies to improve health before the next conception, reducing adverse birth outcomes.