test bank for maternal newborn nursing the critical components of nursing care
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TEST BANK FOR MATERNAL-NEWBORN
NURSING THE CRITICAL COMPONENTS
OF NURSING CARE, 3RD EDITION,
ROBERTA
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Chapter 1: Trends and Issues
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is present
for support and notes that things have changed in the delivery room since she last gave birth in the
early 1980s. Which current trend or intervention may the patient’s mother find most different?
1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
____ 2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to
stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. This is an
example of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
____ 3. The nurse is providing education to a patient who has given birth to her first child and is being
discharged home. The patient expressed concern regarding infant mortality and sudden infant
death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery.
She has a body mass index of 25 and has no other health conditions. The infant is healthy and was
delivered full-term. What will be most helpful thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
____ 4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of
genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of
which condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
____ 5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the
information provided, which condition is the patient’s baby at higher risk for?
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
4. Pneumonia
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____ 6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test
confirms the patient is pregnant. The patient states, “I do not need to stop smoking my electronic
cigarette because it will not harm my baby.” Which is the best response by the nurse?
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
2. “Tobacco products, including electronic cigarettes, should not be used during
pregnancy due to risking nicotine toxicity.”
3. “According to the FDA, although electronic cigarettes are safe for you, they can
cause harm to the fetus during pregnancy.”
4. “Electronic cigarettes are considered harmful only in the first trimester.”
____ 7. The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is
male. The patient’s mother has accompanied her to today’s visit. During the nursing assessment,
the patient mentions that she is no longer in a relationship with the baby’s father but her mother
plans to help her. However, the patient’s mother asks whether this will have any impact on the
child. Which should the nurse indicate the child is at increased risk of during his adolescence?
1. Hypertension
2. Diabetes
3. Alcohol abuse
4. Intraventricular bleeding
____ 8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient
may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which
statement by the nurse is most appropriate?
1. “Did you smoke marijuana when pregnant with your other child?”
2. “To avoid negative effects on your baby, you’ll need to stop using marijuana
during your last trimester.”
3. “Using marijuana while pregnant can have a negative effect on the neurological
development of your baby.”
4. “Marijuana use while pregnant greatly increases your risk of miscarriage.”
____ 9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by
the patient demonstrates successful patient teaching?
1. “I will limit my drinking to just one alcoholic beverage per day.”
2. “It’s best for my baby if I avoid drinking during pregnancy.”
3. “An occasional drink on special occasions is okay.”
4. “Drinking alcohol is only acceptable in the first trimester.”
____ 10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows
that teaching has been effective when the patient states which of the following?
1. “My child may be at increased risk for birth injury.”
2. “My child may have a decreased risk of developing childhood diabetes.”
3. “I will probably give birth vaginally.”
4. “I have a lower risk of developing gestational hypertension.”
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____ 11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the
patient may be at risk for during pregnancy. Which response by the patient indicates that she
understands?
1. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
2. “I am not overweight, but I am still at risk for gestational diabetes.”
3. “My mother had preeclampsia during one of her pregnancies.”
4. “I will need to do a glucose tolerance test in my second trimester.”
____ 12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the
nurse take first?
1. Refer the patient to a drug abuse program.
2. Screen the infant for side effects associated with cocaine use.
3. Educate the patient of the risks associated with cocaine use during pregnancy.
4. Advise the patient that her baby will be okay even with the history of cocaine use.
____ 13. A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face
during pregnancy. During routine testing, the patient tested negative for sexually transmitted
illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child’s
father. Which of the following is accurate?
1. The patient’s infant is at increased risk of neonatal blindness.
2. The patient’s infant has a decreased risk of birth injury.
3. The patient will have increased risk of wound infection.
4. The patient will have a decreased risk of preeclampsia.
____ 14. The nurse has made it a goal to increase the rate at which women begin prenatal care in the first
trimester. The nurse relates this decision to national goals for better maternal and infant outcomes.
What guidelines will the nurse use to guide her maternal health goals?
1. WHO Maternal care guidelines
2. State Practice Acts
3. AWHONN white papers
4. Healthy People 2020
____ 15. A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery.
What guidelines will the nursing student use to assist in setting her goals?
1. WHO Maternal care guidelines
2. Healthy People 2020
3. AWHONN white papers
4. State Practice Act
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 16. A woman has recently given birth to an infant born at 35 weeks and 5 days gestation. What long-
term effects should the nurse be concerned about with the infant being born at this gestation?
Select all that apply.
1. Cerebral palsy
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