Exam (elaborations)
Chapter 24 The Childbearing Family with Special Needs
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Chapter 24 The Childbearing Family with Special Needs
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Chapter 24: The Childbearing Family with Special NeedsTest Bank
MULTIPLE CHOICE
1. A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This
behavior puts her at a greater risk for
a. Depression of the central nervous system
b. Hypotension and vasodilation
c. Sexually transmitted diseases
d. Postmature birth
ANS: C
Feedback
A Cocaine is a central nervous system stimulant.
B Cocaine causes hypertension and vasoconstriction.
C Sex acts exchanged for drugs place the woman at increased risk for sexually
transmitted diseases because of multiple partners and lack of protection.
D Premature delivery of the infant is one of the most common problems associated
with cocaine use during pregnancy.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 558 | Table 24-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. During which phase of the cycle of violence does the batterer become contrite and
remorseful?
a. Battering phase
b. Honeymoon phase
c. Tension-building phase
d. Increased drug-taking phase
ANS: B
Feedback
A During the battering phase violence actually occurs, and the victim feels
powerless.
B During the honeymoon phase, the battered person wants to believe that the
battering will never happen again, and the batterer will promise anything to get
back into the home.
C During the tension-building phase, the batterer becomes increasingly hostile,
swears, threatens, throws things, and pushes the battered.
D Often the batterer increases the use of drugs during the tension-building phase.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 571
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
, 3. What is a major barrier to health care for teen mothers?
a. The hospital/clinic is within walking distance of the girl's home.
b. The institution is open days, evenings, and Saturday by special arrangement.
c. The teen must be prepared to see a different nurse or doctor or both at every visit.
d. The health care workers have a positive attitude.
ANS: C
Feedback
A If the hospital/clinic were within walking distance of the girl's home, it would
prevent the teen from missing appointments because of transportation problems.
B If the institution were open days, evenings, and Saturday by special arrangement,
this availability would be helpful for teens who work, go to school, or have other
time-of-day restrictions. Scheduling conflicts are a major barrier to health care.
C Whenever possible, the teen should be scheduled to see the same nurses and
practitioners for continuity of care.
D A negative attitude is unfortunate, because it discourages families that would
benefit most from consistent prenatal care.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 555
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
4. Of adolescents who become pregnant, what percentage have had a previous birth?
a. 10%
b. 15%
c. 19%
d. 35%
ANS: C
Feedback
A This percentage rate is too low; it is actually 19%.
B The percentage of teens who have had a previous birth is 19%.
C 19% of pregnant adolescents have had one or more previous births.
D This percentage rate is too high when measuring previous adolescent births.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 551
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
5. In counseling a patient who has decided to relinquish her baby for adoption, the nurse should
a. Affirm her decision while acknowledging her maturity in making it.
b. Question her about her feelings regarding adoption.
c. Tell her she can always change her mind about adoption.
d. Ask her if anyone is coercing her into the decision to relinquish her baby.
ANS: A
Feedback
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