Davis Advantage for Maternal-Newborn
Success Full Test Bank
__________ __________ __________ is when sperm and oocytes are mixed outside the
woman's body and then placed into the fallopian tube via laparoscopy. - ANS - ANS: Gamete
intrafallopian transfer
\1. Since 1995, there has been a significant decrease in the rate of infant death related to which
of the following:
a. Disorders associated with short gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes - ANS - ANS: c
\15. A major fetal development characteristic at 16 weeks gestation is: a. The average fetal
weight is 450 grams
b. Lanugo covers entire body
c. Brown fat begins to develop
d. Teeth begin to form - ANS - ANS: d
\15. A woman presents to a prenatal clinic appointment at 10 weeks gestation, in the first
trimester of pregnancy. Which of the following symptoms would be considered a normal finding
at this point in pregnancy?
a. Occipital headache
b. Urinary frequency
c. Diarrhea
d. Leg cramps - ANS - ans: B
\16. Karen, a 26-year-old woman, has come for preconception counseling and asks about
caring for her cat as she has heard that she should not touch the cat during pregnancy. The
clinic nurses best response is:
a. It is best if someone other than you changes the cats litter pan during pregnancy so that you
have no risk of toxoplasmosis during pregnancy.
b. It is important to have someone else change the litter pan during pregnancy and also avoid
consuming raw vegetables.
c. Have you had any flu-like symptoms since you got your cat? If so, you may have already had
toxoplasmosis, and there is nothing to worry about.
d. Toxoplasmosis is a concern during pregnancy, so it is important to have someone else
change the cats litter pan and also to avoid consuming uncooked meat. - ANS - ANS: d
\2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant, such
as intrauterine growth restriction, preterm births, and respiratory problems. By race, which has
the highest percentage of smokers?
a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
,d. Non-Hispanic whites - ANS - ANS: a
\20. After birth, the perinatal nurse explains to the new mother that __________ is the hormone
responsible for stimulating milk production. - ANS - ANS: prolactin
\21. A patient at 37 weeks gestation is being seen in the prenatal clinic. Where would the nurse
expect the fundal height to be palpated?
a. At the xiphoid process
b. At a point between the umbilicus and the xiphoid
c. At the umbilicus
d. At a level directly above the symphysis pubis - ANS - ANS: a
\21. During prenatal class, the childbirth educator describes the two membranes that envelop
the fetus. The __________ contains the amniotic fluid, and the __________ is the thick, outer
membrane. - ANS - ANS: amnion; chorion
\22. The perinatal nurse is teaching nursing students about fetal circulation and explains that
fetal blood flows through the superior vena cava into the right __________ via the __________.
- ANS - ANS: atrium; foramen ovale
\3. The fetal circulatory structure that connects the pulmonary artery with the descending aorta
is known as which of the following?
a. Ductus venosus
b. Foramen ovale
c. Ductus arteriosus
d. Internal iliac artery - ANS - ANS: c
\3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman - ANS - ANS: d
\34. The perinatal nurse teaches the student nurse about the physiological changes in
pregnancy that most often contribute to the increased incidence of urinary tract infections.
These changes include (select all that apply):
a. Relaxation of the smooth muscle of the urinary sphincter
b. Relaxation of the smooth muscle of the bladder
c. Inadequate emptying of the bladder
d. Increased incidence of bacteriuria - ANS - ANS: a, b, c, d
\4. A neonate born at 36 weeks gestation is classified as which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term - ANS - ANS: c
\5. A diagnostic test commonly used to assess problems of the fallopian tubes is:
a. Endometrial biopsy
b. Ovarian reserve testing
c. Hysterosalpingogram
d. Screening for sexually transmitted infections - ANS - ANS: c
, \5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020
report is to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%. - ANS - ANS: d
\6. The perinatal nurse explains to the student nurse that __________ is the leading cause of
infant death in the United States.
a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities - ANS - ANS: d
\7. Which of the following statements are true related to teen pregnancies? (Select all that
apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems. - ANS - ANS: a, b, d
\A 26-year-old woman at 29 weeks gestation experienced epigastric pain following the
consumption of a large meal of fried fish and onion rings. The pain resolved a few hours later.
The most likely diagnosis for this symptom is:
a. Cholelithiasis
b. Influenza
c. Urinary tract infection
d. Indigestion - ANS - ANS: a
\A 32-year-old woman now at 32 weeks gestation is complaining of right-sided sharp abdominal
pain. The patient is examined by the clinic nurse and given information about abdominal
discomfort in pregnancy. She is also instructed to seek immediate attention if she (select all that
apply):
a. Has heartburn
b. Has chills or a fever
c. Feels decreased fetal movements
d. Has increased abdominal pain - ANS - ANS: b, c, d
\A 37-year-old woman who is 17 weeks pregnant has had an amniocentesis. Before discharge,
the nurse teaches the woman to call her doctor if she experiences which of the following side
effects?
a. Pain at the puncture site
b. Macular rash on the abdomen
c. Decrease in urinary output
d. Cramping of the uterus - ANS - ANS: d
\A client is to take Clomiphene Citrate for infertility. Which of the following is the expected action
of this medication?
a. Decrease the symptoms of endometriosis
b. Increase serum progesterone levels
