Question 1

A woman who is older than 35 years may have difficulty achieving pregnancy,because&#10;A) personal risk behaviors influence fertility.&#10;B) she has used contraceptives for an extended time.&#10;C) her ovaries may be affected by the aging process.&#10;D) prepregnancy medical attention is lacking.

Accepted Answer

Once the mature woman decides to conceive,a delay in becoming pregnant may occur because of the normal aging of the ovaries.The older adult participates in fewer risk behaviors than the younger adult.The problem is the age of the ovaries,not the past use of contraceptives.Prepregnancy medical care is available and encouraged.

Question 2

What information about caffeine in pregnancy does the nurse provide the prenatal class with?&#10;A) It stays in your body twice as long as when you are not pregnant.&#10;B) It causes vasoconstriction, which could keep the fetus from growing.&#10;C) Caffeine depresses your heart's ability to pump and function.&#10;D) Severe diuresis can leave you at risk for dehydration during pregnancy.

Accepted Answer

Caffeine is a vasoconstrictor.Its half-life is 3 times as long in the pregnant woman.It stimulates cardiac function.It does cause mild but not severe diuresis.

Question 3

A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit.This behavior puts her at a greater risk for which of the following?&#10;A) Depression of the central nervous system&#10;B) Hypotension and vasodilation&#10;C) Sexually transmitted diseases&#10;D) Postmature birth

Accepted Answer

Sex acts exchanged for drugs place the woman at increased risk for sexually trAnswermitted diseases because of multiple partners and lack of protection.Cocaine is a central nervous system stimulant.Cocaine causes hypertension and vasoconstriction.Premature delivery of the infant is one of the most common problems associated with cocaine use during pregnancy.

Question 4

What is a major barrier to health care for teen mothers?&#10;A) The hospital/clinic is within walking distance of the girl's home.&#10;B) The institution is open days, evenings, and Saturdays by special arrangement.&#10;C) The teen must be prepared to see a different nurse or doctor or both at every visit.&#10;D) The health care workers have a positive attitude.

Accepted Answer

Whenever possible,the teen should be scheduled to see the same nurses and practitioners for continuity of care.If the hospital/clinic were within walking distance of the girl's home,it would prevent the teen from missing appointments because of trAnswerportation problems.If the institution were open days,evenings,and Saturdays 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.A negative attitude is unfortunate,because it discourages families who would benefit most from consistent prenatal care.

Question 5

A woman has delivered twins.The first twin was stillborn,and the second is in the intensive care nursery and is recovering quickly from respiratory distress.The woman is crying softly and says,"I wish my baby could have lived." What is the most therapeutic response?

A) "Don't be sad. At least you have one healthy baby."
B) "How soon do you plan to have another baby?"
C) "I have a friend who lost a twin and she's doing just fine now "
D) "I am so sorry about your loss. Would you like to talk about it?"

Accepted Answer

The nurse should recognize the woman's grief and its significance and allow her to express her feelings.The other three responses belittle the woman's feelings.

Question 6

A woman who is 6 months pregnant has sought medical attention saying she fell down the stairs.What scenario would cause an emergency department nurse to suspect that the woman has been battered?&#10;A) The woman and her partner are having an argument that is loud and hostile.&#10;B) The woman has injuries on various parts of her body in different stages of healing.&#10;C) Examination reveals a fractured arm and fresh bruises. Her husband asks her about her pain.&#10;D) She loudly complains about having several injuries.

Accepted Answer

The battered woman often has multiple injuries in various stages of healing.Arguing may or may not be sign of battering; many times the batterer will be attentive and refuse to leave the woman's side.A battered woman often has a flat affect or avoids eye contact and is vague about how the injuries occurred.

Question 7

In counseling a patient who has decided to relinquish her baby for adoption,the nurse should do which of the following?&#10;A) Affirm her decision while acknowledging her maturity in making it.&#10;B) Question her about her feelings regarding adoption.&#10;C) Tell her she can always change her mind about adoption.&#10;D) Ask her if anyone is coercing her into the decision to relinquish her baby.

Accepted Answer

A supportive,affirming approach by the nurse will strengthen the patient's resolve and help her to appreciate the significance of the event.The teen needs help in coping with her feelings about this decision.It is important for the nurse to support and affirm the decision the patient has made.This will strengthen the patient's resolve to follow through.Later the patient should be given an opportunity to express her feelings.Telling her she can always change her mind should not be an option after the baby is born and placed with the adoptive parents.It is important that the teenager is treated as an adult,with the assumption that she is capable of making an important decision on her own.

Question 8

A common effect of both smoking and cocaine use on the pregnant woman is&#10;A) vasoconstriction.&#10;B) increased appetite.&#10;C) inactivates fetal hemoglobin.&#10;D) euphoria.

Accepted Answer

Both smoking and cocaine use cause vasoconstriction,which results in impaired placental blood flow to the fetus.Both smoking and cocaine use decrease the appetite.Smoking inactivates fetal hemoglobin.Euphoria can be seen with cocaine use.

Question 9

Which of the following is an appropriate nursing measure when a baby has an unexpected anomaly?&#10;A) Remove the baby from the delivery area immediately.&#10;B) Tell the parents that the baby has to go to the nursery immediately.&#10;C) Inform the parents immediately that something is wrong.&#10;D) Explain the defect, and show the baby to the parents as soon as possible.

Accepted Answer

Parents experience less anxiety when they are told about the defect as early as possible and are allowed to touch and hold the baby.The parents should be both informed and able to touch and hold the baby as soon as possible.

Question 10

When helping the mother,father,and other family members actualize the loss of the infant,nurses should&#10;A) use the words lost or gone rather than dead or died.&#10;B) make sure the family understands that it is important to name the baby.&#10;C) if the parents choose to visit the baby, apply lotion to the baby and wrap the infant in a pretty blanket.&#10;D) set a firm time for ending the visit with the baby so that the parents know when to let go.

Accepted Answer

Presenting the baby in a nice way stimulates the parents' senses and provides pleasant memories of their baby.Nurses must use dead and died to assist the bereaved in accepting reality.Although naming the baby can be helpful,it is important not to create the sense that parents have to name the baby.In fact,some cultural taboos and religious rules prohibit the naming of an infant who has died.Parents need different time periods with their baby to say goodbye.Nurses need to be careful not to rush the process.

Question 11

What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?&#10;A) Genetic changes and anomalies&#10;B) Extensive central nervous system damage&#10;C) Fetal addiction to the substance inhaled&#10;D) Intrauterine growth restriction

Accepted Answer

The answer of What is the most dangerous effect on...

Question 12

During which phase of the cycle of violence does the batterer become contrite and remorseful?&#10;A) Battering phase&#10;B) Honeymoon phase&#10;C) Tension-building phase&#10;D) Increased drug-taking phase

Accepted Answer

The answer of During which phase of the cycle of...

Question 13

What is most likely to be a concern for the older mother?&#10;A) The importance of having enough rest and sleep&#10;B) Information about effective contraceptive methods&#10;C) Nutrition and diet planning&#10;D) Information about exercise and fitness

Accepted Answer

The answer of What is most likely to be a...

Question 14

A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening.The nurse will counsel her to eliminate all alcohol intake.What is the best rationale provided by the nurse?&#10;A) A daily consumption of alcohol indicates a risk for alcoholism.&#10;B) She will be at risk for abusing other substances as well.&#10;C) The fetus is placed at risk for altered brain growth.&#10;D) The fetus is at risk for multiple organ anomalies.

Accepted Answer

The answer of A patient at 24 weeks of gestation...

Question 15

In helping bereaved parents cope and move on,nurses should keep in mind that&#10;A) a perinatal or parental grief support group is more likely to be helpful if the needs of the parents are matched with the focus of the group.&#10;B) when pictures of the infant are taken for keepsakes, no close-ups should be taken of any congenital anomalies.&#10;C) no significant differences exist in grieving individuals from various cultures, ethnic groups, and religions.&#10;D) calling the hospital clergy for emergency baptism is always appropriate.

Accepted Answer

The answer of In helping bereaved parents cope and move...

Question 16

The student nurse learns that the most important reason marijuana should not be used during pregnancy is which of the following?&#10;A) Unknown effects, more research is needed&#10;B) Causes a higher rate of spontaneous abortions&#10;C) Leads to multiple organ dysfunction in the newborn&#10;D) Responsible for severe cognitive deficits

Accepted Answer

The answer of The student nurse learns that the most...

Question 17

When the nurse is alone with a battered patient,the patient seems extremely anxious and says,"It was all my fault.The house was so messy when he got home and I know he hates that." The best response by the nurse is

A) "No one deserves to be hurt. It's not your fault. How can I help you?"
B) "What else do you do that makes him angry enough to hurt you?"
C) "He will never find out what we talk about. Don't worry. We're here to help you."
D) "You have to remember that he is frustrated and angry so he takes it out on you."

Accepted Answer

The answer of When the nurse is alone with a...

Question 18

Which of the following items are inconsistent with the nurse's knowledge of symptoms of fetal alcohol syndrome?&#10;A) Respiratory conditions&#10;B) Impaired growth&#10;C) CNS abnormality&#10;D) Facial abnormalities

Accepted Answer

The answer of Which of the following items are inconsistent...

Question 19

Of adolescents who become pregnant,what percentage have had a previous birth?&#10;A) 10%&#10;B) 15%&#10;C) 17%&#10;D) 35%

Accepted Answer

The answer of Of adolescents who become pregnant,what percentage have...

Question 20

Which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?&#10;A) Heroin&#10;B) Alcohol&#10;C) PCP&#10;D) Cocaine

Accepted Answer

The answer of Which of these substances can lead to...

Question 21

Approximately 82% of teen pregnancies are unintended.Seventy percent of teens have had sex by their 19th birthday.Factors that contribute to an increased risk for teen pregnancy include which of the following? (Select all that apply.)

A) High self-esteem
B) Peer pressure
C) Limited access to contraception
D) Planning sexual activity
E) Lack of role models

Accepted Answer

The answer of Approximately 82% of teen pregnancies are unintended.Seventy...

Question 22

Many teens wait until the second or even third trimester to seek prenatal care.The nurse should understand that the reasons behind this delay include which of the following? (Select all that apply.)&#10;A) Lack of realization that they are pregnant&#10;B) Uncertainty as to where to go for care&#10;C) Continuing to deny the pregnancy&#10;D) A desire to gain control over their situation&#10;E) Wanting to hide the pregnancy as long as possible

Accepted Answer

The answer of Many teens wait until the second or...

Question 23

A nurse is interviewing a pregnant woman in the clinic.She seems hostile and answers many questions with "Whatever" and "I don't really know." At her last appointment she was late and disheveled.What action by the nurse is best?

A) Ask the woman if this pregnancy was planned or is wanted.
B) Call social services to come evaluate the situation.
C) Ask the woman about drug use, including over the counter.
D) Encourage the woman to be more forthright with answers.

Accepted Answer

The answer of A nurse is interviewing a pregnant woman...

Deck 24: The Childbearing Family with Special Needs