Question 1

The use of which during pregnancy causes vasoconstriction and decreased placental perfusion,resulting in maternal and neonatal complications?&#10;A) Alcohol&#10;B) Caffeine&#10;C) Tobacco&#10;D) Vitamin A

Accepted Answer

Smoking in pregnancy is known to cause a decrease in placental perfusion and is the cause of low birth weight.Prenatal alcohol exposure is the single greatest preventable cause of mental problems.Alcohol use during pregnancy can cause high blood pressure,miscarriage,premature birth,stillbirth,and anemia.Caffeine may interfere with certain medications and make arrhythmias worse.

Question 2

The use of methamphetamine has been steadily increasing in Canada.What must the nurse be cognizant of in relation to methamphetamine use,to provide adequate nursing care to this patient population?&#10;A) It is used only by those of a higher socioeconomic status,because of the expense.&#10;B) It contains amphetamine,a central nervous system stimulant,as the active ingredient.&#10;C) It manifests a response similar to marijuana when smoked.&#10;D) Its use by fertile women decreases their sexual activity.

Accepted Answer

The active metabolite of methamphetamine is amphetamine,a central nervous system stimulant known as both "speed" and "meth." Meth is relatively cheap and is "hooking" more people across the socioeconomic spectrum.When smoked,the behaviour of the patient is similar to that resulting from use of cocaine,not similar to marijuana use.Users of meth can experience feeling hypersexual and uninhibited,leading to unsafe sexual practices.

Question 3

Which reflects one purpose of preconception care?&#10;A) Ensure that pregnancy complications do not occur.&#10;B) Identify women who should not become pregnant.&#10;C) Encourage healthy lifestyles for families desiring pregnancy.&#10;D) Ensure that women know about prenatal care.

Accepted Answer

Preconception counselling guides couples in how to avoid unintended pregnancies,how to identify and manage risk factors in their lives and their environment,and how to identify healthy behaviours that promote the well-being of the woman and her potential fetus.Preconception care does not ensure that pregnancy complications will not occur.In many cases,problems can be identified and treated and may not recur in subsequent pregnancies.In many instances,counselling enables behaviour modification before damage is done,or a woman can make an informed decision about her willingness to accept potential hazards.If a woman is seeking preconception care,she likely is aware of prenatal care.

Question 4

When evaluating the care of a woman in an abusive situation,which is the nurse's best measure?&#10;A) The woman's decision to leave her partner&#10;B) The woman's declaration of a safety plan&#10;C) The couple's follow-through on a referral for counselling&#10;D) The woman's gratitude to the nurse for the helpful information

Accepted Answer

Safety is the most significant part of the intervention.This statement would be a positive step for the woman,but it is not the most significant part of the intervention.In addition,many women choose to return to the relationship.Couples counselling generally is not recommended.Initially,individual counselling is more beneficial.Neither is a measure of success in the evaluation of the care plan of an abused woman.The woman may express her gratitude to the nurse in an effort to end the conversation.This does not indicate the woman's readiness to leave the relationship or to make a plan for safety.

Question 5

The nurse is most likely aware of the psychological symptoms of stress,such as anxiety and depression;however,a number of physiological symptoms may also occur.To best assist the patient in managing these symptoms,the nurse should be aware that stress may also result in which response?

A) Decreased heart rate and blood pressure
B) Rapid digestion resulting in heartburn
C) Decrease in hormone levels
D) Flare-ups of arthritis and asthma

Accepted Answer

Flare-ups of arthritis,asthma,frequent colds,infections,and cardiovascular problems may be the result of constant stress.Stress results in increased blood pressure and heart rate.Stress often causes slowed digestion and eating disorders.Stress often causes an increase in the level of both hormones and neurotransmitters,which may result in infertility or a weakened immune system.

Question 6

What should nurses be aware of concerning the use and misuse of legal drugs or substances?&#10;A) Although cigarette smoking causes a number of health problems,it has little direct effect on maternity-related health.&#10;B) About 75% of women age 15 and older report alcohol consumption.&#10;C) Coffee is a stimulant that can interrupt body functions and has been related to birth defects.&#10;D) Prescription psychotherapeutic drugs taken by the mother do not affect the fetus;otherwise,they would not have been prescribed.

Accepted Answer

In 2012,74% of Canadian women age 15 and older reported drinking alcohol;based on the amount of alcohol abused,16% of those women are at risk for long-term complications and 10% at risk for acute illness.Although a very small percentage of child-bearing women have alcohol-related problems,alcohol abuse during pregnancy has been associated with a number of negative outcomes.Cigarette smoking impairs fertility and is a cause of low birth weight.Caffeine consumption has not been related to birth defects.Psychotherapeutic drugs have some effect on the fetus,and that risk must be weighed against their benefit to the mother.

Question 7

What percentage of women experience violence by an intimate partner?&#10;A) 9%&#10;B) 13%&#10;C) 17%&#10;D) 21%

Accepted Answer

It is reported that one in six (17% )women experience violence by an intimate partner.

Question 8

Which opiate causes euphoria,relaxation,drowsiness,and detachment from reality and has possible effects on the pregnancy,including pre-eclampsia,intrauterine growth restriction,and premature rupture of membranes?

A) Heroin
B) Alcohol
C) PCP
D) Cocaine

Accepted Answer

The opiates include opium,heroin,meperidine,morphine,codeine,and methadone.The signs and symptoms of heroin use are euphoria,relaxation,relief from pain,detachment from reality,impaired judgement,drowsiness,constricted pupils,nausea,constipation,slurred speech,and respiratory depression.Women who use opiates during pregnancy have a six-times higher risk for negative outcomes.Alcohol,PCP,and cocaine are not opiates.

Question 9

Which is true in relation to intimate partner violence?&#10;A) Alcohol and drug use cause battering.&#10;B) Many offenders are successful professionals.&#10;C) Battering occurs in a small percentage of the population.&#10;D) Only people who come from abusive families end up in abusive relationships.

Accepted Answer

Many offenders are successful professionals;research indicates that only a small number of abusers have psychological problems.Although alcohol and drugs may be involved in abusive incidents,it is not the cause.Battering occurs in more than a small percentage of the population;about one in six women experience violence by an intimate partner.Most women report that their partners were the first person to beat them;therefore,it is a myth that only people who come from abusive families end up in abusive relationships.

Question 10

Body mass index is an important part of the health screening process,because obesity is closely associated with what?&#10;A) Lower infant mortality rates&#10;B) A large number of chronic conditions&#10;C) Mostly acute illnesses&#10;D) Improved mental well-being

Accepted Answer

Overweight and obesity are known risk factors for diabetes,heart disease,dyslipidemia,stroke,hypertension,arthritis,osteoporosis,and some types of cancer.Overweight and obesity are most frequently linked to chronic conditions.It is a myth that obesity is associated with improved mental well-being.In fact,obesity is associated with depression and increased stress.

Question 11

Which is one of the Four A's of the Interventions for Smoking Cessation?&#10;A) Abuse&#10;B) Advise&#10;C) Advocate&#10;D) Accommodate

Accepted Answer

The answer of Which is one of the Four A's...

Question 12

What should an intimate partner violence (IPV)nurse be aware of?&#10;A) Relationship violence usually consists of a single episode that the couple can put behind them.&#10;B) Violence often declines or ends with pregnancy.&#10;C) Economic abuse is considered part of IPV.&#10;D) Battered women generally are poorly educated and come from a deprived social background.

Accepted Answer

The answer of What should an intimate partner violence (IPV)nurse...

Question 13

As a powerful central nervous system stimulant,which can lead to miscarriage,preterm labour,premature separation of the placenta,and stillbirth?&#10;A) Heroin&#10;B) Alcohol&#10;C) PCP&#10;D) Cocaine

Accepted Answer

The answer of As a powerful central nervous system stimulant,which...

Question 14

The nurse who provides preconception care understands which about preconception care?&#10;A) It is designed for women who have never been pregnant.&#10;B) It includes risk factor assessments for potential medical and psychological problems but does not consider socioeconomic status.&#10;C) It avoids teaching about safer sex,as the woman is seeking pregnancy.&#10;D) It could include interventions to reduce substance use and abuse.

Accepted Answer

The answer of The nurse who provides preconception care understands...

Question 15

Which are correlated with the occurrence of sleep disorders? Select all that apply.Express answer in small letters,followed by a comma and a space-e.g. ,a,b,&#10;A) Anxiety&#10;B) Depression&#10;C) Fibromyalgia&#10;D) Hypertension&#10;E) Pain&#10;F) Obesity

Accepted Answer

The answer of Which are correlated with the occurrence of...

Question 16

Which is true in relation to Kegel exercises?&#10;A) They were developed to control or reduce incontinent urine loss.&#10;B) They are the best exercises for a pregnant woman because they are so pleasurable.&#10;C) They help to manage stress.&#10;D) They are ineffective without sufficient calcium in the diet.

Accepted Answer

The answer of Which is true in relation to Kegel...

Question 17

Intervention for the survivor of sexual abuse often is not attempted by maternity and women's health nurses because of their concern about increasing the woman's distress and the lack of expertise in counselling.Which initial intervention is appropriate and most important in facilitating the woman's care?

A) Initiate a referral to an expert counsellor.
B) Set limits on what the patient discloses.
C) Listen and encourage therapeutic communication skills.
D) Acknowledge the nurse's discomfort to the patient as an expression of empathy.

Accepted Answer

The answer of Intervention for the survivor of sexual abuse...

Deck 5: Health Promotion