Deck 24: The Childbearing Family With Special Needs

Question 1

A woman who is older than 35 years may have difficulty achieving pregnancy,because

A) Personal risk behaviors influence fertility.
B) She has used contraceptives for an extended time.
C) Her ovaries may be affected by the aging process.
D) Prepregnancy medical attention is lacking.

Answer 1

Her ovaries may be affected by the aging process.

Question 2

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,because

A) A daily consumption of alcohol indicates a risk for alcoholism.
B) She will be at risk for abusing other substances as well.
C) The fetus is placed at risk for altered brain growth.
D) The fetus is at risk for multiple organ anomalies.

Answer 2

The fetus is placed at risk for altered brain growth.

Question 3

What is most likely to be a concern for the older mother?

A) The importance of having enough rest and sleep
B) Information about effective contraceptive methods
C) Nutrition and diet planning
D) Information about exercise and fitness

Answer 3

The importance of having enough rest and sleep

Question 4

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."

Question 5

A common effect of both smoking and cocaine use on the pregnant woman is

A) Vasoconstriction
B) Increased appetite
C) Changes in insulin metabolism
D) Increased metabolism

Question 6

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?"

Question 7

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.

Question 8

As a powerful central nervous system stimulant,which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?

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

Question 9

Of adolescents who become pregnant,what percentage have had a previous birth?

A) 10%
B) 15%
C) 19%
D) 35%

Question 10

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 (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

Question 11

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

Question 12

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.

Question 13

The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is

A) Genetic changes and anomalies
B) Extensive central nervous system damage
C) Fetal addiction to the substance inhaled
D) Intrauterine growth restriction

Question 14

When helping the mother,father,and other family members actualize the loss of the infant,nurses should

A) Use the words lost or gone rather than dead or died.
B) Make sure the family understands that it is important to name the baby.
C) If the parents choose to visit with the baby, apply lotion to the baby and wrap the infant in a pretty blanket.
D) Set a firm time for ending the visit with the baby so that the parents know when to let go.

Question 15

In helping bereaved parents cope and move on,nurses should keep in mind that

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.
B) When pictures of the infant are taken for keepsakes, no close-ups should be taken of any congenital anomalies.
C) No significant differences exist in grieving individuals from various cultures, ethnic groups, and religions.
D) In emergency situations, nurses who are so disposed must resist the temptation to baptize the infant in the absence of a priest or minister.

Question 16

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 (select all that apply)

A) Lack of realization that they are pregnant
B) Uncertainty as to where to go for care
C) Continuing to deny the pregnancy
D) A desire to gain control over their situation
E) Wanting to hide the pregnancy as long as possible

Question 17

An appropriate nursing measure when a baby has an unexpected anomaly is to

A) Remove the baby from the delivery area immediately.
B) Tell the parents that the baby has to go to the nursery immediately.
C) Inform the parents immediately that something is wrong.
D) Explain the defect and show the baby to the parents as soon as possible.

Question 18

Despite warnings,prenatal exposure to alcohol continues to far exceed exposure to illicit drugs.A diagnosis of Fetal Alcohol Syndrome is made when there are visible markers in each of three categories.Which is not a recognized category for diagnosis of FAS?

A) Respiratory conditions
B) Impaired growth
C) CNS abnormality
D) Craniofacial dysmorphologies

Question 19

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

Question 20

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?

A) The woman and her partner are having an argument that is loud and hostile.
B) The woman has injuries on various parts of her body that are in different stages of healing.
C) Examination reveals a fractured arm and fresh bruises. Her husband asks her about her pain.
D) She avoids making eye contact and is hesitant to answer questions.

Question 21

An increasing number of women are now becoming pregnant relatively late in their reproductive lives.The birth rate for women ages 40 to 44 has increased to the highest level in 40 years.Which advances in maternity care these women are at no greater risk for obstetric complications.Is this statement true or false?

Question 22

The standard of care for women who are dependent on heroin or other narcotics is ___________ maintenance treatment (MMT).

Question 23

Society tends to minimize perinatal loss because of the prevailing belief that there are no barriers to getting pregnant and the expectation that once a woman is pregnant,a healthy,live infant will result.Is this statement true or false?