Deck 4: Health Promotion and Illness Prevention

Question 1

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

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

Answer 1

Heroin

Question 2

During the past 20 years the prevalence of obesity has doubled in the United States,with 25% of women older than 20 years of age being obese. Body mass index is defined as the measure of an adult's weight in relation to his or her height. This is currently the most accurate measure of weight. It is an important part of the health screening process because obesity is closely associated with:

A)The non-Hispanic Caucasian population.
B)A large number of chronic conditions.
C)Mostly acute illnesses.
D)Improved mental well-being.

Answer 2

A large number of chronic conditions.

Question 3

During a health history interview,a woman tells the nurse that her husband physically abuses her. The nurse's first response should be to:

A)Advise the woman of mandatory state reporting laws pertaining to abuse and confidentiality.
B)Reassure the woman that the abuse is not her fault.
C)Give the woman referrals to local agencies and shelters where she can obtain help.
D)Formulate an escape plan for the woman that she can use the next time her husband abuses her.

Answer 3

Advise the woman of mandatory state reporting laws pertaining to abuse and confidentiality.

Question 4

One purpose of preconception care is to:

A)Ensure that pregnancy complications do not occur.
B)Identify women who should not become pregnant.
C)Encourage healthy lifestyles for families desiring pregnancy.
D)Ensure that women know about prenatal care.

Question 5

Concerning the use and abuse of legal drugs or substances,nurses should be aware that:

A)Although cigarette smoking causes a number of health problems,it has little direct effect on maternity-related health.
B)Women ages 21 to 34 have the highest rates of specific alcohol-related problems.
C)Coffee is a stimulant that can interrupt body functions and has been related to birth defects.
D)Prescription psychotherapeutic drugs taken by the mother do not affect the fetus;otherwise they would not have been prescribed.

Question 6

Kegel exercises,or pelvic muscle exercises:

A)Were developed to control or reduce incontinent urine loss.
B)Are the best exercises for a pregnant woman because they are so pleasurable.
C)Help to manage stress.
D)Are ineffective without sufficient calcium in the diet.

Question 7

The nurse who is evaluating the client for potential abuse should be aware that intimate partner violence includes (choose all that apply):

A)Physical abuse
B)Sexual abuse
C)Emotional abuse
D)Psychologic abuse
E)Economic abuse
F) None of the above

Question 8

A thorough abuse assessment screen should be done on all clients. This screen includes (choose all that apply):

A)Asking the client if she has ever been slapped,kicked,punched,or physically hurt by her partner.
B)Asking the client if she is afraid of her partner.
C)Asking the client if she has been forced to perform sexual acts.
D)Diagramming the client's current injuries on a body map.
E)Asking the client what she did wrong to elicit the abuse.

Question 9

_____ use/abuse during pregnancy causes vasoconstriction and decreased placental perfusion,resulting in maternal and neonatal complications.

A)Alcohol
B)Caffeine
C)Tobacco
D)Chocolate

Question 10

With regard to violence against women,intimate partner violence (IPV) nurses should be aware that:

A)Relationship violence usually consists of a single episode that the couple can put behind them.
B)Violence often declines or ends with pregnancy.
C)Economic coercion is considered part of IPV.
D)Battered women generally are poorly educated and come from a deprived social background.

Question 11

The nurse's best measure when evaluating the care of a woman in an abusive situation is based on the:

A)Woman's decision to leave her partner.
B)Woman's declaration of a safety plan.
C)Couple's follow-through on a referral for counseling.
D)Woman's gratitude to the nurse for the helpful information.

Question 12

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

A)Initiating a referral to an expert counselor
B)Setting limits on what the client discloses
C)Listening and encouraging therapeutic communication skills
D)Acknowledging the nurse's discomfort to the client as an expression of empathy

Question 13

Sexual assault is:

A)Limited to rape.
B)An act of force in which an unwanted and uncomfortable sexual act occurs.
C)A legal term for sexual violence.
D)An act of violence in which the partner is unknown.

Question 14

The use of methamphetamine (meth) has been described as the number one drug problem in America. To provide adequate nursing care to this client population the nurse must be cognizant that methamphetamine:

A)Is used only by those of a higher socioeconomic status because of the expense.
B)Uses amphetamine,a central nervous system stimulant,as the active ingredient.
C)Manifests a response similar to marijuana when smoked.
D)Decreases sexual activity when used among fertile women.

Question 15

As a powerful central nervous system stimulant,which of these substances can lead to miscarriage,preterm labor,premature separation of the placenta,and stillbirth?

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

Question 16

The nurse who provides preconception care understands that it:

A)Is designed for women who have never been pregnant.
B)Includes risk factor assessments for potential medical and psychologic problems but by law cannot consider finances or workplace conditions.
C)Avoids teaching about safe sex to avoid political controversy.
D)Could include interventions to reduce substance use and abuse.

Question 17

The modern woman faces increasing levels of stress on a daily basis. As a result she is prone to a variety of increased complaints and illness. The nurse is most likely aware of the psychologic symptoms of stress such as anxiety and depression;however,a number of physiologic symptoms may also occur. To best assist her client in managing these symptoms the nurse is aware that stress may also result in:

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.