Deck 4: Health Promotion

Question 1

What should nurses be aware of concerning the use and abuse of legal drugs or substances?

A) Although cigarette smoking causes a number of health problems, it has little direct effect on maternity-related health.
B) About 25% of women ages 18 to 24 report frequent excessive alcohol consumption.
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.

Answer 1

About 25% of women ages 18 to 24 report frequent excessive alcohol consumption.

Question 2

What percentage of women experience violence by an intimate partner?

A) 10%
B) 15%
C) 20%
D) 25%

Answer 2

25%

Question 3

The nurse who provides preconception care understands which of the following statements about preconception care?

A) It is designed for women who have never been pregnant.
B) It includes risk factor assessments for potential medical and psychological problems but does not consider socioeconomic status.
C) It avoids teaching about safe sex, as the woman is seeking pregnancy.
D) It could include interventions to reduce substance use and abuse.

Answer 3

It could include interventions to reduce substance use and abuse.

Question 4

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

Question 5

The use of methamphetamine (meth)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?

A) It is used only by those of a higher socioeconomic status, because of the expense.
B) It contains amphetamine, a central nervous system stimulant, as the active ingredient.
C) It manifests a response similar to marijuana when smoked.
D) Its use by fertile women decreases their sexual activity.

Question 6

Body mass index is an important part of the health screening process,because obesity is closely associated with which of the following?

A) Lower infant mortality rates
B) A large number of chronic conditions
C) Mostly acute illnesses
D) Improved mental well-being

Question 7

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 of the following?

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

Question 8

Which statement is true in relation to intimate partner violence?

A) Alcohol and drug use cause battering.
B) Many offenders are successful professionals.
C) Battering occurs in a small percentage of the population.
D) Only people who come from abusive families end up in abusive relationships.

Question 9

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

A) The woman's decision to leave her partner
B) The woman's declaration of a safety plan
C) The couple's follow-through on a referral for counselling
D) The woman's gratitude to the nurse for the helpful information

Question 10

What should an intimate partner violence (IPV)nurse be aware of?

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 abuse is considered part of IPV.
D) Battered women generally are poorly educated and come from a deprived social background.

Question 11

Which of the following is one of the Five A's of the Interventions for Smoking Cessation?

A) Abuse
B) Advise
C) Advocate
D) Accommodate

Question 12

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.

Question 13

Which statement is true in relation to Kegel exercises?

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

Question 14

The nurse is teaching the patient about health screening recommendations for women aged 18 and older.What is the recommended frequency at which women should have a Pap smear?

A) Annually
B) Every 2 years
C) Every 1 to 3 years
D) Every 3 to 5 years

Question 15

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

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

Question 16

The use of which of the following during pregnancy causes vasoconstriction and decreased placental perfusion,resulting in maternal and neonatal complications?

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

Question 17

Which statement reflects one purpose of preconception care?

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.