Question 1

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

Accepted Answer

As women age, the number and quality of their eggs decrease, making it harder to get pregnant. This decrease in fertility is largely due to the natural aging process and cannot be prevented by behaviors or medical attention. While contraceptive use can delay pregnancy, it does not have a long-term impact on fertility.

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

Accepted Answer

Consuming alcohol during pregnancy can increase the risk of fetal alcohol syndrome (FAS) which can lead to altered brain growth and intellectual disabilities in the fetus. It is recommended that pregnant women avoid alcohol altogether.

Question 3

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

Accepted Answer

As women age, their bodies may not handle lack of sleep as well as they did in their younger years. Pregnancy can also cause fatigue, making it even more important for older mothers to prioritize 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

Accepted Answer

The best response by the nurse is to validate the patient's feelings and reassure them that it is not their fault. They should also offer assistance and support to the patient. Blaming the patient or making excuses for the abuser is not helpful in this situation.

Question 5

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

Accepted Answer

Both smoking and cocaine use can cause vasoconstriction, which is a narrowing of blood vessels. This can lead to decreased blood flow to the fetus, resulting in growth restriction and other complications.

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?

Accepted Answer

Option D acknowledges the woman's grief and offers an opportunity to talk about her feelings. This can be a crucial step in the grieving process and can help the woman come to terms with her loss. The other options either minimize her loss or offer unsolicited advice, which is not helpful in this situation.

Question 7

What is a major barrier to health care for teen mothers?

Accepted Answer

Continuity of care is important for teen mothers, as they need to develop a trusting relationship with their healthcare providers. Seeing a different nurse or doctor at every visit can be a major barrier to receiving adequate healthcare. The other choices are positive factors that may facilitate access to healthcare but do not address the issue of continuity of care.

Question 8

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

Accepted Answer

Cocaine is a powerful central nervous system stimulant that can have severe effects on a developing fetus. It can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth. Heroin can also have negative effects on a developing fetus, but it is not a central nervous system stimulant. Alcohol and PCP can also be harmful to a developing fetus, but they do not typically cause the same severe complications as cocaine.

Question 9

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

Accepted Answer

According to data from the Centers for Disease Control and Prevention, in 2018, 19% of adolescents aged 15-19 who gave birth had previously given birth. This means that the majority of adolescent pregnancies result in a first birth, highlighting the importance of prevention efforts.

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)

Accepted Answer

Peer pressure, limited access to contraception, and lack of role models are factors that can increase the risk of teen pregnancy. High self-esteem and planning sexual activity are not typically associated with increased risk.

Question 11

During which phase of the cycle of violence does the batterer become contrite and remorseful?

Accepted Answer

The batterer becomes contrite and remorseful during the Honeymoon phase, which is characterized by the abuser being apologetic, kind, and loving, in an effort to make up for the abuse that has taken place during the Battering phase. This phase is often brief before the cycle of violence starts again with the tension-building phase.

Question 12

In counseling a patient who has decided to relinquish her baby for adoption,the nurse should

Accepted Answer

Affirming the patient's decision and acknowledging the maturity required for making such a decision is an appropriate response. It is important for the nurse to support the patient's decision rather than questioning or attempting to influence it. The nurse should also provide information about support services available to the patient and make sure that the patient is not being coerced into making this decision. Offering the patient the option to change her mind may create undue pressure or doubt about her decision, it is not an appropriate response.

Question 13

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

Accepted Answer

Smoking during pregnancy can cause intrauterine growth restriction in the fetus, which means that the baby may not grow to a healthy birth weight. This can lead to a number of health issues after birth, such as developmental delays, respiratory problems, and feeding difficulties. While smoking during pregnancy can also cause other harmful effects on the fetus, such as genetic changes and central nervous system damage, intrauterine growth restriction is considered the most dangerous.

Question 14

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

Accepted Answer

If the parents choose to visit with the baby, apply lotion to the baby and wrap the infant in a pretty blanket. This helps to create a positive and comforting experience for the parents, which can help them to begin to process the loss of their child.

Question 15

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

Accepted Answer

Every parent’s grief experience is unique, and not all support groups are created equal. Nurses should be aware that to provide truly helpful support, they need to find the right group for each set of parents.

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)

Accepted Answer

These are all common reasons why teens may delay seeking prenatal care until later in the pregnancy. They may not realize they are pregnant, be unsure of where to go for care, continue to deny the pregnancy, or want to hide it for as long as possible. It is important for healthcare providers to be aware of these potential barriers and work to address them in order to promote early and consistent prenatal care.

Question 17

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

Accepted Answer

It is important to provide the parents with accurate information and allow them to see their baby, which helps in beginning the bonding process and understanding the situation.

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?

Accepted Answer

Respiratory conditions are not included as a recognized category for diagnosis of Fetal Alcohol Syndrome. The three categories for diagnosis of FAS are impaired growth, CNS abnormality, and 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

Accepted Answer

Exchanging sex for drugs increases the risk of contracting sexually transmitted diseases, which can be harmful to both the mother and the baby. Cocaine use during pregnancy can also lead to other complications such as premature birth, low birth weight, and developmental delays. However, the other options listed (depression of the central nervous system and hypotension/vasodilation) are not directly related to the behavior of exchanging sex for drugs.

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?

Accepted Answer

Injuries in various stages of healing suggest a pattern of repeated harm over time, which is a common indicator of battering or abuse.

Quiz 24: The Childbearing Family With Special Needs