Davis Advantage for Maternal-Newborn Success Full Test Bank
1. Since 1995, there has been a significant decrease in the ANS: c
rate of infant death related to which of the following:
a. Disorders associated with short gestation and low birth
weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord,
and membranes
2. Tobacco use during pregnancy is associated with ANS: a
adverse effects on the unborn infant, such as intrauterine
growth restriction, preterm births, and respiratory
problems. By race, which has the highest percentage of
smokers?
a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites
3. Which of the following women is at the highest risk for ANS: d
health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old
woman
d. An Asian, low-income, 30-year-old woman
4. A neonate born at 36 weeks gestation is classified as ANS: c
which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term
5. The perinatal nurse explains to the student nurse that a ANS: d
goal of the Healthy People 2020 report is to:
a. Increase proportion of infants who are breastfed to
93.1%.
b. Increase proportion of infants who are breastfed to
90.7%.
c. Increase proportion of infants who are breastfed to
85.6%.
d. Increase proportion of infants who are breastfed to
83.9%.
6. The perinatal nurse explains to the student nurse that ANS: d
__________ is the leading cause of infant death in the
United States.
a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal
abnormalities
7. Which of the following statements are true related to ANS: a, b, d
teen pregnancies? (Select all that apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive
problems.
c. The birth rate for teenaged women has increased in the
past 15 years.
d. Infants born to teen mothers are at higher risk for health
problems.
An ethical dilemma unique to perinatal nursing is the: ANS: a
a. Innate conflict between maternal and fetal rights
b. Intensive use of technology
c. Shortage of health-care resources
d. Risk of violation of the principle of veracity
, Davis Advantage for Maternal-Newborn Success Full Test Bank
The American Nurses Association Code of Ethics for ANS: d
Nurses directs nurses to provide patient care that is:
a. Curative
b. Utilitarian
c. Negotiable
d. Respectful
Evidence-based practice is the integration of the best: ANS: b
a. Randomized clinical trials, clinical expertise, and
patients requests
b. Research evidence, clinical expertise, and patients
values
c. Quantitative research, clinical expertise, and patients
preferences
d. Research findings, clinical experience, and patients
preferences
Infants whose mothers were obese during pregnancy are ANS: a, b, c
at higher risk for which of the following? (Select all that
apply.)
a. Childhood diabetes
b. Heart defects
c. Hypospadias
d. Respiratory distress
The color of a person's hair is an example of which of the ANS: d
following?
a. Genome
b. Sex-link inheritance
c. Genotype
d. Phenotype
Which of the following statements by a pregnant woman ANS: b
indicates she needs additional teaching on ways to reduce
risks to her unborn child from the potential effects of
exposure to toxoplasmosis?
a. I will avoid rare lamb.
b. I will wear a mask when cleaning my cats litter box.
c. I understand that exposure to toxoplasmosis can cause
blindness in the baby.
d. I will avoid rare beef.
3. The fetal circulatory structure that connects the ANS: c
pulmonary artery with the descending aorta is known as
which of the following?
a. Ductus venosus
b. Foramen ovale
c. Ductus arteriosus
d. Internal iliac artery
A woman at 40 weeks gestation has a diagnosis of ANS: d
oligohydramnios. Which of the following statements related
to oligohydramnios is correct?
a. It indicates that there is a 25% increase in amniotic fluid.
b. It indicates that there is a 25% reduction of amniotic
fluid.
c. It indicates that there is a 50% increase in amniotic fluid.
d. It indicates that there is a 50% reduction of amniotic
fluid.
5. A diagnostic test commonly used to assess problems of ANS: c
the fallopian tubes is:
a. Endometrial biopsy
b. Ovarian reserve testing
c. Hysterosalpingogram
d. Screening for sexually transmitted infections
, Davis Advantage for Maternal-Newborn Success Full Test Bank
The nurse is interviewing a gravid woman during the first ANS: a
prenatal visit. The woman confides to the nurse that she
lives with a number of pets. The nurse should advise the
woman to be especially careful to refrain from coming in
contact with the stool of which of the pets?
a. Cat
b. Dog
c. Hamster
d. Bird
A client is to take Clomiphene Citrate for infertility. Which of ANS: c
the following is the expected action of this medication?
a. Decrease the symptoms of endometriosis
b. Increase serum progesterone levels
c. Stimulate release of FSH and LH
d. Reduce the acidity of vaginal secretions
The nurse takes the history of a client, G2 P1, at her first ANS: c
prenatal visit. The client is referred to a genetic counselor,
due to her previous child having a diagnosis of
__________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis
A nurse is teaching a woman about her menstrual cycle. ANS: d
The nurse states that __________ is the most important
change that happens during the secretory phase of the
menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium
An ultrasound of a fetus heart shows that normal fetal ANS: a
circulation is occurring. Which of the following statements
is consistent with the finding?
a. A right-to-left shunt is seen between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary
system.
d. A right-to-left shunt is seen between the umbilical
arteries.
The clinic nurse knows that the part of the endometrial ANS: c
cycle occurring from ovulation to just prior to menses is
known as the:
a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase
A clinic nurse explains to the pregnant woman that the ANS: c
amount of amniotic fluid present at 24 weeks gestation is
approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL
Information provided by the nurse that addresses the ANS: b
function of the amniotic fluid is that the amniotic fluid helps
the fetus to maintain a normal body temperature and also:
a. Facilitates asymmetrical growth of the fetal limbs
b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue
1. Since 1995, there has been a significant decrease in the ANS: c
rate of infant death related to which of the following:
a. Disorders associated with short gestation and low birth
weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord,
and membranes
2. Tobacco use during pregnancy is associated with ANS: a
adverse effects on the unborn infant, such as intrauterine
growth restriction, preterm births, and respiratory
problems. By race, which has the highest percentage of
smokers?
a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites
3. Which of the following women is at the highest risk for ANS: d
health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old
woman
d. An Asian, low-income, 30-year-old woman
4. A neonate born at 36 weeks gestation is classified as ANS: c
which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term
5. The perinatal nurse explains to the student nurse that a ANS: d
goal of the Healthy People 2020 report is to:
a. Increase proportion of infants who are breastfed to
93.1%.
b. Increase proportion of infants who are breastfed to
90.7%.
c. Increase proportion of infants who are breastfed to
85.6%.
d. Increase proportion of infants who are breastfed to
83.9%.
6. The perinatal nurse explains to the student nurse that ANS: d
__________ is the leading cause of infant death in the
United States.
a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal
abnormalities
7. Which of the following statements are true related to ANS: a, b, d
teen pregnancies? (Select all that apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive
problems.
c. The birth rate for teenaged women has increased in the
past 15 years.
d. Infants born to teen mothers are at higher risk for health
problems.
An ethical dilemma unique to perinatal nursing is the: ANS: a
a. Innate conflict between maternal and fetal rights
b. Intensive use of technology
c. Shortage of health-care resources
d. Risk of violation of the principle of veracity
, Davis Advantage for Maternal-Newborn Success Full Test Bank
The American Nurses Association Code of Ethics for ANS: d
Nurses directs nurses to provide patient care that is:
a. Curative
b. Utilitarian
c. Negotiable
d. Respectful
Evidence-based practice is the integration of the best: ANS: b
a. Randomized clinical trials, clinical expertise, and
patients requests
b. Research evidence, clinical expertise, and patients
values
c. Quantitative research, clinical expertise, and patients
preferences
d. Research findings, clinical experience, and patients
preferences
Infants whose mothers were obese during pregnancy are ANS: a, b, c
at higher risk for which of the following? (Select all that
apply.)
a. Childhood diabetes
b. Heart defects
c. Hypospadias
d. Respiratory distress
The color of a person's hair is an example of which of the ANS: d
following?
a. Genome
b. Sex-link inheritance
c. Genotype
d. Phenotype
Which of the following statements by a pregnant woman ANS: b
indicates she needs additional teaching on ways to reduce
risks to her unborn child from the potential effects of
exposure to toxoplasmosis?
a. I will avoid rare lamb.
b. I will wear a mask when cleaning my cats litter box.
c. I understand that exposure to toxoplasmosis can cause
blindness in the baby.
d. I will avoid rare beef.
3. The fetal circulatory structure that connects the ANS: c
pulmonary artery with the descending aorta is known as
which of the following?
a. Ductus venosus
b. Foramen ovale
c. Ductus arteriosus
d. Internal iliac artery
A woman at 40 weeks gestation has a diagnosis of ANS: d
oligohydramnios. Which of the following statements related
to oligohydramnios is correct?
a. It indicates that there is a 25% increase in amniotic fluid.
b. It indicates that there is a 25% reduction of amniotic
fluid.
c. It indicates that there is a 50% increase in amniotic fluid.
d. It indicates that there is a 50% reduction of amniotic
fluid.
5. A diagnostic test commonly used to assess problems of ANS: c
the fallopian tubes is:
a. Endometrial biopsy
b. Ovarian reserve testing
c. Hysterosalpingogram
d. Screening for sexually transmitted infections
, Davis Advantage for Maternal-Newborn Success Full Test Bank
The nurse is interviewing a gravid woman during the first ANS: a
prenatal visit. The woman confides to the nurse that she
lives with a number of pets. The nurse should advise the
woman to be especially careful to refrain from coming in
contact with the stool of which of the pets?
a. Cat
b. Dog
c. Hamster
d. Bird
A client is to take Clomiphene Citrate for infertility. Which of ANS: c
the following is the expected action of this medication?
a. Decrease the symptoms of endometriosis
b. Increase serum progesterone levels
c. Stimulate release of FSH and LH
d. Reduce the acidity of vaginal secretions
The nurse takes the history of a client, G2 P1, at her first ANS: c
prenatal visit. The client is referred to a genetic counselor,
due to her previous child having a diagnosis of
__________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis
A nurse is teaching a woman about her menstrual cycle. ANS: d
The nurse states that __________ is the most important
change that happens during the secretory phase of the
menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium
An ultrasound of a fetus heart shows that normal fetal ANS: a
circulation is occurring. Which of the following statements
is consistent with the finding?
a. A right-to-left shunt is seen between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary
system.
d. A right-to-left shunt is seen between the umbilical
arteries.
The clinic nurse knows that the part of the endometrial ANS: c
cycle occurring from ovulation to just prior to menses is
known as the:
a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase
A clinic nurse explains to the pregnant woman that the ANS: c
amount of amniotic fluid present at 24 weeks gestation is
approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL
Information provided by the nurse that addresses the ANS: b
function of the amniotic fluid is that the amniotic fluid helps
the fetus to maintain a normal body temperature and also:
a. Facilitates asymmetrical growth of the fetal limbs
b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue
