Family Health (BSN2) Exam Three Sherpath/Quizzes
With Complete Solutions
SIDS usually occurs after the age of 6 months?
True
False - ANSWER False
Complications of nausea and vomiting in pregnancy may be identified through which
diagnostic test?
-X-ray
-Blood type and screen
-urinalysis
-Amniocentesis - ANSWER Urinalysis
reason: Elevated blood and/or urine ketones are a complication of hyperemesis.
Elevated urine ketones are identified through a urinalysis.
Which maternal complication associated with hyperemesis gravidarum is less common?
-Weight loss
-Hepatic Dysfunction
-Urinary Ketones
-Hypokalemia - ANSWER Hepatic Dysfunction
reason: less common in women with hyperemesis gravidarum and signifies a severe
condition.
Which known risk factors for developing hyperemesis gravidarum would the nurse
identify?
Select all that apply.
-Increased placental mass as with a multiple-gestation pregnancy
-Family history of hyperemesis gravidarum
-Multiple food allergies
,-History of migraine headaches
-History of motion sickness - ANSWER - Increased placental mass as with a multiple-
gestation pregnancy
- Family history of hyperemesis gravidarum
- History of migraine headaches
- History of motion sickness
The nurse understands that which component of fetal blood is affected by Rh
incompatibility?
Plasma
Platelets
Red Blood Cells
White Blood Cells - ANSWER Red blood cells (RBCs)
Reason: Fetal RBCs express the Rh factor and are therefore attacked and destroyed by
maternal antibodies in the case of Rh incompatibility
The nurse would anticipate Rho(D) immune globulin to be administered to which
patient?
-A woman who is Rh-negative after childbirth
-A woman who is Rh-positive after childbirth
-A woman who is Rh-negative at 20 weeks gestation
-A woman who is Rh-positive before a blood transfusion - ANSWER A woman who is
Rh-negative after childbirth
explanation: Rho(D) immune globulin is administered to patients who are Rh-negative
after the birth of a baby who is Rh-positive.
An Rh-negative mother has just given birth to her first child, who is Rh-positive. The
mother did not receive Rho(D) immune globulin during pregnancy. Which risk is
associated with this Rh incompatibility?
-Future children may develop anemia
-The mother may develop kernicterus.
-The mother is at risk for neurologic disease.
-The newborn may develop bilirubin encephalopathy. - ANSWER Future children may
develop anemia
explanation:
Once maternal antibodies are developed against the Rh factor as a result of carrying
and delivering an Rh-positive baby, future Rh-positive children may be at risk for
anemia and serious neurologic disorders.
Match the ages to their respective age group as they apply to pregnant women.
,-Adolescent Teen Pregnancy
-Young Adult Pregnancy
-Teen Pregnancy
-Advanced Maternal Age
15-17
15-19
14-17
17-19
18-19
35+ - ANSWER - Adolescent teen pregnancy = 15-17 years old
- Young adult teen pregnancy = 18-19 years old
- Teen pregnancy = 15-19 years old
- Advanced maternal age = 35 years old and greater
Which factor in adolescents increases the risk for unhealthy outcomes in pregnancy and
beyond?
-Underdeveloped reproductive systems
-Health disparities
-Increasing incidence of teen pregnancy in the United States
-Increased risk for fetal aneuploidy - ANSWER Health disparities
explanation:
Social determinants of health including poverty, access to care, and home life make this
population higher risk.
Which groups are at increased risk for experiencing teen pregnancy?
Select all that apply.
- Alaskan Native teens
- Teens living at or below the poverty level
- Hispanic teens
- Teens in foster care
-Asian American Teens
-Teens with Higher levels of Education - ANSWER - Alaskan Native teens
, - Teens living at or below the poverty level
- Hispanic teens
- Teens in foster care
The nurse administers Rho(D) immune globulin to an Rh-negative mother to prevent
which complication?
- Sepsis
-Maternal Anemia
-ABO Incompatibility
-Erythroblastosis Fetalis - ANSWER Erythroblastosis fetalis
explanation:
Erythroblastosis fetalis is a complication of an Rh-negative mother not receiving Rho(D)
immune globulin during pregnancy. This condition results in heart failure for the fetus
and ultimately can result in death.
Which intervention may be necessary for a pregnant woman of advanced maternal age
with an average asymptomatic blood pressure of 130/80 mm Hg?
-Induction of labor at 36 weeks gest
-Hospitalization for magnesium sulfate
-Low-dose aspirin therapy
-Rho(D) immune globulin injection - ANSWER Low-dose aspirin therapy
explanation: Low-dose aspirin therapy is recommended for women in this population
with mildly elevated blood pressure as a result of the increased risk for preeclampsia
with advanced maternal age.
Which actions would the nurse perform when caring for a patient with hyperemesis
gravidarum?
Select all that apply.
- Monitor laboratory values
- Provide patient education
- Measure urine output
- Provide emotional support
- Refer for a psychological evaluation - ANSWER - Monitor laboratory values
- Provide patient education
With Complete Solutions
SIDS usually occurs after the age of 6 months?
True
False - ANSWER False
Complications of nausea and vomiting in pregnancy may be identified through which
diagnostic test?
-X-ray
-Blood type and screen
-urinalysis
-Amniocentesis - ANSWER Urinalysis
reason: Elevated blood and/or urine ketones are a complication of hyperemesis.
Elevated urine ketones are identified through a urinalysis.
Which maternal complication associated with hyperemesis gravidarum is less common?
-Weight loss
-Hepatic Dysfunction
-Urinary Ketones
-Hypokalemia - ANSWER Hepatic Dysfunction
reason: less common in women with hyperemesis gravidarum and signifies a severe
condition.
Which known risk factors for developing hyperemesis gravidarum would the nurse
identify?
Select all that apply.
-Increased placental mass as with a multiple-gestation pregnancy
-Family history of hyperemesis gravidarum
-Multiple food allergies
,-History of migraine headaches
-History of motion sickness - ANSWER - Increased placental mass as with a multiple-
gestation pregnancy
- Family history of hyperemesis gravidarum
- History of migraine headaches
- History of motion sickness
The nurse understands that which component of fetal blood is affected by Rh
incompatibility?
Plasma
Platelets
Red Blood Cells
White Blood Cells - ANSWER Red blood cells (RBCs)
Reason: Fetal RBCs express the Rh factor and are therefore attacked and destroyed by
maternal antibodies in the case of Rh incompatibility
The nurse would anticipate Rho(D) immune globulin to be administered to which
patient?
-A woman who is Rh-negative after childbirth
-A woman who is Rh-positive after childbirth
-A woman who is Rh-negative at 20 weeks gestation
-A woman who is Rh-positive before a blood transfusion - ANSWER A woman who is
Rh-negative after childbirth
explanation: Rho(D) immune globulin is administered to patients who are Rh-negative
after the birth of a baby who is Rh-positive.
An Rh-negative mother has just given birth to her first child, who is Rh-positive. The
mother did not receive Rho(D) immune globulin during pregnancy. Which risk is
associated with this Rh incompatibility?
-Future children may develop anemia
-The mother may develop kernicterus.
-The mother is at risk for neurologic disease.
-The newborn may develop bilirubin encephalopathy. - ANSWER Future children may
develop anemia
explanation:
Once maternal antibodies are developed against the Rh factor as a result of carrying
and delivering an Rh-positive baby, future Rh-positive children may be at risk for
anemia and serious neurologic disorders.
Match the ages to their respective age group as they apply to pregnant women.
,-Adolescent Teen Pregnancy
-Young Adult Pregnancy
-Teen Pregnancy
-Advanced Maternal Age
15-17
15-19
14-17
17-19
18-19
35+ - ANSWER - Adolescent teen pregnancy = 15-17 years old
- Young adult teen pregnancy = 18-19 years old
- Teen pregnancy = 15-19 years old
- Advanced maternal age = 35 years old and greater
Which factor in adolescents increases the risk for unhealthy outcomes in pregnancy and
beyond?
-Underdeveloped reproductive systems
-Health disparities
-Increasing incidence of teen pregnancy in the United States
-Increased risk for fetal aneuploidy - ANSWER Health disparities
explanation:
Social determinants of health including poverty, access to care, and home life make this
population higher risk.
Which groups are at increased risk for experiencing teen pregnancy?
Select all that apply.
- Alaskan Native teens
- Teens living at or below the poverty level
- Hispanic teens
- Teens in foster care
-Asian American Teens
-Teens with Higher levels of Education - ANSWER - Alaskan Native teens
, - Teens living at or below the poverty level
- Hispanic teens
- Teens in foster care
The nurse administers Rho(D) immune globulin to an Rh-negative mother to prevent
which complication?
- Sepsis
-Maternal Anemia
-ABO Incompatibility
-Erythroblastosis Fetalis - ANSWER Erythroblastosis fetalis
explanation:
Erythroblastosis fetalis is a complication of an Rh-negative mother not receiving Rho(D)
immune globulin during pregnancy. This condition results in heart failure for the fetus
and ultimately can result in death.
Which intervention may be necessary for a pregnant woman of advanced maternal age
with an average asymptomatic blood pressure of 130/80 mm Hg?
-Induction of labor at 36 weeks gest
-Hospitalization for magnesium sulfate
-Low-dose aspirin therapy
-Rho(D) immune globulin injection - ANSWER Low-dose aspirin therapy
explanation: Low-dose aspirin therapy is recommended for women in this population
with mildly elevated blood pressure as a result of the increased risk for preeclampsia
with advanced maternal age.
Which actions would the nurse perform when caring for a patient with hyperemesis
gravidarum?
Select all that apply.
- Monitor laboratory values
- Provide patient education
- Measure urine output
- Provide emotional support
- Refer for a psychological evaluation - ANSWER - Monitor laboratory values
- Provide patient education
