Test Bank For Olds’ Maternal-Newborn
Nursing and Women’s Health Across the
Lifespan 9th Edition with questions &
veried answers latest update graded A+
During a breastfeeding class, the nurse discusses ways to include the
father in the breastfeeding process. The nurse knows further teaching is
necessary when a prospective father states:
1. "I can feed the baby a bottle of formula."
2. "I can burp the baby between breasts."
3. "I can rock the baby to sleep after breastfeeding."
4. "When the baby wakes up, I can bring the baby to her mother." -
ANSWER>>Correct Answer: 1
Rationale 1: Feeding the baby a bottle is not an option. Breastfeeding has
to be established.
Rationale 2: Including the father in the breastfeeding process involves
burping the baby between breasts and/or after feeding.
Rationale 3: Including the father in the breastfeeding process involves
rocking the baby back to sleep.
Rationale 4: Including the father in the breastfeeding process involves
bringing the baby to the mother for feedings.
The nurse in the obstetrical clinic is setting appointments for patients
seeking preconceptual care. Which patient should be seen first?
,1. 36-year-old, has never been pregnant, takes medication for a seizure
disorder.
2. 15-year-old, smokes one pack per day, had a miscarriage 4 months ago.
3. 22-year-old, runs long distances, has been on the pill for 6 years.
4. 29-year-old, has had two abortions, takes a multiple-vitamin
supplement - ANSWER>>Correct Answer: 1
Rationale 1: This patient is the top priority because she has multiple risk
factors: She is over the age of 35 and therefore is at risk for trisomies; she
takes medication, and some medications are teratogenic and
contraindicated during pregnancy; and pregnancy is not recommended for
women with some conditions. This patient needs to see the specialist who
prescribes her antiseizure medication, as well as an obstetric provider, to
discuss the risks her age presents to a possible pregnancy.
Rationale 2: Although this patient has the risks of being young and a
smoker, she is not the highest-priority patient.
Rationale 3: The only risk factor this patient has is a need to increase folic
acid intake due to being on the pill for six years. She is not the highest-
priority patient.
Rationale 4: This patient has no risk factors for pregnancy. A history of
more than three abortions increases the risks of preterm labor and
infertility, but this patient has only had two abortions. She is not the
highest-priority patient.
A primigravida is admitted to the labor unit with contractions every 7-8
minutes. She is 3 cm dilated, 70% effaced, and at 0 station. She is very
anxious, is having difficulty coping with contractions, and states that she
did not attend prenatal classes. What is the most effective nursing
intervention?
1. Instruct the patient in abdominal breathing and progressive relaxation.
2. Instruct the patient in patterned, paced breathing and touch relaxation.
, 3. Instruct the patient in pelvic tilt and pelvic rock exercises.
4. Call the physician and request a sedative - ANSWER>>Correct Answer: 1
Rationale 1: Abdominal breathing and progressive relaxation assist the
patient in relaxing, and allow the uterine muscles to work more efficiently.
Rationale 2: Patterned, paced breathing and touch relaxation are exercises
that are taught in childbirth preparation classes and involve the use of a
partner.
Rationale 3: Pelvic tilt and rock exercises are body-conditioning exercises.
Rationale 4: Providing sedatives would not allow the patient to participate
actively in the process.
The nurse is assisting an expectant couple in developing a birth plan.
Which instruction would the nurse include in the teaching plan?
1. The birth plan includes only patient choices, and does not take into
account standard choices of the healthcare provider.
2. The birth plan allows the patient to make choices about the birth
process; however, these choices cannot be altered.
3. The birth plan is a legally binding contract between the patient and the
healthcare provider.
4. The birth plan is a communication tool between the patient and the
healthcare provider. - ANSWER>>Correct Answer: 4
Rationale 1: The birth plan does not include only the patient's choices.
Rationale 2: The written plan identifies options that are available, and can
be altered.
Rationale 3: The birth plan is not a legal document.
Rationale 4: The birth plan is used as a tool for communication among the
expectant parents, the healthcare provider, and the healthcare
professionals at the birth setting.
Nursing and Women’s Health Across the
Lifespan 9th Edition with questions &
veried answers latest update graded A+
During a breastfeeding class, the nurse discusses ways to include the
father in the breastfeeding process. The nurse knows further teaching is
necessary when a prospective father states:
1. "I can feed the baby a bottle of formula."
2. "I can burp the baby between breasts."
3. "I can rock the baby to sleep after breastfeeding."
4. "When the baby wakes up, I can bring the baby to her mother." -
ANSWER>>Correct Answer: 1
Rationale 1: Feeding the baby a bottle is not an option. Breastfeeding has
to be established.
Rationale 2: Including the father in the breastfeeding process involves
burping the baby between breasts and/or after feeding.
Rationale 3: Including the father in the breastfeeding process involves
rocking the baby back to sleep.
Rationale 4: Including the father in the breastfeeding process involves
bringing the baby to the mother for feedings.
The nurse in the obstetrical clinic is setting appointments for patients
seeking preconceptual care. Which patient should be seen first?
,1. 36-year-old, has never been pregnant, takes medication for a seizure
disorder.
2. 15-year-old, smokes one pack per day, had a miscarriage 4 months ago.
3. 22-year-old, runs long distances, has been on the pill for 6 years.
4. 29-year-old, has had two abortions, takes a multiple-vitamin
supplement - ANSWER>>Correct Answer: 1
Rationale 1: This patient is the top priority because she has multiple risk
factors: She is over the age of 35 and therefore is at risk for trisomies; she
takes medication, and some medications are teratogenic and
contraindicated during pregnancy; and pregnancy is not recommended for
women with some conditions. This patient needs to see the specialist who
prescribes her antiseizure medication, as well as an obstetric provider, to
discuss the risks her age presents to a possible pregnancy.
Rationale 2: Although this patient has the risks of being young and a
smoker, she is not the highest-priority patient.
Rationale 3: The only risk factor this patient has is a need to increase folic
acid intake due to being on the pill for six years. She is not the highest-
priority patient.
Rationale 4: This patient has no risk factors for pregnancy. A history of
more than three abortions increases the risks of preterm labor and
infertility, but this patient has only had two abortions. She is not the
highest-priority patient.
A primigravida is admitted to the labor unit with contractions every 7-8
minutes. She is 3 cm dilated, 70% effaced, and at 0 station. She is very
anxious, is having difficulty coping with contractions, and states that she
did not attend prenatal classes. What is the most effective nursing
intervention?
1. Instruct the patient in abdominal breathing and progressive relaxation.
2. Instruct the patient in patterned, paced breathing and touch relaxation.
, 3. Instruct the patient in pelvic tilt and pelvic rock exercises.
4. Call the physician and request a sedative - ANSWER>>Correct Answer: 1
Rationale 1: Abdominal breathing and progressive relaxation assist the
patient in relaxing, and allow the uterine muscles to work more efficiently.
Rationale 2: Patterned, paced breathing and touch relaxation are exercises
that are taught in childbirth preparation classes and involve the use of a
partner.
Rationale 3: Pelvic tilt and rock exercises are body-conditioning exercises.
Rationale 4: Providing sedatives would not allow the patient to participate
actively in the process.
The nurse is assisting an expectant couple in developing a birth plan.
Which instruction would the nurse include in the teaching plan?
1. The birth plan includes only patient choices, and does not take into
account standard choices of the healthcare provider.
2. The birth plan allows the patient to make choices about the birth
process; however, these choices cannot be altered.
3. The birth plan is a legally binding contract between the patient and the
healthcare provider.
4. The birth plan is a communication tool between the patient and the
healthcare provider. - ANSWER>>Correct Answer: 4
Rationale 1: The birth plan does not include only the patient's choices.
Rationale 2: The written plan identifies options that are available, and can
be altered.
Rationale 3: The birth plan is not a legal document.
Rationale 4: The birth plan is used as a tool for communication among the
expectant parents, the healthcare provider, and the healthcare
professionals at the birth setting.
