https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
, https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
Test Bank for Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda
Chapman. All Chapters 1 - 19
TABLE OF CONTENTS
Maternity Nursing Overview
01.Trends and Issues
02.Ethics and Standards of Practice Issues
The Antepartal Period
03.Genetics, Conception, Fetal Development, and Reproductive Skill
04.Physiological Aspects of Antepartum Care
05.The Psycho-Social-Cultural Aspects of the Antepartum Period
06.Antepartal Tests
07.High-Risk Antepartum Nursing Care
Intrapartal Period
0.8Intrapartum Assessment and Interventions
09.Fetal Heart Rate Assessment
10.High-Risk Labor and Birth
11.Intrapartum and Postpartum Care of the Cesarean Birth Families
Postpartal Period
12. Postpartum physiological Assessments and Nursing Care
13. Transition to Parenthood
14. High -Risk Postpartum Nursing Care
Neonatal Period
15. Physiological and Behavioral Responses of the Neonate
16. Discharge Planning and Teaching
17. High-Risk Neonatal Nursing Care
Women’s Well-being
18. Well Women’s Well-being
19. Alterations in Women’s Well-being
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is kid for a patient who is in labor with her first child. The patient’s mum is
present for support and notes that things have changed in the delivery room since she last
gave birth in the early 1980s. Which current trend or intervention may the patient’s mum
find most different?
1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 1. Discuss current trends in the running of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Process> Nursing Process
Shopper Want: Well-being Promotion and
Maintenance Cognitive Level> Application
[Applying] Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring in labor began in the late 1970s. As such,
this likely would have occurred in the mum’s labor and delivery in the 1980s.
2 This is incorrect. In the past, the average Hospital postpartum stay was 10 days.
Presently, the average postpartum stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were excluded from
the labor and birth experience. Present trends involve the expectant partner and
family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation
consultant and employment of the Baby-Friendly Hospital Initiative, were both
enacted in the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. In delivery, the staff was not able
to stabilize the patient’s blood pressure. As a result, the patient died shortly after
delivery. This is an example of what type of demise?
1. Early maternal demise
2. Late maternal demise
3. Direct obstetric demise
4. Indirect obstetric demise ANS: 4
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 2. Discuss current trends in maternal and infant well-being
outcomes.
Page: 7
Heading: Trends > Maternal Demise and Mortality Rates
Integrated Process> Nursing Process
Shopper Want: physiology Integrity: Reduction of Risk Potential Cognitive
Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Hard
Feedback
1 This is incorrect. Early maternal demise is not an example of maternal demise.
Examples of maternal demise include late maternal demise, indirect obstetric
demise, direct obstetric demise, and gestation-related demise.
2 This is incorrect. Late maternal demise occurs 42 days after termination of
gestation from a direct or indirect obstetric cause.
3 This is incorrect. Direct obstetric demise results from complications in gestation,
labor, birth, and/or postpartum period.
4 This is correct. Indirect obstetric demise is caused by a preexisting disease, or a
disease that develops in gestation.
PTS: 1 CON: Ante/Intra/Post-partum
3. The nurse is providing education to a patient who has given birth to her first child and is
being discharged home. The patient expressed concern regarding infant mortality and
sudden infant demise syndrome (SIDS). The patient had an uncomplicated gestation, labor,
and vaginal delivery. She has a body mass index of 25 and has no other well-being
conditions. The infant is well-being and was delivered full-term. What will be most helpful
thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 3. Identify leading causes of infant demise.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Process> Nursing process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Well-being Promotion
Difficulty: Moderate
Feedback
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
infant mortality among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased infant
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
preterm infants.
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
designed to promote well-beingy infant sleeping habits. The decrease in SIDS
from 1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Well-being Promotion
4. The nurse is kid for a 14-year-old patient who is 32 weeks pregnant. After complaining of
genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
increased risk of which condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 10
Heading: Issues > Teen Gestation > Implications of Teen Gestation and Birth
Integrated Process> Nursing Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Maternal obesity increases a child’s risk of rising childhood
obesity and diabetes.
2 This is correct. Neonatal blindness, maternal demise, and neonatal demise are all
associated with a patient who contracts syphilis in gestation.
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
4 This is incorrect. Teen mas may have a higher risk of contracting sexually
transmitted illnesses and hypertension in gestation; however, maternal syphilis is
not associated with fetal hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
5. The nurse is kid for a 15-year-old female who isgavidwith her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV.
Based on theamidprovided, which condition is the patient’s Baby at higher risk for?
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
4. Pneumonia
ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 11
Heading: Issues > Teen Gestation
Integrated Process> Nursing
Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential Cognitive
Level> Application [Applying]
Concept: Well-being Promotion
Difficulty: Difficult
Feedback
1 This is correct. Infants born to teen mas are at increased risk for various
conditions related to prematurity, including infant demise, intestinal problems,
and/or lung distress syndrome.
2 This is incorrect. Infants born to teen mas who have gonorrhea are at increased
risk of neonatal conjunctivitis and blindness.
3 This is incorrect. Infants born to teen mas with syphilis and gonorrhea are at
increased risk of blindness.
4 This is incorrect. Infants born to teen mas with chlamydia may be at increased
risk of rising chlamydial pneumonia.
PTS: 1 CON: Well-being Promotion
6. The nurse is kid for a 23-year-old patient who arrives at the clinic for a gestation test.
The test confirms the patient is pregnant. The patient states, “I do not want to stop
smoking my electronic cigarette because it will not harm my Baby.” Which is the best
response by the nurse?
1. “You are correct. Electronic cigarettes are not harmful in gestation.”
2. “Tobacco products, including electronic cigarettes, should not be used in
gestation due to risking nicotine toxicity.”
3. “According to the FDA, although electronic cigarettes are safe for you, they can
cause harm to the fetus in gestation.”
4. “Electronic cigarettes are considered harmful only in the first trimester.”
ANS: 2
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 12
Heading: Issues > Tobacco and Electronic Cigarette Use In Gestation Integrated
Process> Nursing Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
1 This is incorrect. Electronic cigarettes can be harmful in gestation.
2 This is correct.gavidwomen should not use tobacco products or electronic
cigarettes in gestation.
3 This is incorrect. Electronic cigarettes are not controlled by the FDA and may be
harmful to both mum and fetus.
4 This is incorrect. Electronic cigarettes are considered harmful in gestation.
PTS: 1 CON: Ante/Intra/Post-partum
7. The nurse is kid for a 16-year-old patient who is 32 weeksgavidwith her first child, who is
male. The patient’s mum has accompanied her to today’s visit. In the Nursing assessment,
the patient mentions that she is no longer in a relationship with the Baby’s father but her
mum plans to help her. However, the patient’s mum asks whether this will have any impact
on the child. Which should the nurse indicate the child is at increased risk of in his
adolescence?
1. Hypertension
2. Diabetes
3. Alcohol abuse
4. Intraventricular bleeding
ANS: 3
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 12
Heading: Issues > Teen Gestation > Implications of Teen Gestation and Birth
Integrated Process> Nursing Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Teen mas, rather than their children, are at increased risked of
hypertension in gestation.
2 This is incorrect. Children born to mas who are obese have an increased risk of
rising childhood obesity and childhood diabetes.
3 This is correct. Statistics have shown that adolescent boys without an involved
father may be at higher risk of incarceration, dropping out of school, and abusing
drugs or alcohol.
4 This is incorrect. Children born to teen mas are at increased risk for well-being
problems associated with low birth weight, including intraventricular bleeding.
PTS: 1 CON: Ante/Intra/Post-partum
8. The nurse is kid for a patient at 7 weeks gestation. The nurse suspects that agavidpatient
may have been using marijuana. With consent, the nurse confirms via urine drug screen.
Which statement by the nurse is most appropriate?
1. “Did you smoke marijuana whengavidwith your other child?”
2. “To avoid negative effects on your Baby, you’ll want to stop using marijuana
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
in your last trimester.”
3. “Using marijuana whilegavidcan have a negative effect on the neurological
development of your Baby.”
4. “Marijuana use whilegavidgreatly increases your risk of miscarriage.”
ANS: 3
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 3. Identify leading causes of infant demise.
Page: 13
Heading: Issues > Substance Abuse In Gestation Integrated
Process> Nursing Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Whether or not the woman used marijuana in her previous
gestation is not relevant to her current care.
2 This is incorrect. Marijuana should not be used at any point in gestation.
3 This is correct. Marijuana use in gestation may have a negative effect on the
neurological development of the fetus.
4 This is incorrect. There currently is no research linking marijuana use to
increased risk of miscarriage.
PTS: 1 CON: Ante/Intra/Post-partum
9. The nurse is counseling a female patient about alcohol use in gestation. Which
statement by the patient demonstrates successful patient teaching?
1. “I will limit my drinking to just one alcoholic beverage per day.”
2. “It’s best for my Baby if I avoid drinking in gestation.”
3. “An occasional drink on special occasions is okay.”
4. “Drinking alcohol is only acceptable in the first trimester.”
ANS: 2
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 3. Identify leading causes of infant demise.
Page: 13
Heading: Issues > Substance Abuse In Gestation Integrated
Process> Nursing Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Alcohol should not be consumed while pregnant.
2 This is correct. Drinking alcohol whilegavidcan cause low birth weight, fetal
alcohol syndrome, mental retardation, and intrauterine growth restriction.
, https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
3 This is incorrect. Alcohol should not be consumed while pregnant.
4 This is incorrect. Alcohol should not be consumed while pregnant.
PTS: 1 CON: Ante/Intra/Post-partum
10. The nurse is educating thegavidpatient with a body mass index (BMI) of 33. The nurse
knows that teaching has been effective when the patient states which of the following?
1. “My child may be at increased risk for birth injury.”
2. “My child may have a decreased risk of rising childhood diabetes.”
3. “I will probably give birth vaginally.”
4. “I have a lower risk of rising gestational hypertension.”
ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 13
Heading: Issues > Obesity
Integrated Process> Nursing
Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult
Feedback
1 This is correct. Shoulder dystocia and other birth injuries are associated with
infant macrosomia (large size) due to maternal obesity.
2 This is incorrect. Children born to mas who are obese are at increased risk of
rising childhood obesity and diabetes.
3 This is incorrect.gavidpatients who are obese are at increased risk of
cesarean birth.
4 This is incorrect.gavidpatients who are obese have an increased risk of rising
gestational diabetes and gestational hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
11. Agavidwoman weighs 90.9 kg. The nurse is educating the patient on complications that the
patient may be at risk for in gestation. Which response by the patient indicates that she
understands?
1. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
2. “I am not overweight, but I am still at risk for gestational diabetes.”
3. “My mum had preeclampsia in one of her pregnancies.”
4. “I will want to do a glucose tolerance test in my second trimester.”
ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 13
Heading: Issues > Obesity
Integrated Process> Nursing
Process
, https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
Test Bank for Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda
Chapman. All Chapters 1 - 19
TABLE OF CONTENTS
Maternity Nursing Overview
01.Trends and Issues
02.Ethics and Standards of Practice Issues
The Antepartal Period
03.Genetics, Conception, Fetal Development, and Reproductive Skill
04.Physiological Aspects of Antepartum Care
05.The Psycho-Social-Cultural Aspects of the Antepartum Period
06.Antepartal Tests
07.High-Risk Antepartum Nursing Care
Intrapartal Period
0.8Intrapartum Assessment and Interventions
09.Fetal Heart Rate Assessment
10.High-Risk Labor and Birth
11.Intrapartum and Postpartum Care of the Cesarean Birth Families
Postpartal Period
12. Postpartum physiological Assessments and Nursing Care
13. Transition to Parenthood
14. High -Risk Postpartum Nursing Care
Neonatal Period
15. Physiological and Behavioral Responses of the Neonate
16. Discharge Planning and Teaching
17. High-Risk Neonatal Nursing Care
Women’s Well-being
18. Well Women’s Well-being
19. Alterations in Women’s Well-being
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is kid for a patient who is in labor with her first child. The patient’s mum is
present for support and notes that things have changed in the delivery room since she last
gave birth in the early 1980s. Which current trend or intervention may the patient’s mum
find most different?
1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 1. Discuss current trends in the running of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Process> Nursing Process
Shopper Want: Well-being Promotion and
Maintenance Cognitive Level> Application
[Applying] Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring in labor began in the late 1970s. As such,
this likely would have occurred in the mum’s labor and delivery in the 1980s.
2 This is incorrect. In the past, the average Hospital postpartum stay was 10 days.
Presently, the average postpartum stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were excluded from
the labor and birth experience. Present trends involve the expectant partner and
family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation
consultant and employment of the Baby-Friendly Hospital Initiative, were both
enacted in the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. In delivery, the staff was not able
to stabilize the patient’s blood pressure. As a result, the patient died shortly after
delivery. This is an example of what type of demise?
1. Early maternal demise
2. Late maternal demise
3. Direct obstetric demise
4. Indirect obstetric demise ANS: 4
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 2. Discuss current trends in maternal and infant well-being
outcomes.
Page: 7
Heading: Trends > Maternal Demise and Mortality Rates
Integrated Process> Nursing Process
Shopper Want: physiology Integrity: Reduction of Risk Potential Cognitive
Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Hard
Feedback
1 This is incorrect. Early maternal demise is not an example of maternal demise.
Examples of maternal demise include late maternal demise, indirect obstetric
demise, direct obstetric demise, and gestation-related demise.
2 This is incorrect. Late maternal demise occurs 42 days after termination of
gestation from a direct or indirect obstetric cause.
3 This is incorrect. Direct obstetric demise results from complications in gestation,
labor, birth, and/or postpartum period.
4 This is correct. Indirect obstetric demise is caused by a preexisting disease, or a
disease that develops in gestation.
PTS: 1 CON: Ante/Intra/Post-partum
3. The nurse is providing education to a patient who has given birth to her first child and is
being discharged home. The patient expressed concern regarding infant mortality and
sudden infant demise syndrome (SIDS). The patient had an uncomplicated gestation, labor,
and vaginal delivery. She has a body mass index of 25 and has no other well-being
conditions. The infant is well-being and was delivered full-term. What will be most helpful
thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 3. Identify leading causes of infant demise.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Process> Nursing process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Well-being Promotion
Difficulty: Moderate
Feedback
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
infant mortality among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased infant
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
preterm infants.
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
designed to promote well-beingy infant sleeping habits. The decrease in SIDS
from 1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Well-being Promotion
4. The nurse is kid for a 14-year-old patient who is 32 weeks pregnant. After complaining of
genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
increased risk of which condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 10
Heading: Issues > Teen Gestation > Implications of Teen Gestation and Birth
Integrated Process> Nursing Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Maternal obesity increases a child’s risk of rising childhood
obesity and diabetes.
2 This is correct. Neonatal blindness, maternal demise, and neonatal demise are all
associated with a patient who contracts syphilis in gestation.
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
4 This is incorrect. Teen mas may have a higher risk of contracting sexually
transmitted illnesses and hypertension in gestation; however, maternal syphilis is
not associated with fetal hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
5. The nurse is kid for a 15-year-old female who isgavidwith her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV.
Based on theamidprovided, which condition is the patient’s Baby at higher risk for?
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
4. Pneumonia
ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 11
Heading: Issues > Teen Gestation
Integrated Process> Nursing
Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential Cognitive
Level> Application [Applying]
Concept: Well-being Promotion
Difficulty: Difficult
Feedback
1 This is correct. Infants born to teen mas are at increased risk for various
conditions related to prematurity, including infant demise, intestinal problems,
and/or lung distress syndrome.
2 This is incorrect. Infants born to teen mas who have gonorrhea are at increased
risk of neonatal conjunctivitis and blindness.
3 This is incorrect. Infants born to teen mas with syphilis and gonorrhea are at
increased risk of blindness.
4 This is incorrect. Infants born to teen mas with chlamydia may be at increased
risk of rising chlamydial pneumonia.
PTS: 1 CON: Well-being Promotion
6. The nurse is kid for a 23-year-old patient who arrives at the clinic for a gestation test.
The test confirms the patient is pregnant. The patient states, “I do not want to stop
smoking my electronic cigarette because it will not harm my Baby.” Which is the best
response by the nurse?
1. “You are correct. Electronic cigarettes are not harmful in gestation.”
2. “Tobacco products, including electronic cigarettes, should not be used in
gestation due to risking nicotine toxicity.”
3. “According to the FDA, although electronic cigarettes are safe for you, they can
cause harm to the fetus in gestation.”
4. “Electronic cigarettes are considered harmful only in the first trimester.”
ANS: 2
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 12
Heading: Issues > Tobacco and Electronic Cigarette Use In Gestation Integrated
Process> Nursing Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
1 This is incorrect. Electronic cigarettes can be harmful in gestation.
2 This is correct.gavidwomen should not use tobacco products or electronic
cigarettes in gestation.
3 This is incorrect. Electronic cigarettes are not controlled by the FDA and may be
harmful to both mum and fetus.
4 This is incorrect. Electronic cigarettes are considered harmful in gestation.
PTS: 1 CON: Ante/Intra/Post-partum
7. The nurse is kid for a 16-year-old patient who is 32 weeksgavidwith her first child, who is
male. The patient’s mum has accompanied her to today’s visit. In the Nursing assessment,
the patient mentions that she is no longer in a relationship with the Baby’s father but her
mum plans to help her. However, the patient’s mum asks whether this will have any impact
on the child. Which should the nurse indicate the child is at increased risk of in his
adolescence?
1. Hypertension
2. Diabetes
3. Alcohol abuse
4. Intraventricular bleeding
ANS: 3
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 12
Heading: Issues > Teen Gestation > Implications of Teen Gestation and Birth
Integrated Process> Nursing Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Teen mas, rather than their children, are at increased risked of
hypertension in gestation.
2 This is incorrect. Children born to mas who are obese have an increased risk of
rising childhood obesity and childhood diabetes.
3 This is correct. Statistics have shown that adolescent boys without an involved
father may be at higher risk of incarceration, dropping out of school, and abusing
drugs or alcohol.
4 This is incorrect. Children born to teen mas are at increased risk for well-being
problems associated with low birth weight, including intraventricular bleeding.
PTS: 1 CON: Ante/Intra/Post-partum
8. The nurse is kid for a patient at 7 weeks gestation. The nurse suspects that agavidpatient
may have been using marijuana. With consent, the nurse confirms via urine drug screen.
Which statement by the nurse is most appropriate?
1. “Did you smoke marijuana whengavidwith your other child?”
2. “To avoid negative effects on your Baby, you’ll want to stop using marijuana
,https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
in your last trimester.”
3. “Using marijuana whilegavidcan have a negative effect on the neurological
development of your Baby.”
4. “Marijuana use whilegavidgreatly increases your risk of miscarriage.”
ANS: 3
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 3. Identify leading causes of infant demise.
Page: 13
Heading: Issues > Substance Abuse In Gestation Integrated
Process> Nursing Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Whether or not the woman used marijuana in her previous
gestation is not relevant to her current care.
2 This is incorrect. Marijuana should not be used at any point in gestation.
3 This is correct. Marijuana use in gestation may have a negative effect on the
neurological development of the fetus.
4 This is incorrect. There currently is no research linking marijuana use to
increased risk of miscarriage.
PTS: 1 CON: Ante/Intra/Post-partum
9. The nurse is counseling a female patient about alcohol use in gestation. Which
statement by the patient demonstrates successful patient teaching?
1. “I will limit my drinking to just one alcoholic beverage per day.”
2. “It’s best for my Baby if I avoid drinking in gestation.”
3. “An occasional drink on special occasions is okay.”
4. “Drinking alcohol is only acceptable in the first trimester.”
ANS: 2
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 3. Identify leading causes of infant demise.
Page: 13
Heading: Issues > Substance Abuse In Gestation Integrated
Process> Nursing Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Alcohol should not be consumed while pregnant.
2 This is correct. Drinking alcohol whilegavidcan cause low birth weight, fetal
alcohol syndrome, mental retardation, and intrauterine growth restriction.
, https://www. /download Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman
3 This is incorrect. Alcohol should not be consumed while pregnant.
4 This is incorrect. Alcohol should not be consumed while pregnant.
PTS: 1 CON: Ante/Intra/Post-partum
10. The nurse is educating thegavidpatient with a body mass index (BMI) of 33. The nurse
knows that teaching has been effective when the patient states which of the following?
1. “My child may be at increased risk for birth injury.”
2. “My child may have a decreased risk of rising childhood diabetes.”
3. “I will probably give birth vaginally.”
4. “I have a lower risk of rising gestational hypertension.”
ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 13
Heading: Issues > Obesity
Integrated Process> Nursing
Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control
Cognitive Level> Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Difficult
Feedback
1 This is correct. Shoulder dystocia and other birth injuries are associated with
infant macrosomia (large size) due to maternal obesity.
2 This is incorrect. Children born to mas who are obese are at increased risk of
rising childhood obesity and diabetes.
3 This is incorrect.gavidpatients who are obese are at increased risk of
cesarean birth.
4 This is incorrect.gavidpatients who are obese have an increased risk of rising
gestational diabetes and gestational hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
11. Agavidwoman weighs 90.9 kg. The nurse is educating the patient on complications that the
patient may be at risk for in gestation. Which response by the patient indicates that she
understands?
1. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
2. “I am not overweight, but I am still at risk for gestational diabetes.”
3. “My mum had preeclampsia in one of her pregnancies.”
4. “I will want to do a glucose tolerance test in my second trimester.”
ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well-
being Issues. Page: 13
Heading: Issues > Obesity
Integrated Process> Nursing
Process
