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

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Chapter1:TrendsandIssues
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MultipleChoice s
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Identify the choice that best completes the statement or answers the question.
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1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is present for
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support and notes that things have changed in the delivery room since she last gave birth in the early
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1980s. Which current trend or intervention may the patient’s mother find most different?
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1. Fetalmonitoring throughout labor ns ns ns




2. Postpartum stayof 10 days ns ns ns ns




3. Expectant partner and familyin operating room for cesarean birth ns ns ns ns ns ns ns ns ns




4. Hospital support for breastfeeding ns ns ns




2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to
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stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. This is an
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example of what type of death?
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1. Earlymaternal death ns ns




2. Latematernal death ns ns




3. Direct obstetric death ns ns




4. Indirectobstetric death ns ns




3. The nurse is providing education to a patient who has given birth to her first child and is being
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discharged home. The patient expressed concern regarding infant mortality and sudden infant death
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syndrome(SIDS).Thepatienthad anuncomplicatedpregnancy,labor,andvaginaldelivery. Shehas a
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bodymass index of 25 and has no other health conditions.The infant is healthyand was delivered full-
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term. What will be most helpful thing to explain to the patient?
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1. Usesof extracorporeal membrane oxygenation therapy(ECMO) ns ns ns ns ns ns




2. Uses of exogenous pulmonarysurfactant ns ns ns ns




3. The Baby-FriendlyHospital Initiative ns ns ns




4. TheSafe to Sleep campaign ns ns ns ns




4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital
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sores and discomfort, thepatient tests positive forsyphilis.The fetus isat increasedriskof which
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condition?
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1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension

5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal
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visit,thepatienttestednegativeforchlamydia,syphilis,gonorrhea,andHIV.Basedonthe information
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provided, which condition is the patient’s baby at higher risk for?
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1. Intestinalproblems ns




2. Neonatalconjunctivitis ns




3. Blindness
4. Pneumonia


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6. The nurseis caring for a 23-year-old patient who arrives at the clinic for a pregnancytest.The test
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confirms the patient is pregnant. The patient states, “I do not need to stop smoking my electronic
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cigarette because it will not harm my baby.” Which is the best response by the nurse?
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1. “Youarecorrect. Electroniccigarettesarenotharmfulduringpregnancy.” ns ns ns ns ns ns ns ns ns




2. “Tobaccoproducts,includingelectroniccigarettes,shouldnotbeusedduring ns ns ns ns ns ns ns ns ns




pregnancy due to risking nicotine toxicity.”
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3. “Accordingtothe FDA, although electroniccigarettesare safefor you, theycan cause ns ns ns ns ns ns ns ns ns ns ns ns ns




harm to the fetus during pregnancy.”
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4. “Electroniccigarettes areconsidered harmful onlyin thefirst trimester.” ns ns ns ns ns ns ns ns ns




7. The nurseis caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male.
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The patient’s mother has accompanied her to today’s visit. During the nursing assessment, the patient
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mentions that she is no longer in a relationship with the baby’s father but her mother plans to help her.
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However, the patient’s mother asks whether this will have any impact on the child. Which should the
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nurse indicate the child is at increased risk of during his adolescence?
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1. Hypertension
2. Diabetes
3. Alcohol abuse ns




4. Intraventricularbleeding ns




8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may
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have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement
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by the nurse is most appropriate?
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1. “Did you smoke marijuana when pregnant with your other child?” ns ns ns ns ns ns ns ns ns




2. “Toavoidnegativeeffectsonyourbaby, you’llneedtostopusingmarijuana
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during your last trimester.”
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3. “Usingmarijuanawhile pregnant canhave anegative effectontheneurological ns ns ns ns ns ns ns ns ns ns ns




development of your baby.”
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4. “Marijuanause while pregnant greatlyincreases your risk of miscarriage.” ns ns ns ns ns ns ns ns ns




9. Thenurseis counseling afemalepatient aboutalcohol useduringpregnancy.Which statementby the
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patient demonstrates successful patient teaching?
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1. “Iwill limit mydrinking to just one alcoholicbeverage per day.”
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2. “It’sbest for mybabyif Iavoid drinking during pregnancy.” ns ns ns ns ns ns ns ns ns ns




3. “Anoccasional drinkon specialoccasions is okay.” ns ns ns ns ns ns ns




4. “Drinkingalcohol is only acceptablein the first trimester.” ns ns ns ns ns ns ns ns




10. The nurseis educating the pregnant patient with a bodymass index (BMI) of 33.Thenurse knows that
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teaching has been effective when the patient states which of the following?
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1. “Mychild maybeat increased risk for birth injury.” ns ns ns ns ns ns ns ns ns




2. “Mychild mayhave a decreased risk of developing childhood diabetes.” ns ns ns ns ns ns ns ns ns ns




3. “Iwill probablygive birth vaginally.”ns ns ns ns ns




4. “Ihave a lower risk of developing gestational hypertension.”
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n s 11. Apregnant womanweighs90.9 kg. The nurseis educatingthe patient on complications that the
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patient may be at risk for during pregnancy. Which response by the patient indicates that she
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understands?
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1. “Due to myweight, there isa possibilitythat Imay develop gestational diabetes.” ns ns ns ns ns ns ns ns ns ns ns ns ns




2. “Iam not overweight, but Iam still at risk for gestational diabetes.”
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3. “Mymother had preeclampsia duringone of her pregnancies.” ns ns ns ns ns ns ns ns




4. “Iwill need to do a glucose tolerance test in mysecond trimester.”
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n s 12. The nurseis taking a historyof a mother who admits to cocaine druguse.Which action should the nurse
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take first? ns ns




1. Refer the patient to a drug abuse program. ns ns ns ns ns ns ns




2. Screen the infant forside effects associated with cocaine use. ns ns ns ns ns ns ns ns ns




3. Educatethe patient of the risks associated with cocaineuse during pregnancy. ns ns ns ns ns ns ns ns ns ns ns




4. Advise the patient that her baby will be okay even with the historyof cocaine use. ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns




n s 13. Apregnant patient with a BMIof 35 is concerned about health effects she and her babymayface during
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pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses
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(STIs) and indicated that she is in a committed, long-term relationship with the child’s father. Which
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of the following is accurate?
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1. Thepatient’s infant is atincreased risk of neonatal blindness. ns ns ns ns ns ns ns ns ns




2. Thepatient’s infanthasadecreased riskofbirth injury. ns ns ns ns ns ns ns ns ns




3. Thepatient will have increased risk of wound infection. ns ns ns ns ns ns ns ns




4. The patient will have a decreased risk of preeclampsia. ns ns ns ns ns ns ns ns




n s 14. The nurse has made it a goal to increase the rate at which women begin prenatal care in the first trimester.
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Thenurserelates this decisiontonational goals forbettermaternal andinfant outcomes. What guidelines
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will the nurse use to guide her maternal health goals?
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1. WHOMaternal care guidelines ns ns ns




2. StatePracticeActs ns ns




3. AWHONNwhitepapers ns ns




4. Healthy People 2020 ns ns




n s n s 15. Anursing student is asked to set goals that will decrease the fetal death outcomes during delivery.
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What guidelines will the nursing student use to assist in setting her goals?
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1. WHOMaternal care guidelines ns ns ns




2. Healthy People 2020 ns ns




3. AWHONNwhitepapers ns ns




4. StatePracticeAct ns ns




MultipleResponse ns




Identify one ormore choices that best complete the statement oranswer the question.
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n s 16. Awoman has recently given birth to an infant born at 35 weeks and 5 days gestation.What long- term
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effects should the nurse be concerned about with the infant being born at this gestation?
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Select all that apply. ns ns ns




1. Cerebralpalsy ns




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2. Respiratorydisorders ns




3. Developmentaldelays ns




4. Visualimpairments ns




5. Hearingimpairments ns




n s 17. An infant was recentlyborn weighing 1,498 grams.The nurseunderstands thatthe birth weight of this
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infant is an important indicator of what? Select all that apply.
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1. Morbidityrate ns




2. Prenatalcare ns




3. Mortalityrate ns




4. Infant health outcome ns ns




5. Postpartum care ns




n s 18. The nurseis takingthe historyofa gravida 2 para1 patient.Which findings in the patient’s history
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warrant further action? Select all that apply.
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1. Anemia
2. Severehemorrhage ns




3. Infections
4. Malnutrition
5. Eclampsia
n s 19. A nurse is caring for a single teen mother who has just given birth to her first child. The patient notes that
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the child’s father “wants no relationship with his son.” The patient goes on to express concerns about
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the short- and long-term impact of her teen pregnancyon herself and on her child. Which statements
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made by the nurse are accurate? Select all that apply.
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1. “Youare morelikelythan others to haveadditional children before you turn 20.” ns ns ns ns ns ns ns ns ns ns ns ns ns




2. “Youmayhave difficultycompletinghighschool or college.” ns ns ns ns ns ns ns ns




3. “Yourchildisless likelytoexperiencebehavioral problems.” ns ns ns ns ns ns ns ns




4. “Yourchildisat increased risk ofabusing alcoholwhen heis a teenager.” ns ns ns ns ns ns ns ns ns ns ns ns ns




5. “Youmaynotearnenoughmoneytoindependentlysupport yourselfand your ns ns ns ns ns ns ns ns ns ns ns




child.” ns




n s 20. The nurseis caring for awoman who is pregnant.Thepatient reports that she has also smoked less than
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five cigarettes per day and that she has continued to smoke during her pregnancy. Routine prenatal
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examination and diagnostics have indicated she tested negative for sexually transmitted infections and
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has a BMI of 25. Based on statistics, which is likely true about the patient and the developing fetus?
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Select all that apply.
ns ns ns ns




1. Shewill breastfeed her infant. ns ns ns ns




2. She is probablyaged 20–24. ns ns ns ns




3. She likelyhas earned a college degree. ns ns ns ns ns ns




4. Her child mayhave impaired brain development. ns ns ns ns ns ns




5. Her child is more likelyto be born prematurely. ns ns ns ns ns ns ns ns




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