Chapter 05: Health Promotion
MULTIPLE CHOICE
1. Which reflects one purpose of preconception care?
a. Ensure that pregnancy complications do
not occur.
b. Identify women who should not become
pregnant.
c. Encourage healthy lifestyles for families
desiring pregnancy.
d. Ensure that women know about
prenatal care.
ANS: C
Preconception counselling guides couples in how to avoid unintended pregnancies, how
to identify and manage risk factors in their lives and their environment, and how to
identify healthy behaviours that promote the well-being of the woman and her potential
fetus. Preconception care does not ensure that pregnancy complications will not occur.
In many cases, problems can be identified and treated and may not recur in subsequent
pregnancies. In many instances, counselling enables behaviour modification before
damage is done, or a woman can make an informed decision about her willingness to
accept potential hazards. If a woman is seeking preconception care, she likely is aware
of prenatal care.
DIF: Cognitive Level: Comprehension REF: p. 63 OBJ: Nursing Process: Planning
2. The nurse who provides preconception care understands which about preconception care?
a. It is designed for women who have never
been pregnant.
b. It includes risk factor assessments for
potential medical and psychological
problems but does not consider
socioeconomic status.
, c. It avoids teaching about safer sex, as the
woman is seeking pregnancy.
d. It could include interventions to reduce
substance use and abuse.
ANS: D
If assessment indicates problematic substance use, treatment can be suggested or
arranged. Preconception care is designed for all women of child-bearing potential, not
just those who have never been pregnant. Risk factor assessment includes
consideration of socioeconomic status and its effect on the determinants of health.
Health promotion can include teaching about safer sex.
DIF: Cognitive Level: Comprehension REF: p. 64 | Box 5-3
OBJ: Nursing Process: Implementation
3. What should nurses be aware of concerning the use and misuse of legal drugs or substances?
a. Although cigarette smoking causes a
number of health problems, it has little
direct effect on maternity-related health.
b. About 75% of women age 15 and older
report alcohol consumption.
c. Coffee is a stimulant that can interrupt
body functions and has been related to
birth defects.
d. Prescription psychotherapeutic drugs
taken by the mother do not affect the
fetus; otherwise, they would not have
been prescribed.
ANS: B
In 2012, 74% of Canadian women age 15 and older reported drinking alcohol; based on
the amount of alcohol abused, 16% of those women are at risk for long-term
complications and 10% at risk for acute illness. Although a very small percentage of
child-bearing women have alcohol-related problems, alcohol abuse during pregnancy
has been associated with a number of negative outcomes. Cigarette smoking impairs
fertility and is a cause of low birth weight. Caffeine consumption has not been related to
birth defects. Psychotherapeutic drugs have some effect on the fetus, and that risk must
be weighed against their benefit to the mother.
DIF: Cognitive Level: Knowledge REF: p. 67 OBJ: Nursing Process: Planning
MULTIPLE CHOICE
1. Which reflects one purpose of preconception care?
a. Ensure that pregnancy complications do
not occur.
b. Identify women who should not become
pregnant.
c. Encourage healthy lifestyles for families
desiring pregnancy.
d. Ensure that women know about
prenatal care.
ANS: C
Preconception counselling guides couples in how to avoid unintended pregnancies, how
to identify and manage risk factors in their lives and their environment, and how to
identify healthy behaviours that promote the well-being of the woman and her potential
fetus. Preconception care does not ensure that pregnancy complications will not occur.
In many cases, problems can be identified and treated and may not recur in subsequent
pregnancies. In many instances, counselling enables behaviour modification before
damage is done, or a woman can make an informed decision about her willingness to
accept potential hazards. If a woman is seeking preconception care, she likely is aware
of prenatal care.
DIF: Cognitive Level: Comprehension REF: p. 63 OBJ: Nursing Process: Planning
2. The nurse who provides preconception care understands which about preconception care?
a. It is designed for women who have never
been pregnant.
b. It includes risk factor assessments for
potential medical and psychological
problems but does not consider
socioeconomic status.
, c. It avoids teaching about safer sex, as the
woman is seeking pregnancy.
d. It could include interventions to reduce
substance use and abuse.
ANS: D
If assessment indicates problematic substance use, treatment can be suggested or
arranged. Preconception care is designed for all women of child-bearing potential, not
just those who have never been pregnant. Risk factor assessment includes
consideration of socioeconomic status and its effect on the determinants of health.
Health promotion can include teaching about safer sex.
DIF: Cognitive Level: Comprehension REF: p. 64 | Box 5-3
OBJ: Nursing Process: Implementation
3. What should nurses be aware of concerning the use and misuse of legal drugs or substances?
a. Although cigarette smoking causes a
number of health problems, it has little
direct effect on maternity-related health.
b. About 75% of women age 15 and older
report alcohol consumption.
c. Coffee is a stimulant that can interrupt
body functions and has been related to
birth defects.
d. Prescription psychotherapeutic drugs
taken by the mother do not affect the
fetus; otherwise, they would not have
been prescribed.
ANS: B
In 2012, 74% of Canadian women age 15 and older reported drinking alcohol; based on
the amount of alcohol abused, 16% of those women are at risk for long-term
complications and 10% at risk for acute illness. Although a very small percentage of
child-bearing women have alcohol-related problems, alcohol abuse during pregnancy
has been associated with a number of negative outcomes. Cigarette smoking impairs
fertility and is a cause of low birth weight. Caffeine consumption has not been related to
birth defects. Psychotherapeutic drugs have some effect on the fetus, and that risk must
be weighed against their benefit to the mother.
DIF: Cognitive Level: Knowledge REF: p. 67 OBJ: Nursing Process: Planning
