Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman
Test Bank: Maternal-Newborn Nursing: The Critical
Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition, RobertaDurham,
Test Bank: Maternal-Newborn Nursing: The Critical TEST BANK FOR
Linda Chapman
Components of Nursing Care, 3rd Edition, Roberta
Durham, Linda Chapman MATERNAL-NEWBORN NURSING: THE
Test Bank: Maternal-Newborn Nursing: The Critical CRITICAL COMPONENTS OF NURSING
Components of Nursing Care, 3rd Edition, Roberta CARE, 3RD EDITION, ROBERTA
Durham, Linda Chapman
DURHAM, LINDA CHAPMAN
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, Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition, RobertaDurham, Components of Nursing
Chapter 1: Trends and Care,
Issues 3rd Edition, RobertaDurham,
TABLE OF CONTENTS
Linda Chapman Linda Chapman
Maternity Nursing Overview MULTIPLE CHOICE
1. Trends and Issues 1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
2. Ethics and Standards of Practice Issues 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 mother
find most different?
The Antepartal Period 1. Fetal monitoring throughout labor
3. Genetics, Conception, Fetal Development, and Reproductive 2. Postpartum stay of 10 days
Technology 3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
4. Physiological Aspects of Antepartum Care
5. The Psycho-Social-Cultural Aspects of the Antepartum Period ANS: 4
Chapter: Chapter 1 Trends and Issues
6. Antepartal Tests Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
7. High-Risk Antepartum Nursing Care Page: 4
Heading: Table 1-1: Past and Present Trends
Intrapartal Period Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
8. Intrapartum Assessment and Interventions Cognitive Level: Application [Applying]
9. Fetal Heart Rate Assessment Concept: Evidence-Based Practice
10. High-Risk Labor and Birth Difficulty: Moderate
11. Intrapartum and Postpartum Care of the Cesarean Birth Families Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
Postpartal Period this likely would have occurred during the mother’s labor and delivery during
the 1980s.
12. Postpartum Physiological Assessments and Nursing Care 2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
13. Transition to Parenthood Presently, the average postpartum stay is 48 hours or less.
14. High-Risk Postpartum Nursing Care 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
Neonatal Period room for cesarean births.
15. Physiological and Behavioral Responses of the Neonate 4 This is correct. Hospital support for breastfeeding, including a lactation
16. Discharge Planning and Teaching consultant and employment of the Baby-Friendly Hospital Initiative, were both
17. High-Risk Neonatal Nursing Care enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
Women’s Health
18. Well Women’s Health 2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
19. Alterations in Women’s Health 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 death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
ANS: 4
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, Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Components of Chapter
Chapter: Nursing1 Trends Care,
and Issues 3rd Edition, RobertaDurham, Components
2 of isNursing
This Care,
incorrect. Although 3rd
advances Edition,
in medical treatmentsRoberta
have decreasedDurham,
infant
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
outcomes. Linda Chapman preterm infants. Linda Chapman
Page: 7 3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
Heading: Trends > Maternal Death and Mortality Rates breastfeeding and is not directly linked to reduced infant mortality or SIDS.
Integrated Processes: Nursing Process 4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
Client Need: Physiological Integrity: Reduction of Risk Potential designed to promote healthy infant sleeping habits. The decrease in SIDS from
Cognitive Level: Application [Applying] 1995 to 2015 was attributed to the Safe to Sleep campaign.
Concept: Ante/Intra/Post-partum
Difficulty: Hard PTS: 1 CON: Health Promotion
Feedback 4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
1 This is incorrect. Early maternal death is not an example of maternal death. of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
Examples of maternal death include late maternal death, indirect obstetric death, increased risk of which condition?
direct obstetric death, and pregnancy-related death. 1. Diabetes
2 This is incorrect. Late maternal death occurs 42 days after termination of 2. Blindness
pregnancy from a direct or indirect obstetric cause. 3. Pneumonia
3 This is incorrect. Direct obstetric death results from complications during 4. Hypertension
pregnancy, labor, birth, and/or postpartum period.
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a ANS: 4
disease that develops during pregnancy. Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 10
PTS: 1 CON: Ante/Intra/Post-partum
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
3. The nurse is providing education to a patient who has given birth to her first child and is
Client Need: Physiological Integrity: Reduction of Risk Potential
being discharged home. The patient expressed concern regarding infant mortality and
Cognitive Level: Application [Applying]
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
Concept: Ante/Intra/Post-partum
and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
Difficulty: Moderate
The infant is healthy and was delivered full-term. What will be most helpful thing to explain
to the patient? Feedback
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
1 This is incorrect. Maternal obesity increases a child’s risk of developing
3. The Baby-Friendly Hospital Initiative childhood obesity and diabetes.
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
4. The Safe to Sleep campaign
associated with a patient who contracts syphilis during pregnancy.
ANS: 4 3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
Chapter: Chapter 1 Trends and Issues 4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
Chapter Learning Objective: 3. Identify leading causes of infant death. transmitted illnesses and hypertension during pregnancy; however, maternal
Page: 7 syphilis is not associated with fetal hypertension.
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing process PTS: 1 CON: Ante/Intra/Post-partum
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying] 5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
Concept: Health Promotion previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and
Difficulty: Moderate HIV. Based on the information provided, which condition is the patient’s baby at higher risk
for?
Feedback 1. Intestinal problems
1 This is incorrect. EMCO has been cited as one of the factors that has reduced 2. Neonatal conjunctivitis
infant mortality among preterm infants. 3. Blindness
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, Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition, RobertaDurham,
4. Pneumonia Components1 of
This Nursing Care,
is incorrect. Electronic 3rdcanEdition,
cigarettes Roberta
be harmful during pregnancy. Durham,
2 This is correct. Pregnant women should not use tobacco products or electronic
ANS: 1 Linda Chapman cigarettes duringLinda
pregnancy.Chapman
Chapter: Chapter 1 Trends and Issues 3
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. This is incorrect. Electronic cigarettes are not controlled by the FDA and may be
Page: 11 harmful to both mother and fetus.
4 This is incorrect. Electronic cigarettes are considered harmful during pregnancy.
Heading: Issues > Teen Pregnancy
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential PTS: 1 CON: Ante/Intra/Post-partum
Cognitive Level: Application [Applying]
Concept: Health Promotion 7. The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child,
Difficulty: Difficult who is male. The patient’s mother has accompanied her to today’s visit. During the nursing
assessment, the patient mentions that she is no longer in a relationship with the baby’s father
Feedback but her mother plans to help her. However, the patient’s mother asks whether this will have
1 This is correct. Infants born to teen mothers are at increased risk for various any impact on the child. Which should the nurse indicate the child is at increased risk of
conditions related to prematurity, including infant death, intestinal problems, during his adolescence?
and/or respiratory distress syndrome. 1. Hypertension
2 This is incorrect. Infants born to teen mothers who have gonorrhea are at 2. Diabetes
increased risk of neonatal conjunctivitis and blindness. 3. Alcohol abuse
3 4. Intraventricular bleeding
This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at
increased risk of blindness. ANS: 3
4 This is incorrect. Infants born to teen mothers with chlamydia may be at Chapter: Chapter 1 Trends and Issues
increased risk of developing chlamydial pneumonia. Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 12
PTS: 1 CON: Health Promotion Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. Client Need: Physiological Integrity: Reduction of Risk Potential
The test confirms the patient is pregnant. The patient states, “I do not need to stop smoking Cognitive Level: Application [Applying]
my electronic cigarette because it will not harm my baby.” Which is the best response by the Concept: Ante/Intra/Post-partum
nurse? Difficulty: Moderate
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
2. “Tobacco products, including electronic cigarettes, should not be used during Feedback
pregnancy due to risking nicotine toxicity.” 1 This is incorrect. Teen mothers, rather than their children, are at increased risked
3. “According to the FDA, although electronic cigarettes are safe for you, they can of hypertension during pregnancy.
cause harm to the fetus during pregnancy.” 2 This is incorrect. Children born to mothers who are obese have an increased risk
4. “Electronic cigarettes are considered harmful only in the first trimester.” of developing childhood obesity and childhood diabetes.
3 This is correct. Statistics have shown that adolescent boys without an involved
ANS: 2
Chapter: Chapter 1 Trends and Issues father may be at higher risk of incarceration, dropping out of school, and abusing
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. drugs or alcohol.
4 This is incorrect. Children born to teen mothers are at increased risk for health
Page: 12
Heading: Issues > Tobacco and Electronic Cigarette Use During Pregnancy problems associated with low birth weight, including intraventricular bleeding.
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control PTS: 1 CON: Ante/Intra/Post-partum
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum 8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant
Difficulty: Moderate patient may have been using marijuana. With consent, the nurse confirms via urine drug
screen. Which statement by the nurse is most appropriate?
Feedback 1. “Did you smoke marijuana when pregnant with your other child?”
2. “To avoid negative effects on your baby, you’ll need to stop using marijuana
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Test Bank: Maternal-Newborn Nursing: The Critical
Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition, RobertaDurham,
Test Bank: Maternal-Newborn Nursing: The Critical TEST BANK FOR
Linda Chapman
Components of Nursing Care, 3rd Edition, Roberta
Durham, Linda Chapman MATERNAL-NEWBORN NURSING: THE
Test Bank: Maternal-Newborn Nursing: The Critical CRITICAL COMPONENTS OF NURSING
Components of Nursing Care, 3rd Edition, Roberta CARE, 3RD EDITION, ROBERTA
Durham, Linda Chapman
DURHAM, LINDA CHAPMAN
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Distribution of this document is illegal Distribution of this document is illegal
, Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition, RobertaDurham, Components of Nursing
Chapter 1: Trends and Care,
Issues 3rd Edition, RobertaDurham,
TABLE OF CONTENTS
Linda Chapman Linda Chapman
Maternity Nursing Overview MULTIPLE CHOICE
1. Trends and Issues 1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
2. Ethics and Standards of Practice Issues 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 mother
find most different?
The Antepartal Period 1. Fetal monitoring throughout labor
3. Genetics, Conception, Fetal Development, and Reproductive 2. Postpartum stay of 10 days
Technology 3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
4. Physiological Aspects of Antepartum Care
5. The Psycho-Social-Cultural Aspects of the Antepartum Period ANS: 4
Chapter: Chapter 1 Trends and Issues
6. Antepartal Tests Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
7. High-Risk Antepartum Nursing Care Page: 4
Heading: Table 1-1: Past and Present Trends
Intrapartal Period Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
8. Intrapartum Assessment and Interventions Cognitive Level: Application [Applying]
9. Fetal Heart Rate Assessment Concept: Evidence-Based Practice
10. High-Risk Labor and Birth Difficulty: Moderate
11. Intrapartum and Postpartum Care of the Cesarean Birth Families Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
Postpartal Period this likely would have occurred during the mother’s labor and delivery during
the 1980s.
12. Postpartum Physiological Assessments and Nursing Care 2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
13. Transition to Parenthood Presently, the average postpartum stay is 48 hours or less.
14. High-Risk Postpartum Nursing Care 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
Neonatal Period room for cesarean births.
15. Physiological and Behavioral Responses of the Neonate 4 This is correct. Hospital support for breastfeeding, including a lactation
16. Discharge Planning and Teaching consultant and employment of the Baby-Friendly Hospital Initiative, were both
17. High-Risk Neonatal Nursing Care enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
Women’s Health
18. Well Women’s Health 2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
19. Alterations in Women’s Health 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 death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
ANS: 4
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Distribution of this document is illegal Distribution of this document is illegal
, Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Components of Chapter
Chapter: Nursing1 Trends Care,
and Issues 3rd Edition, RobertaDurham, Components
2 of isNursing
This Care,
incorrect. Although 3rd
advances Edition,
in medical treatmentsRoberta
have decreasedDurham,
infant
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
outcomes. Linda Chapman preterm infants. Linda Chapman
Page: 7 3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
Heading: Trends > Maternal Death and Mortality Rates breastfeeding and is not directly linked to reduced infant mortality or SIDS.
Integrated Processes: Nursing Process 4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
Client Need: Physiological Integrity: Reduction of Risk Potential designed to promote healthy infant sleeping habits. The decrease in SIDS from
Cognitive Level: Application [Applying] 1995 to 2015 was attributed to the Safe to Sleep campaign.
Concept: Ante/Intra/Post-partum
Difficulty: Hard PTS: 1 CON: Health Promotion
Feedback 4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
1 This is incorrect. Early maternal death is not an example of maternal death. of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
Examples of maternal death include late maternal death, indirect obstetric death, increased risk of which condition?
direct obstetric death, and pregnancy-related death. 1. Diabetes
2 This is incorrect. Late maternal death occurs 42 days after termination of 2. Blindness
pregnancy from a direct or indirect obstetric cause. 3. Pneumonia
3 This is incorrect. Direct obstetric death results from complications during 4. Hypertension
pregnancy, labor, birth, and/or postpartum period.
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a ANS: 4
disease that develops during pregnancy. Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 10
PTS: 1 CON: Ante/Intra/Post-partum
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
3. The nurse is providing education to a patient who has given birth to her first child and is
Client Need: Physiological Integrity: Reduction of Risk Potential
being discharged home. The patient expressed concern regarding infant mortality and
Cognitive Level: Application [Applying]
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
Concept: Ante/Intra/Post-partum
and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
Difficulty: Moderate
The infant is healthy and was delivered full-term. What will be most helpful thing to explain
to the patient? Feedback
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
1 This is incorrect. Maternal obesity increases a child’s risk of developing
3. The Baby-Friendly Hospital Initiative childhood obesity and diabetes.
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
4. The Safe to Sleep campaign
associated with a patient who contracts syphilis during pregnancy.
ANS: 4 3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
Chapter: Chapter 1 Trends and Issues 4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
Chapter Learning Objective: 3. Identify leading causes of infant death. transmitted illnesses and hypertension during pregnancy; however, maternal
Page: 7 syphilis is not associated with fetal hypertension.
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing process PTS: 1 CON: Ante/Intra/Post-partum
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying] 5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
Concept: Health Promotion previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and
Difficulty: Moderate HIV. Based on the information provided, which condition is the patient’s baby at higher risk
for?
Feedback 1. Intestinal problems
1 This is incorrect. EMCO has been cited as one of the factors that has reduced 2. Neonatal conjunctivitis
infant mortality among preterm infants. 3. Blindness
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Distribution of this document is illegal Distribution of this document is illegal
, Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman Components of Nursing Care, 3rd Edition, RobertaDurham, Linda Chapman
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Test Bank: Maternal-Newborn Nursing: The Critical Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition, RobertaDurham,
4. Pneumonia Components1 of
This Nursing Care,
is incorrect. Electronic 3rdcanEdition,
cigarettes Roberta
be harmful during pregnancy. Durham,
2 This is correct. Pregnant women should not use tobacco products or electronic
ANS: 1 Linda Chapman cigarettes duringLinda
pregnancy.Chapman
Chapter: Chapter 1 Trends and Issues 3
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. This is incorrect. Electronic cigarettes are not controlled by the FDA and may be
Page: 11 harmful to both mother and fetus.
4 This is incorrect. Electronic cigarettes are considered harmful during pregnancy.
Heading: Issues > Teen Pregnancy
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential PTS: 1 CON: Ante/Intra/Post-partum
Cognitive Level: Application [Applying]
Concept: Health Promotion 7. The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child,
Difficulty: Difficult who is male. The patient’s mother has accompanied her to today’s visit. During the nursing
assessment, the patient mentions that she is no longer in a relationship with the baby’s father
Feedback but her mother plans to help her. However, the patient’s mother asks whether this will have
1 This is correct. Infants born to teen mothers are at increased risk for various any impact on the child. Which should the nurse indicate the child is at increased risk of
conditions related to prematurity, including infant death, intestinal problems, during his adolescence?
and/or respiratory distress syndrome. 1. Hypertension
2 This is incorrect. Infants born to teen mothers who have gonorrhea are at 2. Diabetes
increased risk of neonatal conjunctivitis and blindness. 3. Alcohol abuse
3 4. Intraventricular bleeding
This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at
increased risk of blindness. ANS: 3
4 This is incorrect. Infants born to teen mothers with chlamydia may be at Chapter: Chapter 1 Trends and Issues
increased risk of developing chlamydial pneumonia. Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 12
PTS: 1 CON: Health Promotion Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. Client Need: Physiological Integrity: Reduction of Risk Potential
The test confirms the patient is pregnant. The patient states, “I do not need to stop smoking Cognitive Level: Application [Applying]
my electronic cigarette because it will not harm my baby.” Which is the best response by the Concept: Ante/Intra/Post-partum
nurse? Difficulty: Moderate
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
2. “Tobacco products, including electronic cigarettes, should not be used during Feedback
pregnancy due to risking nicotine toxicity.” 1 This is incorrect. Teen mothers, rather than their children, are at increased risked
3. “According to the FDA, although electronic cigarettes are safe for you, they can of hypertension during pregnancy.
cause harm to the fetus during pregnancy.” 2 This is incorrect. Children born to mothers who are obese have an increased risk
4. “Electronic cigarettes are considered harmful only in the first trimester.” of developing childhood obesity and childhood diabetes.
3 This is correct. Statistics have shown that adolescent boys without an involved
ANS: 2
Chapter: Chapter 1 Trends and Issues father may be at higher risk of incarceration, dropping out of school, and abusing
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. drugs or alcohol.
4 This is incorrect. Children born to teen mothers are at increased risk for health
Page: 12
Heading: Issues > Tobacco and Electronic Cigarette Use During Pregnancy problems associated with low birth weight, including intraventricular bleeding.
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control PTS: 1 CON: Ante/Intra/Post-partum
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum 8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant
Difficulty: Moderate patient may have been using marijuana. With consent, the nurse confirms via urine drug
screen. Which statement by the nurse is most appropriate?
Feedback 1. “Did you smoke marijuana when pregnant with your other child?”
2. “To avoid negative effects on your baby, you’ll need to stop using marijuana
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