Test bank for davis advantage for maternal-newborn nursing: critical
components of nursing care, 4th edition by roberta durham; linda
chapman; connie miller chapter 1-19/ complete questions and
answers a+
1. Since 1995, there has been a significant decrease in the rate of infant death related to
which of the following:
a. Disorders associated with short gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes - -ANS: c
--2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant,
such as intrauterine growth restriction, preterm births, and respiratory problems. By race,
which has the highest percentage of smokers?
a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites - -ANS: a
--3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman - -ANS: d
--4. A neonate born at 36 weeks gestation is classified as which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term - -ANS: c
--5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020
report is to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%. - -ANS: d
--6. The perinatal nurse explains to the student nurse that __________ is the leading cause
of infant death in the United States.
a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities - -ANS: d
,--7. Which of the following statements are true related to teen pregnancies? (Select all that
apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems. - -ANS: a, b, d
--An ethical dilemma unique to perinatal nursing is the:
a. Innate conflict between maternal and fetal rights
b. Intensive use of technology
c. Shortage of health-care resources
d. Risk of violation of the principle of veracity - -ANS: a
--The American Nurses Association Code of Ethics for Nurses directs nurses to provide
patient care that is:
a. Curative
b. Utilitarian
c. Negotiable
d. Respectful - -ANS: d
--Evidence-based practice is the integration of the best:
a. Randomized clinical trials, clinical expertise, and patients requests
b. Research evidence, clinical expertise, and patients values
c. Quantitative research, clinical expertise, and patients preferences
d. Research findings, clinical experience, and patients preferences - -ANS: b
--Infants whose mothers were obese during pregnancy are at higher risk for which of the
following? (Select all that apply.)
a. Childhood diabetes
b. Heart defects
c. Hypospadias
d. Respiratory distress - -ANS: a, b, c
--The color of a person's hair is an example of which of the following?
a. Genome
b. Sex-link inheritance
c. Genotype
d. Phenotype - -ANS: d
--Which of the following statements by a pregnant woman indicates she needs additional
teaching on ways to reduce risks to her unborn child from the potential effects of exposure
to toxoplasmosis?
a. I will avoid rare lamb.
b. I will wear a mask when cleaning my cats litter box.
c. I understand that exposure to toxoplasmosis can cause blindness in the baby.
d. I will avoid rare beef. - -ANS: b
, --3. The fetal circulatory structure that connects the pulmonary artery with the descending
aorta is known as which of the following?
a. Ductus venosus
b. Foramen ovale
c. Ductus arteriosus
d. Internal iliac artery - -ANS: c
--A woman at 40 weeks gestation has a diagnosis of oligohydramnios. Which of the
following statements related to oligohydramnios is correct?
a. It indicates that there is a 25% increase in amniotic fluid.
b. It indicates that there is a 25% reduction of amniotic fluid.
c. It indicates that there is a 50% increase in amniotic fluid.
d. It indicates that there is a 50% reduction of amniotic fluid. - -ANS: d
--5. A diagnostic test commonly used to assess problems of the fallopian tubes is:
a. Endometrial biopsy
b. Ovarian reserve testing
c. Hysterosalpingogram
d. Screening for sexually transmitted infections - -ANS: c
--The nurse is interviewing a gravid woman during the first prenatal visit. The woman
confides to the nurse that she lives with a number of pets. The nurse should advise the
woman to be especially careful to refrain from coming in contact with the stool of which of
the pets?
a. Cat
b. Dog
c. Hamster
d. Bird - -ANS: a
--A client is to take Clomiphene Citrate for infertility. Which of the following is the expected
action of this medication?
a. Decrease the symptoms of endometriosis
b. Increase serum progesterone levels
c. Stimulate release of FSH and LH
d. Reduce the acidity of vaginal secretions - -ANS: c
--The nurse takes the history of a client, G2 P1, at her first prenatal visit. The client is
referred to a genetic counselor, due to her previous child having a diagnosis of __________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis - -ANS: c
--A nurse is teaching a woman about her menstrual cycle. The nurse states that __________
is the most important change that happens during the secretory phase of the menstrual
cycle.
a. Maturation of the graafian follicle
components of nursing care, 4th edition by roberta durham; linda
chapman; connie miller chapter 1-19/ complete questions and
answers a+
1. Since 1995, there has been a significant decrease in the rate of infant death related to
which of the following:
a. Disorders associated with short gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes - -ANS: c
--2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant,
such as intrauterine growth restriction, preterm births, and respiratory problems. By race,
which has the highest percentage of smokers?
a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites - -ANS: a
--3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman - -ANS: d
--4. A neonate born at 36 weeks gestation is classified as which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term - -ANS: c
--5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020
report is to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%. - -ANS: d
--6. The perinatal nurse explains to the student nurse that __________ is the leading cause
of infant death in the United States.
a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities - -ANS: d
,--7. Which of the following statements are true related to teen pregnancies? (Select all that
apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems. - -ANS: a, b, d
--An ethical dilemma unique to perinatal nursing is the:
a. Innate conflict between maternal and fetal rights
b. Intensive use of technology
c. Shortage of health-care resources
d. Risk of violation of the principle of veracity - -ANS: a
--The American Nurses Association Code of Ethics for Nurses directs nurses to provide
patient care that is:
a. Curative
b. Utilitarian
c. Negotiable
d. Respectful - -ANS: d
--Evidence-based practice is the integration of the best:
a. Randomized clinical trials, clinical expertise, and patients requests
b. Research evidence, clinical expertise, and patients values
c. Quantitative research, clinical expertise, and patients preferences
d. Research findings, clinical experience, and patients preferences - -ANS: b
--Infants whose mothers were obese during pregnancy are at higher risk for which of the
following? (Select all that apply.)
a. Childhood diabetes
b. Heart defects
c. Hypospadias
d. Respiratory distress - -ANS: a, b, c
--The color of a person's hair is an example of which of the following?
a. Genome
b. Sex-link inheritance
c. Genotype
d. Phenotype - -ANS: d
--Which of the following statements by a pregnant woman indicates she needs additional
teaching on ways to reduce risks to her unborn child from the potential effects of exposure
to toxoplasmosis?
a. I will avoid rare lamb.
b. I will wear a mask when cleaning my cats litter box.
c. I understand that exposure to toxoplasmosis can cause blindness in the baby.
d. I will avoid rare beef. - -ANS: b
, --3. The fetal circulatory structure that connects the pulmonary artery with the descending
aorta is known as which of the following?
a. Ductus venosus
b. Foramen ovale
c. Ductus arteriosus
d. Internal iliac artery - -ANS: c
--A woman at 40 weeks gestation has a diagnosis of oligohydramnios. Which of the
following statements related to oligohydramnios is correct?
a. It indicates that there is a 25% increase in amniotic fluid.
b. It indicates that there is a 25% reduction of amniotic fluid.
c. It indicates that there is a 50% increase in amniotic fluid.
d. It indicates that there is a 50% reduction of amniotic fluid. - -ANS: d
--5. A diagnostic test commonly used to assess problems of the fallopian tubes is:
a. Endometrial biopsy
b. Ovarian reserve testing
c. Hysterosalpingogram
d. Screening for sexually transmitted infections - -ANS: c
--The nurse is interviewing a gravid woman during the first prenatal visit. The woman
confides to the nurse that she lives with a number of pets. The nurse should advise the
woman to be especially careful to refrain from coming in contact with the stool of which of
the pets?
a. Cat
b. Dog
c. Hamster
d. Bird - -ANS: a
--A client is to take Clomiphene Citrate for infertility. Which of the following is the expected
action of this medication?
a. Decrease the symptoms of endometriosis
b. Increase serum progesterone levels
c. Stimulate release of FSH and LH
d. Reduce the acidity of vaginal secretions - -ANS: c
--The nurse takes the history of a client, G2 P1, at her first prenatal visit. The client is
referred to a genetic counselor, due to her previous child having a diagnosis of __________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis - -ANS: c
--A nurse is teaching a woman about her menstrual cycle. The nurse states that __________
is the most important change that happens during the secretory phase of the menstrual
cycle.
a. Maturation of the graafian follicle
