Maternal-Newborn Nursing: The Critical Components of Nursing Care (3rd Edition) by Roberta Durham & Linda Chapman – Complete Test Bank

TEST BANK FOR MATERNAL-NEWBORN
NURSING THE CRITICAL COMPONENTS
OF NURSING CARE, 3RD EDITION,
ROBERTA
Chapter 1: Trends and Issues
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Multiple Choice
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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. Fetal monitoring throughout labor bt bt bt



2. Postpartum stay of 10 days bt bt bt bt



3. Expectant partner and family in operating room for cesarean birth bt bt bt bt bt bt bt bt bt



4. Hospital support for breastfeeding bt bt bt




2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to st
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abilize the patient’s blood pressure. As a result, the patient died shortly after delivery. This is an exa
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mple of what type of death? bt bt bt bt bt



1. Early maternal death bt bt



2. Late maternal death bt bt



3. Direct obstetric death bt bt



4. Indirect obstetric death bt bt




3. The nurse is providing education to a patient who has given birth to her first child and is being disch
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arged home. The patient expressed concern regarding infant mortality and sudden infant death synd
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rome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a bo
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dy mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-
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term. What will be most helpful thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO) bt bt bt bt bt bt



2. Uses of exogenous pulmonary surfactant bt bt bt bt



3. The Baby-Friendly Hospital Initiative bt bt bt



4. The Safe to Sleep campaign bt bt bt bt




4. The nurse is caring for a 14-year-
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old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient
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tests positive for syphilis. The fetus is at increased risk of which condition?
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1. Diabetes
2. Blindness
3. Pneumonia
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, 4. Hypertension
5. The nurse is caring for a 15-year-
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old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negati
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ve for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition
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is the patient’s baby at higher risk for?
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1. Intestinal problems bt



2. Neonatal conjunctivitis bt



3. Blindness
4. Pneumonia




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, 6. The nurse is caring for a 23-year-
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old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. Th
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e patient states, “I do not need to stop smoking my electronic cigarette because it will not harm my b
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aby.” Which is the best response by the nurse?
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1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
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2. “Tobacco products, including electronic cigarettes, should not be used during p bt bt bt bt bt bt bt bt bt bt



regnancy due to risking nicotine toxicity.” bt bt bt bt bt



3. “According to the FDA, although electronic cigarettes are safe for you, they can bt bt bt bt bt bt bt bt bt bt bt bt



cause harm to the fetus during pregnancy.” bt bt bt bt bt bt



4. “Electronic cigarettes are considered harmful only in the first trimester.” bt bt bt bt bt bt bt bt bt




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



4. Intraventricular bleeding bt




8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient m
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ay have been using marijuana. With consent, the nurse confirms via urine drug screen. Which stat
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ement by the nurse is most appropriate?
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1. “Did you smoke marijuana when pregnant with your other child?”
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2. “To avoid negative effects on your baby, you’ll need to stop using marijuana du
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ring your last trimester.” bt bt bt



3. “Using marijuana while pregnant can have a negative effect on the neurological
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development of your baby.” bt bt bt



4. “Marijuana use while pregnant greatly increases your risk of miscarriage.” bt bt bt bt bt bt bt bt bt




9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by th
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e patient demonstrates successful patient teaching?
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1. “I will limit my drinking to just one alcoholic beverage per day.”
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2. “It’s best for my baby if I avoid drinking during pregnancy.”
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3. “An occasional drink on special occasions is okay.”
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4. “Drinking alcohol is only acceptable in the first trimester.” bt bt bt bt bt bt bt bt




10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows th
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at teaching has been effective when the patient states which of the following?
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1. “My child may be at increased risk for birth injury.”
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2. “My child may have a decreased risk of developing childhood diabetes.”
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3. “I will probably give birth vaginally.”
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4. “I have a lower risk of developing gestational hypertension.”
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Copyright © 2019 F. A. Davis Company bt bt bt bt bt bt

, 11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications tha
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t the 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 my weight, there is a possibility that I may develop gestational diabetes.”
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2. “I am not overweight, but I am still at risk for gestational diabetes.”
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3. “My mother had preeclampsia during one of her pregnancies.”
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4. “I will need to do a glucose tolerance test in my second trimester.”
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12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action shoul
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d the nurse take first?
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1. Refer the patient to a drug abuse program. bt bt bt bt bt bt bt



2. Screen the infant for side effects associated with cocaine use. bt bt bt bt bt bt bt bt bt



3. Educate the patient of the risks associated with cocaine use during pregnancy. bt bt bt bt bt bt bt bt bt bt bt



4. Advise the patient that her baby will be okay even with the history of cocaine use.
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13. A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may
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face during pregnancy. During routine testing, the patient tested negative for sexually transmitted i
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llnesses (STIs) and indicated that she is in a committed, long-
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term relationship with the child’s father. Which of the following is accurate?
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1. The patient’s infant is at increased risk of neonatal blindness.
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2. The patient’s infant has a decreased risk of birth injury.
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3. The patient will have increased risk of wound infection.
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4. The patient will have a decreased risk of preeclampsia.
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14. The nurse has made it a goal to increase the rate at which women begin prenatal care in the fi
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rst trimester. The nurse relates this decision to national goals for better maternal and infant outcomes.
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What guidelines will the nurse use to guide her maternal health goals?
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1. WHO Maternal care guidelines bt bt bt



2. State Practice Acts bt bt



3. AWHONN white papers bt bt



4. Healthy People 2020 bt bt




15. A nursing 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. WHO Maternal care guidelines bt bt bt



2. Healthy People 2020 bt bt



3. AWHONN white papers bt bt



4. State Practice Act bt bt




Multiple Response
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Identify one or more choices that best complete the statement or answer the question.
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16. A woman has recently given birth to an infant born at 35 weeks and 5 days gestation. What long-
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Copyright © 2019 F. A. Davis Company bt bt bt bt bt bt