Test Bank: Maternal-Newborn Nursing latest update June 2023: The CriticalComponents of Nursing Care, 10th Edition, RobertaDurham, Linda Chapman

Difficulty: Difficult Feedback 1 This is correct. Infants born to teen mothers are at increased risk for various conditions related to prematurity, including infant death, intestinal problems, and/or respiratory distress syndrome. 2 This is incorrect. Infants born to teen mothers who have gonorrhea are at increased risk of neonatal conjunctivitis and blindness. 3 This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at increased risk of blindness. 4 This is incorrect. Infants born to teen mothers with chlamydia may be at increased risk of developing chlamydial pneumonia. PTS: 1 CON: Health Promotion 6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, “I do not need to stop smoking my electronic cigarette because it will not harm my baby.” Which is the best response by the nurse? 1. “You are correct. Electronic cigarettes are not harmful during pregnancy.” 2. “Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity.” 3. “According to the FDA, although electronic cigarettes are safe for you, they can cause harm to the fetus during pregnancy.” 4. “Electronic cigarettes are considered harmful only in the first trimester.” ANS: 2 Chapter: Chapter 1 Trends and Issues Chapter Learning Objective: 4. Discuss current maternal and infant health issues. Page: 12 Heading: Issues > Tobacco and Electronic Cigarette Use During Pregnancy Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application [Applying] Concept: Ante/Intra/Post-partum Difficulty: Moderate Feedback NN Test Bank: Maternal-Newborn Nursing latest update June 2023: The CriticalComponents of Nursing Care, 10th Edition, Roberta Durham, Linda Chapman Downloaded by: Distribution of this document is illegal 1 This is incorrect. Electronic cigarettes can be harmful during pregnancy. 2 This is correct. Pregnant women should not use tobacco products or electronic cigarettes during pregnancy. 3 This is incorrect. Electronic cigarettes are not controlled by the FDA and may be harmful to both mother and fetus. 4 This is incorrect. Electronic cigarettes are considered harmful during pregnancy. PTS: 1 CON: Ante/Intra/Post-partum 7. The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, 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 but her mother plans to help her. However, the patient’s mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence? 1. Hypertension 2. Diabetes 3. Alcohol abuse 4. Intraventricular bleeding ANS: 3 Chapter: Chapter 1 Trends and Issues Chapter Learning Objective: 4. Discuss current maternal and infant health issues. Page: 12 Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth Integrated Processes: Nursing Process Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application [Applying] Concept: Ante/Intra/Post-partum Difficulty: Moderate Feedback 1 This is incorrect. Teen mothers, rather than their children, are at increased risked of hypertension during pregnancy. 2 This is incorrect. Children born to mothers who are obese have an increased risk of developing childhood obesity and childhood diabetes. 3 This is correct. Statistics have shown that adolescent boys without an involved father may be at higher risk of incarceration, dropping out of school, and abusing drugs or alcohol. 4 This is incorrect. Children born to teen mothers are at increased risk for health problems associated with low birth weight, including intraventricular bleeding. PTS: 1 CON: Ante/Intra/Post-partum 8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate? 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 NN Test Bank: Maternal-Newborn Nursing latest update June 2023: The CriticalComponents of Nursing Care, 10th Edition, Roberta Durham, Linda Chapman Downloaded by: Distribution of this document is illegal during your last trimester.” 3. “Using marijuana while pregnant can have a negative effect on the neurological development of your baby.” 4. “Marijuana use while pregnant greatly increases your risk of miscarriage.” ANS: 3 Chapter: Chapter 1 Trends and Issues Chapter Learning Objective: 3. Identify leading causes of infant death. Page: 13 Heading: Issues > Substance Abuse During Pregnancy Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application [Applying] Concept: Ante/Intra/Post-partum Difficulty: Moderate Feedback 1 This is incorrect. Whether or not the woman used marijuana during her previous pregnancy is not relevant to her current care. 2 This is incorrect. Marijuana should not be used at any point during pregnancy. 3 This is correct. Marijuana use during pregnancy may have a negative effect on the neurological development of the fetus. 4 This is incorrect. There currently is no research linking marijuana use to increased risk of miscarriage. PTS: 1 CON: Ante/Intra/Post-partum 9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching? 1. “I will limit my drinking to just one alcoholic beverage per day.” 2. “It’s best for my baby if I avoid drinking during pregnancy.” 3. “An occasional drink on special occasions is okay.” 4. “Drinking alcohol is only acceptable in the first trimester.” ANS: 2 Chapter: Chapter 1 Trends and Issues Chapter Learning Objective: 3. Identify leading causes of infant death. Page: 13 Heading: Issues > Substance Abuse During Pregnancy Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application [Applying] Concept: Ante/Intra/Post-partum Difficulty: Moderate Feedback 1 This is incorrect. Alcohol should not be consumed while pregnant. 2 This is correct. Drinking alcohol while pregnant can cause low birth weight, fetal alcohol syndrome, mental retardation, and intrauterine growth restriction. NN Test Bank: Maternal-Newborn Nursing latest update June 2023: The CriticalComponents of Nursing Care, 10th Edition, Roberta Durham, Linda Chapman Downloaded by: Distribution of this document is illegal 3 This is incorrect. Alcohol should not be consumed while pregnant. 4 This is incorrect. Alcohol should not be consumed while pregnant. PTS: 1 CON: Ante/Intra/Post-partum 10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following? 1. “My child may be at increased risk for birth injury.” 2. “My child may have a decreased risk of developing childhood diabetes.” 3. “I will probably give birth vaginally.” 4. “I have a lower risk of developing gestational hypertension.” ANS: 1 Chapter: Chapter 1 Trends and Issues Chapter Learning Objective: 4. Discuss