Exam 1 maternity study guide Questions And Answers

When caring for women, nurses should focus on helping their patients to decrease their risk for the leading cause of death for women, which is: A. Breast cancer B. Heart disease C. Cervical cancer D. Diabetes mellitus - ANS B. Heart disease A nurse manager of a prenatal clinic should recognize that the most significant barrier encountered by pregnant women in accessing health care is: A. Lack of transportation to the clinic B. Child care responsibilities C. Inability to pay D. Deficient knowledge related to the benefits of prenatal care" - ANS C. Inability to pay Both worldwide and in the United States, the leading cause of maternal mortality is: A. Hemorrhage B. Infection or sepsis C. Diabetes D. Cardiovascular disease, including hypertensive disorders - ANS D. Cardiovascular disease, including hypertensive disorders Knowledge of trends in fertility and birth rates and infant mortality rates can guide nurses in targeting health care resources to those areas and clients in most need of intervention. Which statements accurately reflect current trends in the United States? (Circle all that apply.) A. Women between ages 20 and 29 years have the highest birth rate. B. The incidence of LBW (low birth weight) is highest among non-Hispanic African-American women. C. The leading cause of neonatal death is premature birth. D. The infant mortality rate is a common indicator of the adequacy of prenatal care and the health of a nation as a whole. E. Hispanic women are twice as likely as non-Hispanic Caucasian women to die as a result of pregnancy. - ANS A. Women between ages 20 and 29 years have the highest birth rate. B. The incidence of LBW (low birth weight) is highest among non-Hispanic African-American women. D. The infant mortality rate is a common indicator of the adequacy of prenatal care and the health of a nation as a whole. After teaching a group of pregnant women about the hazards of cigarette smoking during pregnancy, a woman answers a question by listing the hazards. Which hazard, if included by the woman in her list, indicates the need for further teaching? A. Intrauterine growth restriction B. Congenital anomalies C. Low birth weight D. Premature labor and birth - ANS B. Congenital anomalies Pregnant women who are obese are more likely to develop one or both of the two most frequently reported maternal risk factors. These factors are: A. Premature labor and infection B. Hemorrhage and hypertension associated with pregnancy C. Infection and diabetes D. Diabetes and hypertension associated with pregnancy - ANS D. Diabetes and hypertension associated with pregnancy A family with open boundaries: A. Uses available support systems to meet its needs B. Is more prone to crisis, related to increased exposure to stressors C. Discourages family members from setting up channels D. Strives to maintain family stability by avoiding outside influences - ANS B. Is more prone to crisis, related to increased exposure to stressors C. Discourages family members from setting up channels D. Strives to maintain family stability by avoiding outside influences Which nursing action is most likely to reduce a woman's anxiety and enhance her personal security as it relates to the concept of personal space needs? A. Touching the woman before and during procedures B. Providing explanations when performing tasks C. Making eye contact as much as possible D. Reducing the need for the woman to make decisions - ANS B. Providing explanations when performing tasks A Native-American woman gave birth to a girl 12 hours ago. The nurse notes that the woman keeps her baby in the bassinet except for feeding and states that she will wait until she returns home to begin breastfeeding. The nurse recognizes that this behavior is most likely a reflection of: A. Embarrassment B. Delayed attachment C. Disappointment that the baby is a girl D. Cultural beliefs regarding the best way to care for newborns - ANS D. Cultural beliefs regarding the best way to care for newborns When caring for a pregnant woman who is Hispanic, the nurse should recognize that the woman may be guided by which of the following cultural beliefs and practices during her pregnancy? (Circle all that apply.) A. Cool air currents can be dangerous during pregnancy. B. Prenatal care should begin very early in pregnancy. C. Milk should be avoided because it results in big babies and difficult births. D. Drinking chamomile tea should be avoided because it can cause preterm labor. E. The advice of both mothers and mothers-in-law should be followed during pregnancy. F. Pelvic examinations should not be performed by a male health care provider. - ANS A. Cool air currents can be dangerous during pregnancy. C. Milk should be avoided because it results in big babies and difficult births. E. The advice of both mothers and mothers-in-law should be followed during pregnancy. F. Pelvic examinations should not be performed by a male health care provider.