TEST BANK FOR OLDS' MATERNAL-NEWBORN
NURSING AND WOMEN HEALTH ACROSS THE
LIFESPAN 11th EDITION
A couple would like their 5-year-old child to attend the
birth of their baby. Which statement by the nurse would
assist in the plan of care for the child?
1. "You should let your child stay home, because you will
be focusing on the birth."
2. "Children under 12 are not allowed to be present at the
birth."
3. "You should bring someone who can tend solely to any
specific needs of your child."
4. "Bring some toys to keep your child occupied."
CORRECT ANSWER Correct Answer: 3
Rationale 1: Telling the parents their child should remain
at home does not assist them with their wish to have their
child present at the birth.
Rationale 2: Children are allowed to be present at births.
Rationale 3: A sibling should have his own support person
whose primary responsibility is to take care of the child's
needs.
,Rationale 4: Although the child might want to bring toys,
this is not the best response by the nurse.
The nurse in the obstetrical clinic is setting appointments
for patients seeking preconceptual care. Which patient
should be seen first?
1. 36-year-old, has never been pregnant, takes medication
for a seizure disorder.
2. 15-year-old, smokes one pack per day, had a
miscarriage 4 months ago.
3. 22-year-old, runs long distances, has been on the pill
for 6 years.
4. 29-year-old, has had two abortions, takes a multiple-
vitamin supplement CORRECT ANSWER Correct
Answer: 1
Rationale 1: This patient is the top priority because she
has multiple risk factors: She is over the age of 35 and
therefore is at risk for trisomies; she takes medication, and
some medications are teratogenic and contraindicated
during pregnancy; and pregnancy is not recommended for
women with some conditions. This patient needs to see
the specialist who prescribes her antiseizure medication,
,as well as an obstetric provider, to discuss the risks her
age presents to a possible pregnancy.
Rationale 2: Although this patient has the risks of being
young and a smoker, she is not the highest-priority
patient.
Rationale 3: The only risk factor this patient has is a need
to increase folic acid intake due to being on the pill for six
years. She is not the highest-priority patient.
Rationale 4: This patient has no risk factors for
pregnancy. A history of more than three abortions
increases the risks of preterm labor and infertility, but this
patient has only had two abortions. She is not the highest-
priority patient.
A primigravida is admitted to the labor unit with
contractions every 7-8 minutes. She is 3 cm dilated, 70%
effaced, and at 0 station. She is very anxious, is having
difficulty coping with contractions, and states that she did
not attend prenatal classes. What is the most effective
nursing intervention?
1. Instruct the patient in abdominal breathing and
progressive relaxation.
, 2. Instruct the patient in patterned, paced breathing and
touch relaxation.
3. Instruct the patient in pelvic tilt and pelvic rock
exercises.
4. Call the physician and request a sedative CORRECT
ANSWER Correct Answer: 1
Rationale 1: Abdominal breathing and progressive
relaxation assist the patient in relaxing, and allow the
uterine muscles to work more efficiently.
Rationale 2: Patterned, paced breathing and touch
relaxation are exercises that are taught in childbirth
preparation classes and involve the use of a partner.
Rationale 3: Pelvic tilt and rock exercises are body-
conditioning exercises.
Rationale 4: Providing sedatives would not allow the
patient to participate actively in the process.
The nurse is assisting an expectant couple in developing a
birth plan. Which instruction would the nurse include in
the teaching plan?
1. The birth plan includes only patient choices, and does
not take into account standard choices of the healthcare
provider.
NURSING AND WOMEN HEALTH ACROSS THE
LIFESPAN 11th EDITION
A couple would like their 5-year-old child to attend the
birth of their baby. Which statement by the nurse would
assist in the plan of care for the child?
1. "You should let your child stay home, because you will
be focusing on the birth."
2. "Children under 12 are not allowed to be present at the
birth."
3. "You should bring someone who can tend solely to any
specific needs of your child."
4. "Bring some toys to keep your child occupied."
CORRECT ANSWER Correct Answer: 3
Rationale 1: Telling the parents their child should remain
at home does not assist them with their wish to have their
child present at the birth.
Rationale 2: Children are allowed to be present at births.
Rationale 3: A sibling should have his own support person
whose primary responsibility is to take care of the child's
needs.
,Rationale 4: Although the child might want to bring toys,
this is not the best response by the nurse.
The nurse in the obstetrical clinic is setting appointments
for patients seeking preconceptual care. Which patient
should be seen first?
1. 36-year-old, has never been pregnant, takes medication
for a seizure disorder.
2. 15-year-old, smokes one pack per day, had a
miscarriage 4 months ago.
3. 22-year-old, runs long distances, has been on the pill
for 6 years.
4. 29-year-old, has had two abortions, takes a multiple-
vitamin supplement CORRECT ANSWER Correct
Answer: 1
Rationale 1: This patient is the top priority because she
has multiple risk factors: She is over the age of 35 and
therefore is at risk for trisomies; she takes medication, and
some medications are teratogenic and contraindicated
during pregnancy; and pregnancy is not recommended for
women with some conditions. This patient needs to see
the specialist who prescribes her antiseizure medication,
,as well as an obstetric provider, to discuss the risks her
age presents to a possible pregnancy.
Rationale 2: Although this patient has the risks of being
young and a smoker, she is not the highest-priority
patient.
Rationale 3: The only risk factor this patient has is a need
to increase folic acid intake due to being on the pill for six
years. She is not the highest-priority patient.
Rationale 4: This patient has no risk factors for
pregnancy. A history of more than three abortions
increases the risks of preterm labor and infertility, but this
patient has only had two abortions. She is not the highest-
priority patient.
A primigravida is admitted to the labor unit with
contractions every 7-8 minutes. She is 3 cm dilated, 70%
effaced, and at 0 station. She is very anxious, is having
difficulty coping with contractions, and states that she did
not attend prenatal classes. What is the most effective
nursing intervention?
1. Instruct the patient in abdominal breathing and
progressive relaxation.
, 2. Instruct the patient in patterned, paced breathing and
touch relaxation.
3. Instruct the patient in pelvic tilt and pelvic rock
exercises.
4. Call the physician and request a sedative CORRECT
ANSWER Correct Answer: 1
Rationale 1: Abdominal breathing and progressive
relaxation assist the patient in relaxing, and allow the
uterine muscles to work more efficiently.
Rationale 2: Patterned, paced breathing and touch
relaxation are exercises that are taught in childbirth
preparation classes and involve the use of a partner.
Rationale 3: Pelvic tilt and rock exercises are body-
conditioning exercises.
Rationale 4: Providing sedatives would not allow the
patient to participate actively in the process.
The nurse is assisting an expectant couple in developing a
birth plan. Which instruction would the nurse include in
the teaching plan?
1. The birth plan includes only patient choices, and does
not take into account standard choices of the healthcare
provider.
