Chapter 6: Prenatal Influences on Healthy Development Test
Bank
MULTIPLE CHOICE
1. The Human Genome Project is credited with the development of significant research on the
subject of:
a. analysis of chemicals that make up RNA.
b. prevention of birth defects.
c. ethical use of stem cells.
d. gene mapping.
ANS: D
The Human Genome Project was involved in gene mapping, which determined the make-up
of all human genes.
DIF: Cognitive Level: Comprehension REF: p. 72 OBJ: 1
TOP: The Genome Project KEY: Nursing Process Step: Implementation MSC: NCLEX: NA
2. The ELSI program has been developed for the purpose of:
a. promoting fund raising for the study of gene therapy.
b. publishing up-to-date information on the progress of gene therapy.
c. evaluating the ethical, legal, and social implications of gene therapy.
d. educating the general public about the benefits of gene therapy.
ANS: C
The ELSI program’s purpose is to evaluate the ethical, legal, and social implications of gene
therapy.
DIF: Cognitive Level: Application REF: p. 75 OBJ: 1
TOP: ELSI program KEY: Nursing Process Step: NA MSC: NCLEX: NA
3. The newlywed couple most appropriately referred to genetic counseling would be the:
, a. Jewish couple who feel they must have a male child.
b. Caucasian couple who both have family histories of schizophrenia.
c. mixed cultural couple of a Japanese wife and American husband.
d. African Americans, one of whom has sickle cell trait.
ANS: D
Counseling is a significant consideration for persons with sickle cell trait who need
information about the probability of passing the disease on to the next generation.
DIF: Cognitive Level: Analysis REF: p. 75 OBJ: 1
TOP: Genetic counseling KEY: Nursing Process Step: Assessment MSC: NCLEX: Health
Promotion and Maintenance: prevention and early detection of disease
4. A woman who is 14 weeks pregnant says that she has abstained from alcohol during her first
trimester and would like to know if it is now safe to have a drink with dinner. The health-care
worker’s best response would be:
a. “As you are in your second trimester, there is no problem with having one drink with
dinner.”
b. “One drink every night is too much. One drink three times a week should be fine.”
c. “Because no one knows how much or how little alcohol it takes to cause fetal problems,
it is recommended that you abstain throughout your pregnancy.”
d. “Because you are in your second trimester, you can drink as much as you like.”
ANS: C
Maternal ingestion of substances such as alcohol can interfere with cell growth in the
developing fetus.
DIF: Cognitive Level: Analysis REF: p. 80 OBJ: 3
TOP: Teratogens KEY: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
5. The home health-care worker visiting a pregnant woman in her second trimester observes
the patient doing chores and performing errands. Because of a threat to the fetus, the
woman should refrain from:
a. walking a mile to the grocery store.
b. sweeping the floor with a broom.
c. using bleach when doing the wash.
d. emptying and cleaning the cat box.
ANS: D
Contact with cat litter boxes poses a threat of contracting toxoplasmosis.
DIF: Cognitive Level: Application REF: p. 81 OBJ: 3
TOP: Toxoplasmosis KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion
and Maintenance: prevention and early detection of disease
6. According to parental role development theory, the reality of the pregnancy occurs for the
couple when:
, a. the mother is aware that she has missed her period.
b. the pregnancy is confirmed in the first trimester.
c. movement is felt in the second trimester.
d. actual plans for the birth are made in the third trimester.
ANS: C
According to the parental role development theory, the reality of the pregnancy and the
introduction of a new baby into a family unit usually occurs in the second trimester when
movement is felt and ultrasound pictures are taken.
DIF: Cognitive Level: Comprehension REF: p. 82 OBJ: 8
TOP: Parental role development KEY: Nursing Process Step: NA MSC: NCLEX: NA
7. The difference between a nurse midwife and a doula is that a doula is a:
a. registered nurse with advanced training in labor and delivery.
b. registered nurse with advanced practice education.
c. specially trained coach that stays with the mother during labor and delivery.
d. medical doctor with advanced education in women’s health.
ANS: C
A doula is a person who will act as a coach during labor and delivery. This person is not
necessarily a nurse.
DIF: Cognitive Level: Comprehension REF: p. 83 OBJ: 8
TOP: Doula KEY: Nursing Process Step: NA MSC: NCLEX: NA
8. A new mother of a baby girl who has a 2 1/2-year-old son at home says, “I don’t know how
I’ll ever manage both children when I get home.” The most informative response would be: a.
“Your son is a big brother now and will love his new sister.”
b. “You might consider letting your son stay with his grandparents for several weeks to allow
him to adjust to the new baby.”
c. “Make sure your husband bonds with your son while you are busy with your new
daughter.”
d. “You may see babyish behavior in your son, which is a typical reaction.”
ANS: D
Sibling rivalry is the competition between siblings for parental love and attention. Toddlers
may regress and be angry at the birth of a new sister or brother.
DIF: Cognitive Level: Application REF: p. 86 OBJ: 10
TOP: Regression KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
9. The health-care worker observes several interactions between a postpartum woman and her
newborn. The behavior that would be assessed as maladaptive is: a. seldom making
eye contact with the baby.
b. reading a magazine while the baby sleeps.
c. cuddling the baby close to her chest.
Bank
MULTIPLE CHOICE
1. The Human Genome Project is credited with the development of significant research on the
subject of:
a. analysis of chemicals that make up RNA.
b. prevention of birth defects.
c. ethical use of stem cells.
d. gene mapping.
ANS: D
The Human Genome Project was involved in gene mapping, which determined the make-up
of all human genes.
DIF: Cognitive Level: Comprehension REF: p. 72 OBJ: 1
TOP: The Genome Project KEY: Nursing Process Step: Implementation MSC: NCLEX: NA
2. The ELSI program has been developed for the purpose of:
a. promoting fund raising for the study of gene therapy.
b. publishing up-to-date information on the progress of gene therapy.
c. evaluating the ethical, legal, and social implications of gene therapy.
d. educating the general public about the benefits of gene therapy.
ANS: C
The ELSI program’s purpose is to evaluate the ethical, legal, and social implications of gene
therapy.
DIF: Cognitive Level: Application REF: p. 75 OBJ: 1
TOP: ELSI program KEY: Nursing Process Step: NA MSC: NCLEX: NA
3. The newlywed couple most appropriately referred to genetic counseling would be the:
, a. Jewish couple who feel they must have a male child.
b. Caucasian couple who both have family histories of schizophrenia.
c. mixed cultural couple of a Japanese wife and American husband.
d. African Americans, one of whom has sickle cell trait.
ANS: D
Counseling is a significant consideration for persons with sickle cell trait who need
information about the probability of passing the disease on to the next generation.
DIF: Cognitive Level: Analysis REF: p. 75 OBJ: 1
TOP: Genetic counseling KEY: Nursing Process Step: Assessment MSC: NCLEX: Health
Promotion and Maintenance: prevention and early detection of disease
4. A woman who is 14 weeks pregnant says that she has abstained from alcohol during her first
trimester and would like to know if it is now safe to have a drink with dinner. The health-care
worker’s best response would be:
a. “As you are in your second trimester, there is no problem with having one drink with
dinner.”
b. “One drink every night is too much. One drink three times a week should be fine.”
c. “Because no one knows how much or how little alcohol it takes to cause fetal problems,
it is recommended that you abstain throughout your pregnancy.”
d. “Because you are in your second trimester, you can drink as much as you like.”
ANS: C
Maternal ingestion of substances such as alcohol can interfere with cell growth in the
developing fetus.
DIF: Cognitive Level: Analysis REF: p. 80 OBJ: 3
TOP: Teratogens KEY: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
5. The home health-care worker visiting a pregnant woman in her second trimester observes
the patient doing chores and performing errands. Because of a threat to the fetus, the
woman should refrain from:
a. walking a mile to the grocery store.
b. sweeping the floor with a broom.
c. using bleach when doing the wash.
d. emptying and cleaning the cat box.
ANS: D
Contact with cat litter boxes poses a threat of contracting toxoplasmosis.
DIF: Cognitive Level: Application REF: p. 81 OBJ: 3
TOP: Toxoplasmosis KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion
and Maintenance: prevention and early detection of disease
6. According to parental role development theory, the reality of the pregnancy occurs for the
couple when:
, a. the mother is aware that she has missed her period.
b. the pregnancy is confirmed in the first trimester.
c. movement is felt in the second trimester.
d. actual plans for the birth are made in the third trimester.
ANS: C
According to the parental role development theory, the reality of the pregnancy and the
introduction of a new baby into a family unit usually occurs in the second trimester when
movement is felt and ultrasound pictures are taken.
DIF: Cognitive Level: Comprehension REF: p. 82 OBJ: 8
TOP: Parental role development KEY: Nursing Process Step: NA MSC: NCLEX: NA
7. The difference between a nurse midwife and a doula is that a doula is a:
a. registered nurse with advanced training in labor and delivery.
b. registered nurse with advanced practice education.
c. specially trained coach that stays with the mother during labor and delivery.
d. medical doctor with advanced education in women’s health.
ANS: C
A doula is a person who will act as a coach during labor and delivery. This person is not
necessarily a nurse.
DIF: Cognitive Level: Comprehension REF: p. 83 OBJ: 8
TOP: Doula KEY: Nursing Process Step: NA MSC: NCLEX: NA
8. A new mother of a baby girl who has a 2 1/2-year-old son at home says, “I don’t know how
I’ll ever manage both children when I get home.” The most informative response would be: a.
“Your son is a big brother now and will love his new sister.”
b. “You might consider letting your son stay with his grandparents for several weeks to allow
him to adjust to the new baby.”
c. “Make sure your husband bonds with your son while you are busy with your new
daughter.”
d. “You may see babyish behavior in your son, which is a typical reaction.”
ANS: D
Sibling rivalry is the competition between siblings for parental love and attention. Toddlers
may regress and be angry at the birth of a new sister or brother.
DIF: Cognitive Level: Application REF: p. 86 OBJ: 10
TOP: Regression KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
9. The health-care worker observes several interactions between a postpartum woman and her
newborn. The behavior that would be assessed as maladaptive is: a. seldom making
eye contact with the baby.
b. reading a magazine while the baby sleeps.
c. cuddling the baby close to her chest.
