COMPLETE REVIEWED ACCURATE
ANSWERS
ANS: 4
Pregnancy-related hypertension and diabetes-related hypertension are the most frequently reported
maternal risk factors. Both are associated with obesity. Approximately 20% of US women who give birth
are obese. Obesity in pregnancy is associated with the use of increased health care services and longer
hospital stays. Both drug and alcohol use continue to increase in the maternal population. These are
associated with low-birth-weight infants, cognitive impairment, and birth defects. The number of these
patients is increasing; however, these are not the most common risks. Behavior and lifestyle choices
contribute to the health of the mother and fetus. - answer ✔✔-What are the most frequently reported
maternal medical risk factors?
1
Behaviors and lifestyles
2
Drug use and alcohol abuse
3
Homelessness and lack of insurance
4
Pregnancy-related hypertension and diabetes-related hypertension
ANS: 1
An athletic woman who exercises vigorously can develop irregular menstrual cycles. Therefore, the
nurse should instruct the patient to increase food and water intake. This would increase the patient's
,body mass index and possibly restart regular menstrual cycles. Aromatherapy and aerobic exercises are
nonpharmaceutical ways to improve pregnancy rates. These would not be immediate approaches for
patients facing irregular menstrual cycles. The nurse should not suggest changing exercise regimens or
discourage physical exercise. - answer ✔✔-The nurse is assessing a patient with menstrual cycle
irregularity. While speaking with the patient, the nurse learns the patient is an athlete. What should the
nurse suggest to the patient so as to promote a regular menstrual cycle?
1
Increase intake of food and water
2
Undergo aromatherapy treatments
3
Perform aerobic exercise regularly
4
No strenuous exercise for 5 months
Ans: 3
If a patient is not given the standard level of care, and some kind of harm to the patient results, then she
can make a case for negligence. Inconsistent fetal heart rate is not a case for negligence by itself;
negligence occurs if care was not provided even after the findings. Not providing care because of
cultural differences is a case of racial discrimination, not negligence. If the patient does not understand
the care instructions, then the responsibility for negligence lies with the patient. - answer ✔✔-An infant
born to a 38-year-old Hispanic patient dies 3 days after birth due to sepsis. On what grounds could the
patient have a legitimate case for negligence?
1
The fetal heart rate was inconsistent.
2
The patient could not understand care instructions.
3
The patient was not given the standard level of care.
, 4
The patient was neglected because of her Hispanic origins.
ANS: 1, 2
The nurse can best contribute to the patient's health literacy when providing medication teaching by
speaking clearly and using simple words followed by assessing whether the patient understood the
discussion. Providing written material does not always contribute to the health literacy because most
educational materials are written at too high of a level for the average adult. Referring the patient to a
website does not offer the opportunity for the nurse to assess the patient's understanding of the
information. Focusing on what is important for the patient to understand about the medication
alleviates overloading the patient with information rather than reviewing every detail. - answer ✔✔-
How can the nurse best contribute to the patient's health literacy when providing medication teaching?
Select all that apply.
1
Speaking clearly
2
Using simple words
3
Providing written material
4
Referring the patient to a website
5
Reviewing all aspects of the medication
ANS: 4
Prior to providing smoking cessation information, it is important that the nurse understand that smoking
can cause intrauterine growth restriction (IUGR) due to its effect on the placental vasculature. Smoking
also contributes to low birth weight, prematurity, and IUGR, but it is not directly linked to preeclampsia,
fetal anemia, or gestational diabetes. - answer ✔✔-The nurse is caring for a patient who is newly