23 - Foundations of Maternal-Newborn
& Women’s Health Nursing Textbook
Questions
, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
Chapter 23: High-Risk Newborn: Complications Associated with Gestational Age and
Development
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which is the most useful factor in preventing premature birth?
a. High socioeconomic status
b. Adequate prenatal care
c. Aid to Families with Dependent Children
d. Women, Infants, and Children (WIC) nutritional program
ANS: B
Prenatal care is vital for identifying possible problems. People with higher socioeconomic
status are more likely to seek adequate prenatal care, which is the most helpful for prevention
of premature births. Lower socioeconomic groups do not seek out health care, which puts
them at risk for preterm labor. Aid to Families with Dependent Children and WIC assist in
the nutritional status of the pregnant woman; however, the most helpful intervention for the
prevention of premature births is adequate prenatal care.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
2. In comparison with the term infant, the preterm infant has
a. more subcutaneous fat.
b. well-developed flexor G B.C M
mu scle s.
N R I
c. few blood vessels visible thUro uSgh tNh e sTkin. O
d. greater surface area in proportion to weight.
ANS: D
Preterm infants have greater surface area in proportion to their weight. More subcutaneous
fat, well-developed flexor muscles, and few blood vessels visible through the skin are features
that are more characteristic of a term infant.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
3. Decreased surfactant production in the preterm lung is a problem because
a. surfactant keeps the alveoli open during expiration.
b. surfactant causes increased permeability of the alveoli.
c. surfactant dilates the bronchioles, decreasing airway resistance.
d. surfactant provides transportation for oxygen to enter the blood supply.
ANS: A
Surfactant prevents the alveoli from collapsing each time the infant exhales, thus reducing the
work of breathing. It does not affect the bronchioles. By keeping the alveoli open, surfactant
permits enhanced oxygen exchange. Infants treated with surfactant have higher survival rates.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
& Women’s Health Nursing Textbook
Questions
, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
Chapter 23: High-Risk Newborn: Complications Associated with Gestational Age and
Development
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which is the most useful factor in preventing premature birth?
a. High socioeconomic status
b. Adequate prenatal care
c. Aid to Families with Dependent Children
d. Women, Infants, and Children (WIC) nutritional program
ANS: B
Prenatal care is vital for identifying possible problems. People with higher socioeconomic
status are more likely to seek adequate prenatal care, which is the most helpful for prevention
of premature births. Lower socioeconomic groups do not seek out health care, which puts
them at risk for preterm labor. Aid to Families with Dependent Children and WIC assist in
the nutritional status of the pregnant woman; however, the most helpful intervention for the
prevention of premature births is adequate prenatal care.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
2. In comparison with the term infant, the preterm infant has
a. more subcutaneous fat.
b. well-developed flexor G B.C M
mu scle s.
N R I
c. few blood vessels visible thUro uSgh tNh e sTkin. O
d. greater surface area in proportion to weight.
ANS: D
Preterm infants have greater surface area in proportion to their weight. More subcutaneous
fat, well-developed flexor muscles, and few blood vessels visible through the skin are features
that are more characteristic of a term infant.
DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
3. Decreased surfactant production in the preterm lung is a problem because
a. surfactant keeps the alveoli open during expiration.
b. surfactant causes increased permeability of the alveoli.
c. surfactant dilates the bronchioles, decreasing airway resistance.
d. surfactant provides transportation for oxygen to enter the blood supply.
ANS: A
Surfactant prevents the alveoli from collapsing each time the infant exhales, thus reducing the
work of breathing. It does not affect the bronchioles. By keeping the alveoli open, surfactant
permits enhanced oxygen exchange. Infants treated with surfactant have higher survival rates.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Physiologic Integrity
