MODULE 1 PRACTICE QUESTIONS
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✔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.
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✔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.
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✔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.
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✔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.
, The\nurse\is\caring\for\a\patient\who\is\newly\pregnant\and\smokes\one\pack\of\cigarettes\
per\day.\What\is\important\for\the\nurse\to\understand\prior\to\providing\smoking\
cessation\information?
1
Smoking\is\linked\to\preeclampsia.
2
Smoking\is\related\to\fetal\anemia.
3
Smoking\is\attributed\to\gestational\diabetes.
4
Smoking\can\cause\intrauterine\growth\restriction.\-\ans✔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.
A\patient\tells\the\nurse,\"I\tend\to\start\gaining\weight\1\week\before\my\menstrual\cycle\
begins,\and\my\legs\become\swollen.\My\breasts\also\become\very\painful.\What\bothers\
me\most\is\that\I\argue\with\my\family\members\when\depressed\and\irritated."\What\does\
the\nurse\conclude\from\the\patient's\history?
1
The\patient\has\primary\dysmenorrhea.
2
The\patient\has\secondary\dysmenorrhea.
3
The\patient\has\premenstrual\syndrome\(PMS).
4
The\patient\has\premenstrual\dysphoric\disorder\(PMDD).\-\ans✔ANS:\4
Excess\weight\gain,\edema\of\the\lower\limbs,\breast\tenderness,\depressed\mood,\and\
irritability\that\persist\for\1\week\before\the\onset\of\menses\indicate\PMDD.\All\these\
symptoms\do\not\occur\together\in\patients\with\PMS.\Because\the\patient\does\not\report\
the\occurrence\of\pain\during\menses,\the\patient\is\unlikely\to\have\primary\or\secondary\
dysmenorrhea.
What\does\the\comprehensive\standardized\language\developed\by\the\nurses\from\
University\of\Iowa\describe?
1
Details\of\perinatal\patients
2
Interventions\by\specialist\nurses
3
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✔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.
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✔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.
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✔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.
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✔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.
, The\nurse\is\caring\for\a\patient\who\is\newly\pregnant\and\smokes\one\pack\of\cigarettes\
per\day.\What\is\important\for\the\nurse\to\understand\prior\to\providing\smoking\
cessation\information?
1
Smoking\is\linked\to\preeclampsia.
2
Smoking\is\related\to\fetal\anemia.
3
Smoking\is\attributed\to\gestational\diabetes.
4
Smoking\can\cause\intrauterine\growth\restriction.\-\ans✔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.
A\patient\tells\the\nurse,\"I\tend\to\start\gaining\weight\1\week\before\my\menstrual\cycle\
begins,\and\my\legs\become\swollen.\My\breasts\also\become\very\painful.\What\bothers\
me\most\is\that\I\argue\with\my\family\members\when\depressed\and\irritated."\What\does\
the\nurse\conclude\from\the\patient's\history?
1
The\patient\has\primary\dysmenorrhea.
2
The\patient\has\secondary\dysmenorrhea.
3
The\patient\has\premenstrual\syndrome\(PMS).
4
The\patient\has\premenstrual\dysphoric\disorder\(PMDD).\-\ans✔ANS:\4
Excess\weight\gain,\edema\of\the\lower\limbs,\breast\tenderness,\depressed\mood,\and\
irritability\that\persist\for\1\week\before\the\onset\of\menses\indicate\PMDD.\All\these\
symptoms\do\not\occur\together\in\patients\with\PMS.\Because\the\patient\does\not\report\
the\occurrence\of\pain\during\menses,\the\patient\is\unlikely\to\have\primary\or\secondary\
dysmenorrhea.
What\does\the\comprehensive\standardized\language\developed\by\the\nurses\from\
University\of\Iowa\describe?
1
Details\of\perinatal\patients
2
Interventions\by\specialist\nurses
3
