Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition- Chapter 11-20

Chapter 11: The Childbearing Family with Special Needs Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition MULTIPLE CHOICE 1. A pregnant patient who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for a. postmature birth. b. sexually transmitted diseases. c. hypotension and vasodilation. d. depression of the central nervous system. ANS: B Sex acts exchanged for drugs place the woman at increased risk for sexually transmitted diseases because of having multiple partners and lack of protection. Premature delivery of the infant is one of the most common problems associated with cocaine use during pregnancy. Cocaine causes hypertension and vasoconstriction. Cocaine is a central nervous system stimulant. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 2. Which factor is a major barrier to health care for adolescent mothers? a. Health care workers have a positive attitude. b. The hospital or clinic is within walking distance of the girl’s home. c. Seeing a different nurse and/or health care provider at every visit. d. The institution is open days, evenings, and Saturday by special arrangement. ANS: C Whenever possible, the teen should be scheduled to see the same nurses and practitioners for continuity of care. A positive attitude of the health care providers is important in teen pregnancy care. If the hospital or clinic were within walking distance of the girl’s home, it would prevent the teen from missing appointments due to transportation problems. If the institution were open days, evenings, and Saturday by special arrangement, this would be helpful for teens who work, go to school, or have other time of day restrictions. Scheduling conflicts are a major barrier to health care. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Psychosocial Integrity 3. In planning sex education classes for the middle school age group, more emphasis should be placed on a. how to set limits for sexual behavior. b. the inaccuracy of information from peers. c. the use of oral contraceptives to prevent unwanted pregnancy. d. the use of condoms to prevent sexually transmitted diseases as well as pregnancy. ANS: A