OB-STUDY GUIDE BY CHAPTERS CH1-TO-
CH19
, Chapter 1: Trends and Issues
Multiple Choice
1. Since 1995 there has been a significant decrease in the rate of infant death related to which of
the following:
a. Disorders associated with short gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes
ANS: c
Feedback
a. The rates of prematurity and low birth weight
are increasing.
b. The rates of accidents have increased.
c. Correct. The rate of infant death related to
SIDS has decreased from 87.1 to 47.2. The
decrease in rate is partially attributed to placing
infants on their backs when sleeping.
d. The rates of newborns affected by
complications of placenta, cord, and
membranes have increased.
2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant such as
intrauterine growth restriction, preterm births, and respiratory problems. By race, which has the
highest percentages of smokers?
a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites
ANS: a
Feedback
a. 36% of American Indian and Native American
women are cigarette smokers.
b. 4.3% of Asian or Pacific Islander women are
cigarette smokers.
c. 17.1% of non-Hispanic black women are
cigarette smokers.
d. 19.6% of non-Hispanic white women are
cigarette smokers.
3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
,b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman
ANS: d
Feedback
a. Although age is a risk factor, income
contributes to disparity.
b. Although African American women are at
increased risk, income accounts for the largest
disparity.
c. Although age and race contribute to increased
risk, income accounts for the largest disparity.
d. Although age and race contribute to increased
risk, income accounts for the largest disparity.
4. A neonate born at 36 weeks gestation is classified as which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term
ANS: c
Feedback
a. Very premature is less than 32 weeks’
gestation.
b. Moderately premature is 32 to 33 completed
weeks’ gestation.
c. Correct. Late premature is 34 to 36 completed
weeks’ gestation.
d. Term is 37 to 42 weeks’ gestation.
5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020 report
is to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%.
ANS: d
A goal of Healthy People 2020 is to increase the proportion of infants who are breastfed from
74% to 81.9%.
6. The perinatal nurse explains to the student nurse that is the leading cause of
infant death in the United States.
, a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities
ANS: d
Multiple Response
7. Which of the following statements are true related to teen pregnancies? (Select all that apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems.
ANS: a, b, d
Health statistics report higher risk for HIV, for hypertensive problems, and for health problems to
infants born to teen mothers. Birth rates for teen mothers in all age categories have decreased
since 1991.
Chapter 2: Ethics and Standards of Practice Issues
Multiple Choice
1. An ethical dilemma unique to perinatal nursing is the:a. Innate conflict between maternal and
fetal rights
b. Intensive use of technologyc. Shortage of health-care resourcesd. Risk of violation of the
principle of veracity
ANS: a
Feedback
a. A unique aspect of maternity nursing is that the
nurse advocates for two individuals: the
woman and the fetus.
b. The use of technology is not unique to
perinatal nursing.
c. Currently, in the United States, decisions in
perinatal nursing are not based on resources
available.
d. In perinatal nursing, the obligation to tell the
truth is generally adhered to.
2. The American Nurses Association Code of Ethics for Nurses directs nurses to provide patient
care that is:a. Curativeb. Utilitarianc. Negotiabled. Respectful
CH19
, Chapter 1: Trends and Issues
Multiple Choice
1. Since 1995 there has been a significant decrease in the rate of infant death related to which of
the following:
a. Disorders associated with short gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes
ANS: c
Feedback
a. The rates of prematurity and low birth weight
are increasing.
b. The rates of accidents have increased.
c. Correct. The rate of infant death related to
SIDS has decreased from 87.1 to 47.2. The
decrease in rate is partially attributed to placing
infants on their backs when sleeping.
d. The rates of newborns affected by
complications of placenta, cord, and
membranes have increased.
2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant such as
intrauterine growth restriction, preterm births, and respiratory problems. By race, which has the
highest percentages of smokers?
a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites
ANS: a
Feedback
a. 36% of American Indian and Native American
women are cigarette smokers.
b. 4.3% of Asian or Pacific Islander women are
cigarette smokers.
c. 17.1% of non-Hispanic black women are
cigarette smokers.
d. 19.6% of non-Hispanic white women are
cigarette smokers.
3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
,b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman
ANS: d
Feedback
a. Although age is a risk factor, income
contributes to disparity.
b. Although African American women are at
increased risk, income accounts for the largest
disparity.
c. Although age and race contribute to increased
risk, income accounts for the largest disparity.
d. Although age and race contribute to increased
risk, income accounts for the largest disparity.
4. A neonate born at 36 weeks gestation is classified as which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term
ANS: c
Feedback
a. Very premature is less than 32 weeks’
gestation.
b. Moderately premature is 32 to 33 completed
weeks’ gestation.
c. Correct. Late premature is 34 to 36 completed
weeks’ gestation.
d. Term is 37 to 42 weeks’ gestation.
5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020 report
is to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%.
ANS: d
A goal of Healthy People 2020 is to increase the proportion of infants who are breastfed from
74% to 81.9%.
6. The perinatal nurse explains to the student nurse that is the leading cause of
infant death in the United States.
, a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities
ANS: d
Multiple Response
7. Which of the following statements are true related to teen pregnancies? (Select all that apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems.
ANS: a, b, d
Health statistics report higher risk for HIV, for hypertensive problems, and for health problems to
infants born to teen mothers. Birth rates for teen mothers in all age categories have decreased
since 1991.
Chapter 2: Ethics and Standards of Practice Issues
Multiple Choice
1. An ethical dilemma unique to perinatal nursing is the:a. Innate conflict between maternal and
fetal rights
b. Intensive use of technologyc. Shortage of health-care resourcesd. Risk of violation of the
principle of veracity
ANS: a
Feedback
a. A unique aspect of maternity nursing is that the
nurse advocates for two individuals: the
woman and the fetus.
b. The use of technology is not unique to
perinatal nursing.
c. Currently, in the United States, decisions in
perinatal nursing are not based on resources
available.
d. In perinatal nursing, the obligation to tell the
truth is generally adhered to.
2. The American Nurses Association Code of Ethics for Nurses directs nurses to provide patient
care that is:a. Curativeb. Utilitarianc. Negotiabled. Respectful
