The Childbearing Family with Special Needs Foundations of Maternal-Newborn & Women's Health Nursing, 7th Edition

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 1. Which nursing diagnoses may apply to the childbearing family with special needs? (Select all that apply.) a. Risk for spiritual distress b. Risk for injury c. Readiness for enhanced nutrition d. Ineffective breathing pattern e. Situational low self-esteem - ANS: A, B, E A childbearing family with special needs may be at risk to develop spiritual distress, experience injury, and exhibit situational low self-esteem. There are no supportive data to hypothesize an ineffective breathing pattern and/or readiness for enhanced nutrition. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Nursing Diagnosis MSC: Patient Needs: Health Promotion and Maintenance