nn nn nn
NURSING THE CRITICAL COMPONENTS
nn nn nn nn
OF NURSING CARE, 3RD EDITION,
nn nn nn nn nn
ROBERTA nn
,Chapter 1: Trends and Issues
nn nn nn nn
Multiple nnChoice
Identify nnthe nnchoice nnthat nnbest nncompletes nnthe nnstatement nnor nnanswers nnthe nnquestion.
1. The nnnurse nnis nncaring nnfor nna nnpatient nnwho nnis nnin nnlabor nnwith nnher nnfirst nnchild. nnThe nnpatient’s
nnmother nnis nnpresent nnfor nnsupport nnand nnnotes nnthat nnthings nnhave nnchanged nnin nnthe nndelivery nnroom
nnsince nnshe nnlast nngave nnbirth nnin nnthe nnearly nn1980s. nnWhich nncurrent nntrend nnor nnintervention nnmay
nnthe nnpatient’s nnmother nnfind nnmost nndifferent?
1. Fetal nnmonitoring nnthroughout nnlabor
2. Postpartum nnstay nnof nn10 nndays
3. Expectant nnpartner nnand nnfamily nnin nnoperating nnroom nnfor nncesarean nnbirth
4. Hospital nnsupport nnfor nnbreastfeeding
2. A nnpatient nnwith nna nnhistory nnof nnhypertension nnis nngiving nnbirth. nnDuring nndelivery, nnthe nnstaff
nnwas nnnot nnable nnto nnstabilize nnthe nnpatient’s nnblood nnpressure. nnAs nna nnresult, nnthe nnpatient nndied
nnshortly nnafter nndelivery. nnThis nnis nnan nnexample nnof nnwhat nntype nnof nndeath?
1. Early nnmaternal nndeath
2. Late nnmaternal nndeath
3. Direct nnobstetric nndeath
4. Indirect nnobstetric nndeath
3. The nnnurse nnis nnproviding nneducation nnto nna nnpatient nnwho nnhas nngiven nnbirth nnto nnher nnfirst nnchild
nnand nnis nnbeing nndischarged nnhome. nnThe nnpatient nnexpressed nnconcern nnregarding nninfant
nnmortality nnand nnsudden nninfant nndeath nnsyndrome nn(SIDS). nnThe nnpatient nnhad nnan nnuncomplicated
nnpregnancy, nnlabor, nnand nnvaginal nndelivery. nnShe nnhas nna nnbody nnmass nnindex nnof nn25 nnand nnhas nnno
nnother nnhealth nnconditions. nnThe nninfant nnis nnhealthy nnand nnwas nndelivered nnfull-term. nnWhat nnwill
nnbe nnmost nnhelpful nnthing nnto nnexplain nnto nnthe nnpatient?
1. Uses nnof nnextracorporeal nnmembrane nnoxygenation nntherapy nn(ECMO)
2. Uses nnof nnexogenous nnpulmonary nnsurfactant
3. The nnBaby-Friendly nnHospital nnInitiative
4. The nnSafe nnto nnSleep nncampaign
4. The nnnurse nnis nncaring nnfor nna nn14-year-old nnpatient nnwho nnis nn32 nnweeks nnpregnant. nnAfter
nncomplaining nnof nngenital nnsores nnand nndiscomfort, nnthe nnpatient nntests nnpositive nnfor nnsyphilis. nnThe
nnfetus nnis nnat nnincreased nnrisk nnof nnwhich nncondition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The nnnurse nnis nncaring nnfor nna nn15-year-old nnfemale nnwho nnis nnpregnant nnwith nnher nnfirst nnchild. nnIn
nnher nnprevious nnprenatal nnvisit, nnthe nnpatient nntested nnnegative nnfor nnchlamydia, nnsyphilis, nngonorrhea,
nnand nnHIV. nnBased nnon nnthe nninformation nnprovided, nnwhich nncondition nnis nnthe nnpatient’s nnbaby nnat
nnhigher nnrisk nnfor?
1. Intestinal nnproblems
2. Neonatal nnconjunctivitis
Copyright nn© nn2019 nnF. nnA. nnDavis
nnCompany
,3. Blindness
4. Pneumonia
Copyright nn© nn2019 nnF. nnA. nnDavis
nnCompany
, 6. The nnnurse nnis nncaring nnfor nna nn23-year-old nnpatient nnwho nnarrives nnat nnthe nnclinic nnfor nna nnpregnancy
nntest. nnThe nntest nnconfirms nnthe nnpatient nnis nnpregnant. nnThe nnpatient nnstates, nn“I nndo nnnot nnneed nnto
nnstop nnsmoking nnmy nnelectronic nncigarette nnbecause nnit nnwill nnnot nnharm nnmy nnbaby.” nnWhich nnis
nnthe nnbest nnresponse nnby nnthe nnnurse?
1. “You nnare nncorrect. nnElectronic nncigarettes nnare nnnot nnharmful nnduring nnpregnancy.”
2. “Tobacco nnproducts, nnincluding nnelectronic nncigarettes, nnshould nnnot nnbe nnused
nnduring nnpregnancy nndue nnto nnrisking nnnicotine nntoxicity.”
3. “According nnto nnthe nnFDA, nnalthough nnelectronic nncigarettes nnare nnsafe nnfor nnyou, nnthey nncan
cause nnharm nnto nnthe nnfetus nnduring nnpregnancy.”
4. “Electronic nncigarettes nnare nnconsidered nnharmful nnonly nnin nnthe nnfirst nntrimester.”
7. The nnnurse nnis nncaring nnfor nna nn16-year-old nnpatient nnwho nnis nn32 nnweeks nnpregnant nnwith nnher nnfirst
nnchild, nnwho nnis nnmale. nnThe nnpatient’s nnmother nnhas nnaccompanied nnher nnto nntoday’s nnvisit.
nnDuring nnthe nnnursing nnassessment, nnthe nnpatient nnmentions nnthat nnshe nnis nnno nnlonger nnin nna
nnrelationship nnwith nnthe nnbaby’s nnfather nnbut nnher nnmother nnplans nnto nnhelp nnher. nnHowever, nnthe
nnpatient’s nnmother nnasks nnwhether nnthis nnwill nnhave nnany nnimpact nnon nnthe nnchild. nnWhich nnshould
nnthe nnnurse nnindicate nnthe nnchild nnis nnat nnincreased nnrisk nnof nnduring nnhis nnadolescence?
1. Hypertension
2. Diabetes
3. Alcohol nnabuse
4. Intraventricular nnbleeding
8. The nnnurse nnis nncaring nnfor nna nnpatient nnat nn7 nnweeks nngestation. nnThe nnnurse nnsuspects nnthat nna
nnpregnant nnpatient nnmay nnhave nnbeen nnusing nnmarijuana. nnWith nnconsent, nnthe nnnurse nnconfirms
nnvia nnurine nndrug nnscreen. nnWhich nnstatement nnby nnthe nnnurse nnis nnmost nnappropriate?
1. “Did nnyou nnsmoke nnmarijuana nnwhen nnpregnant nnwith nnyour nnother nnchild?”
2. “To nnavoid nnnegative nneffects nnon nnyour nnbaby, nnyou’ll nnneed nnto nnstop nnusing
nnmarijuana nnduring nnyour nnlast nntrimester.”
3. “Using nnmarijuana nnwhile nnpregnant nncan nnhave nna nnnegative nneffect nnon nnthe nnneurological
development nnof nnyour nnbaby.”
4. “Marijuana nnuse nnwhile nnpregnant nngreatly nnincreases nnyour nnrisk nnof nnmiscarriage.”
9. The nnnurse nnis nncounseling nna nnfemale nnpatient nnabout nnalcohol nnuse nnduring nnpregnancy. nnWhich
nnstatement nnby nnthe nnpatient nndemonstrates nnsuccessful nnpatient nnteaching?
1. “I nnwill nnlimit nnmy nndrinking nnto nnjust nnone nnalcoholic nnbeverage nnper nnday.”
2. “It’s nnbest nnfor nnmy nnbaby nnif nnI nnavoid nndrinking nnduring nnpregnancy.”
3. “An nnoccasional nndrink nnon nnspecial nnoccasions nnis nnokay.”
4. “Drinking nnalcohol nnis nnonly nnacceptable nnin nnthe nnfirst nntrimester.”
10. The nnnurse nnis nneducating nnthe nnpregnant nnpatient nnwith nna nnbody nnmass nnindex nn(BMI) nnof nn33. nnThe
nnnurse nnknows nnthat nnteaching nnhas nnbeen nneffective nnwhen nnthe nnpatient nnstates nnwhich nnof nnthe
nnfollowing?
1. “My nnchild nnmay nnbe nnat nnincreased nnrisk nnfor nnbirth nninjury.”
2. “My nnchild nnmay nnhave nna nndecreased nnrisk nnof nndeveloping nnchildhood nndiabetes.”
3. “I nnwill nnprobably nngive nnbirth nnvaginally.”
4. “I nnhave nna nnlower nnrisk nnof nndeveloping nngestational nnhypertension.”
Copyright nn© nn2019 nnF. nnA. nnDavis
nnCompany