TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman
Unit 1: Maternity Nursing Overview
Chapter 1: Trends and Issues
MULTIPLE CHOICE
TEST BANK 1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
present for support and notes that things have changed in the delivery room since she last
MATERNAL-NEWBORN NURSING: THE CRITICAL gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
COMPONENTS OF NURSING CARE 3RD EDITION BY LINDA find most different?
CHAPMAN AND ROBERTA DURHAM 1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
this likely would have occurred during the mother’s labor and delivery during
the 1980s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
Presently, the average postpartum stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were excluded from
the labor and birth experience. Present trends involve the expectant partner and
family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation
consultant and employment of the Baby-Friendly Hospital Initiative, were both
enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
delivery. This is an example of what type of death?
1. Early maternal death
2. Late maternal death
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman Durham And Linda Chapman
Concept: Health Promotion
3. Direct obstetric death Difficulty: Moderate
4. Indirect obstetric death
ANS: 4 Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
Chapter: Chapter 1 Trends and Issues infant mortality among preterm infants.
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
outcomes.
2 This is incorrect. Although advances in medical treatments have decreased infant
Page: 7
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
Heading: Trends > Maternal Death and Mortality Rates
preterm infants.
Integrated Processes: Nursing Process
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
Client Need: Physiological Integrity: Reduction of Risk Potential
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
Cognitive Level: Application [Applying]
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
Concept: Ante/Intra/Post-partum
designed to promote healthy infant sleeping habits. The decrease in SIDS from
Difficulty: Hard
1995 to 2015 was attributed to the Safe to Sleep campaign.
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. PTS: 1 CON: Health Promotion
Examples of maternal death include late maternal death, indirect obstetric death,
direct obstetric death, and pregnancy-related death. 4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
2 This is incorrect. Late maternal death occurs 42 days after termination of of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
pregnancy from a direct or indirect obstetric cause. increased risk of which condition?
3 This is incorrect. Direct obstetric death results from complications during 1. Diabetes
pregnancy, labor, birth, and/or postpartum period. 2. Blindness
3. Pneumonia
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
4. Hypertension
disease that develops during pregnancy.
ANS: 4
PTS: 1 CON: Ante/Intra/Post-partum Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
3. The nurse is providing education to a patient who has given birth to her first child and is Page: 10
being discharged home. The patient expressed concern regarding infant mortality and Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, Integrated Processes: Nursing Process
and vaginal delivery. She has a body mass index of 25 and has no other health conditions. Client Need: Physiological Integrity: Reduction of Risk Potential
The infant is healthy and was delivered full-term. What will be most helpful thing to explain Cognitive Level: Application [Applying]
to the patient? Concept: Ante/Intra/Post-partum
1. Uses of extracorporeal membrane oxygenation therapy (ECMO) Difficulty: Moderate
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative Feedback
4. The Safe to Sleep campaign 1 This is incorrect. Maternal obesity increases a child’s risk of developing
ANS: 4 childhood obesity and diabetes.
Chapter: Chapter 1 Trends and Issues 2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
Chapter Learning Objective: 3. Identify leading causes of infant death. associated with a patient who contracts syphilis during pregnancy.
Page: 7 3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
Heading: Trends > Infant Mortality Rates 4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
Integrated Processes: Nursing process transmitted illnesses and hypertension during pregnancy; however, maternal
Client Need: Safe and Effective Care Environment: Safety and Infection Control syphilis is not associated with fetal hypertension.
Cognitive Level: Application [Applying]
PTS: 1 CON: Ante/Intra/Post-partum
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman Durham And Linda Chapman
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her Page:t12
previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and Heading:tIssuest>tTobaccotandtElectronictCigarettetUsetDuringtPregnancytIntegratedtP
HIV. Based on the information provided, which condition is the patient’s baby at higher risk rocesses:tNursingtProcess
for? ClienttNeed:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControltCogniti
vetLevel:tApplicationt[Applying]
1. Intestinal problems Concept:tAnte/Intra/Post-
2. Neonatal conjunctivitis partumtDifficulty:tModerate
3. Blindness
4. Pneumonia Feedback
ANS: 1
Chapter: Chapter 1 Trends and Issues 1 Thististincorrect.tElectronictcigarettestcantbetharmfultduringtpregnancy.
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. 2 Thististcorrect.tPregnanttwomentshouldtnottusettobaccotproductstortelectronic
Page: 11 cigarettestduringtpregnancy.
Heading: Issues > Teen Pregnancy 3 Thististincorrect.tElectronictcigarettestaretnottcontrolledtbytthetFDAtandtmaytbe
Integrated Processes: Nursing Process harmfulttotbothtmothertandtfetus.
Client Need: Physiological Integrity: Reduction of Risk Potential 4 Thististincorrect.tElectronictcigarettestaretconsideredtharmfultduringtpregnancy.
Cognitive Level: Application [Applying]
Concept: Health Promotion PTS: 1 CON:t Ante/Intra/Post-partum
Difficulty: Difficult
7. Thetnursetistcaringtfortat16-year-
Feedback oldtpatienttwhotist32tweekstpregnanttwiththertfirsttchild,twhotistmale.tThetpatient’stmotherthasta
1 This is correct. Infants born to teen mothers are at increased risk for various ccompaniedtherttottoday’stvisit.tDuringtthetnursingtassessment,tthetpatienttmentionstthattshetistn
conditions related to prematurity, including infant death, intestinal problems, otlongertintatrelationshiptwithtthetbaby’stfathertbutthertmothertplansttothelpther.tHowever,tthetpat
and/or respiratory distress syndrome. ient’stmothertaskstwhethertthistwillthavetanytimpacttontthetchild.tWhichtshouldtthetnursetindicat
2 This is incorrect. Infants born to teen mothers who have gonorrhea are at etthetchildtistattincreasedtrisktoftduringthistadolescence?
increased risk of neonatal conjunctivitis and blindness. 1. Hypertension
3 This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at 2. Diabetes
increased risk of blindness. 3. Alcoholtabuse
4 This is incorrect. Infants born to teen mothers with chlamydia may be at 4. Intraventriculartbleeding
increased risk of developing chlamydial pneumonia.
ANS:t 3
Chapter:tChaptert1tTrendstandtIssues
PTS: 1 CON: Health Promotion ChaptertLearningtObjective:t4.tDiscusstcurrenttmaternaltandtinfantthealthtissues.tPage:t1
2
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. Heading:tIssuest>tTeentPregnancyt>tImplicationstoftTeentPregnancytandtBirthtIntegrate
The test confirms the patient is pregnant. The patient states, ―I do not need to stop smoking dtProcesses:tNursingtProcess
my electronic cigarette because it will not harm my baby.‖ Which is the best response by the ClienttNeed:tPhysiologicaltIntegrity:tReductiontoftRisktPotentialtCognitivetL
nurse? evel:tApplicationt[Applying]
1. ―You are correct. Electronic cigarettes are not harmful during pregnancy.‖ Concept:tAnte/Intra/Post-
2. ―Tobacco products, including electronic cigarettes, should not be used during partumtDifficulty:tModerate
pregnancy due to risking nicotine toxicity.‖
3. ―According to the FDA, although electronic cigarettes are safe for you, they can
Feedback
cause harm to the fetus during pregnancy.‖
1 Thististincorrect.tTeentmothers,trathertthanttheirtchildren,taretattincreasedtrisked
4. ―Electronic cigarettes are considered harmful only in the first trimester.‖
ofthypertensiontduringtpregnancy.
ANS: 2 2 Thististincorrect.tChildrentbornttotmotherstwhotaretobesethavetantincreasedtrisk
Chapter: Chapter 1 Trends and Issues oftdevelopingtchildhoodtobesitytandtchildhoodtdiabetes.
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman Durham And Linda Chapman
3 Thististcorrect.tStatisticsthavetshowntthattadolescenttboystwithouttantinvolvedtfathert Chapter:tChaptert1tTrendstandtIssues
maytbetatthighertrisktoftincarceration,tdroppingtouttoftschool,tandtabusing ChaptertLearningtObjective:t3.tIdentifytleadingtcausestoftinfanttdeath.tPage:t1
drugstortalcohol. 3
4 Thististincorrect.tChildrentbornttotteentmotherstaretattincreasedtrisktforthealthtproblem Heading:tIssuest>tSubstancetAbusetDuringtPregnancytIntegratedt
stassociatedtwithtlowtbirthtweight,tincludingtintraventriculartbleeding. Processes:tNursingtProcess
ClienttNeed:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControltCogniti
PTS: 1 CON:t Ante/Intra/Post-partum vetLevel:tApplicationt[Applying]
Concept:tAnte/Intra/Post-
8. Thetnursetistcaringtfortatpatienttatt7tweekstgestation.tThetnursetsuspectstthattatpregnanttpatie partumtDifficulty:tModerate
nttmaythavetbeentusingtmarijuana.tWithtconsent,tthetnursetconfirmstviaturinetdrugtscreen.tW
hichtstatementtbytthetnursetistmosttappropriate? Feedback
1. ―Didtyoutsmoketmarijuanatwhentpregnanttwithtyourtothertchild?‖ 1 Thististincorrect.tAlcoholtshouldtnottbetconsumedtwhiletpregnant.
2. ―Totavoidtnegativeteffectstontyourtbaby,tyou’lltneedttotstoptusingtmarijuanatduri
ngtyourtlastttrimester.‖ 2 Thististcorrect.tDrinkingtalcoholtwhiletpregnanttcantcausetlowtbirthtweight,
3. ―Usingtmarijuanatwhiletpregnanttcanthavetatnegativeteffecttontthetneurological fetaltalcoholtsyndrome,tmentaltretardation,tandtintrauterinetgrowthtrestriction.
developmenttoft yourtbaby.‖
4. ―Marijuanatusetwhiletpregnanttgreatlytincreasestyourtrisktoftmiscarriage.‖ 3 Thististincorrect.tAlcoholtshouldtnottbetconsumedtwhiletpregnant.
4 Thististincorrect.tAlcoholtshouldtnottbetconsumedtwhiletpregnant.
ANS:t 3
Chapter:tChaptert1tTrendstandtIssues
ChaptertLearningtObjective:t3.tIdentifytleadingtcausestoftinfanttdeath.tPage:t1 PTS: 1 CON:t Ante/Intra/Post-partum
3
Heading:tIssuest>tSubstancetAbusetDuringtPregnancytIntegratedt 10. Thetnursetisteducatingtthetpregnanttpatienttwithtatbodytmasstindext(BMI)toft33.tThetnursetknow
Processes:tNursingtProcess stthattteachingthastbeenteffectivetwhentthetpatienttstatestwhichtoftthetfollowing?
ClienttNeed:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControltCogniti 1. ―Mytchildtmaytbetattincreasedtrisktfortbirthtinjury.‖
vetLevel:tApplicationt[Applying] 2. ―Mytchildtmaythavetatdecreasedtrisktoftdevelopingtchildhoodtdiabetes.‖
Concept:tAnte/Intra/Post- 3. ―Itwilltprobablytgivetbirthtvaginally.‖
partumtDifficulty:tModerate 4. ―Ithavetatlowertrisktoftdevelopingtgestationalthypertension.‖
ANS:t 1
Feedback Chapter:tChaptert1tTrendstandtIssues
1 Thististincorrect.tWhethertortnottthetwomantusedtmarijuanatduringthertprevious ChaptertLearningtObjective:t4.tDiscusstcurrenttmaternaltandtinfantthealthtissues.tPage:t1
pregnancytistnottrelevantttothertcurrenttcare. 3
2 Thististincorrect.tMarijuanatshouldtnottbetusedtattanytpointtduringtpregnancy. Heading:tIssuest>tObesity
3 Thististcorrect.tMarijuanatusetduringtpregnancytmaythavetatnegativeteffectton IntegratedtProcesses:tNursingtProcess
thetneurologicaltdevelopmenttoftthetfetus. ClienttNeed:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControltCogniti
4 Thististincorrect.tTheretcurrentlytistnotresearchtlinkingtmarijuanatusetto vetLevel:tApplicationt[Applying]
increasedtrisktoftmiscarriage. Concept:tAnte/Intra/Post-
partumtDifficulty:tDifficult
PTS: 1 CON:t Ante/Intra/Post-partum
Feedback
9. Thetnursetistcounselingtatfemaletpatienttabouttalcoholtusetduringtpregnancy.tWhichtstat 1 Thististcorrect.tShouldertdystociatandtothertbirthtinjuriestaretassociatedtwith
ementtbytthetpatienttdemonstratestsuccessfultpatienttteaching? infanttmacrosomiat(largetsize)tduettotmaternaltobesity.
1. ―Itwilltlimittmytdrinkingttotjusttonetalcoholictbeveragetpertday.‖ 2 Thististincorrect.tChildrentbornttotmotherstwhotaretobesetaretattincreasedtrisk
2. ―It’stbesttfortmytbabytiftItavoidtdrinkingtduringtpregnancy.‖ oftdevelopingtchildhoodt obesitytandtdiabetes.
3. ―Antoccasionaltdrinktontspecialtoccasionstistokay.‖ 3 Thististincorrect.tPregnanttpatientstwhotaretobesetaretattincreasedtrisktoftcesareantbi
4. ―Drinkingtalcoholtistonlytacceptabletintthetfirstttrimester.‖t rth.
ANS:t 2
Durham And Linda Chapman
Unit 1: Maternity Nursing Overview
Chapter 1: Trends and Issues
MULTIPLE CHOICE
TEST BANK 1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
present for support and notes that things have changed in the delivery room since she last
MATERNAL-NEWBORN NURSING: THE CRITICAL gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
COMPONENTS OF NURSING CARE 3RD EDITION BY LINDA find most different?
CHAPMAN AND ROBERTA DURHAM 1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
this likely would have occurred during the mother’s labor and delivery during
the 1980s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
Presently, the average postpartum stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were excluded from
the labor and birth experience. Present trends involve the expectant partner and
family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation
consultant and employment of the Baby-Friendly Hospital Initiative, were both
enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
delivery. This is an example of what type of death?
1. Early maternal death
2. Late maternal death
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman Durham And Linda Chapman
Concept: Health Promotion
3. Direct obstetric death Difficulty: Moderate
4. Indirect obstetric death
ANS: 4 Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
Chapter: Chapter 1 Trends and Issues infant mortality among preterm infants.
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
outcomes.
2 This is incorrect. Although advances in medical treatments have decreased infant
Page: 7
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
Heading: Trends > Maternal Death and Mortality Rates
preterm infants.
Integrated Processes: Nursing Process
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
Client Need: Physiological Integrity: Reduction of Risk Potential
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
Cognitive Level: Application [Applying]
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
Concept: Ante/Intra/Post-partum
designed to promote healthy infant sleeping habits. The decrease in SIDS from
Difficulty: Hard
1995 to 2015 was attributed to the Safe to Sleep campaign.
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. PTS: 1 CON: Health Promotion
Examples of maternal death include late maternal death, indirect obstetric death,
direct obstetric death, and pregnancy-related death. 4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
2 This is incorrect. Late maternal death occurs 42 days after termination of of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
pregnancy from a direct or indirect obstetric cause. increased risk of which condition?
3 This is incorrect. Direct obstetric death results from complications during 1. Diabetes
pregnancy, labor, birth, and/or postpartum period. 2. Blindness
3. Pneumonia
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
4. Hypertension
disease that develops during pregnancy.
ANS: 4
PTS: 1 CON: Ante/Intra/Post-partum Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
3. The nurse is providing education to a patient who has given birth to her first child and is Page: 10
being discharged home. The patient expressed concern regarding infant mortality and Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, Integrated Processes: Nursing Process
and vaginal delivery. She has a body mass index of 25 and has no other health conditions. Client Need: Physiological Integrity: Reduction of Risk Potential
The infant is healthy and was delivered full-term. What will be most helpful thing to explain Cognitive Level: Application [Applying]
to the patient? Concept: Ante/Intra/Post-partum
1. Uses of extracorporeal membrane oxygenation therapy (ECMO) Difficulty: Moderate
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative Feedback
4. The Safe to Sleep campaign 1 This is incorrect. Maternal obesity increases a child’s risk of developing
ANS: 4 childhood obesity and diabetes.
Chapter: Chapter 1 Trends and Issues 2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
Chapter Learning Objective: 3. Identify leading causes of infant death. associated with a patient who contracts syphilis during pregnancy.
Page: 7 3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
Heading: Trends > Infant Mortality Rates 4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
Integrated Processes: Nursing process transmitted illnesses and hypertension during pregnancy; however, maternal
Client Need: Safe and Effective Care Environment: Safety and Infection Control syphilis is not associated with fetal hypertension.
Cognitive Level: Application [Applying]
PTS: 1 CON: Ante/Intra/Post-partum
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman Durham And Linda Chapman
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her Page:t12
previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and Heading:tIssuest>tTobaccotandtElectronictCigarettetUsetDuringtPregnancytIntegratedtP
HIV. Based on the information provided, which condition is the patient’s baby at higher risk rocesses:tNursingtProcess
for? ClienttNeed:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControltCogniti
vetLevel:tApplicationt[Applying]
1. Intestinal problems Concept:tAnte/Intra/Post-
2. Neonatal conjunctivitis partumtDifficulty:tModerate
3. Blindness
4. Pneumonia Feedback
ANS: 1
Chapter: Chapter 1 Trends and Issues 1 Thististincorrect.tElectronictcigarettestcantbetharmfultduringtpregnancy.
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. 2 Thististcorrect.tPregnanttwomentshouldtnottusettobaccotproductstortelectronic
Page: 11 cigarettestduringtpregnancy.
Heading: Issues > Teen Pregnancy 3 Thististincorrect.tElectronictcigarettestaretnottcontrolledtbytthetFDAtandtmaytbe
Integrated Processes: Nursing Process harmfulttotbothtmothertandtfetus.
Client Need: Physiological Integrity: Reduction of Risk Potential 4 Thististincorrect.tElectronictcigarettestaretconsideredtharmfultduringtpregnancy.
Cognitive Level: Application [Applying]
Concept: Health Promotion PTS: 1 CON:t Ante/Intra/Post-partum
Difficulty: Difficult
7. Thetnursetistcaringtfortat16-year-
Feedback oldtpatienttwhotist32tweekstpregnanttwiththertfirsttchild,twhotistmale.tThetpatient’stmotherthasta
1 This is correct. Infants born to teen mothers are at increased risk for various ccompaniedtherttottoday’stvisit.tDuringtthetnursingtassessment,tthetpatienttmentionstthattshetistn
conditions related to prematurity, including infant death, intestinal problems, otlongertintatrelationshiptwithtthetbaby’stfathertbutthertmothertplansttothelpther.tHowever,tthetpat
and/or respiratory distress syndrome. ient’stmothertaskstwhethertthistwillthavetanytimpacttontthetchild.tWhichtshouldtthetnursetindicat
2 This is incorrect. Infants born to teen mothers who have gonorrhea are at etthetchildtistattincreasedtrisktoftduringthistadolescence?
increased risk of neonatal conjunctivitis and blindness. 1. Hypertension
3 This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at 2. Diabetes
increased risk of blindness. 3. Alcoholtabuse
4 This is incorrect. Infants born to teen mothers with chlamydia may be at 4. Intraventriculartbleeding
increased risk of developing chlamydial pneumonia.
ANS:t 3
Chapter:tChaptert1tTrendstandtIssues
PTS: 1 CON: Health Promotion ChaptertLearningtObjective:t4.tDiscusstcurrenttmaternaltandtinfantthealthtissues.tPage:t1
2
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. Heading:tIssuest>tTeentPregnancyt>tImplicationstoftTeentPregnancytandtBirthtIntegrate
The test confirms the patient is pregnant. The patient states, ―I do not need to stop smoking dtProcesses:tNursingtProcess
my electronic cigarette because it will not harm my baby.‖ Which is the best response by the ClienttNeed:tPhysiologicaltIntegrity:tReductiontoftRisktPotentialtCognitivetL
nurse? evel:tApplicationt[Applying]
1. ―You are correct. Electronic cigarettes are not harmful during pregnancy.‖ Concept:tAnte/Intra/Post-
2. ―Tobacco products, including electronic cigarettes, should not be used during partumtDifficulty:tModerate
pregnancy due to risking nicotine toxicity.‖
3. ―According to the FDA, although electronic cigarettes are safe for you, they can
Feedback
cause harm to the fetus during pregnancy.‖
1 Thististincorrect.tTeentmothers,trathertthanttheirtchildren,taretattincreasedtrisked
4. ―Electronic cigarettes are considered harmful only in the first trimester.‖
ofthypertensiontduringtpregnancy.
ANS: 2 2 Thististincorrect.tChildrentbornttotmotherstwhotaretobesethavetantincreasedtrisk
Chapter: Chapter 1 Trends and Issues oftdevelopingtchildhoodtobesitytandtchildhoodtdiabetes.
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman Durham And Linda Chapman
3 Thististcorrect.tStatisticsthavetshowntthattadolescenttboystwithouttantinvolvedtfathert Chapter:tChaptert1tTrendstandtIssues
maytbetatthighertrisktoftincarceration,tdroppingtouttoftschool,tandtabusing ChaptertLearningtObjective:t3.tIdentifytleadingtcausestoftinfanttdeath.tPage:t1
drugstortalcohol. 3
4 Thististincorrect.tChildrentbornttotteentmotherstaretattincreasedtrisktforthealthtproblem Heading:tIssuest>tSubstancetAbusetDuringtPregnancytIntegratedt
stassociatedtwithtlowtbirthtweight,tincludingtintraventriculartbleeding. Processes:tNursingtProcess
ClienttNeed:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControltCogniti
PTS: 1 CON:t Ante/Intra/Post-partum vetLevel:tApplicationt[Applying]
Concept:tAnte/Intra/Post-
8. Thetnursetistcaringtfortatpatienttatt7tweekstgestation.tThetnursetsuspectstthattatpregnanttpatie partumtDifficulty:tModerate
nttmaythavetbeentusingtmarijuana.tWithtconsent,tthetnursetconfirmstviaturinetdrugtscreen.tW
hichtstatementtbytthetnursetistmosttappropriate? Feedback
1. ―Didtyoutsmoketmarijuanatwhentpregnanttwithtyourtothertchild?‖ 1 Thististincorrect.tAlcoholtshouldtnottbetconsumedtwhiletpregnant.
2. ―Totavoidtnegativeteffectstontyourtbaby,tyou’lltneedttotstoptusingtmarijuanatduri
ngtyourtlastttrimester.‖ 2 Thististcorrect.tDrinkingtalcoholtwhiletpregnanttcantcausetlowtbirthtweight,
3. ―Usingtmarijuanatwhiletpregnanttcanthavetatnegativeteffecttontthetneurological fetaltalcoholtsyndrome,tmentaltretardation,tandtintrauterinetgrowthtrestriction.
developmenttoft yourtbaby.‖
4. ―Marijuanatusetwhiletpregnanttgreatlytincreasestyourtrisktoftmiscarriage.‖ 3 Thististincorrect.tAlcoholtshouldtnottbetconsumedtwhiletpregnant.
4 Thististincorrect.tAlcoholtshouldtnottbetconsumedtwhiletpregnant.
ANS:t 3
Chapter:tChaptert1tTrendstandtIssues
ChaptertLearningtObjective:t3.tIdentifytleadingtcausestoftinfanttdeath.tPage:t1 PTS: 1 CON:t Ante/Intra/Post-partum
3
Heading:tIssuest>tSubstancetAbusetDuringtPregnancytIntegratedt 10. Thetnursetisteducatingtthetpregnanttpatienttwithtatbodytmasstindext(BMI)toft33.tThetnursetknow
Processes:tNursingtProcess stthattteachingthastbeenteffectivetwhentthetpatienttstatestwhichtoftthetfollowing?
ClienttNeed:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControltCogniti 1. ―Mytchildtmaytbetattincreasedtrisktfortbirthtinjury.‖
vetLevel:tApplicationt[Applying] 2. ―Mytchildtmaythavetatdecreasedtrisktoftdevelopingtchildhoodtdiabetes.‖
Concept:tAnte/Intra/Post- 3. ―Itwilltprobablytgivetbirthtvaginally.‖
partumtDifficulty:tModerate 4. ―Ithavetatlowertrisktoftdevelopingtgestationalthypertension.‖
ANS:t 1
Feedback Chapter:tChaptert1tTrendstandtIssues
1 Thististincorrect.tWhethertortnottthetwomantusedtmarijuanatduringthertprevious ChaptertLearningtObjective:t4.tDiscusstcurrenttmaternaltandtinfantthealthtissues.tPage:t1
pregnancytistnottrelevantttothertcurrenttcare. 3
2 Thististincorrect.tMarijuanatshouldtnottbetusedtattanytpointtduringtpregnancy. Heading:tIssuest>tObesity
3 Thististcorrect.tMarijuanatusetduringtpregnancytmaythavetatnegativeteffectton IntegratedtProcesses:tNursingtProcess
thetneurologicaltdevelopmenttoftthetfetus. ClienttNeed:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControltCogniti
4 Thististincorrect.tTheretcurrentlytistnotresearchtlinkingtmarijuanatusetto vetLevel:tApplicationt[Applying]
increasedtrisktoftmiscarriage. Concept:tAnte/Intra/Post-
partumtDifficulty:tDifficult
PTS: 1 CON:t Ante/Intra/Post-partum
Feedback
9. Thetnursetistcounselingtatfemaletpatienttabouttalcoholtusetduringtpregnancy.tWhichtstat 1 Thististcorrect.tShouldertdystociatandtothertbirthtinjuriestaretassociatedtwith
ementtbytthetpatienttdemonstratestsuccessfultpatienttteaching? infanttmacrosomiat(largetsize)tduettotmaternaltobesity.
1. ―Itwilltlimittmytdrinkingttotjusttonetalcoholictbeveragetpertday.‖ 2 Thististincorrect.tChildrentbornttotmotherstwhotaretobesetaretattincreasedtrisk
2. ―It’stbesttfortmytbabytiftItavoidtdrinkingtduringtpregnancy.‖ oftdevelopingtchildhoodt obesitytandtdiabetes.
3. ―Antoccasionaltdrinktontspecialtoccasionstistokay.‖ 3 Thististincorrect.tPregnanttpatientstwhotaretobesetaretattincreasedtrisktoftcesareantbi
4. ―Drinkingtalcoholtistonlytacceptabletintthetfirstttrimester.‖t rth.
ANS:t 2
