x x x
NEWBORN NURSING THEx x
xCRITICAL COMPONENTS OF
x x
x NURSING CARE, 3RD EDITION,
x x x
ROBERTA
x
,Chapter 1: Trends and Issues
x x x x
Multiple xChoice
Identify xthe xchoice xthat xbest xcompletes xthe xstatement xor xanswers xthe xquestion.
1. The xnurse xis xcaring xfor xa xpatient xwho xis xin xlabor xwith xher xfirst xchild. xThe xpatient’s
xmother xis xpresent xfor xsupport xand xnotes xthat xthings xhave xchanged xin xthe xdelivery
xroom xsince xshe xlast xgave xbirth xin xthe xearly x1980s. xWhich xcurrent xtrend xor
xintervention xmay xthe xpatient’s xmother xfind xmost xdifferent?
1. Fetal xmonitoring xthroughout xlabor
2. Postpartum xstay xof x10 xdays
3. Expectant xpartner xand xfamily xin xoperating xroom xfor xcesarean xbirth
4. Hospital xsupport xfor xbreastfeeding
2. A xpatient xwith xa xhistory xof xhypertension xis xgiving xbirth. xDuring xdelivery, xthe xstaff
xwas xnot xable xto xstabilize xthe xpatient’s xblood xpressure. xAs xa xresult, xthe xpatient xdied
xshortly xafter xdelivery. xThis xis xan xexample xof xwhat xtype xof xdeath?
1. Early xmaternal xdeath
2. Late xmaternal xdeath
3. Direct xobstetric xdeath
4. Indirect xobstetric xdeath
3. The xnurse xis xproviding xeducation xto xa xpatient xwho xhas xgiven xbirth xto xher xfirst xchild
xand xis xbeing xdischarged xhome. xThe xpatient xexpressed xconcern xregarding xinfant
xmortality xand xsudden xinfant xdeath xsyndrome x(SIDS). xThe xpatient xhad xan
xuncomplicated xpregnancy, xlabor, xand xvaginal xdelivery. xShe xhas xa xbody xmass xindex xof
x25 xand xhas xno xother xhealth xconditions. xThe xinfant xis xhealthy xand xwas xdelivered xfull-
term. xWhat xwill xbe xmost xhelpful xthing xto xexplain xto xthe xpatient?
1. Uses xof xextracorporeal xmembrane xoxygenation xtherapy x(ECMO)
2. Uses xof xexogenous xpulmonary xsurfactant
3. The xBaby-Friendly xHospital xInitiative
4. The xSafe xto xSleep xcampaign
4. The xnurse xis xcaring xfor xa x14-year-old xpatient xwho xis x32 xweeks xpregnant. xAfter
xcomplaining xof xgenital xsores xand xdiscomfort, xthe xpatient xtests xpositive xfor xsyphilis.
xThe xfetus xis xat xincreased xrisk xof xwhich xcondition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The xnurse xis xcaring xfor xa x15-year-old xfemale xwho xis xpregnant xwith xher xfirst xchild. xIn
xher xprevious xprenatal xvisit, xthe xpatient xtested xnegative xfor xchlamydia, xsyphilis,
xgonorrhea, xand xHIV. xBased xon xthe xinformation xprovided, xwhich xcondition xis xthe
Copyright x© x2019 xF. xA. xDavis
xCompany
,xpatient’s xbaby xat xhigher xrisk xfor?
1. Intestinal xproblems
2. Neonatal xconjunctivitis
3. Blindness
4. Pneumonia
Copyright x© x2019 xF. xA. xDavis
xCompany
, 6. The xnurse xis xcaring xfor xa x23-year-old xpatient xwho xarrives xat xthe xclinic xfor xa
xpregnancy xtest. xThe xtest xconfirms xthe xpatient xis xpregnant. xThe xpatient xstates, x“I xdo
xnot xneed xto xstop xsmoking xmy xelectronic xcigarette xbecause xit xwill xnot xharm xmy
xbaby.” xWhich xis xthe xbest xresponse xby xthe xnurse?
1. “You xare xcorrect. xElectronic xcigarettes xare xnot xharmful xduring xpregnancy.”
2. “Tobacco xproducts, xincluding xelectronic xcigarettes, xshould xnot xbe
xused xduring xpregnancy xdue xto xrisking xnicotine xtoxicity.”
3. “According xto xthe xFDA, xalthough xelectronic xcigarettes xare xsafe xfor xyou, xthey xcan
cause xharm xto xthe xfetus xduring xpregnancy.”
4. “Electronic xcigarettes xare xconsidered xharmful xonly xin xthe xfirst xtrimester.”
7. The xnurse xis xcaring xfor xa x16-year-old xpatient xwho xis x32 xweeks xpregnant xwith xher
xfirst xchild, xwho xis xmale. xThe xpatient’s xmother xhas xaccompanied xher xto xtoday’s xvisit.
xDuring xthe xnursing xassessment, xthe xpatient x mentions xthat xshe xis xno xlonger xin xa
xrelationship xwith xthe xbaby’s xfather xbut xher xmother xplans xto xhelp xher. xHowever, xthe
xpatient’s xmother xasks xwhether xthis xwill xhave xany ximpact xon xthe xchild. xWhich
xshould xthe xnurse xindicate xthe xchild xis xat xincreased xrisk xof xduring xhis xadolescence?
1. Hypertension
2. Diabetes
3. Alcohol xabuse
4. Intraventricular xbleeding
8. The xnurse xis xcaring xfor xa xpatient xat x7 xweeks xgestation. xThe xnurse xsuspects xthat xa
xpregnant xpatient xmay xhave xbeen xusing xmarijuana. xWith xconsent, xthe xnurse
xconfirms xvia xurine xdrug xscreen. xWhich xstatement xby xthe xnurse xis xmost
xappropriate?
1. “Did xyou xsmoke xmarijuana xwhen xpregnant xwith xyour xother xchild?”
2. “To xavoid xnegative xeffects xon xyour xbaby, xyou’ll xneed xto xstop xusing
xmarijuana xduring xyour xlast xtrimester.”
3. “Using xmarijuana xwhile xpregnant xcan xhave xa xnegative xeffect xon xthe xneurological
development xof xyour xbaby.”
4. “Marijuana xuse xwhile xpregnant xgreatly xincreases xyour xrisk xof xmiscarriage.”
9. The xnurse xis xcounseling xa xfemale xpatient xabout xalcohol xuse xduring xpregnancy. xWhich
xstatement xby xthe xpatient xdemonstrates xsuccessful xpatient xteaching?
1. “I xwill xlimit xmy xdrinking xto xjust xone xalcoholic xbeverage xper xday.”
2. “It’s xbest xfor xmy xbaby xif xI xavoid xdrinking xduring xpregnancy.”
3. “An xoccasional xdrink xon xspecial xoccasions xis xokay.”
4. “Drinking xalcohol xis xonly xacceptable xin xthe xfirst xtrimester.”
10. The xnurse xis xeducating xthe xpregnant xpatient xwith xa xbody xmass xindex x(BMI) xof x33.
xThe xnurse xknows xthat xteaching xhas xbeen xeffective xwhen xthe xpatient xstates xwhich xof
xthe xfollowing?
1. “My xchild xmay xbe xat xincreased xrisk xfor xbirth xinjury.”
Copyright x© x2019 xF. xA. xDavis
xCompany