MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 400
Chapter 24: The Childbearing Family with Special Needs
MULTIPLE CHOICE
1. A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts
T T T T T T T T T T T T T T T T
her at a greater risk for
T T T T T
a. Depression of the central nervous system
T T T T T
b. Hypotension and vasodilation T T
c. Sexually transmitted diseases
T T
d. Postmature birth T T
ANS: C T
Feedback
A Cocaine is a central nervous system stimulant.
T T T T T T
B Cocaine causes hypertension and vasoconstriction.
T T T T
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C Sex acts exchanged for drugs place the woman at increased risk for sexually transmitted
T T T T T T T T T T T T T T
diseases because of multiple partners and lack of protection.
T T T T T T T T
D Premature delivery of the infant is one of the most common problems associated with cocaine
T T T T T T T T T T T T T T T
use during pregnancy.
T T
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 558 | Table 24-1
T T T T T T T T T T T
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
T T T T T T T T T T
2. During which phase of the cycle of violence does the batterer become contrite and remorseful?
T T T T T T T T T T T T T T
a. Battering phase T
b. Honeymoon phase T
c. Tension-building phase T
d. Increased drug-taking phase
T T T
ANS: B T
Feedback
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, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 401
A During the battering phase violence actually occurs, and the victim feels powerless.
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B During the honeymoon phase, the battered person wants to believe that the battering will
T T T T T T T T T T T T T T
never happen again, and the batterer will promise anything to get back into the home.
T T T T T T T T T T T T T T
C During the tension-building phase, the batterer becomes increasingly hostile, swears,
T T T T T T T T T T
threatens, throws things, and pushes the battered.
T T T T T T
D Often the batterer increases the use of drugs during the tension-building phase.
T T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 571
T T T T T T T T
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
T T T T T T T T
3. What is a major barrier to health care for teen mothers?
T T T T T T T T T T
a. The hospital/clinic is within walking distance of the girls home.
T T T T T T T T T
b. The institution is open days, evenings, and Saturday by special arrangement.
T T T T T T T T T T
c. The teen must be prepared to see a different nurse or doctor or both at every visit.
T T T T T T T T T T T T T T T T
d. The health care workers have a poN
T T s iU
tivReS aI N
ttG
ituTdBe..COM
T T T T
ANS: C T
Feedback
A If the hospital/clinic were within walking distance of the girls home, it would prevent the teen
T T T T T T T T T T T T T T T T
from missing appointments because of transportation problems.
T T T T T T
B If the institution were open days, evenings, and Saturday by special arrangement, this
T T T T T T T T T T T T T
availability would be helpful for teens who work, go to school, or have other time-of-day
T T T T T T T T T T T T T T T
restrictions. Scheduling conflicts are a major barrier to health care.
T T T T T T T T T
C Whenever possible, the teen should be scheduled to see the same nurses and practitioners for
T T T T T T T T T T T T T T T
continuity of care. T T
D A negative attitude is unfortunate, because it discourages families that would benefit most
T T T T T T T T T T T T T
from consistent prenatal care.
T T T
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 555
T T T T T T T T
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
T T T T T T T T
4. Of adolescents who become pregnant, what percentage have had a previous birth?
T T T T T T T T T T T
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, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 402
a. 10%
b. 15%
c. 19%
d. 35%
ANS: C T
Feedback
A This percentage rate is too low; it is actually 19%.
T T T T T T T T T
B The percentage of teens who have had a previous birth is 19%.
T T T T T T T T T T T
C 19% of pregnant adolescents have had one or more previous births.
T T T T T T T T T T
D This percentage rate is too high when measuring previous adolescent births.
T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 551
T T T T T T T T
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OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
T T T T T T T T T T
5. In counseling a patient who has decided to relinquish her baby for adoption, the nurse should
T T T T T T T T T T T T T T T
a. Affirm her decision while acknowledging her maturity in making it.
T T T T T T T T T
b. Question her about her feelings regarding adoption.
T T T T T T
c. Tell her she can always change her mind about adoption.
T T T T T T T T T
d. Ask her if anyone is coercing her into the decision to relinquish her baby.
T T T T T T T T T T T T T
ANS: A T
Feedback
A A supportive, affirming approach by the nurse will strengthen the patients resolve and help
T T T T T T T T T T T T T T
her to appreciate the significance of the event. The teen needs help in coping with her
T T T T T T T T T T T T T T T T
feelings about this decision. T T T
B It is important for the nurse to support and affirm the decision the patient has made. This will
T T T T T T T T T T T T T T T T T T
strengthen the patients resolve to follow through. Later the patient should be given an
T T T T T T T T T T T T T T
opportunity to express her feelings. T T T T
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 403
C This should not be an option after the baby is born and placed with the adoptive parents.
T T T T T T T T T T T T T T T T
D It is important that the teenager is treated as an adult, with the assumption that she is capable
T T T T T T T T T T T T T T T T T T
of making an important decision on her own.
T T T T T T T
PTS: 1 DIF: Cognitive Level: Application REF: p. 551
T T T T T T T T
OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
T T T T T T T T
6. A woman who is older than 35 years may have difficulty achieving pregnancy, because
T T T T T T T T T T T T T
a. Personal risk behaviors influence fertility.
T T T T
b. She has used contraceptives for an extended time.
T T T T T T T
c. Her ovaries may be affected by the aging process.
T T T T T T T T
d. Prepregnancy medical attention is lacking. T T T T
ANS: C T
Feedback
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A The older adult participates in fewer risk behaviors than the younger adult.
T T T T T T T T T T T
B The problem is the age of the ovaries, not the past use of contraceptives.
T T T T T T T T T T T T T
C Once the mature woman decides to conceive, a delay in becoming pregnant may occur
T T T T T T T T T T T T T T
because of the normal aging of the ovaries.
T T T T T T T
D Prepregnancy medical care is available and encouraged. T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 556
T T T T T T T T
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
T T T T T T T T
7. What is most likely to be a concern for the older mother?
T T T T T T T T T T T
a. The importance of having enough rest and sleep
T T T T T T T
b. Information about effective contraceptive methods
T T T T
c. Nutrition and diet planning T T T
d. Information about exercise and fitness T T T T
NURSINGTB.COM
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 400
Chapter 24: The Childbearing Family with Special Needs
MULTIPLE CHOICE
1. A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts
T T T T T T T T T T T T T T T T
her at a greater risk for
T T T T T
a. Depression of the central nervous system
T T T T T
b. Hypotension and vasodilation T T
c. Sexually transmitted diseases
T T
d. Postmature birth T T
ANS: C T
Feedback
A Cocaine is a central nervous system stimulant.
T T T T T T
B Cocaine causes hypertension and vasoconstriction.
T T T T
NURSINGTB.COM
C Sex acts exchanged for drugs place the woman at increased risk for sexually transmitted
T T T T T T T T T T T T T T
diseases because of multiple partners and lack of protection.
T T T T T T T T
D Premature delivery of the infant is one of the most common problems associated with cocaine
T T T T T T T T T T T T T T T
use during pregnancy.
T T
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 558 | Table 24-1
T T T T T T T T T T T
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
T T T T T T T T T T
2. During which phase of the cycle of violence does the batterer become contrite and remorseful?
T T T T T T T T T T T T T T
a. Battering phase T
b. Honeymoon phase T
c. Tension-building phase T
d. Increased drug-taking phase
T T T
ANS: B T
Feedback
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 401
A During the battering phase violence actually occurs, and the victim feels powerless.
T T T T T T T T T T T
B During the honeymoon phase, the battered person wants to believe that the battering will
T T T T T T T T T T T T T T
never happen again, and the batterer will promise anything to get back into the home.
T T T T T T T T T T T T T T
C During the tension-building phase, the batterer becomes increasingly hostile, swears,
T T T T T T T T T T
threatens, throws things, and pushes the battered.
T T T T T T
D Often the batterer increases the use of drugs during the tension-building phase.
T T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 571
T T T T T T T T
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
T T T T T T T T
3. What is a major barrier to health care for teen mothers?
T T T T T T T T T T
a. The hospital/clinic is within walking distance of the girls home.
T T T T T T T T T
b. The institution is open days, evenings, and Saturday by special arrangement.
T T T T T T T T T T
c. The teen must be prepared to see a different nurse or doctor or both at every visit.
T T T T T T T T T T T T T T T T
d. The health care workers have a poN
T T s iU
tivReS aI N
ttG
ituTdBe..COM
T T T T
ANS: C T
Feedback
A If the hospital/clinic were within walking distance of the girls home, it would prevent the teen
T T T T T T T T T T T T T T T T
from missing appointments because of transportation problems.
T T T T T T
B If the institution were open days, evenings, and Saturday by special arrangement, this
T T T T T T T T T T T T T
availability would be helpful for teens who work, go to school, or have other time-of-day
T T T T T T T T T T T T T T T
restrictions. Scheduling conflicts are a major barrier to health care.
T T T T T T T T T
C Whenever possible, the teen should be scheduled to see the same nurses and practitioners for
T T T T T T T T T T T T T T T
continuity of care. T T
D A negative attitude is unfortunate, because it discourages families that would benefit most
T T T T T T T T T T T T T
from consistent prenatal care.
T T T
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 555
T T T T T T T T
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
T T T T T T T T
4. Of adolescents who become pregnant, what percentage have had a previous birth?
T T T T T T T T T T T
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 402
a. 10%
b. 15%
c. 19%
d. 35%
ANS: C T
Feedback
A This percentage rate is too low; it is actually 19%.
T T T T T T T T T
B The percentage of teens who have had a previous birth is 19%.
T T T T T T T T T T T
C 19% of pregnant adolescents have had one or more previous births.
T T T T T T T T T T
D This percentage rate is too high when measuring previous adolescent births.
T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 551
T T T T T T T T
NURSINGTB.COM
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
T T T T T T T T T T
5. In counseling a patient who has decided to relinquish her baby for adoption, the nurse should
T T T T T T T T T T T T T T T
a. Affirm her decision while acknowledging her maturity in making it.
T T T T T T T T T
b. Question her about her feelings regarding adoption.
T T T T T T
c. Tell her she can always change her mind about adoption.
T T T T T T T T T
d. Ask her if anyone is coercing her into the decision to relinquish her baby.
T T T T T T T T T T T T T
ANS: A T
Feedback
A A supportive, affirming approach by the nurse will strengthen the patients resolve and help
T T T T T T T T T T T T T T
her to appreciate the significance of the event. The teen needs help in coping with her
T T T T T T T T T T T T T T T T
feelings about this decision. T T T
B It is important for the nurse to support and affirm the decision the patient has made. This will
T T T T T T T T T T T T T T T T T T
strengthen the patients resolve to follow through. Later the patient should be given an
T T T T T T T T T T T T T T
opportunity to express her feelings. T T T T
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 403
C This should not be an option after the baby is born and placed with the adoptive parents.
T T T T T T T T T T T T T T T T
D It is important that the teenager is treated as an adult, with the assumption that she is capable
T T T T T T T T T T T T T T T T T T
of making an important decision on her own.
T T T T T T T
PTS: 1 DIF: Cognitive Level: Application REF: p. 551
T T T T T T T T
OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
T T T T T T T T
6. A woman who is older than 35 years may have difficulty achieving pregnancy, because
T T T T T T T T T T T T T
a. Personal risk behaviors influence fertility.
T T T T
b. She has used contraceptives for an extended time.
T T T T T T T
c. Her ovaries may be affected by the aging process.
T T T T T T T T
d. Prepregnancy medical attention is lacking. T T T T
ANS: C T
Feedback
NURSINGTB.COM
A The older adult participates in fewer risk behaviors than the younger adult.
T T T T T T T T T T T
B The problem is the age of the ovaries, not the past use of contraceptives.
T T T T T T T T T T T T T
C Once the mature woman decides to conceive, a delay in becoming pregnant may occur
T T T T T T T T T T T T T T
because of the normal aging of the ovaries.
T T T T T T T
D Prepregnancy medical care is available and encouraged. T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 556
T T T T T T T T
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
T T T T T T T T
7. What is most likely to be a concern for the older mother?
T T T T T T T T T T T
a. The importance of having enough rest and sleep
T T T T T T T
b. Information about effective contraceptive methods
T T T T
c. Nutrition and diet planning T T T
d. Information about exercise and fitness T T T T
NURSINGTB.COM
