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