Chapter 11-20. Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition
Chapter 11: The Childbearing Family with Special Needs
Foundations of Maternal-Newborn & Women’s Health Nursing,
7th Edition MULTIPLE CHOICE
1. A pregnant patient who abuses cocaine admits to exchanging sex for her
drug habit. This behavior puts her at a greater risk for
a.
postmature
birth. b.
sexually transmitted
diseases. c.
hypotension and
vasodilation. d.
depression of the central nervous
system. ANS: B
Sex acts exchanged for drugs place the woman at increased risk for sexually
transmitted diseases because of having multiple partners and lack of protection.
Premature delivery of the infant is one of the most common problems associated
with cocaine use during pregnancy.
Cocaine causes hypertension and vasoconstriction. Cocaine is a central
nervous system stimulant.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Health Promotion and Maintenance
2. Which factor is a major barrier to health care for adolescent
mothers? a.
Health care workers have a positive
attitude. b.
The hospital or clinic is within walking distance of the
girl’s home. c.
Seeing a different nurse and/or health care provider at
every visit. d.
The institution is open days, evenings, and Saturday by special
arrangement. ANS: C
Whenever possible, the teen should be scheduled to see the same nurses and
practitioners for continuity of care. A positive attitude of the health care providers is
important in teen pregnancy care. If the hospital or clinic were within walking
distance of the girl’s home, it would prevent the teen from missing appointments
due to transportation problems. If the institution were open days, evenings, and
Saturday by special arrangement, this would be helpful for teens who work, go to
school, or have other time of day restrictions. Scheduling conflicts are a major
barrier to health care.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Psychosocial Integrity
3. In planning sex education classes for the middle school age group, more
emphasis should be placed on
a.
how to set limits for sexual
behavior. b.
the inaccuracy of information from
peers. c.
the use of oral contraceptives to prevent unwanted
pregnancy. d.
,Chapter 11-20. Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition
the use of condoms to prevent sexually transmitted diseases as well as
pregnancy. ANS: A
,Chapter 11-20. Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition
Setting limits for sexual behavior is particularly important for younger teenagers
who may be pressured to become sexually active before they are physically and
emotionally ready. Oral contraceptives are not the preferred method of birth control
for teenagers because they forget to take them, and they do not protect against
STIs. The use of condoms is appropriate and an important concept to discuss but
should not be the emphasis.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Planning MSC: Patient Needs: Health Promotion and Maintenance
4. Which action should the nurse take when counseling a teenaged patient who
has decided to relinquish her baby for adoption?
a.
Question her about her feelings regarding
adoption. b.
Tell her she can always change her mind about
adoption. c.
Affirm her decision while acknowledging her maturity in
making it. d.
Ask her if anyone is coercing her into the decision to relinquish
her baby. ANS: C
A supportive affirming approach by the nurse will strengthen the patient’s resolve
and help her appreciate the significance of the event. It is important for the nurse
to support and affirm the decision the patient has made. This will strengthen the
patient’s resolve to follow through. Later the patient should be given an
opportunity to express her feelings. Telling her that she can always change her
mind about adoption should not be an option after the baby is born and placed
with the adoptive parents. It is important that the teenager be treated as an adult,
with the assumption that she is capable of making an important decision on her
own.
DIF: Cognitive Level: Application OBJ: Nursing Process Step:
Implementation MSC: Patient Needs: Psychosocial Integrity
5. A patient who is older than 35 years may have difficulty achieving
pregnancy because a.
prepregnancy medical attention is
lacking. b.
personal risk behaviors influence
fertility. c.
contraceptives have been used for an extended period
of time. d.
the ovaries may be affected by the normal aging
process. ANS: D
Once the mature woman decides to conceive, a delay in becoming pregnant may
occur because of the normal aging of the ovaries. Prepregnancy medical care is
available and encouraged. The older adult participates in fewer risk behaviors
than the younger adult. The problem is the age of the ovaries, not the past use of
contraceptives. Fertility begins to decline at age 32 and decreases more rapidly
by age 37.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Physiologic Integrity
6. Which health concern is most likely to be an issue for the older
mother? a.
Nutrition and diet
, Chapter 11-20. Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition
planning b.
Exercise and
fitness c.
Having enough rest and sleep
Edition
Chapter 11: The Childbearing Family with Special Needs
Foundations of Maternal-Newborn & Women’s Health Nursing,
7th Edition MULTIPLE CHOICE
1. A pregnant patient who abuses cocaine admits to exchanging sex for her
drug habit. This behavior puts her at a greater risk for
a.
postmature
birth. b.
sexually transmitted
diseases. c.
hypotension and
vasodilation. d.
depression of the central nervous
system. ANS: B
Sex acts exchanged for drugs place the woman at increased risk for sexually
transmitted diseases because of having multiple partners and lack of protection.
Premature delivery of the infant is one of the most common problems associated
with cocaine use during pregnancy.
Cocaine causes hypertension and vasoconstriction. Cocaine is a central
nervous system stimulant.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Health Promotion and Maintenance
2. Which factor is a major barrier to health care for adolescent
mothers? a.
Health care workers have a positive
attitude. b.
The hospital or clinic is within walking distance of the
girl’s home. c.
Seeing a different nurse and/or health care provider at
every visit. d.
The institution is open days, evenings, and Saturday by special
arrangement. ANS: C
Whenever possible, the teen should be scheduled to see the same nurses and
practitioners for continuity of care. A positive attitude of the health care providers is
important in teen pregnancy care. If the hospital or clinic were within walking
distance of the girl’s home, it would prevent the teen from missing appointments
due to transportation problems. If the institution were open days, evenings, and
Saturday by special arrangement, this would be helpful for teens who work, go to
school, or have other time of day restrictions. Scheduling conflicts are a major
barrier to health care.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Psychosocial Integrity
3. In planning sex education classes for the middle school age group, more
emphasis should be placed on
a.
how to set limits for sexual
behavior. b.
the inaccuracy of information from
peers. c.
the use of oral contraceptives to prevent unwanted
pregnancy. d.
,Chapter 11-20. Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition
the use of condoms to prevent sexually transmitted diseases as well as
pregnancy. ANS: A
,Chapter 11-20. Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition
Setting limits for sexual behavior is particularly important for younger teenagers
who may be pressured to become sexually active before they are physically and
emotionally ready. Oral contraceptives are not the preferred method of birth control
for teenagers because they forget to take them, and they do not protect against
STIs. The use of condoms is appropriate and an important concept to discuss but
should not be the emphasis.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Planning MSC: Patient Needs: Health Promotion and Maintenance
4. Which action should the nurse take when counseling a teenaged patient who
has decided to relinquish her baby for adoption?
a.
Question her about her feelings regarding
adoption. b.
Tell her she can always change her mind about
adoption. c.
Affirm her decision while acknowledging her maturity in
making it. d.
Ask her if anyone is coercing her into the decision to relinquish
her baby. ANS: C
A supportive affirming approach by the nurse will strengthen the patient’s resolve
and help her appreciate the significance of the event. It is important for the nurse
to support and affirm the decision the patient has made. This will strengthen the
patient’s resolve to follow through. Later the patient should be given an
opportunity to express her feelings. Telling her that she can always change her
mind about adoption should not be an option after the baby is born and placed
with the adoptive parents. It is important that the teenager be treated as an adult,
with the assumption that she is capable of making an important decision on her
own.
DIF: Cognitive Level: Application OBJ: Nursing Process Step:
Implementation MSC: Patient Needs: Psychosocial Integrity
5. A patient who is older than 35 years may have difficulty achieving
pregnancy because a.
prepregnancy medical attention is
lacking. b.
personal risk behaviors influence
fertility. c.
contraceptives have been used for an extended period
of time. d.
the ovaries may be affected by the normal aging
process. ANS: D
Once the mature woman decides to conceive, a delay in becoming pregnant may
occur because of the normal aging of the ovaries. Prepregnancy medical care is
available and encouraged. The older adult participates in fewer risk behaviors
than the younger adult. The problem is the age of the ovaries, not the past use of
contraceptives. Fertility begins to decline at age 32 and decreases more rapidly
by age 37.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Physiologic Integrity
6. Which health concern is most likely to be an issue for the older
mother? a.
Nutrition and diet
, Chapter 11-20. Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition
planning b.
Exercise and
fitness c.
Having enough rest and sleep
