WGU C465 CARE OF THE DEVELOPING FAMILY OBJECTIVE ASSESSMENT OA
REVIEW 2022/2023(COMPLETE QUESTIONS AND ANSWERS)
The nurse is caring for a 19-year-old primigravida who has no health insurance or support system. Which
ethical principle guides the nurse to provide the same care to this client as other clients on the unit?
1. Autonomy
2. Fidelity
3. Justice
4. Beneficence (correct answers)3. Justice
What are the ranges in grams for High, Normal, Low, and Very Low birth weight? (correct answers)High:
Over 4000g
Normal: 2500 to 3999g
Low: 1500 to 2499g
Very Low: Under 1500g
Neonates with birth weights between _______ and _______ grams have the lowest mortality rate
during the first year of life (correct answers)4000 and 4999
Very low birth weight neonates account for _______% of all births and _______% of all infant deaths
(correct answers)1.45%;
54%
True or false: LGBT women are more likely to smoke cigarettes, drink heavily, and be obese than
heterosexual women (correct answers)True
Which of the following risks are increased in an obese pregnant client? Select all that apply.
1. Gestational diabetes
,2. Preeclampsia
3. Abruptio placenta
4. Sleep apnea
5. Precipitous delivery (correct answers)1, 2, and 4
Option 1: Gestational diabetes is associated with maternal obesity, but usually resolves after delivery.
Option 2: Preeclampsia is associated with maternal obesity and may advance to eclampsia.
Option 3: Abruptio placenta is not associated with maternal obesity.
Option 4: Sleep apnea is associated with obesity and worsens with pregnancy
Option 5: Obese women are more likely to have prolonged labor.
Which STI can cause neonatal blindness? Select All.
1. Chlamydia
2. Gonorrhea
3. Syphilis
4. HIV (correct answers)2 and 3: Syphilis and Gonorrhea can cause neonatal blindness.
Which STI can cause neonatal conjunctivitis? Select All.
1. Chlamydia
2. Gonorrhea
3. Syphilis
4. HIV (correct answers)1 and 2: Chlamydia and Gonorrhea can cause neonatal conjunctivitis.
Which STI can lead to pneumonia in a neonate?
1. Chlamydia
,2. Gonorrhea
3. Syphilis
4. HIV (correct answers)1. Chlamydial pneumonia is a complication of Chalmydia
What is the leading cause of infant death in the USA?
1. Disorders related to short gestation and low birth weight
2. Congenital malformations and chromosomal abnormalities
3. Newborn affected by maternal complications of pregnancy
4. Newborns affected by complications of placenta, cord, and membranes (correct answers)2.
Congenital malformations and chromosomal abnormalities
-------
1. Disorders related to short gestation and low birth weight were the number 2 cause of infant death in
2015.
2. Congenital malformations and chromosomal abnormalities were the leading cause of infant death in
2015.
3. Maternal complications were the number 5 cause of infant death.
4. Complications of placenta, cord, and membranes were the number 6 cause of infant death.
Which pregnant client would be at the highest risk for alcohol use?
1. A 19-year-old African American
2. A 24-year-old Hispanic
3. A 30-year-old Caucasian
4. A 17-year-old Pacific Islander (correct answers)3. A 30-year-old Caucasian
-------
1. African Americans age 18 to 25 have the 3rd highest incidence of alcohol use.
2. Hispanics age 18 to 25 have the 2nd highest incidence of alcohol use.
, 3. Caucasians age 26 to 34 have the highest incidence of alcohol use.
4. Pacific Islanders age 16 to 17 have a lower incidence of alcohol use.
A nurse is discussing infant morbidity and mortality with a student nurse. Which statement by the
student nurse would indicate understanding of infant mortality?
1. "Infant mortality is death at birth."
2. "Infant mortality is death before birth."
3. "Infant mortality is death before the first birthday."
4. "Infant mortality is death before the first month." (correct answers)3. "Infant mortality is death
before the first birthday."
Death before birth at less than 20 weeks gestation is called a _______, and death after 20 weeks but
before birth is called a _______. (correct answers)miscarriage;
stillbirth
How many months old is an infant? (correct answers)1 to 12 months old
The "Back to Sleep" campaign seeks to reduce the instance of _______. (correct answers)SIDS (sudden
infant death syndrome)
A nurse is explaining Body Mass Index (BMI) to clients at a preconception class. Which BMI selected by a
client as normal for optimal conception indicates that learning has occurred?
1. Less than 18.5
2. 18.5 to 24.9
3. 25 to 29.9
4. More than 30 (correct answers)2. 18.5 to 24.9 (AKA normal BMI)
REVIEW 2022/2023(COMPLETE QUESTIONS AND ANSWERS)
The nurse is caring for a 19-year-old primigravida who has no health insurance or support system. Which
ethical principle guides the nurse to provide the same care to this client as other clients on the unit?
1. Autonomy
2. Fidelity
3. Justice
4. Beneficence (correct answers)3. Justice
What are the ranges in grams for High, Normal, Low, and Very Low birth weight? (correct answers)High:
Over 4000g
Normal: 2500 to 3999g
Low: 1500 to 2499g
Very Low: Under 1500g
Neonates with birth weights between _______ and _______ grams have the lowest mortality rate
during the first year of life (correct answers)4000 and 4999
Very low birth weight neonates account for _______% of all births and _______% of all infant deaths
(correct answers)1.45%;
54%
True or false: LGBT women are more likely to smoke cigarettes, drink heavily, and be obese than
heterosexual women (correct answers)True
Which of the following risks are increased in an obese pregnant client? Select all that apply.
1. Gestational diabetes
,2. Preeclampsia
3. Abruptio placenta
4. Sleep apnea
5. Precipitous delivery (correct answers)1, 2, and 4
Option 1: Gestational diabetes is associated with maternal obesity, but usually resolves after delivery.
Option 2: Preeclampsia is associated with maternal obesity and may advance to eclampsia.
Option 3: Abruptio placenta is not associated with maternal obesity.
Option 4: Sleep apnea is associated with obesity and worsens with pregnancy
Option 5: Obese women are more likely to have prolonged labor.
Which STI can cause neonatal blindness? Select All.
1. Chlamydia
2. Gonorrhea
3. Syphilis
4. HIV (correct answers)2 and 3: Syphilis and Gonorrhea can cause neonatal blindness.
Which STI can cause neonatal conjunctivitis? Select All.
1. Chlamydia
2. Gonorrhea
3. Syphilis
4. HIV (correct answers)1 and 2: Chlamydia and Gonorrhea can cause neonatal conjunctivitis.
Which STI can lead to pneumonia in a neonate?
1. Chlamydia
,2. Gonorrhea
3. Syphilis
4. HIV (correct answers)1. Chlamydial pneumonia is a complication of Chalmydia
What is the leading cause of infant death in the USA?
1. Disorders related to short gestation and low birth weight
2. Congenital malformations and chromosomal abnormalities
3. Newborn affected by maternal complications of pregnancy
4. Newborns affected by complications of placenta, cord, and membranes (correct answers)2.
Congenital malformations and chromosomal abnormalities
-------
1. Disorders related to short gestation and low birth weight were the number 2 cause of infant death in
2015.
2. Congenital malformations and chromosomal abnormalities were the leading cause of infant death in
2015.
3. Maternal complications were the number 5 cause of infant death.
4. Complications of placenta, cord, and membranes were the number 6 cause of infant death.
Which pregnant client would be at the highest risk for alcohol use?
1. A 19-year-old African American
2. A 24-year-old Hispanic
3. A 30-year-old Caucasian
4. A 17-year-old Pacific Islander (correct answers)3. A 30-year-old Caucasian
-------
1. African Americans age 18 to 25 have the 3rd highest incidence of alcohol use.
2. Hispanics age 18 to 25 have the 2nd highest incidence of alcohol use.
, 3. Caucasians age 26 to 34 have the highest incidence of alcohol use.
4. Pacific Islanders age 16 to 17 have a lower incidence of alcohol use.
A nurse is discussing infant morbidity and mortality with a student nurse. Which statement by the
student nurse would indicate understanding of infant mortality?
1. "Infant mortality is death at birth."
2. "Infant mortality is death before birth."
3. "Infant mortality is death before the first birthday."
4. "Infant mortality is death before the first month." (correct answers)3. "Infant mortality is death
before the first birthday."
Death before birth at less than 20 weeks gestation is called a _______, and death after 20 weeks but
before birth is called a _______. (correct answers)miscarriage;
stillbirth
How many months old is an infant? (correct answers)1 to 12 months old
The "Back to Sleep" campaign seeks to reduce the instance of _______. (correct answers)SIDS (sudden
infant death syndrome)
A nurse is explaining Body Mass Index (BMI) to clients at a preconception class. Which BMI selected by a
client as normal for optimal conception indicates that learning has occurred?
1. Less than 18.5
2. 18.5 to 24.9
3. 25 to 29.9
4. More than 30 (correct answers)2. 18.5 to 24.9 (AKA normal BMI)
