https://www.stuvia.com/
,https://www.stuvia.com/
Chapter 1: Trends and Issues
g g g g
Multiple Choiceg
Identify the choice that best completes the statement or answers the question.
g g g g g g g g g g g
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is present
g g g g g g g g g g g g g g g g g g g
for support and notes that things have changed in the delivery room since she last gave birth in the
g g g g g g g g g g g g g g g g g g g
early 1980s. Which current trend or intervention may the patient’s mother find most different?
g g g g g g g g g g g g g g
1. Fetal monitoring throughout labor g g g
2. Postpartum stay of 10 days g g g g
3. Expectant partner and family in operating room for cesarean birth g g g g g g g g g
4. Hospital support for breastfeeding g g g
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to
g g g g g g g g g g g g g g g g g
stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. This is an
g g g g g g g g g g g g g g g g g
example of what type of death?
g g g g g g
1. Early maternal death g g
2. Late maternal death g g
3. Direct obstetric death g g
4. Indirect obstetric death g g
3. The nurse is providing education to a patient who has given birth to her first child and is being
g g g g g g g g g g g g g g g g g g
discharged home. The patient expressed concern regarding infant mortality and sudden infant
g g g g g g g g g g g g
death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery.
g g g g g g g g g g g g g
She has a body mass index of 25 and has no other health conditions. The infant is healthy and was
g g g g g g g g g g g g g g g g g g g g
delivered full-term. What will be most helpful thing to explain to the patient?
g g g g g g g g g g g g g
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
g g g g g g
2. Uses of exogenous pulmonary surfactant g g g g
3. The Baby-Friendly Hospital Initiative
g g g
4. The Safe to Sleep campaign g g g g
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of
g g g g g g g g g g g g g g g
genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of
g g g g g g g g g g g g g g g g g
which condition?
g g
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous
g g g g g g g g g g g g g g g g g
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the
g g g g g g g g g g g g g g g
information provided, which condition is the patient’s baby at higher risk for?
g g g g g g g g g g g g
1. Intestinal problems g
2. Neonatal conjunctivitis g
3. Blindness
4. Pneumonia
Copyright © 2019 F. A. Davis Company g g g g g g
,https://www.stuvia.com/
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test
g g g g g g g g g g g g g g g g g g
gconfirms the patient is pregnant. The patient states, “I do not need to stop smoking my electronic
g g g g g g g g g g g g g g g g
gcigarette because it will not harm my baby.” Which is the best response by the nurse?
g g g g g g g g g g g g g g g
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
g g g g g g g g g
2. “Tobacco products, including electronic cigarettes, should not be used during
g g g g g g g g g
pregnancy due to risking nicotine toxicity.”
g g g g g g
3. “According to the FDA, although electronic cigarettes are safe for you, they can
g g g g g g g g g g g g
cause harm to the fetus during pregnancy.”
g g g g g g g
4. “Electronic cigarettes are considered harmful only in the first trimester.” g g g g g g g g g
7. The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is
g g g g g g g g g g g g g g g g g g
gmale. The patient’s mother has accompanied her to today’s visit. During the nursing assessment,
g g g g g g g g g g g g g
gthe patient mentions that she is no longer in a relationship with the baby’s father but her mother
g g g g g g g g g g g g g g g g g
gplans to help her. However, the patient’s mother asks whether this will have any impact on the
g g g g g g g g g g g g g g g g
gchild. Which should the nurse indicate the child is at increased risk of during his adolescence?
g g g g g g g g g g g g g g g
1. Hypertension
2. Diabetes
3. Alcohol abuse g
4. Intraventricular bleeding g
8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient
g g g g g g g g g g g g g g g g g
gmay have been using marijuana. With consent, the nurse confirms via urine drug screen. Which
g g g g g g g g g g g g g g
gstatement by the nurse is most appropriate?g g g g g g
1. “Did you smoke marijuana when pregnant with your other child?”
g g g g g g g g g
2. “To avoid negative effects on your baby, you’ll need to stop using marijuana
g g g g g g g g g g g g
gduring your last trimester.” g g g
3. “Using marijuana while pregnant can have a negative effect on the neurological
g g g g g g g g g g g
gdevelopment of your baby.” g g g
4. “Marijuana use while pregnant greatly increases your risk of miscarriage.” g g g g g g g g g
9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by
g g g g g g g g g g g g g g
gthe patient demonstrates successful patient teaching?
g g g g g
1. “I will limit my drinking to just one alcoholic beverage per day.”
g g g g g g g g g g g
2. “It’s best for my baby if I avoid drinking during pregnancy.”
g g g g g g g g g g
3. “An occasional drink on special occasions is okay.”
g g g g g g g
4. “Drinking alcohol is only acceptable in the first trimester.” g g g g g g g g
10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows
g g g g g g g g g g g g g g g g g
that teaching has been effective when the patient states which of the following?
g g g g g g g g g g g g g
1. “My child may be at increased risk for birth injury.”
g g g g g g g g g
2. “My child may have a decreased risk of developing childhood diabetes.”
g g g g g g g g g g
3. “I will probably give birth vaginally.”
g g g g g
4. “I have a lower risk of developing gestational hypertension.”
g g g g g g g g
Copyright © 2019 F. A. Davis Company g g g g g g
,https://www.stuvia.com/
g 11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the
g g g g g g g g g g g g g g g g
patient may be at risk for during pregnancy. Which response by the patient indicates that she
g g g g g g g g g g g g g g g g
understands?
g
1. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
g g g g g g g g g g g g g
2. “I am not overweight, but I am still at risk for gestational diabetes.”
g g g g g g g g g g g g
3. “My mother had preeclampsia during one of her pregnancies.”
g g g g g g g g
4. “I will need to do a glucose tolerance test in my second trimester.”
g g g g g g g g g g g g
g 12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action should
g g g g g g g g g g g g g g g g g g
the nurse take first?
g g g g
1. Refer the patient to a drug abuse program. g g g g g g g
2. Screen the infant for side effects associated with cocaine use. g g g g g g g g g
3. Educate the patient of the risks associated with cocaine use during pregnancy.
g g g g g g g g g g g
4. Advise the patient that her baby will be okay even with the history of cocaine use.
g g g g g g g g g g g g g g g
g 13. A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face
g g g g g g g g g g g g g g g g g g g
during pregnancy. During routine testing, the patient tested negative for sexually transmitted
g g g g g g g g g g g g
illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child’s
g g g g g g g g g g g g g g g
father. Which of the following is accurate?
g g g g g g g
1. The patient’s infant is at increased risk of neonatal blindness.
g g g g g g g g g
2. The patient’s infant has a decreased risk of birth injury.
g g g g g g g g g
3. The patient will have increased risk of wound infection.
g g g g g g g g
4. The patient will have a decreased risk of preeclampsia.
g g g g g g g g
g 14. The nurse has made it a goal to increase the rate at which women begin prenatal care in the first
g g g g g g g g g g g g g g g g g g g g
trimester. The nurse relates this decision to national goals for better maternal and infant outcomes.
g g g g g g g g g g g g g g g
What guidelines will the nurse use to guide her maternal health goals?
g g g g g g g g g g g g
1. WHO Maternal care guidelines g g g
2. State Practice Acts g g
3. AWHONN white papers g g
4. Healthy People 2020 g g
g g 15. A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery.
g g g g g g g g g g g g g g g g g
What guidelines will the nursing student use to assist in setting her goals?
g g g g g g g g g g g g
1. WHO Maternal care guidelines g g g
2. Healthy People 2020 g g
3. AWHONN white papers g g
4. State Practice Act g g
Multiple Response
g
Identify one or more choices that best complete the statement or answer the question.
g g g g g g g g g g g g g
g 16. A woman has recently given birth to an infant born at 35 weeks and 5 days gestation. What long-
g g g g g g g g g g g g g g g g g g g
term effects should the nurse be concerned about with the infant being born at this gestation?
g g g g g g g g g g g g g g g g
Select all that apply. g g g
1. Cerebral palsy g
Copyright © 2019 F. A. Davis Company g g g g g g
,https://www.stuvia.com/
Chapter 1: Trends and Issues
g g g g
Multiple Choiceg
Identify the choice that best completes the statement or answers the question.
g g g g g g g g g g g
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is present
g g g g g g g g g g g g g g g g g g g
for support and notes that things have changed in the delivery room since she last gave birth in the
g g g g g g g g g g g g g g g g g g g
early 1980s. Which current trend or intervention may the patient’s mother find most different?
g g g g g g g g g g g g g g
1. Fetal monitoring throughout labor g g g
2. Postpartum stay of 10 days g g g g
3. Expectant partner and family in operating room for cesarean birth g g g g g g g g g
4. Hospital support for breastfeeding g g g
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to
g g g g g g g g g g g g g g g g g
stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. This is an
g g g g g g g g g g g g g g g g g
example of what type of death?
g g g g g g
1. Early maternal death g g
2. Late maternal death g g
3. Direct obstetric death g g
4. Indirect obstetric death g g
3. The nurse is providing education to a patient who has given birth to her first child and is being
g g g g g g g g g g g g g g g g g g
discharged home. The patient expressed concern regarding infant mortality and sudden infant
g g g g g g g g g g g g
death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery.
g g g g g g g g g g g g g
She has a body mass index of 25 and has no other health conditions. The infant is healthy and was
g g g g g g g g g g g g g g g g g g g g
delivered full-term. What will be most helpful thing to explain to the patient?
g g g g g g g g g g g g g
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
g g g g g g
2. Uses of exogenous pulmonary surfactant g g g g
3. The Baby-Friendly Hospital Initiative
g g g
4. The Safe to Sleep campaign g g g g
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of
g g g g g g g g g g g g g g g
genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of
g g g g g g g g g g g g g g g g g
which condition?
g g
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous
g g g g g g g g g g g g g g g g g
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the
g g g g g g g g g g g g g g g
information provided, which condition is the patient’s baby at higher risk for?
g g g g g g g g g g g g
1. Intestinal problems g
2. Neonatal conjunctivitis g
3. Blindness
4. Pneumonia
Copyright © 2019 F. A. Davis Company g g g g g g
,https://www.stuvia.com/
6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test
g g g g g g g g g g g g g g g g g g
gconfirms the patient is pregnant. The patient states, “I do not need to stop smoking my electronic
g g g g g g g g g g g g g g g g
gcigarette because it will not harm my baby.” Which is the best response by the nurse?
g g g g g g g g g g g g g g g
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
g g g g g g g g g
2. “Tobacco products, including electronic cigarettes, should not be used during
g g g g g g g g g
pregnancy due to risking nicotine toxicity.”
g g g g g g
3. “According to the FDA, although electronic cigarettes are safe for you, they can
g g g g g g g g g g g g
cause harm to the fetus during pregnancy.”
g g g g g g g
4. “Electronic cigarettes are considered harmful only in the first trimester.” g g g g g g g g g
7. The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is
g g g g g g g g g g g g g g g g g g
gmale. The patient’s mother has accompanied her to today’s visit. During the nursing assessment,
g g g g g g g g g g g g g
gthe patient mentions that she is no longer in a relationship with the baby’s father but her mother
g g g g g g g g g g g g g g g g g
gplans to help her. However, the patient’s mother asks whether this will have any impact on the
g g g g g g g g g g g g g g g g
gchild. Which should the nurse indicate the child is at increased risk of during his adolescence?
g g g g g g g g g g g g g g g
1. Hypertension
2. Diabetes
3. Alcohol abuse g
4. Intraventricular bleeding g
8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient
g g g g g g g g g g g g g g g g g
gmay have been using marijuana. With consent, the nurse confirms via urine drug screen. Which
g g g g g g g g g g g g g g
gstatement by the nurse is most appropriate?g g g g g g
1. “Did you smoke marijuana when pregnant with your other child?”
g g g g g g g g g
2. “To avoid negative effects on your baby, you’ll need to stop using marijuana
g g g g g g g g g g g g
gduring your last trimester.” g g g
3. “Using marijuana while pregnant can have a negative effect on the neurological
g g g g g g g g g g g
gdevelopment of your baby.” g g g
4. “Marijuana use while pregnant greatly increases your risk of miscarriage.” g g g g g g g g g
9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by
g g g g g g g g g g g g g g
gthe patient demonstrates successful patient teaching?
g g g g g
1. “I will limit my drinking to just one alcoholic beverage per day.”
g g g g g g g g g g g
2. “It’s best for my baby if I avoid drinking during pregnancy.”
g g g g g g g g g g
3. “An occasional drink on special occasions is okay.”
g g g g g g g
4. “Drinking alcohol is only acceptable in the first trimester.” g g g g g g g g
10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows
g g g g g g g g g g g g g g g g g
that teaching has been effective when the patient states which of the following?
g g g g g g g g g g g g g
1. “My child may be at increased risk for birth injury.”
g g g g g g g g g
2. “My child may have a decreased risk of developing childhood diabetes.”
g g g g g g g g g g
3. “I will probably give birth vaginally.”
g g g g g
4. “I have a lower risk of developing gestational hypertension.”
g g g g g g g g
Copyright © 2019 F. A. Davis Company g g g g g g
,https://www.stuvia.com/
g 11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the
g g g g g g g g g g g g g g g g
patient may be at risk for during pregnancy. Which response by the patient indicates that she
g g g g g g g g g g g g g g g g
understands?
g
1. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
g g g g g g g g g g g g g
2. “I am not overweight, but I am still at risk for gestational diabetes.”
g g g g g g g g g g g g
3. “My mother had preeclampsia during one of her pregnancies.”
g g g g g g g g
4. “I will need to do a glucose tolerance test in my second trimester.”
g g g g g g g g g g g g
g 12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action should
g g g g g g g g g g g g g g g g g g
the nurse take first?
g g g g
1. Refer the patient to a drug abuse program. g g g g g g g
2. Screen the infant for side effects associated with cocaine use. g g g g g g g g g
3. Educate the patient of the risks associated with cocaine use during pregnancy.
g g g g g g g g g g g
4. Advise the patient that her baby will be okay even with the history of cocaine use.
g g g g g g g g g g g g g g g
g 13. A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face
g g g g g g g g g g g g g g g g g g g
during pregnancy. During routine testing, the patient tested negative for sexually transmitted
g g g g g g g g g g g g
illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child’s
g g g g g g g g g g g g g g g
father. Which of the following is accurate?
g g g g g g g
1. The patient’s infant is at increased risk of neonatal blindness.
g g g g g g g g g
2. The patient’s infant has a decreased risk of birth injury.
g g g g g g g g g
3. The patient will have increased risk of wound infection.
g g g g g g g g
4. The patient will have a decreased risk of preeclampsia.
g g g g g g g g
g 14. The nurse has made it a goal to increase the rate at which women begin prenatal care in the first
g g g g g g g g g g g g g g g g g g g g
trimester. The nurse relates this decision to national goals for better maternal and infant outcomes.
g g g g g g g g g g g g g g g
What guidelines will the nurse use to guide her maternal health goals?
g g g g g g g g g g g g
1. WHO Maternal care guidelines g g g
2. State Practice Acts g g
3. AWHONN white papers g g
4. Healthy People 2020 g g
g g 15. A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery.
g g g g g g g g g g g g g g g g g
What guidelines will the nursing student use to assist in setting her goals?
g g g g g g g g g g g g
1. WHO Maternal care guidelines g g g
2. Healthy People 2020 g g
3. AWHONN white papers g g
4. State Practice Act g g
Multiple Response
g
Identify one or more choices that best complete the statement or answer the question.
g g g g g g g g g g g g g
g 16. A woman has recently given birth to an infant born at 35 weeks and 5 days gestation. What long-
g g g g g g g g g g g g g g g g g g g
term effects should the nurse be concerned about with the infant being born at this gestation?
g g g g g g g g g g g g g g g g
Select all that apply. g g g
1. Cerebral palsy g
Copyright © 2019 F. A. Davis Company g g g g g g
