C HAPTER 29: C ARE OF THE H IGH -R ISK
M OTHER , N EWBORN , AND F AMILY WITH
S PECIAL N EEDS
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. A patient with a history of rheumatic heart disease is being admitted to
the labor and delivery unit. To prevent further stress on the heart, what
should the nurse anticipate to be ordered?
a. Oxygen administration
b. Administering large amount of IV fluids
c. Positioning the patient on her back
d. Encouraging activit y between contractions
ANS: A
Oxygen is administered to increase blood oxygen saturation and
decrease the stress on the heart. IV fluid administration is kept to a
minimum to prevent fluid overload. The patient would be positioned in
a semi-Fowler’s position to improve circulation. The patient should be
encouraged to rest between contractions to conserve energy.
DIF: Cognitive Level: Application REF: p. 901 OBJ: 12
TOP: Cardiovascular defects KEY: Nursing Process
Step: Planning MSC: NC LEX: Health Promotion and
Maintenance
,2. A 14-year-old pregnant adolescent arrives at the hospital in earl y labor.
The nurse should recognize that the adolescent is at a greater risk for
which problem?
a. Calcium deficit
b. Cephalopelvic disproportion
c. Bleeding tendency
d. Low hemoglobin levels
ANS: B
There are several physiologic concerns for pregnant adolescents,
including cephalopelvic disproportion.
DIF: Cognitive Level: Anal ysis REF: p. 903 OBJ: 7
TOP: Adolescent pregnancy KEY: Nursing Process
Step: Assessment MSC: NC LEX: Physiological Integrit y
3. When should the gestational age of the infant be determined?
a. Within 5 to 10 minutes of delivery
b. Within 1 to 2 hours of delivery
c. Within 2 to 8 hours of delivery
d. Within 12 to 24 hours of delivery
ANS: C
The gestational age tests are done within 2 to 8 hours of delivery.
, DIF: Cognitive Level: Comprehension REF: p. 908
OBJ: 9 TOP: Gestational age KEY: Nursing
Process Step: Assessment MSC: NC LEX: Health Promotion
and Maintenance
4. The newborn infant has ox ygenation problems and a lack of subcutaneous
fat. What should the nurse determine as the gestational age of this infant?
a. 20 to 37 completed weeks of pregnancy
b. 38 to 41 completed weeks of pregnancy
c. 14 to 36 completed weeks of pregnancy
d. 42 or more completed weeks of pregnancy
ANS: A
The lungs of preterm infants have not fully developed; therefore, they
have problems with oxygenation. Preterm infants also lack
subcutaneous fat. The gestational age of the preterm is classified as 20
to 37 complete weeks of pregnancy.
DIF: Cognitive Level: Anal ysis REF: p. 909 OBJ: 9
TOP: Preterm KEY: Nursing Process Step:
Assessment MSC: NC LEX: Health Promotion and Maintenance
5. Compared to older infants of comparable weight, how much higher is the
morbidit y and mortalit y rate for preterm infants?
a. One to two times
b. Two to three times
c. Three to four times
d. Four to five times
M OTHER , N EWBORN , AND F AMILY WITH
S PECIAL N EEDS
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. A patient with a history of rheumatic heart disease is being admitted to
the labor and delivery unit. To prevent further stress on the heart, what
should the nurse anticipate to be ordered?
a. Oxygen administration
b. Administering large amount of IV fluids
c. Positioning the patient on her back
d. Encouraging activit y between contractions
ANS: A
Oxygen is administered to increase blood oxygen saturation and
decrease the stress on the heart. IV fluid administration is kept to a
minimum to prevent fluid overload. The patient would be positioned in
a semi-Fowler’s position to improve circulation. The patient should be
encouraged to rest between contractions to conserve energy.
DIF: Cognitive Level: Application REF: p. 901 OBJ: 12
TOP: Cardiovascular defects KEY: Nursing Process
Step: Planning MSC: NC LEX: Health Promotion and
Maintenance
,2. A 14-year-old pregnant adolescent arrives at the hospital in earl y labor.
The nurse should recognize that the adolescent is at a greater risk for
which problem?
a. Calcium deficit
b. Cephalopelvic disproportion
c. Bleeding tendency
d. Low hemoglobin levels
ANS: B
There are several physiologic concerns for pregnant adolescents,
including cephalopelvic disproportion.
DIF: Cognitive Level: Anal ysis REF: p. 903 OBJ: 7
TOP: Adolescent pregnancy KEY: Nursing Process
Step: Assessment MSC: NC LEX: Physiological Integrit y
3. When should the gestational age of the infant be determined?
a. Within 5 to 10 minutes of delivery
b. Within 1 to 2 hours of delivery
c. Within 2 to 8 hours of delivery
d. Within 12 to 24 hours of delivery
ANS: C
The gestational age tests are done within 2 to 8 hours of delivery.
, DIF: Cognitive Level: Comprehension REF: p. 908
OBJ: 9 TOP: Gestational age KEY: Nursing
Process Step: Assessment MSC: NC LEX: Health Promotion
and Maintenance
4. The newborn infant has ox ygenation problems and a lack of subcutaneous
fat. What should the nurse determine as the gestational age of this infant?
a. 20 to 37 completed weeks of pregnancy
b. 38 to 41 completed weeks of pregnancy
c. 14 to 36 completed weeks of pregnancy
d. 42 or more completed weeks of pregnancy
ANS: A
The lungs of preterm infants have not fully developed; therefore, they
have problems with oxygenation. Preterm infants also lack
subcutaneous fat. The gestational age of the preterm is classified as 20
to 37 complete weeks of pregnancy.
DIF: Cognitive Level: Anal ysis REF: p. 909 OBJ: 9
TOP: Preterm KEY: Nursing Process Step:
Assessment MSC: NC LEX: Health Promotion and Maintenance
5. Compared to older infants of comparable weight, how much higher is the
morbidit y and mortalit y rate for preterm infants?
a. One to two times
b. Two to three times
c. Three to four times
d. Four to five times
