https://www.stuvia.com/
,https://www.stuvia.com/
,https://www.stuvia.com/
Chapter 1: Trends and Issues
0 0 0 0
Multiple Choice
0
Identify the choice that best completes the statement or answers the question.
0 0 0 0 0 0 0 0 0 0 0
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is present for
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
support and notes that things have changed in the delivery room since she last gave birth in the early 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
980s. Which current trend or intervention may the patient’s mother find most different?
0 0 0 0 0 0 0 0 0 0 0 0
1. Fetal monitoring throughout labor 0 0 0
2. Postpartum stay of 10 days 0 0 0 0
3. Expectant partner and family in operating room for cesarean birth 0 0 0 0 0 0 0 0 0
4. Hospital support for breastfeeding 0 0 0
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to sta
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
bilize the patient’s blood pressure. As a result, the patient died shortly after delivery. This is an exam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ple of what type of death?
0 0 0 0 0
1. Early maternal death 0 0
2. Late maternal death 0 0
3. Direct obstetric death 0 0
4. Indirect obstetric death 0 0
3. The nurse is providing education to a patient who has given birth to her first child and is being discha
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
rged home. The patient expressed concern regarding infant mortality and sudden infant death syndro
0 0 0 0 0 0 0 0 0 0 0 0 0
me (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
term. What will be most helpful thing to explain to the patient?
0 0 0 0 0 0 0 0 0 0 0
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
0 0 0 0 0 0
2. Uses of exogenous pulmonary surfactant 0 0 0 0
3. The Baby-Friendly Hospital Initiative
0 0 0
4. The Safe to Sleep campaign 0 0 0 0
4. The nurse is caring for a 14-year-
0 0 0 0 0 0
old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
tests positive for syphilis. The fetus is at increased risk of which condition?
0 0 0 0 0 0 0 0 0 0 0 0
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The nurse is caring for a 15-year-
0 0 0 0 0 0
old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negativ
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
the patient’s baby at higher risk for?
0 0 0 0 0 0
1. Intestinal problems 0
2. Neonatal conjunctivitis 0
3. Blindness
4. Pneumonia
,https://www.stuvia.com/
6. The nurse is caring for a 23-year-
0 0 0 0 0 0
old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. Th
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e patient states, ―I do not need to stop smoking my electronic cigarette because it will not harm my ba
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
by.‖ Which is the best response by the nurse?
0 0 0 0 0 0 0 0
1. ―You are correct. Electronic cigarettes are not harmful during pregnancy.‖
0 0 0 0 0 0 0 0 0
2. ―Tobacco products, including electronic cigarettes, should not be used during p
0 0 0 0 0 0 0 0 0 0
regnancy due to risking nicotine toxicity.‖ 0 0 0 0 0
3. ―According to the FDA, although electronic cigarettes are safe for you, they can ca 0 0 0 0 0 0 0 0 0 0 0 0 0
use harm to the fetus during pregnancy.‖
0 0 0 0 0 0
4. ―Electronic cigarettes are considered harmful only in the first trimester.‖ 0 0 0 0 0 0 0 0 0
7. The nurse is caring for a 16-year-
0 0 0 0 0 0
old patient who is 32 weeks pregnant with her first child, who is male. The patient’s mother has acco
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
mpanied her to today’s visit. During the nursing assessment, the patient mentions that she is no long
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
er in a relationship with the baby’s father but her mother plans to help her. However, the patient’s m
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
other asks whether this will have any impact on the child. Which should the nurse indicate the child i
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
s at increased risk of during his adolescence?
0 0 0 0 0 0 0
1. Hypertension
2. Diabetes
3. Alcohol abuse 0
4. Intraventricular bleeding 0
8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient ma
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
y have been using marijuana. With consent, the nurse confirms via urine drug screen. Which state
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ment by the nurse is most appropriate?
0 0 0 0 0 0
1. ―Did you smoke marijuana when pregnant with your other child?‖
0 0 0 0 0 0 0 0 0
2. ―To avoid negative effects on your baby, you’ll need to stop using marijuana du
0 0 0 0 0 0 0 0 0 0 0 0 0
ring your last trimester.‖ 0 0 0
3. ―Using marijuana while pregnant can have a negative effect on the neurological de
0 0 0 0 0 0 0 0 0 0 0 0
velopment of your baby.‖ 0 0 0
4. ―Marijuana use while pregnant greatly increases your risk of miscarriage.‖ 0 0 0 0 0 0 0 0 0
9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by th
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e patient demonstrates successful patient teaching?
0 0 0 0 0
1. ―I will limit my drinking to just one alcoholic beverage per day.‖
0 0 0 0 0 0 0 0 0 0 0
2. ―It’s best for my baby if I avoid drinking during pregnancy.‖
0 0 0 0 0 0 0 0 0 0
3. ―An occasional drink on special occasions is okay.‖
0 0 0 0 0 0 0
4. ―Drinking alcohol is only acceptable in the first trimester.‖ 0 0 0 0 0 0 0 0
10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows tha
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
t teaching has been effective when the patient states which of the following?
0 0 0 0 0 0 0 0 0 0 0 0
1. ―My child may be at increased risk for birth injury.‖
0 0 0 0 0 0 0 0 0
2. ―My child may have a decreased risk of developing childhood diabetes.‖
0 0 0 0 0 0 0 0 0 0
3. ―I will probably give birth vaginally.‖
0 0 0 0 0
4. ―I have a lower risk of developing gestational hypertension.‖
0 0 0 0 0 0 0 0
,https://www.stuvia.com/
,https://www.stuvia.com/
Chapter 1: Trends and Issues
0 0 0 0
Multiple Choice
0
Identify the choice that best completes the statement or answers the question.
0 0 0 0 0 0 0 0 0 0 0
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is present for
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
support and notes that things have changed in the delivery room since she last gave birth in the early 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
980s. Which current trend or intervention may the patient’s mother find most different?
0 0 0 0 0 0 0 0 0 0 0 0
1. Fetal monitoring throughout labor 0 0 0
2. Postpartum stay of 10 days 0 0 0 0
3. Expectant partner and family in operating room for cesarean birth 0 0 0 0 0 0 0 0 0
4. Hospital support for breastfeeding 0 0 0
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to sta
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
bilize the patient’s blood pressure. As a result, the patient died shortly after delivery. This is an exam
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ple of what type of death?
0 0 0 0 0
1. Early maternal death 0 0
2. Late maternal death 0 0
3. Direct obstetric death 0 0
4. Indirect obstetric death 0 0
3. The nurse is providing education to a patient who has given birth to her first child and is being discha
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
rged home. The patient expressed concern regarding infant mortality and sudden infant death syndro
0 0 0 0 0 0 0 0 0 0 0 0 0
me (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
term. What will be most helpful thing to explain to the patient?
0 0 0 0 0 0 0 0 0 0 0
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
0 0 0 0 0 0
2. Uses of exogenous pulmonary surfactant 0 0 0 0
3. The Baby-Friendly Hospital Initiative
0 0 0
4. The Safe to Sleep campaign 0 0 0 0
4. The nurse is caring for a 14-year-
0 0 0 0 0 0
old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
tests positive for syphilis. The fetus is at increased risk of which condition?
0 0 0 0 0 0 0 0 0 0 0 0
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The nurse is caring for a 15-year-
0 0 0 0 0 0
old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negativ
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
the patient’s baby at higher risk for?
0 0 0 0 0 0
1. Intestinal problems 0
2. Neonatal conjunctivitis 0
3. Blindness
4. Pneumonia
,https://www.stuvia.com/
6. The nurse is caring for a 23-year-
0 0 0 0 0 0
old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. Th
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e patient states, ―I do not need to stop smoking my electronic cigarette because it will not harm my ba
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
by.‖ Which is the best response by the nurse?
0 0 0 0 0 0 0 0
1. ―You are correct. Electronic cigarettes are not harmful during pregnancy.‖
0 0 0 0 0 0 0 0 0
2. ―Tobacco products, including electronic cigarettes, should not be used during p
0 0 0 0 0 0 0 0 0 0
regnancy due to risking nicotine toxicity.‖ 0 0 0 0 0
3. ―According to the FDA, although electronic cigarettes are safe for you, they can ca 0 0 0 0 0 0 0 0 0 0 0 0 0
use harm to the fetus during pregnancy.‖
0 0 0 0 0 0
4. ―Electronic cigarettes are considered harmful only in the first trimester.‖ 0 0 0 0 0 0 0 0 0
7. The nurse is caring for a 16-year-
0 0 0 0 0 0
old patient who is 32 weeks pregnant with her first child, who is male. The patient’s mother has acco
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
mpanied her to today’s visit. During the nursing assessment, the patient mentions that she is no long
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
er in a relationship with the baby’s father but her mother plans to help her. However, the patient’s m
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
other asks whether this will have any impact on the child. Which should the nurse indicate the child i
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
s at increased risk of during his adolescence?
0 0 0 0 0 0 0
1. Hypertension
2. Diabetes
3. Alcohol abuse 0
4. Intraventricular bleeding 0
8. The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient ma
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
y have been using marijuana. With consent, the nurse confirms via urine drug screen. Which state
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ment by the nurse is most appropriate?
0 0 0 0 0 0
1. ―Did you smoke marijuana when pregnant with your other child?‖
0 0 0 0 0 0 0 0 0
2. ―To avoid negative effects on your baby, you’ll need to stop using marijuana du
0 0 0 0 0 0 0 0 0 0 0 0 0
ring your last trimester.‖ 0 0 0
3. ―Using marijuana while pregnant can have a negative effect on the neurological de
0 0 0 0 0 0 0 0 0 0 0 0
velopment of your baby.‖ 0 0 0
4. ―Marijuana use while pregnant greatly increases your risk of miscarriage.‖ 0 0 0 0 0 0 0 0 0
9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by th
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e patient demonstrates successful patient teaching?
0 0 0 0 0
1. ―I will limit my drinking to just one alcoholic beverage per day.‖
0 0 0 0 0 0 0 0 0 0 0
2. ―It’s best for my baby if I avoid drinking during pregnancy.‖
0 0 0 0 0 0 0 0 0 0
3. ―An occasional drink on special occasions is okay.‖
0 0 0 0 0 0 0
4. ―Drinking alcohol is only acceptable in the first trimester.‖ 0 0 0 0 0 0 0 0
10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows tha
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
t teaching has been effective when the patient states which of the following?
0 0 0 0 0 0 0 0 0 0 0 0
1. ―My child may be at increased risk for birth injury.‖
0 0 0 0 0 0 0 0 0
2. ―My child may have a decreased risk of developing childhood diabetes.‖
0 0 0 0 0 0 0 0 0 0
3. ―I will probably give birth vaginally.‖
0 0 0 0 0
4. ―I have a lower risk of developing gestational hypertension.‖
0 0 0 0 0 0 0 0
