Question 1

A pregnant client who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for:

Accepted Answer

A)  postmature birth. 
B)  Sexually transmitted diseases. 
C)  Hypotension and vasodilation. 
D)  Depression of the central nervous system. 
A)  postmature birth. 
B)  Sexually transmitted diseases. 
C)  Hypotension and vasodilation. 
D)  Depression of the central nervous system.

Question 2

Which is the most dangerous effect on the fetus of a client who smokes cigarettes while pregnant?

Accepted Answer

A)  Intrauterine growth restriction 
B)  Genetic changes and anomalies 
C)  Extensive central nervous system damage 
D)  Fetal addiction to the substance inhaled 
A)  Intrauterine growth restriction 
B)  Genetic changes and anomalies 
C)  Extensive central nervous system damage 
D)  Fetal addiction to the substance inhaled

Question 3

Match each term with the correct definition.
-Opiates

Accepted Answer

A) A powerful short-acting CNS stimulant 
B) CNS depressants that produce a feeling of mental dullness, drowsiness, and finally stupor 
C) Active constituent is tetrahydrocannabinol, which crosses the placenta and accumulates in the fetus 
A) A powerful short-acting CNS stimulant 
B) CNS depressants that produce a feeling of mental dullness, drowsiness, and finally stupor 
C) Active constituent is tetrahydrocannabinol, which crosses the placenta and accumulates in the fetus

Question 4

In planning sex education classes for the 12- to 15-year-old age group, more emphasis should be placed on which?

Accepted Answer

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)  The use of condoms to prevent sexually transmitted diseases as well as pregnancy 
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)  The use of condoms to prevent sexually transmitted diseases as well as pregnancy

Question 5

A pregnant client tells you during a clinic visit that she is concerned about her significant other's change in behavior during the course of the pregnancy. She relates feelings of being afraid but emphatically denies any physical or verbal threats. She confides in you that she has been using her mobile phone to find out more information about this subject. What is the most appropriate nursing response?

Accepted Answer

A)  Tell her that all relationships change during pregnancy and give herself and her significant other some time to adapt to this situation by spending quality time with one another. 
B)  Tell the client that you are concerned for her and the baby; provide her with a phone number for a safe house just in case she needs to act quickly and leave the home situation. 
C)  Explore in more detail the client's feelings but tell her that you are concerned about searching information on the Internet as a stimulus trigger for potential abuse. 
D)  Do not let the client leave the clinic office and call the domestic abuse hotline number to report the incident. 
A)  Tell her that all relationships change during pregnancy and give herself and her significant other some time to adapt to this situation by spending quality time with one another. 
B)  Tell the client that you are concerned for her and the baby; provide her with a phone number for a safe house just in case she needs to act quickly and leave the home situation. 
C)  Explore in more detail the client's feelings but tell her that you are concerned about searching information on the Internet as a stimulus trigger for potential abuse. 
D)  Do not let the client leave the clinic office and call the domestic abuse hotline number to report the incident.

Question 6

A client who is 6 months pregnant has sought medical attention, saying she fell down the stairs. Which scenario would cause an emergency department nurse to suspect that the woman has been battered?

Accepted Answer

A)  She avoids making eye contact and is hesitant to answer questions. 
B)  The woman and her partner are having an argument that is loud and hostile. 
C)  The woman has injuries on various parts of her body that are in different stages of healing. 
D)  Examination reveals a fractured arm and fresh bruises. Her husband asks her about her pain. 
A)  She avoids making eye contact and is hesitant to answer questions. 
B)  The woman and her partner are having an argument that is loud and hostile. 
C)  The woman has injuries on various parts of her body that are in different stages of healing. 
D)  Examination reveals a fractured arm and fresh bruises. Her husband asks her about her pain.

Question 7

Which environment can assist a pregnant teen to achieve the task of establishing a stable identity?

Accepted Answer

A)  Home schooling 
B)  Alternative education program 
C)  School-based mothers' program 
D)  Continuing mainstream high school classes 
A)  Home schooling 
B)  Alternative education program 
C)  School-based mothers' program 
D)  Continuing mainstream high school classes

Question 8

Women who become pregnant after the age of 35 are more likely to:

Accepted Answer

A)  have multiple births because of increased fertility rates. 
B)  be hypotensive during the pregnancy. 
C)  have fewer obstetric complications due to stronger pelvic structure. 
D)  have a child who has a trisomy 21 abnormality. 
A)  have multiple births because of increased fertility rates. 
B)  be hypotensive during the pregnancy. 
C)  have fewer obstetric complications due to stronger pelvic structure. 
D)  have a child who has a trisomy 21 abnormality.

Question 9

Which characteristics of fetal alcohol syndrome (FAS) should the nurse expect to assess in affected neonates? (Select all that apply.)

Accepted Answer

A)  Hydrocephaly 
B)  Low activity 
C)  Epicanthal folds 
D)  Short palpebral fissures 
E)  Flat midface, with a low nasal bridge 
A)  Hydrocephaly 
B)  Low activity 
C)  Epicanthal folds 
D)  Short palpebral fissures 
E)  Flat midface, with a low nasal bridge

Exam 24: The Childbearing Family with Special Needs

A pregnant client who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for:

Which is the most dangerous effect on the fetus of a client who smokes cigarettes while pregnant?

Match each term with the correct definition. -Opiates

In planning sex education classes for the 12- to 15-year-old age group, more emphasis should be placed on which?

A client who is 6 months pregnant has sought medical attention, saying she fell down the stairs. Which scenario would cause an emergency department nurse to suspect that the woman has been battered?

Which environment can assist a pregnant teen to achieve the task of establishing a stable identity?

Women who become pregnant after the age of 35 are more likely to:

Which characteristics of fetal alcohol syndrome (FAS) should the nurse expect to assess in affected neonates? (Select all that apply.)

Maternity and Women's Health Care Today

The Nurse's Role in Maternity and Women's Health Care

Ethical, Social, and Legal Issues

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

Conception and Prenatal Development

Physiologic Adaptations to Pregnancy

Psychosocial Adaptations to Pregnancy

Nutrition for Childbearing

Antepartum Fetal Assessment

Perinatal Education

Processes of Birth

Nursing Care During Labor and Birth

Intrapartum Fetal Surveillance

Pain Management During Childbirth

Nursing Care During Obstetric Procedures

Postpartum Physiologic Adaptations

Postpartum Psychosocial Adaptations

Normal Newborn: Processes of Adaptation

Assessment of the Normal Newborn

Care of the Normal Newborn

Infant Feeding

Home Care of the Infant

Complications of Pregnancy

Concurrent Disorders During Pregnancy

Intrapartum Complications

Postpartum Maternal Complications

High-Risk Newborn: Complications Associated with Gestational Age and Development

High-Risk Newborn: Acquired and Congenital Conditions

Family Planning

Infertility

Preventive Care for Women

Women's Health Problems

Infertility

Preventive Care for Women

Women's Health Problems

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