Exam 24: The Childbearing Family with Special Needs

In counseling a patient who has decided to relinquish her baby for adoption,the nurse should do which of the following?

Which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?

Approximately 82% of teen pregnancies are unintended.Seventy percent of teens have had sex by their 19th birthday.Factors that contribute to an increased risk for teen pregnancy include which of the following? (Select all that apply.)

A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit.This behavior puts her at a greater risk for which of the following?

A nurse is interviewing a pregnant woman in the clinic.She seems hostile and answers many questions with "Whatever" and "I don't really know." At her last appointment she was late and disheveled.What action by the nurse is best?

In helping bereaved parents cope and move on,nurses should keep in mind that

When helping the mother,father,and other family members actualize the loss of the infant,nurses should

A woman has delivered twins.The first twin was stillborn,and the second is in the intensive care nursery and is recovering quickly from respiratory distress.The woman is crying softly and says,"I wish my baby could have lived." What is the most therapeutic response?

Many teens wait until the second or even third trimester to seek prenatal care.The nurse should understand that the reasons behind this delay include which of the following? (Select all that apply.)

During which phase of the cycle of violence does the batterer become contrite and remorseful?

A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening.The nurse will counsel her to eliminate all alcohol intake.What is the best rationale provided by the nurse?

What information about caffeine in pregnancy does the nurse provide the prenatal class with?

What is most likely to be a concern for the older mother?

Of adolescents who become pregnant,what percentage have had a previous birth?

When the nurse is alone with a battered patient,the patient seems extremely anxious and says,"It was all my fault.The house was so messy when he got home and I know he hates that." The best response by the nurse is

What is a major barrier to health care for teen mothers?

What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?

Which of the following is an appropriate nursing measure when a baby has an unexpected anomaly?

The student nurse learns that the most important reason marijuana should not be used during pregnancy is which of the following?

A woman who is older than 35 years may have difficulty achieving pregnancy,because