Question 1

The nurse works in a prenatal clinic that serves a multicultural population. The nurse is culturally aware, and so, which behaviors by a patient are expected due to common restrictive beliefs? Select all that apply.

Accepted Answer

A)  A pregnant woman denies sexual intercourse during her third trimester.
B)  A pregnant woman allows a clinic staff member to take a photo of her.
C)  A pregnant woman reaches to an overhead shelf to collect her belongings.
D)  A pregnant woman avoids sitting in front of a fan or air conditioner.
E)  A pregnant woman refuses to watch a televised eclipse of the moon. A,E

Question 2

The nurse is encouraging cultural sensitivity among the nonmedical personnel in a prenatal clinic. Which type of family does the nurse identify as including children? Select all that apply.

Accepted Answer

A)  Nuclear family
B)  Extended family
C)  Cohabitating family
D)  Dyad family
E)  Blended family A,B,E

Question 3

A couple is planning for the birth of their first child and is discussing the difference between a physician and a midwife. Which information presented by the couple does the nurse validate as being true?

Accepted Answer

A)  Midwives are commonly self-taught without formal training.
B)  Physicians provide care for both low- and high-risk patients.
C)  Midwives primarily deliver babies in the home setting.
D)  Physicians rely on the use of technological procedures for birth. B

Question 4

The nurse notes that a patient in the third trimester of pregnancy feels unable to "mother" her unborn child. Which information about the patient helps the nurse identify the sources of the patient's ambivalence? Select all that apply.

Accepted Answer

A)  The patient is estranged from her mother.
B)  The patient asks about classes for baby care.
C)  The patient expresses a loss of independence.
D)  The patient's partner is excited about a baby.
E)  The patient expresses disgust about body changes.

Question 5

A patient in the second trimester of pregnancy seems distressed. With encouragement, the patient states, "I have been totally avoiding physical contact with my husband to avoid prompting any sexual activity." Which statement by the nurse is the best response?

Accepted Answer

A)  "Nonsexual expressions of affection are important for both of you."
B)  "Be honest and tell your husband the reason you are avoiding him."
C)  "You need to agree to sex in order to prevent infidelity from occurring."
D)  "Sex during pregnancy is a healthy and normal display of affection."

Question 6

The nurse works in a prenatal clinic and interacts with multiple patients from various socioeconomic backgrounds. Which patient does the nurse assess most carefully for a mental health issue?

Accepted Answer

A)  A woman who chooses single parenthood
B)  A military veteran who was deployed twice
C)  The pregnant partner of a lesbian relationship
D)  The mother who is multigestational with triplets

Question 7

The nurse at a prenatal clinic is aware of the important tasks that each expectant mother will need to address. When an expectant mother states, "I will give up everything I have to make sure this baby is safe and well-cared for," which task is the mother addressing?

Accepted Answer

A)  Expressing an attachment to the child
B)  Ensuring safe birth for mother and child
C)  Stating a willingness to give of oneself
D)  Ensuring social acceptance of the child

Question 8

A mother has a child who is 4 years of age, and she is expecting another child. The mother expresses concern to the nurse about how the older sibling will receive the newborn. Which intervention shared by the mother does the nurse discourage?

Accepted Answer

A)  "I plan to let him hear the baby's heartbeat at the next prenatal visit."
B)  "I think that I will just bring the new baby home as a surprise."
C)  "I have enrolled him in a sibling preparation class at the hospital."
D)  "I let him pick out a gift for the baby, and have one for him from the baby."

Question 9

The nurse is providing care in a school clinic established for the care of adolescent mothers. When assessing a patient who is 11 years of age and pregnant, which deduction regarding the patient's psychosocial development will the nurse recognize?

Accepted Answer

A)  The adolescent is self-centered and oriented toward the present.
B)  At this age, pregnancy is likely a result of attachment to a first love.
C)  Moving into the mothering role will be nearly impossible at this age.
D)  The role of the grandmother will be as the baby's primary caretaker.

Question 10

A couple announces to their parents that the couple is pregnant. One expectant grandmother says, "Grandchildren will call me by my first name. I am not ready to be a grandmother." Which feelings are being expressed by the grandmother?

Accepted Answer

A)  The pregnancy presents undeniable evidence the grandmother is growing older.
B)  The grandmother has specific wishes about how she is to be addressed as a person.
C)  The grandmother is most likely teasing and actually feels overwhelming delight.
D)  The grandmother has never thought of herself in this role and will adapt with time.

Question 11

The nurse is counseling a couple in the third trimester of pregnancy and recommends the couple attend childbirth education classes. For which reason is the nurse least likely to recommend the classes?

Accepted Answer

A)  The classes will affirm the normalcy of birth.
B)  The techniques will enable a medication-free delivery.
C)  The classes acknowledge a woman's ability to inherently give birth.
D)  The classes explore ways to find strength and comfort during labor.

Question 12

A pregnant patient and her spouse live in the same home as the spouse's family who is not supportive of the pregnancy. The patient feels the family is ruining the happiness about the pregnancy. Which is the most important determination for the nurse to make?

Accepted Answer

A)  What the potential for improving the current support network is
B)  Who will provide the patient the greatest amount of support
C)  Whether the couple's finances support moving into a separate location
D)  If threatened or actual abuse from household members occur toward the patient

Question 13

A couple informs the nurse they have decided to make arrangements for a home birth. Which criteria will the nurse share with the couple regarding a safe home birth? Select all that apply.

Accepted Answer

A)  The couple must be trained on how to be in control of the birth.
B)  The pregnant woman must be in good health with a normal pregnancy.
C)  The birthing home must be within a 1-hour drive of a hospital.
D)  Adequate medical supplies and resuscitation equipment is available.
E)  The birthing room needs to be sterile prior to labor and delivery.

Question 14

A pregnant patient tells the nurse that her spouse has been diagnosed with Couvade syndrome. Which manifestations does the nurse suspect the spouse is experiencing? Select all that apply.

Accepted Answer

A)  Nausea from unidentifiable causes
B)  Physical rejection of sexual advances
C)  Significant recent weight gain
D)  Unexplainable abdominal pains
E)  Self-imposed social isolation

Question 15

A patient is experiencing pregnancy complications. Which factors will affect the client's ability to manage this situation? Select all that apply.

Accepted Answer

A)  Current health status
B)  Perceived threat to self or fetus
C)  Previously used coping skills
D)  Existence of a support network
E)  Implemented nursing interventions

Question 16

The nurse is providing prenatal care for a patient who is pregnant with a second child. Which understanding about complexity of a second pregnancy does the nurse use to assist the patient with the acceptance of this pregnancy?

Accepted Answer

A)  Point out that the financial obligation is always less with a second child.
B)  Make suggestions of how the first child will be a "helper" with the new baby.
C)  Recommend career decisions needed because of additional parenting tasks.
D)  Offer strategies for working out a new relationship with the first child.

Question 17

The nurse is providing care for a patient who is 42 years of age and in the first trimester of her pregnancy. For which possible complication will the nurse closely monitor the patient and fetus?

Accepted Answer

A)  Elevated blood pressure and proteinuria
B)  Indications of maladaptation to pregnancy
C)  Alterations in fetal chromosomal studies
D)  Subtle indicators of menopause occurring

Question 18

The more prepared a pregnant woman feels for the birth of her baby will lower her anxiety and fear. The behavior is referred to as ____________________.

Accepted Answer

The answer of The more prepared a pregnant woman feels...

Question 19

The nurse works in a prenatal clinic located in a multicultural city. It is important for the nurse to recognize which cultural beliefs as prescriptive? Select all that apply.

Accepted Answer

A)  The mother will aid the baby's circulation by remaining active during pregnancy.
B)  The satisfaction of pregnancy cravings will prevent birthmarks on the baby.
C)  The mother invites harm to the fetus during the night by sleeping on her back.
D)  A safety pin attached to an undergarment will prevent fetal facial deformities.
E)  Drinking too much tea will stimulate the fetus and cause a premature birth.

Question 20

The labor and delivery nursing staff is conducting research to determine the benefits of childbirth education (CBE). Which finding does evidence-based practice support?

Accepted Answer

A)  Women who participated in CBE and/or had a birth plan had higher odds of a vaginal delivery.
B)  Women who are considered to be at high risk had fewer complications if CBE or a birth plan was used.
C)  Women of color, younger in age, and who are multipara respond best to CBE and/or a birth plan.
D)  Women with a previous cesarean delivery are more likely to have a vaginal delivery after CBE.

Exam 5: The Psycho-Social-Cultural Aspects of the Antepartum Period