Test Bank Davis Advantage for Maternal-Newborn Nursing Critical Components 4th Edition

Chapter 1: Trends and Issues Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The maternal mortality rate for black women in the United States is: 1. The same as for white women in the United States, regardless of socioeconomic factors. 2. Lower than the rate for white women due to improvements in the social determinants of health. 3. Higher than the rate for white women, regardless of socioeconomic factors. 4. Higher than the rate for white women, but have improved in the last decade. ____ 2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to stabilize the patient’s blood pressure. Therefore, the patient died shortly after delivery. This is an example of what type of death? 1. Early maternal death 2. Late maternal death 3. Direct obstetric death 4. Indirect obstetric death ____ 3. The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index (BMI) of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient? 1. Uses of extracorporeal membrane oxygenation therapy (ECMO) 2. Uses of exogenous pulmonary surfactant 3. The Baby-Friendly Hospital Initiative 4. The Safe to Sleep campaign ____ 4. Compared with other countries in the world, the United States’ maternal mortality rate is: 1. One of the lowest rates in the world. 2. The same as in other high-resource countries. 3. Worse than in other high-resource countries, but has improved in the last decade. 4. The highest rate of all high-resource countries. ____ 5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient’s baby at highest risk for? 1. Respiratory disorders 2. Neonatal conjunctivitis 3. Blindness 4. Pneumonia ____ 6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, “I do not need to stop smoking my electronic cigarette because it will not harm my baby.” Which is the best response by the nurse? 1. “You are correct. Electronic cigarettes are not harmful during pregnancy.” 2. “Tobacco products, including electronic cigarettes, should not be used during pregnancy due to the risk of nicotine toxicity.” 3. “According to the U.S. Food and Drug Administration (FDA), although electronic cigarettes are safe for you, they can cause harm to the fetus during pregnancy.” 4. “Electronic cigarettes are considered harmful only in the first trimester.” ____ 7. The nurse is caring for a 16-year-old patient who is 32 weeks’ pregnant with her first child, who is male. The patient’s mother has accompanied her to today’s visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby’s father but her mother plans to help her. However, the patient’s mother asks whether this will have any impact on the child. Which of the following should the nurse indicate the child is at increased risk for during his adolescence? 1. Hypertension 2. Diabetes 3. Alcohol abuse 4. Intraventricular bleeding ____ 8. The nurse is caring for a patient at 7 weeks’ gestation. The nurse suspects that this pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate? 1. “Did you smoke marijuana when pregnant with your other child?” 2. “To avoid negative effects on your baby, you’ll need to stop using marijuana during your last trimester.” 3. “Using marijuana while pregnant can have a negative effect on the neurological development of your baby.” 4. “Marijuana use while pregnant greatly increases your risk of miscarriage.” ____ 9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching? 1. “I will limit my drinking to just one alcoholic beverage per day.” 2. “It’s best for my baby if I avoid drinking during pregnancy.” 3. “An occasional drink on special occasions is okay.” 4. “Drinking alcohol is only acceptable in the first trimester.” ____ 10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following? 1. “My child may be at increased risk for birth injury.” 2. “My child may have a decreased risk of developing childhood diabetes.” 3. “I will probably give birth vaginally.” 4. “I have a lower risk of developing gestational hypertension.” ____ 11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the patient may be at risk for during pregnancy. Which response by the patient indicates that she understands? 1. “Due to my weight, there is a possibility that I may develop gestational diabetes.” 2. “I am not overweight, but I am still at risk for gestational diabetes.” 3. “My mother had preeclampsia during one of her pregnancies.” 4. “I will need to do a glucose tolerance test in my second trimester.” ____ 12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the nurse take first? 1. Refer the patient to a drug abuse program. 2. Screen the infant for side effects associated with cocaine use. 3. Educate the patient of the risks associated with cocaine use during pregnancy. 4. Advise the patient that her baby will be okay even with the history of cocaine use. ____ 13. A pregnant patient with a body mass index (BMI) of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted infections (STIs) and indicated that she is in a committed, long-term relationship with the child’s father. Which of the following is accurate? 1. The patient’s infant is at increased risk of neonatal blindness. 2. The patient’s infant has a decreased risk of birth injury. 3. The patient will have an increased risk of wound infection. 4. The patient will have a decreased risk of preeclampsia. ____ 14. When should women be screened for mood disorders during pregnancy? 1. Women should be screened at the first prenatal visit, then repeated if risk factors are present. 2. Women should be screened at the first prenatal visit, during the second and third trimesters, and during the first postpartum year. 3. Women should be screened when they have been diagnosed with a history of mental health disorders. 4. Women should be screened when they have been diagnosed with a high adverse childhood experience (ACE) score. ____ 15. A nursing student is asked to set g...

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