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The Childbearing Family With Special Needs

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Question 1
Free
Multiple Choice

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

Choose correct answer/s
A

postmature birth.

B

Sexually transmitted diseases.

C

Hypotension and vasodilation.

D

Depression of the central nervous system.

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Question 2
Free
Multiple Choice

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

Choose correct answer/s
A

Battering

B

Honeymoon

C

Tension-building

D

Increased drug taking

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Question 3
Free
Multiple Choice

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

Choose correct answer/s
A

Health care workers have a positive attitude.

B

The hospital or clinic is within walking distance of the girl's home.

C

Seeing a different nurse and/or health care provider at every visit.

D

The institution is open days, evenings, and Saturday by special arrangement.

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Question 4
Free
Multiple Choice

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

Choose correct answer/s
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

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Question 5
Free
Multiple Choice

Which should the nurse do when counseling a teenage client who has decided to relinquish her baby for adoption?

Choose correct answer/s
A

Question her about her feelings regarding adoption.

B

Tell her she can always change her mind about adoption.

C

Affirm her decision while acknowledging her maturity in making it.

D

Ask her if anyone is coercing her into the decision to relinquish her baby.

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Question 6
Multiple Choice

A client who is older than 35 years may have difficulty achieving pregnancy because:

Choose correct answer/s
A
prepregnancy medical attention is lacking.
B
personal risk behaviors influence fertility.
C
she has used contraceptives for an extended time.
D
her ovaries may be affected by the aging process.
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Question 7
Multiple Choice

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

Choose correct answer/s
A
Nutrition and diet planning
B
Exercise and fitness
C
Having enough rest and sleep
D
Effective contraceptive methods
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Question 8
Multiple Choice

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

Choose correct answer/s
A
Intrauterine growth restriction
B
Genetic changes and anomalies
C
Extensive central nervous system damage
D
Fetal addiction to the substance inhaled
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Question 9
Multiple Choice

A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. Which is the reason the nurse should give to counsel her to eliminate all alcohol intake?

Choose correct answer/s
A
The fetus is placed at risk for altered brain growth.
B
The fetus is at risk for severe nervous system injury.
C
The client will be at risk for abusing other substances as well.
D
A daily consumption of alcohol indicates a risk for alcoholism.
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Question 10
Multiple Choice

Which is an example of healthy grieving?

Choose correct answer/s
A
The mother exhibits an absence of crying or expression of feelings.
B
The parents do not mention the baby in conversation with family members.
C
The mother asks that the baby be taken away from the delivery area quickly.
D
While holding the baby, the mother says to her husband, "He has your eyes and nose."
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Question 11
Multiple Choice

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

Choose correct answer/s
A
"How soon do you plan to have another baby?"
B
"Don't be sad. At least you have one healthy baby."
C
"I have a friend who lost a twin and she's doing just fine now."
D
"I am so sorry about your loss. Would you like to talk about it?"
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Question 12
Multiple Choice

Which is an appropriate nursing measure when a baby has an unexpected defect?

Choose correct answer/s
A
Remove the baby from the delivery area immediately.
B
Inform the parents immediately that something is wrong.
C
Tell the parents that the baby has to go to the nursery immediately.
D
Explain the defect and show the baby to the parents as soon as possible.
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Question 13
Multiple Choice

Which statement correctly describes the incidence of intimate partner violence (IPV) in the United States?

Choose correct answer/s
A
Intimate partner violence seldom occurs during pregnancy.
B
Each year about 42.4 million women experience intimate partner violence.
C
The largest number of intimate partner violence is in the lower socioeconomic classes.
D
Intimate partner violence is second only to automobile accidents as the most frequent cause of injury to women.
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Question 14
Multiple Choice

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?

Choose correct answer/s
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.
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Question 15
Multiple Choice

When the nurse is alone with a battered client, the client 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." Which is the best response by the nurse?

Choose correct answer/s
A
"No one deserves to be hurt. It's not your fault. How can I help you?"
B
"What else do you do that makes him angry enough to hurt you?"
C
"He will never find out what we talk about. Don't worry. We're here to help you."
D
"You have to remember that he is frustrated and angry, so he takes it out on you."
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Question 16
Multiple Choice

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

Choose correct answer/s
A
Home schooling
B
Alternative education program
C
School-based mothers' program
D
Continuing mainstream high school classes
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Question 17
Multiple Choice

Which complication of adolescent pregnancy should the nurse plan to monitor?

Choose correct answer/s
A
Anemia
B
Placenta previa
C
Abruptio placenta
D
Incompetent cervix
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Question 18
Multiple Choice

Which antidepressant is no longer recommended for use during pregnancy?

Choose correct answer/s
A
Sertraline (Zoloft)
B
Paroxetine (Paxil)
C
Fluoxetine (Prozac)
D
Citalopram (Celexa)
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Question 19
Multiple Choice

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

Choose correct answer/s
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.
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Question 20
Multiple Choice

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?

Choose correct answer/s
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.
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