The Childbearing Family With Special Needs

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Maternity and Women’s Health Care Today
Social, Ethical, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Maternal Adaptations to Pregnancy
Antepartum Assessment, Care, and Education
Nutrition for Childbearing
Assessing the Fetus
Complications of Pregnancy
The Childbearing Family with Special Needs
Processes of Birth
Pain Management During Childbirth
Intrapartum Fetal Surveillance
Nursing Care During Labor and Birth
Intrapartum Complications
Postpartum Adaptations and Nursing Care
Postpartum Maternal Complications
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Women’s Health

All Questions

Question 1

Free

Multiple Choice

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

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postmature birth.

sexually transmitted diseases.

hypotension and vasodilation.

depression of the central nervous system.

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Question 2

Free

Multiple Choice

Which factor is a major barrier to health care for adolescent mothers?

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Health care workers have a positive attitude.

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

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

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

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Question 3

Free

Multiple Choice

In planning sex education classes for the middle school age group, more emphasis should be placed on

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how to set limits for sexual behavior.

the inaccuracy of information from peers.

the use of oral contraceptives to prevent unwanted pregnancy.

the use of condoms to prevent sexually transmitted diseases as well as pregnancy.

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Question 4

Free

Multiple Choice

Which action should the nurse take when counseling a teenaged patient who has decided to relinquish her baby for adoption?

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Question her about her feelings regarding adoption.

Tell her she can always change her mind about adoption.

Affirm her decision while acknowledging her maturity in making it.

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

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Question 5

Free

Multiple Choice

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

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prepregnancy medical attention is lacking.

personal risk behaviors influence fertility.

contraceptives have been used for an extended period of time.

the ovaries may be affected by the normal aging process.

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Question 6

Multiple Choice

Which health concern is most likely to be an issue for the older mother?

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Nutrition and diet planning

Exercise and fitness

Having enough rest and sleep

Effective contraceptive methods

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Question 7

Multiple Choice

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

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Intrauterine growth restriction

Genetic changes and anomalies

Extensive central nervous system damage

Fetal addiction to the substance inhaled

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Question 8

Multiple Choice

A patient at 24 weeks of gestation reports that she has a glass of wine with dinner every evening. Which rationale should the nurse provide this patient regarding the necessity to eliminate alcohol intake?

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The fetus is placed at risk for altered brain growth.

The fetus is at risk for severe nervous system injury.

The patient will be at risk for abusing other substances as well.

A daily consumption of alcohol indicates a risk for alcoholism.

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Question 9

Multiple Choice

Which of the following is an example of healthy grieving?

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The mother exhibits an absence of crying or expression of feelings.

The parents do not mention the baby in conversation with family members.

The mother asks that the baby be taken away from the delivery area quickly.

While holding the baby, the mother says to her husband, "He has your eyes and nose."

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Question 10

Multiple Choice

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

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"How soon do you plan to have another baby?"

"Don't be sad. At least you have one healthy baby."

"I have a friend who lost a twin and she's doing just fine now."

"I am so sorry about your loss. Would you like to talk about it?"

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Question 11

Multiple Choice

Which action is the most appropriate nursing measure when a baby has an unexpected defect at birth?

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Remove the baby from the delivery area immediately.

Inform the parents immediately that something is wrong.

Tell the parents that the baby has to go to the nursery immediately.

Explain the defect and show the baby to the parents as soon as possible.

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Question 12

Multiple Choice

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

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Home schooling

Alternative education program

School-based mothers' program

Continuing mainstream high school classes

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Question 13

Multiple Choice

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

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Anemia

Placenta previa

Abruptio placenta

Incompetent cervix

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Question 14

Multiple Choice

The nurse is seeing a 17-year-old female in the clinic for complaints of acne. The nurse plans on taking advantage of this teachable moment with the teen. Which topics will the nurse include in the teen's teaching plan?

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Smoking habits, folic acid intake, and heart disease

Hyperlipidemia, distracted driving, and menstrual history

Sexual activity, contraception, and screening for violence

Optimum weight, hypothyroidism, and sexually transmitted diseases

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Question 15

Multiple Choice

A patient has just acknowledged that she is 20 weeks pregnant and confides to the nurse that she has a daily heroin habit. The nurse discusses treatment options for the patient. Which patient statement requires follow-up?

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"My plan is to visit the outpatient clinic daily for treatment."

"I will see my health care provider at least every 2 weeks."

"My baby will not have to go through withdrawal when I take methadone."

"With oral methadone, my baby and I are at decreased risk of infection."

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Question 16

Multiple Choice

Which data in the patient's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression?

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Previous depressive episode

Unexpected operative birth

Ambivalence during the first trimester

Second pregnancy in a 3-year period

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Question 17

Multiple Choice

Which nursing diagnoses may apply to the childbearing family with special needs? (Select all that apply.)

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Risk for spiritual distress

Risk for injury

Readiness for enhanced nutrition

Ineffective breathing pattern

Situational low self-esteem

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Question 18

Multiple Choice

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.)

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Continuing to deny the pregnancy

Uncertainty about where to go for care

Lack of realization that they are pregnant

A desire to gain control over their situation

Wanting to hide the pregnancy as long as possible

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Question 19

Multiple Choice

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

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Hydrocephaly

Low activity

Epicanthal folds

Short palpebral fissures

Flat midface, with a low nasal bridge

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Question 20

Multiple Choice

Which congenital defects in a newborn are associated with long-term parenting problems? (Select all that apply.)

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Polydactyl

Cleft lip and palate

Ventral septal defect

Ambiguous genitalia

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