Family Health Nursing Exam Materials
Course Introduction
Family Health Nursing focuses on promoting and maintaining the health of families as units within communities, recognizing the interconnectedness of individual and family well-being. This course explores theoretical foundations, assessment techniques, health promotion strategies, and intervention models specific to family-centered care. Students learn to address diverse family structures and dynamics, identify health risks, provide education, and support families in managing acute and chronic health issues. Emphasis is placed on cultural competence, communication, and collaborative approaches, preparing students to advocate for families and enhance overall community health outcomes.
Recommended Textbook Maternity and Womens Health Care 10th Edition by Kathryn Rhodes Alden
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38 Chapters
817 Verified Questions
817 Flashcards
Source URL: https://quizplus.com/study-set/1782
Page 2
Chapter 1: 21st Century Maternity and Womens Health
Nursing
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Maternity nurses can enhance communication among health care providers by utilizing the SBAR technique.This acronym stands for:
A)Situation,Background,Assessment,Recommendation
B)Situation,Baseline,Assessment,Recommendation
C)Subjective,Background,Analysis,Recommendation
D)Subjective,Background,Analysis,Review
Answer: A
Q2) The National Quality Forum has issued a list of "never events" pertaining specifically to maternal and child health.These include all except:
A)Infant discharged to the wrong person
B)Kernicterus associated with failure to identify and treat hyperbilirubinemia
C)Artificial insemination with wrong donor sperm or egg
D)Foreign object retained after surgery
Answer: D
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3
Chapter 2: Community Care: the Family and Culture
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse should be aware that the well-known program "warm lines":
A)Was developed as a reaction to impersonal telephonic nursing care
B)Was set up to take complaints about health maintenance organizations (HMOs)
C)Is the second option when 911 hotlines are busy
D)Refers to community service telephone lines designed to provide new parents with encouragement and basic information
Answer: D
Q2) The nurse should be aware that during the childbearing experience,an African-American woman will most likely:
A)Seek prenatal care early in her pregnancy
B)Avoid self-treatment of pregnancy-related discomfort
C)Request liver in the postpartum period to prevent anemia
D)Arrive at the hospital in advanced labor
Answer: D
Q3) A health care service representing the tertiary level of prevention includes:
A)Stress management seminars
B)Childbirth education classes for single parents
C)A breast self-examination (BSE)pamphlet and teaching
D)A premenstrual syndrome (PMS)support group
Answer: D
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Chapter 3: Clinical Genetics
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which activities are included in the role of a nurse practicing in the field of genetics? Choose all that apply.
A)Assessing the responses of family members to a genetic disorder
B)Performing genetic testing,such as amniocentesis
C)Constructing a family pedigree of three or more generations
D)Advising a pregnant mother whose fetus has a genetic disorder to have an abortion
E)Offering parents information about genetics
Answer: A,C,E
Q2) The Human Genome Project,which began in 1990:
A)Expected to complete a map of the entire human genome by 2010
B)Found that all human beings are 99.9% identical at the DNA level
C)Has not yet been able to translate the accumulating raw research into anything medically practical
D)Put its research relevant to nursing in a document published by the International Society of Nurses in Genetics (ISONG)
Answer: B
Q3) The karyotype designated as female is ___________________.
Answer: 46 XX
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Chapter 4: Assessment and Health Promotion
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Violence against women remains a major health care problem in the United States,affecting millions of women annually.Fortunately,during pregnancy violence often stops entirely or diminishes.Is this true or false?
A)True
B)False
Q2) One purpose of preconception care is to:
A)Ensure that pregnancy complications do not occur
B)Identify women who should not become pregnant
C)Encourage healthy lifestyles for families desiring pregnancy
D)Ensure that women know about prenatal care
Q3) A 20-year-old client calls the clinic to report that she has found a lump in her breast.The nurse's best response is:
A)"Don't worry about it.I'm sure it's nothing."
B)"Wear a tight bra,and it should shrink."
C)"Many women have benign lumps and bumps in their breasts.However,to make sure it's benign you should come in for an examination by your physician."
D)"Check it again in 1 month and call me back if it's still there."
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Chapter 5: Violence Against Women
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The primary theme of the feminist perspective on violence against women recognizes the:
A)Role of testosterone as the underlying cause of men's violent behavior
B)Basic human instinctual drive toward aggression
C)Dominance and coercive control over women by men
D)Cultural norm of violence in Western society
Q2) The primary responsibility of the nurse who suspects or confirms any type of violence against a woman is:
A)Report the incident to legal authorities
B)Provide information to social services
C)Call a client advocate who can assist in the client's decision making about what action to take
D)Document the incident (or findings)accurately and concisely in the client's record
Q3) Common characteristics of a potential batterer include (choose all that apply):
A)High level of self-esteem
B)High frustration tolerance
C)Substance abuse problems
D)Excellent verbal skills
E)Personality disorders
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Chapter 6: Reproductive System Concerns
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) In helping a client manage premenstrual syndrome (PMS),the nurse should:
A)Recommend a diet with more body-building and energy food,such as red meat and sugar
B)Suggest herbal therapies,as well as yoga and massage
C)Tell the client to push for medications from the physician as soon as symptoms occur so as to lessen their severity
D)Discourage the use of diuretics
Q2) A 36-year-old woman has been diagnosed as having uterine fibroids.When planning care for this client,the nurse should know that:
A)Fibroids are malignant tumors of the uterus that require radiation or chemotherapy
B)Fibroids increase in size during the perimenopausal period
C)Menorrhagia is a common finding
D)The woman is unlikely to become pregnant as long as the fibroids are in her uterus
Q3) Some plant foods contain _________________________ and are capable of interacting with estrogen receptors in the body.
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8
Chapter 7: Sexually Transmitted and Other Infections
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which statement about the various forms of hepatitis is accurate?
A)A vaccine exists for hepatitis C but not for hepatitis B.
B)Hepatitis A is acquired by eating contaminated food or drinking polluted water.
C)Hepatitis B is less contagious than human immunodeficiency virus (HIV).
D)The incidence of hepatitis C is decreasing.
Q2) The Centers for Disease Control and Prevention (CDC)recommends that human papillomavirus (HPV)be treated with client-applied:
A)Miconazole ointment
B)Topical podofilox 0.5% solution or gel
C)Penicillin given intramuscularly for two doses
D)Metronidazole by mouth
Q3) The most common perinatal complications associated with bacterial sexually transmitted infections (STIs)are:
A)Preterm labor and preterm birth
B)Newborn eye infections and low Apgar scores
C)Nausea,vomiting,and frequent urinary tract infections
D)Congenital anomalies and infertility
Q4) TORCH stands for:
H ___________________________
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Chapter 8: Contraception and Abortion
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A woman is 16 weeks pregnant and has elected to terminate her pregnancy.The nurse knows that the most common technique used for medical termination of a pregnancy in the second trimester is:
A)Administration of prostaglandins
B)Instillation of hypertonic saline into the uterine cavity
C)IV administration of Pitocin
D)Vacuum aspiration
Q2) A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice.The nurse's most appropriate response would be:
A)"This is a highly effective method,but it has some side effects."
B)"Your current medications will reduce the effectiveness of the pill."
C)"The pill will reduce the effectiveness of your seizure medication."
D)"This is a good choice for a woman of your age and personal history."
Q3) What is not a potential pitfall or disadvantage of the fertility awareness methods (FAMs)?
A)Adherence to strict record keeping
B)Alterations in the menstrual flow pattern with chemicals and hormones
C)Decreased effectiveness in women with irregular cycles
D)Time-consuming training sessions
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Chapter 9: Infertility
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Many factors,male and female,contribute to normal fertility.Approximately 40% of cases of infertility are related to the female partner.These alterations in physiology belong to one of five categories.Choose all that apply.
A)Congenital or developmental factors
B)Hormonal or ovulatory factors
C)Tubal or peritoneal factors
D)Uterine factors
E)Emotional or psychologic factors
Q2) A couple is trying to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.The nurse's most appropriate response is:
A)"Tell your friends and family so that they can help you."
B)"Talk only to other friends who are infertile,because only they can help."
C)"Get involved with a support group.I'll give you some names."
D)"Start adoption proceedings immediately,because obtaining an infant is very difficult."
Q3) The ___________________ __________ is one method used to evaluate the adequacy of coital technique,cervical mucous,sperm quality and penetration.
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11
Chapter 10: Problems of the Breast
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
A)Mammogram
B)Ultrasound
C)Needle localization biopsy
D)CA 15-3
Q2) What important,immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
A)The blood pressure (BP)cuff should not be applied to the affected arm.
B)Venipuncture for blood work should be performed on the affected arm.
C)The affected arm should be used for IV therapy.
D)The affected arm should be held down close to the woman's side.
Q3) A nurse who is teaching a group of women about breast cancer tells them that:
A)Risk factors identify more than 50% of women who will develop breast cancer
B)Nearly 90% of lumps found by women are malignant
C)One in 10 women in the United States will develop breast cancer in her lifetime
D)The exact cause of breast cancer is unknown
Q4) A form of nipple discharge that is unrelated to malignancy is known as _____________.
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Page 12
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse should be aware that a pessary would be most effective in the treatment of what disorder?
A)Cystocele
B)Uterine prolapse
C)Rectocele
D)Stress urinary incontinence
Q2) A postmenopausal woman who is 54 years old has been diagnosed with two leiomyomas.What assessment finding is most commonly associated with the presence of leiomyomas?
A)Abnormal uterine bleeding
B)Diarrhea
C)Weight loss
D)Acute abdominal pain
Q3) With regard to planning treatment for a pregnant woman with breast cancer,which statement about timing or type of treatment is correct?
A)The fetus is most at risk during the first trimester.
B)The fetus is most at risk during the second trimester.
C)The fetus is most at risk during the third trimester.
D)Surgery is more risky than chemotherapy in the first trimester.
Page 13
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Chapter 12: Conception and Fetal Development
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A woman who is 8 months pregnant asks the nurse,"Does my baby have any antibodies to fight infection?" The most appropriate response by the nurse is:
A)"Your baby has all the immunoglobulins necessary: IgG,IgM,and IgA."
B)"Your baby won't receive any antibodies until he is born and you breastfeed him."
C)"Your baby does not have any antibodies to fight infection."
D)"Your baby has IgG and IgM immunoglobulins."
Q2) At approximately _____ weeks of gestation,lecithin is forming on the alveolar surfaces,the eyelids open,and the fetus measures approximately 27 cm crown to rump and weighs approximately 1110
A)20
B)24
C)28
D)30
Q3) ____________________ twins is another term for fraternal twins.These twins may be the same or different sexes and genetically are no more alike than siblings born at different times.
Q4) The ability of the fetus to survive outside the uterus is called
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Page 14
Chapter 13: Anatomy and Physiology of Pregnancy
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.The nurse suspects that:
A)This is a normal respiratory change in pregnancy caused by elevated levels of estrogen
B)This is an abnormal cardiovascular change and the nosebleeds are an ominous sign
C)The woman is a victim of domestic violence and is being hit in the face by her partner
D)The woman has been using cocaine intranasally
Q2) A woman's obstetric history indicates that she is pregnant for the fourth time,and all her children from previous pregnancies are living.One was born at 39 weeks of gestation,twins were born at 34 weeks of gestation,and another child was born at 35 weeks of gestation.What is her gravidity and parity using the GTPAL system?
A)3-1-1-1-3
B)4-1-2-0-4
C)3-0-3-0-3
D)4-2-1-0-3
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Chapter 14: Maternal and Fetal Nutrition
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) To prevent gastrointestinal (GI)upset,clients should be instructed to take iron supplements:
A)On a full stomach
B)At bedtime
C)After eating a meal
D)With milk
Q2) With regard to weight gain during pregnancy,maternity nurses should know that:
A)In this case,the woman's height is not a factor in determining her target weight
B)Obese women may have their health concerns,but their risk of giving birth to a child with major congenital defects is the same as with normal-weight women
C)Women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR)
D)Greater than expected weight gain during pregnancy is almost always due to old-fashioned overeating
Q3) Calculate the body mass index (BMI)for a woman who is 65 cm tall and weighs 115 lb.
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Chapter 15: Nursing Care of the Family During Pregnancy
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A woman is 3 months pregnant.At her prenatal visit she tells the nurse that she doesn't know what is happening;one minute she is happy that she is pregnant and the next minute she cries for no reason.Which response by the nurse is most appropriate?
A)"Don't worry about it;you'll feel better in a month or so."
B)"Have you talked to your husband about how you feel?"
C)"Perhaps you really don't want to be pregnant."
D)"Hormone changes during pregnancy commonly result in mood swings."
Q2) An obese woman who has become pregnant is at the same risk for delivering an infant with congenital anomalies as a woman who is not obese.Is this statement true or false?
A)True
B)False
Q3) Pregnant women who become ill with seasonal respiratory influenza (flu)are more likely than other persons to develop serious complications,such as pneumonia.Is this statement true or false?
A)True
B)False
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Chapter 16: Labor and Birth Processes
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22 Verified Questions
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Sample Questions
Q1) With regard to the turns and other adjustments of the fetus during the birth process,known as the mechanism of labor,nurses should be aware that:
A)The seven critical movements must progress in a more or less orderly sequence
B)Asynclitism sometimes is achieved by means of the Leopold maneuver
C)The effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head
D)At birth the baby is said to achieve "restitution";that is,a return to the C-shape of the womb
Q2) Which presentation is described accurately in terms of both presenting part and frequency of occurrence?
A)Cephalic: occiput;at least 96%
B)Breech: sacrum;10% to 15%
C)Shoulder: scapula;10% to 15%
D)Cephalic: cranial;80% to 85%
Q3) Which pelvic shape is ideal for a vaginal birth? __________________
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18
Chapter 17: Pain Management
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27 Verified Questions
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Sample Questions
Q1) Maternity nurses often have to answer questions about the many,sometimes unusual ways people have tried to make the birthing experience more comfortable.For instance,nurses should be aware that:
A)Music supplied by the support person has to be discouraged because it could disturb others or upset the hospital routine
B)Women in labor can benefit from sitting in a bathtub,but they must limit immersion to no longer than 15 minutes at a time
C)Effleurage is permissible,but counterpressure is almost always counterproductive
D)Electrodes attached to either side of the spine to provide high-intensity electrical impulses facilitate the release of endorphins
Q2) Nurses should be aware that all reputable childbirth methods attempt to meet all these goals except:
A)Increase the woman's sense of control
B)Prepare a support person to help in labor
C)Guarantee a pain-free childbirth
D)Learn distraction techniques
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Chapter 18: Fetal Assessment During Labor
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31 Verified Questions
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Sample Questions
Q1) A nurse caring for a woman in labor understands that maternal hypotension can result in:
A)Early decelerations
B)Fetal arrhythmias
C)Uteroplacental insufficiency
D)Spontaneous rupture of membranes
Q2) A normal uterine activity (UA)pattern in labor is characterized by:
A)Contractions every 2 to 5 minutes
B)Contractions lasting about 2 minutes
C)Contractions about 1 minute apart
D)A contraction intensity of about 500 mm Hg with relaxation at 50 mm Hg
Q3) Which characteristic correctly matches the type of deceleration with its likely cause?
A)Early deceleration-umbilical cord compression
B)Late deceleration-uteroplacental insufficiency
C)Variable deceleration-head compression
D)Prolonged deceleration-cause unknown
Q4) A therapy often used in labor to promote relaxation of the uterus is referred to as
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Chapter 19: Nursing Care of the Family During Labor and Birth
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35 Verified Questions
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Sample Questions
Q1) With regard to a woman's intake and output during labor,nurses should be aware that:
A)The tradition of restricting the laboring woman to clear liquids and ice chips is being challenged because regional anesthesia is used more often than general anesthesia
B)IV fluids usually are necessary to ensure that the laboring woman stays hydrated
C)Routine use of an enema empties the rectum and is very helpful for producing a clean,clear delivery
D)When a nulliparous woman experiences the urge to defecate,it often means birth will follow quickly
Q2) The nurse knows that the second stage of labor,the descent phase,has begun when:
A)The amniotic membranes rupture
B)The cervix cannot be felt during a vaginal examination
C)The woman experiences a strong urge to bear down
D)The presenting part is below the ischial spines
Q3) Nurses should not use ____________________ pressure to facilitate birth,because no standard techniques are available for this maneuver,and no legal,professional,or regulatory standards exist for its use.
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Page 21
Chapter 20: Postpartum Physiology
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Sample Questions
Q1) Which condition,not uncommon in pregnancy,is likely to require careful medical assessment during the puerperium?
A)Varicosities of the legs
B)Carpal tunnel syndrome
C)Periodic numbness and tingling of the fingers
D)Headaches
Q2) Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?
A)Estrogen
B)Progesterone
C)Prolactin
D)Human placental lactogen
Q3) Clotting factors and fibrinogen levels normally are decreased during pregnancy and remain low in the immediate puerperium.This hypocoagulable state increases the risk of thromboembolism,especially after cesarean birth.Is this statement true or false?
A)True
B)False
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Chapter 21: Nursing Care of the Family During the
Postpartum Period
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Sample Questions
Q1) A recently delivered mother and her baby are at the clinic for a 6-week postpartum checkup.The nurse should be concerned that psychosocial outcomes are not being met if the woman:
A)Discusses her labor and birth experience excessively
B)Feels that her baby is more attractive and clever than any others
C)Has not given the baby a name
D)Has a partner or family members who react very positively about the baby
Q2) Many new mothers experience some type of nipple pain during the first weeks of initiating breastfeeding.Should this pain be severe or persistent,it may discourage or inhibit breastfeeding altogether.The nurse should be aware of a variety of factors that may contribute to nipple pain.These include:
A)Improper feeding position
B)Large-for-gestational age infant
C)Fair skin
D)Progesterone deficiency
E)Flat or retracted nipples
Q3) During the immediate postpartum period,saturation of one pad within 1 hour or less is considered ____________________ blood loss.
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Chapter 22: Transition to Parenthood
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Sample Questions
Q1) A nurse notes that a Vietnamese woman does not cuddle or interact with her newborn other than to feed him,change his diapers or soiled clothes,and put him to bed.In evaluating the woman's behavior with her infant,the nurse realizes that:
A)What appears to be a lack of interest in the newborn is in fact the Vietnamese way of demonstrating intense love by attempting to ward off evil spirits
B)The woman is inexperienced in caring for newborns
C)The woman needs a referral to a social worker for further evaluation of her parenting behaviors once she goes home with the newborn
D)Extra time needs to be planned for assisting the woman in bonding with her newborn
Q2) ____________________ is the process by which the parent and infant come to love and accept each other.
Q3) A nurse can assist a father in his transition to parenthood by:
A)Pointing out that the infant turned at the sound of his voice
B)Encouraging him to go home to get some sleep
C)Telling him to tape the infant's diaper a different way
D)Suggesting that he let the infant sleep in the bassinet
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Page 24
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn
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Q1) The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what type of visual stimuli they should provide for their newborn.The nurse responds to the parents by telling them:
A)"Infants can see very little until about 3 months of age."
B)"Infants can track their parents' eyes and can distinguish patterns;they prefer complex patterns."
C)"The infant's eyes must be protected.Infants enjoy looking at brightly colored stripes."
D)"It's important to shield the newborn's eyes.Overhead lights help them see better."
Q2) The cheeselike whitish substance that fuses with the epidermis and serves as a protective coating is called:
A)Vernix caseosa
B)Surfactant
C)Caput succedaneum
D)Acrocyanosis
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Chapter 24: Nursing Care of the Newborn and Family
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Sample Questions
Q1) An assessment tool for pain in newborns uses the acronym CRIES to identify behavioral indicators of pain.In the acronym:
A)R stands for requiring more medication
B)I stands for increased vital signs
C)E stands for elimination
D)S stands for sleepiness
Q2) The normal term infant has little difficulty clearing its airway after birth.Most secretions are brought up to the oropharynx by the cough reflex.However,if the infant has excess secretions,the mouth and nasal passages can easily be cleared with a bulb syringe.When instructing parents on the correct use of this piece of equipment,it is important that the nurse teach them to:
A)Avoid suctioning the nares
B)Insert the compressed bulb into the center of the mouth
C)Suction the mouth first
D)Remove the bulb syringe from the crib when finished
Q3) A nurse is discussing infant care as part of a mother-infant's couplet discharge planning.The mother asks the nurse,"When will my baby's cord fall off?" The nurse responds,"Your baby's cord should fall off by ____________________ (weeks/days)after birth."
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Page 26
Chapter 25: Newborn Nutrition and Feeding
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Q1) What statement concerning the benefits or limitations of breastfeeding is not accurate?
A)Breast milk changes over time to meet changing needs as infants grow.
B)Long-term studies have shown that the benefits of breast milk continue after the infant is weaned.
C)Breast milk/breastfeeding may enhance cognitive development.
D)Breastfeeding increases the risk of childhood obesity.
Q2) A primiparous woman is delighted with her newborn son and wants to begin breastfeeding as soon as possible.The nurse can facilitate the infant's correct latch-on by helping the woman hold the infant:
A)With his arms folded together over his chest
B)Curled up in a fetal position
C)With his head cupped in her hand
D)With his head and body in alignment
Q3) A newborn weight loss of _____% in a breastfeeding infant during the first 3 days of life should be investigated.Most often the excessive weight loss is associated with poor breastfeeding techniques.
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Chapter 26: Assessment for Risk Factors in Pregnancy
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Sample Questions
Q1) A 39-year-old primigravida thinks that she is about 8 weeks pregnant,although she has had irregular menstrual periods all her life.She has a history of smoking approximately one pack of cigarettes a day,but she tells you that she is trying to cut down.Her laboratory data are within normal limits.What diagnostic technique could be used with this pregnant woman at this time?
A)Ultrasound examination
B)Maternal serum alpha-fetoprotein (MSAFP)screening
C)Amniocentesis
D)Nonstress test (NST)
Q2) In comparison to contraction stress tests (CSTs),the nonstress test (NST)for antepartum fetal assessment:
A)Has no known contraindications
B)Has fewer false-positive results
C)Is more sensitive in detecting fetal compromise
D)Is slightly more expensive
Q3) Assessment of risk to the mother and fetus should include environmental factors such as noxious chemicals and pollutants.Is this statement true or false?
A)True
B)False
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Page 28
Chapter 27: Hypertensive Disorders in Pregnancy
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Q1) What nursing diagnosis is the most appropriate for a woman experiencing severe preeclampsia?
A)Risk for injury to mother and fetus related to central nervous system (CNS)irritability
B)Risk for eclampsia
C)Risk for deficient fluid volume related to increased sodium retention secondary to administration of magnesium sulfate
D)Risk for increased cardiac output related to the use of antihypertensive drugs
Q2) Your client is being induced because of her worsening preeclampsia.She is also receiving magnesium sulfate.It appears that her labor has not become active despite several hours of oxytocin administration.She asks the nurse,"Why is it taking so long?" The most appropriate response by the nurse is:
A)"The magnesium is relaxing your uterus and competing with the oxytocin.It may increase the duration of your labor."
B)"I don't know why it is taking so long."
C)"The length of labor varies for different women."
D)"Your baby is just being stubborn."
Q3) The antidote administered to reverse magnesium toxicity is ______________________.
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Page 29
Chapter 28: Antepartum Hemorrhagic Disorders
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Q1) Which laboratory marker is indicative of disseminated intravascular coagulation (DIC)?
A)Bleeding time of 10 minutes
B)Presence of fibrin split products
C)Thrombocytopenia
D)Hyperfibrinogenemia
Q2) The management of the pregnant client who has experienced a pregnancy loss depends on the type of miscarriage and her signs and symptoms.While planning care for a client who desires outpatient management after a first-trimester loss,the nurse expects the plan of care to include:
A)Dilation and curettage (D&C)
B)Dilation and evacuation (D&E)
C)Misoprostol
D)Ergot products
Q3) After a fetal loss including miscarriage,the woman should be offered the option of seeing the products of conception.Is this statement true or false?
A)True
B)False
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Chapter 29: Endocrine and Metabolic Disorders in Pregnancy
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Q1) Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy is associated with:
A)Frequent episodes of maternal hypoglycemia
B)Congenital anomalies in the fetus
C)Polyhydramnios
D)Hyperemesis gravidarum
Q2) In teaching a woman with pregestational diabetes about desired glucose levels,the nurse explains that a normal fasting glucose level,such as before breakfast,is in the range of:
A)65 to 95 mg/dl
B)130 to 140 mg/dl
C)<120 mg/dl
D)150 to 180 mg/dl
Q3) A nurse providing care for a woman with gestational diabetes understands that a laboratory test for glycosylated hemoglobin Alc:
A)Is done for all pregnant women,not just those with or likely to have diabetes
B)Is a snapshot of glucose control at the moment
C)Levels should remain at less than 7
D)Is done on the woman's urine,not her blood
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Chapter 30: Medical-Surgical Problems in Pregnancy
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Sample Questions
Q1) Since the gene for cystic fibrosis was identified in 1989,data can be collected for the purposes of genetic counseling for couples regarding carrier status.According to statistics,how often does cystic fibrosis occur in Caucasian live births?
A)1 in 100
B)1 in 1000
C)1 in 2000
D)1 in 3200
Q2) With what heart condition is pregnancy not usually contraindicated?
A)Peripartum cardiomyopathy
B)Severe pulmonary hypertension
C)Heart transplant
D)All of these contraindicate pregnancy.
Q3) The most common neurologic disorder accompanying pregnancy is:
A)Eclampsia
B)Bell's palsy
C)Epilepsy
D)Multiple sclerosis
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Chapter 31: Obstetric Critical Care
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Q1) A pregnant woman at term is transported to the emergency department (ED)after a severe vehicular accident.The obstetric nurse responds and rushes to the ED with a fetal monitor.Cardiopulmonary arrest occurs as the obstetric nurse arrives.The first thing for the ED and obstetric team to do is to:
A)Obtain IV access and start aggressive fluid resuscitation
B)Quickly apply the fetal monitor to determine whether the fetus is alive
C)Start cardiopulmonary resuscitation (CPR)
D)Transfer the woman to the operating room for an emergency cesarean delivery in case the fetus is still alive
Q2) Conditions that classify the parturient as critically ill and indicate the need for a pulmonary catheter include:
A)Acute respiratory distress syndrome (ARDS)
B)Shock of undefined source
C)Severe preeclampsia
D)Sepsis
E)Massive blood loss
Q3) Pregnancy is a ______________________ state,as preparation is made for the blood loss that accompanies childbirth.
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Chapter 32: Mental Health Disorders and Substance Abuse in Pregnancy
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Q1) According to Beck's studies,what risk factor for postpartum depression (PPD)is likely to have the greatest effect on the woman's condition?
A)Prenatal depression
B)Single-mother status
C)Low socioeconomic status
D)Unplanned or unwanted pregnancy
Q2) Anxiety disorders are the most common mental disorders that affect women.While providing care to the maternity client,a nurse should be aware that one of these disorders is likely to be triggered by the process of labor and birth.This disorder is:
A)Phobias
B)Panic disorder
C)Posttraumatic stress disorder (PTSD)
D)Obsessive-compulsive disorder (OCD)
Q3) During inpatient psychiatric hospitalization,it is important for the new mother to have:
A)Contact with her significant other
B)Supervised and guided visits with her infant
C)No contact with anyone who annoys her
D)The infant with her at all times
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Chapter 33: Labor and Birth Complications
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Sample Questions
Q1) The exact cause of preterm labor is unknown and believed to be multifactorial.Infection is thought to be a major factor in many preterm labors.Select the type of infection that has not been linked to preterm births:
A)Viral
B)Periodontal
C)Cervical
D)Urinary tract
Q2) A pregnant woman at 29 weeks of gestation has been diagnosed with preterm labor.Her labor is being controlled with tocolytic medications.She asks when she might be able to go home.What response by the nurse is most accurate?
A)"After the baby is born."
B)"When we can stabilize your preterm labor and arrange home health visits."
C)"Whenever the doctor says that it is okay."
D)"It depends on what kind of insurance coverage you have."
Q3) ____________________ is defined as long,difficult,or abnormal labor.It is caused by various conditions associated with the five factors affecting labor.
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Chapter 34: Postpartum Complications
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Q1) The perinatal nurse assisting with establishing lactation is aware that acute mastitis can be minimized by:
A)Washing the nipples and breasts with mild soap and water once a day
B)Using proper breastfeeding techniques
C)Wearing a nipple shield for the first few days of breastfeeding
D)Wearing a supportive bra 24 hours a day
Q2) A perinatal nurse caring for a postpartum woman understands that late postpartum hemorrhage (PPH)is most likely caused by:
A)Subinvolution of the uterus
B)Defective vascularity of the decidua
C)Cervical lacerations
D)Coagulation disorders
Q3) ____________________ is the most common postpartum infection.
Q4) A primary nursing responsibility when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:
A)Establish venous access
B)Perform fundal massage
C)Prepare the woman for surgical intervention
D)Catheterize the bladder
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Chapter 35: Acquired Problems of the Newborn
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Q1) A pregnant woman presents in labor at term,having had no prenatal care.After birth her infant is noted to be small for gestational age with small eyes and a thin upper lip.The infant also is microcephalic.Based on her infant's physical findings,this woman should be questioned about her use of which substance during pregnancy?
A)Alcohol
B)Cocaine
C)Heroin
D)Marijuana
Q2) A careful review of the literature on the various recreational and illicit drugs reveals that:
A)More,longer-term studies are needed to assess the lasting effects on infants when mothers have taken or are taking illegal drugs
B)Heroin and methadone cross the placenta;marijuana,cocaine,and PCP do not
C)Mothers should get off heroin (detoxification)any time they can during pregnancy
D)Methadone withdrawal for infants is less severe and shorter than heroin withdrawal
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Chapter 36: Hemolytic Disorders and Congenital
Anomalies
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Q1) The priority nursing diagnosis for a newborn diagnosed with a diaphragmatic hernia is:
A)Risk for impaired parent-infant attachment
B)Imbalanced nutrition: less than body requirements
C)Risk for infection
D)Impaired gas exchange
Q2) The most widespread use of postnatal testing for genetic disease is the routine screening of newborns for inborn errors of metabolism (IEM).Which condition is not an IEM?
A)Phenylketonuria (PKU)
B)Galactosemia
C)Hemoglobinopathy
D)Cytomegalovirus (CMV)
Q3) Which infant is more likely to have Rh incompatibility?
A)Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor
B)Infant who is Rh negative and whose mother is Rh negative
C)Infant of an Rh-negative mother and a father who is Rh positive and heterozygous for the Rh factor
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D)Infant who is Rh positive and whose mother is Rh positive
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Chapter 37: Nursing Care of the High Risk Newborn
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Q1) On day 3 of life,a newborn continues to require 100% oxygen by nasal cannula.The parents ask if they may hold their infant during his next gavage feeding.Given that this newborn is physiologically stable,what response does the nurse give?
A)"Parents are not allowed to hold their infants who are dependent on oxygen."
B)"You may only hold your baby's hand during the feeding."
C)"Feedings cause more physiologic stress,so the baby must be closely monitored.Therefore,I don't think you should hold the baby."
D)"You may hold your baby during the feeding."
Q2) Risk factors associated with necrotizing enterocolitis (NEC)include (choose all that apply):
A)Polycythemia
B)Anemia
C)Congenital heart disease
D)Bronchopulmonary dysphasia
E)Retinopathy
Q3) Calculate the corrected age of an infant who was born at 25 1/7 weeks and is preparing for discharge 124 days past delivery.
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Page 39
Chapter 38: Perinatal Loss and Grief
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Q1) A newborn in the neonatal intensive care unit (NICU)is dying as a result of a massive infection.The parents speak to the neonatologist,who informs them of their son's prognosis.When the father sees his son,he says,"He looks just fine to me.I can't understand what all this is about." The most appropriate response by the nurse is:
A)"Didn't the doctor tell you about your son's problems?"
B)"This must be a difficult time for you.Tell me how you're doing."
C)To stand beside him quietly
D)"You'll have to face up to the fact that he is going to die sooner or later."
Q2) Society tends to minimize perinatal loss because of the prevailing belief that there are no barriers to getting pregnant and the expectation that once a woman is pregnant,a healthy,live infant will result.Is this statement true or false?
A)True
B)False
Q3) What is appropriate for a nurse to say to bereaved parents?
A)"This happened for the best."
B)"God had a purpose for him."
C)"I know how you feel."
D)"What can I do for you?"
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