TEST BANK QUESTIONS - EXAM 1 MATERNAL NEWBORN

PDF Download

TEST BANK QUESTIONS - EXAM #1 MATERNAL NEWBORN

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -100 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: chapter 1

Which statements are accurate based on common mortality statistics? Select all that apply.

• "The birth rate is based on data collection obtained every 2 years."
• "Fetal and neonatal fatalities are included in the perinatal mortality rate."
• "Neonatal mortality rate includes deaths up to 1 year."
• "Infant mortality rate includes all deaths under age 1 year per 1,000 births."
• "Maternal mortality rates include only term gestations."

Answer:

Answer: B, D

• This is incorrect. The birth rate is calculated each year based on the number of live

births per 1,000 population.

• This is correct. The perinatal mortality rate includes fetal and neonatal deaths per

1,000 live births per year.

• This is incorrect. The neonatal mortality rate includes the number of infant deaths

from time they were born until 28 days per 1,000 live births per year.

• This is correct. This is a factual statement.

• This is incorrect. The maternal mortality rate is based on the number of maternal

deaths per 100,000 live births that occur during a pregnancy or up to 42-days postpartum

Question 2: chapter 4

Which location should the nurse anticipate a fundal height measurement associated with 20 weeks of gestation?

• Below the xiphoid process
• 4 fingerbreadths below the umbilicus
• 2 centimeters below the xiphoid process
• At the level of the umbilicus

Answer:

• At the level of the umbilicus

• At 20 weeks' gestation, fundal height would be observed at the level of the

umbilicus.

Question 3: chapter 1

A group of student nurses are reviewing the Nurse Practice Act. Which statements indicate that teaching has been effective? Select all that apply.

• "Nurse Practice Acts are the same across the United States."
• "Roles and responsibilities are specified by type of license."
• "Information for initial application."
• "Criteria for renewal of professional license."
• "Describes required elements for professional nursing programs."

Answer:

B, C, D, E

• This is incorrect. Nurse Practice Acts vary from state to state based on legislative

action.

• This is correct. This is a factual statement.

• This is correct. Nurse Practice Act specifies process for initial application for li-

censure.

• This is correct. Nurse Practice Act provides information for the renewal of applica-

tion for a professional license.

• This is correct. This is a factual statement.

Question 4: chapter 4

A pregnant patient in the perinatal clinic complains of occasional fainting. Which action by the nurse is best?

• Educate her that this is a frequent occurrence in pregnancy.
• Always encourage her to carry small snacks with her.
• Instruct her to take a series of short breaths when the warning signs occur.
• Tell her to lie down on her left side if she has warning signs.

Answer:

• Tell her to lie down on her left side if she has warning signs.

Syncope, or fainting, is occasionally seen in pregnancy and is often preceded by warning signs such as lightheadedness, sweating, nausea, yawning, or sensations of warmth. The nurse should instruct the patient to sit or lie down when these warning signs occur. Lying on the left side is preferred to avoid compressing the vena cava.

Question 5: chapter 2

A nurse is providing anticipatory guidance to a group of elementary school girls and their parents. What information is most accurate?

• "Around age 10, girls may become interested in shaving their underarms."
• "By age 12, both boys and girls are at their maximal height."
• "Parents, you should buy feminine supplies for your daughter before she is 14."
• "You won't need to worry about bras until at least age 14."

Answer:

• "Around age 10, girls may become interested in shaving their underarms."

Adrenarche (the time when androgen secretion leads to axillary and pubic hair) oc- curs at an average age of 10, so girls around that time will start noticing this change and may think about shaving.

Question 6: chapter 1

A nurse works a great deal with refugees and is frustrated because, as a group, they don't seem to want to implement desired health behaviors. What action by the nurse would be most helpful?

• Conduct a health screening and educational event each month.
• Provide written information in the group's native language.
• Teach selected group representatives to be lay health educators.
• Try to establish relationships within the refugee community.

Answer:

• Teach selected group representatives to be lay health educators.

According to family systems theory, each family system contains boundaries that affect how the outside world interacts with the family. Families that have recently immigrated to the United States might have closed boundaries and may only be re- ceptive to health information provided by extended family members or members of their community. Establishing a lay health educator program in which community members can be taught health information with the intent of delivering it to their communities would be a good way to work with these families while respecting their boundaries.

Question 7: chapter 5

The prenatal nurse has reviewed a patient's 3-day diet recall and notes that the patient typically eats a deli meat sandwich or hot dog, chips, and an apple for lunch. Breakfast consists of cereal, milk, and juice; and dinner contains meat, a starch, vegetables, and a salad.What action by the nurse is most important?

• Advise the patient to obtain more calories from protein.
• Assess the patient's knowledge of proper food handling.
• Discuss adding fish such as tuna or swordfish to the diet.
• Weigh the patient and document her weight in the chart.

Answer:

• Assess the patient's knowledge of proper food handling.

Pregnant patients should be taught proper food handling to prevent foodborne illnesses. Deli meats, hot dogs, and luncheon meats should be stored at 40° or less, heated before eating, and consumed within 4 days. Promoting safety is a priority.