Exam 11: The Childbearing Family with Special Needs

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

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?

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

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?

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

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

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

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

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

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

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

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

Which of the following is an example of healthy grieving?

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

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

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.)

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

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?

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?

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