Deck 11: The Childbearing Family with Special Needs

Question 1

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

A) Polydactyl
B) Cleft lip and palate
C) Ventral septal defect
D) Ambiguous genitalia

Answer 1

Cleft lip and palate
Ambiguous genitalia

Question 2

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

A) Home schooling
B) Alternative education program
C) School-based mothers' program
D) Continuing mainstream high school classes

Answer 2

School-based mothers' program

Question 3

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

A) postmature birth.
B) sexually transmitted diseases.
C) hypotension and vasodilation.
D) depression of the central nervous system.

Answer 3

sexually transmitted diseases.

Question 4

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

A) Hydrocephaly
B) Low activity
C) Epicanthal folds
D) Short palpebral fissures
E) Flat midface, with a low nasal bridge

Question 5

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

A) Risk for spiritual distress
B) Risk for injury
C) Readiness for enhanced nutrition
D) Ineffective breathing pattern
E) Situational low self-esteem

Question 6

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

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.

Question 7

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

A) prepregnancy medical attention is lacking.
B) personal risk behaviors influence fertility.
C) contraceptives have been used for an extended period of time.
D) the ovaries may be affected by the normal aging process.

Question 8

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

A) Nutrition and diet planning
B) Exercise and fitness
C) Having enough rest and sleep
D) Effective contraceptive methods

Question 9

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?

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?"

Question 10

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) Smoking habits, folic acid intake, and heart disease
B) Hyperlipidemia, distracted driving, and menstrual history
C) Sexual activity, contraception, and screening for violence
D) Optimum weight, hypothyroidism, and sexually transmitted diseases

Question 11

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?

A) "My plan is to visit the outpatient clinic daily for treatment."
B) "I will see my health care provider at least every 2 weeks."
C) "My baby will not have to go through withdrawal when I take methadone."
D) "With oral methadone, my baby and I are at decreased risk of infection."

Question 12

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

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.

Question 13

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.)

A) Continuing to deny the pregnancy
B) Uncertainty about where to go for care
C) Lack of realization that they are pregnant
D) A desire to gain control over their situation
E) Wanting to hide the pregnancy as long as possible

Question 14

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

A) Anemia
B) Placenta previa
C) Abruptio placenta
D) Incompetent cervix

Question 15

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

A) Intrauterine growth restriction
B) Genetic changes and anomalies
C) Extensive central nervous system damage
D) Fetal addiction to the substance inhaled

Question 16

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

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.

Question 17

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) The fetus is placed at risk for altered brain growth.
B) The fetus is at risk for severe nervous system injury.
C) The patient will be at risk for abusing other substances as well.
D) A daily consumption of alcohol indicates a risk for alcoholism.

Question 18

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

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.

Question 19

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

A) Previous depressive episode
B) Unexpected operative birth
C) Ambivalence during the first trimester
D) Second pregnancy in a 3-year period

Question 20

Which of the following is an example of healthy grieving?

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."