Chapter 16 The Childbearing Period Flashcards
Which of the following statements are correct concerning race and culture as applied to pregnancy and fetal health.
a. The United States has the best world ranking for infant mortality rate
b. Blacks have more twins, thus more premature deliveries
c. Asians women less fewer babies with cleft palates than do black women
d. The total number of malformations tends to be the same in all races.
e. Socioeconomic status but not ethnic background influence fetal health
b. Blacks have more twins, thus more premature deliveries
d. The total number of malformations tends to be the same in all races.
Which mother is a candidate for the administration of Rho(D) immune globulin (RhoGAM)?
a. An Rh-negative mother with an RH-negative newborn
b. An Rh-positive mother with an Rh-negative newborn
c. A mother demonstrating the presence of Rh-positive antibodies
d. A pregnant RH-negative mother who experiences a spontaneous abortion
d. A pregnant RH-negative mother who experiences a spontaneous abortion
- Then nurse assesses the woman for positive signs of pregnancy, which include:
a. Enlargement of the uterus
b. Bluish color of the cervix and upper vagina
c. Detection of fetal heart tones by Doppler auscultation
d. Positive test results for human chorionic gonadotropin (hCG)
c. Detection of fetal heart tones by Doppler auscultation
Which of the following elements of nutrition education are included when teaching the lactating mother about her nutritional needs?
a. Lactating women should consume the same amount of calories as those consumed with pregnancy
b. Lactating women need 7 to 11 servings of carbohydrates per day
c. Seventy grams of protein per day should come from eating lean meat, fish, eggs, poultry, ilk, and dairy products.
d. Lactating women should consume 500 ug of folic acid
b. Lactating women need 7 to 11 servings of carbohydrates per day
c. Seventy grams of protein per day should come from eating lean meat, fish, eggs, poultry, ilk, and dairy products.
d. Lactating women should consume 500 ug of folic acid
- The goal for the couple who attends childbirth education classes is to:
a. Promote a medication-free birth
b. Prepare for an early discharge
c. Increase knowledge of labor and delivery
d. Provide information about hospital policies
c. Increase knowledge of labor and delivery
Which of the following statements are correct concerning the nurse’s role in the context of pregnancy and delivery process?
a. The nurse helps the patient and partner choose between natural childbirth or analgesia/anesthesia
b. Nurses must have a master’s degree to conduct prenatal classes
c. Sibling classes are controversial and may cause more harm than good
d. Midwives have a reputation for being culturally sensitive
e. The movement toward home birth began with a nurse midwife in attendance began in the 1950’s
a. The nurse helps the patient and partner choose between natural childbirth or analgesia/anesthesia
d. Midwives have a reputation for being culturally sensitive
Which of the following statements is correct concerning the Apgar scoring system?
a. Apgar predicts neurological development
b. Apgar score of 6 to 7 is considered to be in the safe zone
c. Scoring is done at 1 and 5 minutes
d. The highest possible score is 8
c. Scoring is done at 1 and 5 minutes
According to Rubin, which of the following describes one of the four major developmental tasks which a woman seeks to accomplish as she learns to become a mother?
a. Moves beyond concern over whether family will accept her child
b. Ensuring safe passage through pregnancy and childbirth
c. Integrates the fetus as an integral part of her
d. Examines what she will gain and lose by becoming a mother
b. Ensuring safe passage through pregnancy and childbirth
The nurse teaches the expectant client about interventions that decrease sibling rivalry after birth. These instructions would include:
a. Encourage the sibling to participate in decisions such as selecting toys for the newborn
b. Do not permit sibling to make negative comments about the baby
c. Encourage positive feelings but discourage questions about newborns
d. For prenatal visits, set up time visits with grandparents who will take sibling on fun outing.
a. Encourage the sibling to participate in decisions such as selecting toys for the newborn
The nurse performs assessments of the mother and her fetus throughout the labor process. Which finding indicates a complication?
a. Clear amniotic fluid
b. Active fetal movement
c. Fetal heart rate below 100 beats/min
d. Contractions every 3 minutes, lasting 60 seconds
c. Fetal heart rate below 100 beats/min
