OB 2nd Edition end of chapter questions

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Chapter 1:
1. The population with the lowest birthrate but highest premature birthrate is:
A. Non-Hispanic white
B. Non-Hispanic black
C. American Indian or Alaska Native
D. Asian or Pacific Islanders
E. Hispanic

2. Moderately premature neonates are neonates born:

A. At less than 28 weeks of gestation
B. Between 28 weeks and 30 weeks of gestation
C. Between 30 and 32 weeks of gestation
D. Between 32 and 34 weeks of gestation
E. Between 34 and 36 weeks of gestation

3. The two most important predictors of an infant’s health and survival after birth are:
A. Gestational age and birth weight
B. Gestational age and early prenatal care
C. Gestational age and complication during labor and birth
D. Gestational age and Apgar score

4. The greatest increase in birthrate is in women ________.

A. 15–19 years of age
B. 25–29 years of age
C. 30–34 years of age
D. 40–45+ years of age

5. A maternal and infant goal stated in Healthy People 2020 is:

A. Increase abstinence from smoking during pregnancy to 100%.
B. Reduce cesarean birth for first-time mothers to 23.9%.
C. Increase the proportion of infants who are breastfed at 6 months to 50%.
D. Reduce the rate of maternal mortality to 5%.

6. The leading cause of infant death in 2010 was _______.

A. Sudden infant death syndrome (SIDS)

B. Congenital malformations
C. Respiratory distress syndrome of newborns
D. Accidents

7. The highest percentage of women who smoke during pregnancy are ____________.
A. American Indian and/or Alaskan Native

B. Asian and/or Pacific Islander

C. Hispanic
D. Non-Hispanic black
 E. Non-Hispanic white

8. Infant mortality is defined as a death before _________.

A. 28 days of age
B. 6 months of age
C. 1 year of age
D. 18 months of age

9. Very low birth weight (VLBW) is defined as a birth weight less than __________.

A. 500 grams

B. 1,000 grams

C. 1,500 grams

D. 2,000 grams

10. True or False: Very low birth weight (VLBW) neonates account for 1.45% of births but account for
45% of all infant deaths.
A. True

B. False

Chapter 2:

1. The organization that publishes standards and guidelines for maternity nursing is the:
A. National Perinatal Association
B. American Nurses Association
C. American Academy of Pediatrics
D. Association of Women's Health, Obstetrics, and Neonatal Nursing

2. Autonomy is defined as the right to:

A. Do good
B. Equal treatment
C. Self-determination
D. Be valued

3. An ethical dilemma is:

A. A violation of patient autonomy
B. A choice that violates ethical principles
C. A conflict between advocacy and respect
D. A conflict between what is just and good

4. Evidence-based decision making should include consideration of:

A. Best research evidence, patient's clinical state, and clinical setting.
B. Best research evidence, patient's acuity, and financial considerations.
C. Best research evidence, clinical expertise, and patient values
5. Risk management is an approach to the prevention of:
A. Morbidity and mortality
B. Litigation
C. Staff conflicts
D. Poor care

6. A response to nursing interventions that are measurable and observable are:

A. Variables
B. Guidelines
C. Health Dimensions
D. Expected Outcomes

7. A _________ is a framework developed through expert consensus and review of the literature.
A. Guideline
B. Outcome
C. Standard
D. Evaluation

8. Failing to use the latest health care research is:

A. Unsafe
B. Costly and harmful
C. Costly, harmful, and can lead to use of ineffective care
D. Risky

9. Nurses have the professional responsibility to provide high-quality impartial nursing care to all patients
in __________, regardless of the nurses' personal beliefs.
A. Emergency situations
B. Urgent situations
C. Safe situations
D. Every situation

10. To be effective advocates for patients and their families, the nurse needs to:
A. Talk to patients about their concerns
B. Recognize themselves as equal partners in the health care team
C. Assume the patients' needs
D. Ask family members about key health care decisions

Chapter 3:

1. Your patient delivered a full-term baby 12 hours ago. The woman and her husband, who are in their
early 20's, have just been informed by their pediatrician that their baby has trisomy 21 (Down Syndrome).
This is their first child and they did not have prenatal genetic testing. Your nursing care will include (select
all that apply)

A. Explaining that they will go through a grieving process over the loss of their "dream"
child.
B. Explaining the importance of talking openly to each other about their feelings and
concerns regarding their child.
C. Explaining they will benefit from seeing a genetic counselor.
 D. Explaining that they should direct questions regarding the baby's diagnosis to their
pediatrician.

2. The developing human is most vulnerable to teratogens during:

A. The first 4 weeks of gestation
B. The first 8 weeks of gestation
C. The first 12 weeks of gestation
D. The first 16 weeks of gestation

3. Fertilization takes place in the _________.

A. Ovaries
B. Fallopian tube
C. Uterus

4. You are a nurse working in a prenatal clinic. Your patient, an 18-year-old woman, is in her 10th
gestational week. She wants to know when her baby's heart will start to beat. You inform her that it
usually begins to beat around:
A. The 2nd week of gestation
B. The 3rd week of gestation
C. The 4th week of gestation
D. The 5th week of gestation

5. Which placental hormone is responsible for regulating glucose availability to the fetus?
A. Progesterone
B. Estrogen
C. hCG
D. hPL

6. You are a nurse in a family planning clinic. Your patient has been married for 5 years. She used an
IUD, in which was removed 12 months ago. She informs you that she and her husband have been trying
to get pregnant for the past 12 months. Initial screening to determine the cause of infertility includes
(Select all that apply)
A. Sperm analysis
B. Testicular biopsy
C. Assessing for ovulation
D. Hysterosalpingogram

7.True or false: Meiosis is a process of two successive cell divisions that produces two haploid cells:
A. True
B. Fals

8. A 25-year-old woman is seeing her gynecologist for a preconception visit. She has been married for 3
years. Her brother has hemophilia. Which of these genetic tests would be recommended for this woman?
A. Carrier testing
B. Predictive testing
C. Preimplantation testing
D. Prenatal testing

9. Factors that place a man at risk for infertility are: (select all of the correct answers)
 A. Cigarette smoking
B. Eating disorders
C. Excessive exercising
D. Use of marijuana

10. True or False: Genetics is the study of genes and their function and related to technology
A. True
B. False

Chapter 4:
1. The appropriate recommended weight gain during pregnancy for a woman with a normal BMI is:
A. 10-15 lbs.
B. 6-20 lbs.
C. 21-25 lbs.
D. 25-35 lbs.

2. The purpose of preconception care is to:

A. Prevent unwanted pregnancies
B. Improve perinatal outcomes
C. Facilitate desired pregnancy
D. Screen for sexually transmitted diseases

3. Presumptive signs of pregnancy are:

A. All the objective signs of pregnancy
B. Those perceived by the health care provider
C. Physiological changes perceived by the woman herself
D. Those attributed to the fetus.

4. Physiological changes in pregnancy:

A. Involve primarily reproductive organs
B. Are protective of the woman and/or fetus
C. Are most profound in the first trimester
D. Primarily impact the musculoskeletal system

5. Intimate partner violence:

A. Consists of physical abuse
B. Decrease during pregnancy
C. Crosses all ethnic, racial, religious, and socioeconomic levels
D. Primarily impacts maternal health

6. RhoGAM would be administered during pregnancy at 28 weeks gestation to women with the following:
A. Blood type O+
B. Blood type A+
C. Blood type O-
D. Blood type AB

7. Blood volume increases during pregnancy by:

A. 20%-30%
B. 30%-40%
 C. 40%-50%
D. 50%-60

8. A woman presents care at 10 weeks' gestation reporting nausea and vomiting. Self-care and relief
measures include:
A. Suggest a high protein diet
B. Suggest avoiding eating early in the day
C. Suggest increasing fluid intake
D. Suggest small, frequent meals

9. woman who gets pregnant within 45 days of delivering a baby is at a higher risk for:
A. Iron deficiency anemia
B. Periodontal disease
C. Urinary stasis
D. Striae gravidarum

10. Treatment w/IV antibiotics is indicated for patients with all of the following except:
A. History of group B streptococcus (GBS) in the urine during pregnancy
B. Scheduled for cesarean delivery prior to rupture of membranes or labor with a history
of positive GBS
C. GBS status unknown with a history of an infant with invasive GBS infection
D. Screened negative for GBS at 37 weeks, now in labor with temperature > 100.4 F

11. Which of the following lab results indicates anemia?

A. Hemoglobin 11. 2
B. Hemoglobin 10
C. Hematocrit 34%
D. Hematocrit 38%

12. Which hormone is responsible for maintaining pregnancy by relaxing smooth muscles leading to
decreased uterine activity and decreasing the risk of spontaneous abortion?
A. Estrogen
B. Human chorionic gonadotropin (hCG)
C. Progesterone
D. Oxytocin

13. Softening of the cervix that occurs in the second month of pregnancy is known as:
A. Hegar's sign
B. Braxton's sign
C. Goodell's sign
D. Chadwick's sign

14. Using Naegele's rule, calculate the EDD for a patient with a LMP of 10 March.
A. December 3
B. December 7
C. December 10
D. December 17
Chapter 5:
1. Signs of possible maladaptation to pregnancy include:
A. Denial of fears about childbirth and unrealistic expectations about birth
B. Excessive maternal weight gain and limiting physical activity
C. Denial of physical symptoms of pregnancy and emotional lability
D. Changes in couple's interactions and sexual activity

2.Nursing interventions that facilitate adaptation to pregnancy in the first trimester focus on:
A. Physiological changes in pregnancy
B. Promoting pregnancy and birth as a family experience
C. Readiness for parenting
D. Partner's role during labor and birth

3. Ambivalent feelings toward pregnancy in the third trimester may indicate:

A. Normal expected finding
B. Unresolved conflict
C. Depression
D. Unwanted pregnancy

4. Prescriptive behavior is;

A. Behavior during the childbearing period that is limited for pregnant women
B. Expected behavior for pregnant women
C. Behavior that is restricted for pregnant women that has supernatural consequences
D. An unacceptable practice that has implications for pregnant women

5. Measurable outcomes of social support interventions during pregnancy include:

A. Improved coping and functional status
B. Improves relationship with mother
C. Reduced stress
D. Reduced depression

6. When conducting a psychosocial assessment, it is important to determine the _____, ______, and
______ of mood or emotional disturbances.
A. Anxiety, depression, level
B. Coping, support, distress
C. Frequency, duration, intensity
D. Acceptance, avoidance, character

7. To facilitate adaptation to pregnancy during the first trimester, an appropriate nursing action would be
to:
A. Encourage the woman to sign up for prepared childbirth classes.
B. Assess the woman's response to pregnancy
C. Encourage the woman to "tune in" to fetal movement
D. Give anticipatory guidance regarding breastfeeding
8. When caring for a woman who speaks limited English, the appropriate method for translating
information is:
A. Using a trained medical interpreter
B. Asking a student nurse who speaks the woman's primary language to translate
C. Providing printed material for the woman to take home.
D. Asking for a family member to translate

9. While planning care for the lesbian client, it is most important for the nurse to include a goal that
addresses the need for:
A. Referrals to a perinatal social worker on admission to the hospital
B. Establishing a trusting relationship with health care providers
C. Providing counseling to lesbian mothers regarding legal issues they may face with parenting
D. Choosing a name for the infant and obtaining supplies for the new baby

10. According to May's research, it is during the _____ phase that may expectant fathers appear to put
conscious thought of their partner's pregnancy aside.
A. Announcement
B. Transition
C. Moratorium
D. Developing