Chapter 10 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 10 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 10_LO01_Q01

The pregnant client has completed the prenatal questionnaire, and asks the nurse why this form had to be completed. The best response by the nurse is:

1. “Some people have things that have happened in the past that could impact their current pregnancy.”
2. “The doctor wants all of the pregnant clients to complete the form so that our records are complete.”
3. “We occasionally identify a health problem that puts the current pregnancy at higher risk.”
4. “This form is designed to predict who will develop problems with their pregnancy or delivery.”

Correct Answer: 3

Rationale:

1. Although this is true, this statement is too vague to be the best response. It is best to explain specifically that the impact on the current pregnancy might put the pregnancy at higher risk.
2. The purpose of the form is to identify which clients have risk factors; the fact that records are complete is less important than identifying at risk pregnancies.
3. This is the reason for risk assessment during pregnancy, whether it is a patient-completed questionnaire or a nurse assessment form.
4. The form will identify those clients who have risk factors based on their medical history; prediction implies seeing into the future without a basis for the concern.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 10.1 Use information provided on a prenatal history to identify risk factors for the mother and/or fetus.

Chapter 10_LO02 _Q02

The pregnant client’s prenatal record indicates that she is a gravida 3 para 1 0 1 1. The nurse understands that this indicates the client: (Select all that apply.)

1. Is pregnant for the third time.
2. Had one preterm birth.
3. Had infertility.
4. Had one full-term birth.
5. Has had no miscarriages or first-trimester terminations.

Correct Answers:  1, 4

Rationale:

1. Gravida refers to the total number of pregnancies. The client is currently pregnant, has had one full-term birth, and one first-trimester pregnancy loss, so she is a gravida 3.
2. The second digit in para refers to preterm births. This client is a para 1 0 1 1, so she has not had any preterm births.
3. Gravida and para do not refer to the ability to conceive; a client’s infertility does not appear in the gravida-and-para system of reporting pregnancy history.
4. The first digit in para refers to full-term births. This client is a para 1 0 1 1, so she has had one full-term birth.
5. The third digit in para refers to spontaneous and induced abortions, or pregnancies that end in the first trimester. This client is a para 1 0 1 1, so she has had one pregnancy that was a spontaneous or induced abortion.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 10.2 Define common obstetric terminology found in the history of maternity clients.

Chapter 10_LO02 _Q03

A multigravida gave birth to an 18-week fetus last week. She is in the clinic for follow-up, and notices that her chart states she has had one abortion. The client is upset over the use of this word. How can the nurse best explain this terminology to the client?

1. “Abortion is the medical term for all pregnancies that end before 28 weeks.”
2. “Abortion is the word we use when someone has miscarried.”
3. “Abortion is how we label pregnancies that end in the second trimester.”
4. “Abortion is what we call all babies who are stillborn.”

Answer: 1

Rationale:

1. Abortions are fetal losses prior to the onset of the third trimester, and include elective induced (medical or surgical) abortions, ectopic pregnancies, and spontaneous abortions or miscarriages.
2. Abortions are fetal losses prior to the onset of the third trimester, and include elective induced (medical or surgical) abortions, ectopic pregnancies, and spontaneous abortions or miscarriages.
3. Abortions are fetal losses prior to the onset of the third trimester, and include elective induced (medical or surgical) abortions, ectopic pregnancies, and spontaneous abortions or miscarriages.
4. Third-trimester losses are considered fetal death in utero, and the term abortion is not used.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Implementation

Learning Outcome 10.2 Define common obstetric terminology found in the history of maternity clients.