Chapter 10 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Chapter 10 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The pregnant patient 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 patients 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.

Rationale 2: The purpose of the form is to identify which patients have risk factors; the fact that records are complete is less important than identifying at risk pregnancies.

Rationale 3: This is the reason for risk assessment during pregnancy, whether it is a patient-completed questionnaire or a nurse assessment form.

Rationale 4: The form will identify those patients who have risk factors based on their medical history; prediction implies seeing into the future without a basis for the concern.

Global Rationale:

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO01 – Use information provided on a prenatal history to identify risk factors for the mother and/or fetus.

Question 2

Type: MCSA

The pregnant patient’s prenatal record indicates that she is a gravida 4 para 2022. The nurse understands that this indicates the patient had four pregnancies and:

1. Has four living children.
2. Delivered two infants preterm.
3. Is pro-abortion.
4. Delivered two term infants.

Correct Answer: 4

Rationale 1: In the four digit number, the fourth number indicates the number of living children, which is 2.

Rationale 2: In the four digit number, the second digit indicates the number of preterm births, so the patient has had no preterm births.

Rationale 3: In the four digit number, the third digit indicates the number of abortions the patient has experienced. Because abortion may be spontaneous or therapeutic, this number does not does not necessarily reflect a woman’s stance on surgical abortion.

Rationale 4: In the four digit number, the first digit indicates the number of term infants born, which is two.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO02 – Define common obstetric terminology found in the history of maternity patients.

Question 3

Type: MCSA

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 patient is upset over the use of this word. How can the nurse best explain this terminology to the patient?

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.”

Correct 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.

Rationale 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.

Rationale 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.

Rationale 4: Third-trimester losses are considered fetal death in utero, and the term abortion is not used.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO02 – Define common obstetric terminology found in the history of maternity patients.

Question 4

Type: MCSA

Which of the following patients would be considered a multipara?

1. A patient at 34 weeks’ gestation who previously had one spontaneous abortion
2. A patient at 13 weeks’ gestation who previously delivered two term infants
3. A patient at 28 weeks’ gestation with no previous pregnancies
4. A patient at 32 weeks’ gestation who previously delivered one term infant

Correct Answer: 2

Rationale 1: A woman who has had no births at more than 20 weeks’ gestation is considered a nullipara.

Rationale 2: A woman who has had two or more births at more than 20 weeks’ gestation is considered a multipara.

Rationale 3: A woman who has had no births at more than 20 weeks’ gestation is considered a nullipara.

Rationale 4: A woman who has had one birth at more than 20 weeks’ gestation, regardless of whether the infant was born alive or dead, is considered a primipara.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO02 – Define common obstetric terminology found in the history of maternity patients.