Chapter 15 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 15 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 15_LO01_Q01

The nurse is caring for a pregnant woman who admits to cocaine and ecstasy use on a regular basis. The client states, “Everybody knows that alcohol is bad during pregnancy, but what’s the big deal about ecstasy?” The best response by the nurse is: “Ecstasy:

1. “Can cause a high fever in you and therefore cause the baby harm.”
2. “Leads to deficiencies of thiamine and folic acid, which help the baby develop.”
3. “Produces babies with small heads and short bodies with brain function alterations.”
4. “Produces intrauterine growth restriction and meconium aspiration.”

Correct Answer: 1

Rationale:

1. High body temperature is a side effect of MDMA (ecstasy). Increased body temperature increases fetal oxygen needs, which can lead to hypoxia and subsequent brain and major organ damage.
2. Alcohol, not ecstasy, causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects.
3. Cocaine causes these fetal effects, not ecstasy.
4. Heroin causes these fetal effects, not ecstasy.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 15.1 Describe the effects of alcohol and illicit drugs in the nursing care management of the childbearing woman and her fetus/newborn.

Chapter 15_LO01_Q02

The nurse is doing preconception counseling with a 28-year-old woman with no prior pregnancies. Which of the following statements made by the client indicates to the nurse that the client has understood the teaching?

1. “I can continue to drink alcohol until I am diagnosed as pregnant.”
2. “I need to stop drinking alcohol completely when I start trying to get pregnant.”
3. “A beer once a week will not damage the fetus.”
4. “I can drink alcohol while breastfeeding, since it doesn’t pass into breast milk.”

Answer: 2

Rationale:

1. Women should discontinue drinking alcohol when they start to attempt pregnancy.
2. Women should discontinue drinking alcohol when they start to attempt pregnancy.
3. It is not known how much alcohol will cause fetal damage; therefore, alcohol during pregnancy is contraindicated.
4. Alcohol passes readily into breast milk; therefore, it should be avoided, or the milk should be pumped and dumped after alcohol consumption.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Evaluation

Learning Outcome 15.1 Describe the effects of alcohol and illicit drugs in the nursing care management of the childbearing woman and her fetus/newborn.

Chapter 15_LO01_Q03

A woman’s history and appearance suggest drug abuse. The nurse’s best approach would be to:

1. Ask the woman directly, “Do you use any street drugs?”
2. ask the woman if she would like to talk to a counselor.
3. Ask some questions about over-the-counter medications and avoid mention of illicit drugs.
4. Explain how harmful drugs can be for her baby.

Answer: 1

Rationale:

1. The best method of dealing with the client that the nurse suspects of using drugs is to be direct and ask the question in a direct fashion without prejudice, bias, or negative body language. Lack of judgmental attitudes/body language typically results in honest answers.
2. It is the responsibility of the nurse to question the client.
3. It is the responsibility of the nurse not to avoid the issue.
4. When talking to clients in a therapeutic manner, it is important not to be threatening or judgmental; an example of the latter behavior would be stating that the drugs will harm the baby.

Cognitive Level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Implementation

Learning Outcome 15.1 Describe the effects of alcohol and illicit drugs in the nursing care management of the childbearing woman and her fetus/newborn.