Chapter 15 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Chapter 15 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 nurse is caring for a pregnant woman who admits to cocaine and ecstasy use on a regular basis. The patient 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.

Rationale 2: Alcohol, not ecstasy, causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects.

Rationale 3: Cocaine causes these fetal effects, not ecstasy.

Rationale 4: Heroin causes these fetal effects, not ecstasy.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO03 – Summarize the effects of alcohol and illicit drugs on the childbearing woman and her fetus/newborn.

Question 2

Type: MCSA

The nurse is doing preconception counseling with a 28-year-old woman with no prior pregnancies. Which of the following statements made by the patient indicates to the nurse that the patient 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.”

Correct Answer: 2

Rationale 1: Women should discontinue drinking alcohol when they start to attempt pregnancy.

Rationale 2: Women should discontinue drinking alcohol when they start to attempt pregnancy.

Rationale 3: It is not known how much alcohol will cause fetal damage; therefore, alcohol during pregnancy is contraindicated.

Rationale 4: Alcohol passes readily into breast milk; therefore, it should be avoided, or the milk should be pumped and dumped after alcohol consumption.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO03 – Summarize the effects of alcohol and illicit drugs on the childbearing woman and her fetus/newborn.

Question 3

Type: MCSA

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 the mention of illicit drugs.
4. Explain how harmful drugs can be for her baby.

Correct Answer: 1

Rationale 1: The best method of dealing with the patient 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.

Rationale 2: It is the responsibility of the nurse to question the patient.

Rationale 3: It is the responsibility of the nurse not to avoid the issue.

Rationale 4: When talking to patients 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.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO03 – Summarize the effects of alcohol and illicit drugs on the childbearing woman and her fetus/newborn.

Question 4

Type: MCSA

A 20-year-old woman is at 28 weeks’ gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin. The nurse should recognize that the woman is at increased risk for:

1. Erythroblastosis fetalis.
2. Diabetes mellitus.
3. Abruptio placentae.
4. Pregnancy-induced hypertension.

Correct Answer: 4

Rationale 1: Erythroblastosis fetalis is secondary to physiological blood disorders such as Rh incompatibility.

Rationale 2: Diabetes is an endocrine disorder that is unrelated to drug use/abuse.

Rationale 3: Abruptio placentae is seen more commonly with cocaine/crack use.

Rationale 4: Women who use heroin are at risk for poor nutrition, anemia, and pregnancy-induced hypertension (or pre-eclampsia).

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO03 – Summarize the effects of alcohol and illicit drugs on the childbearing woman and her fetus/newborn.