1. Since 1995 there has been a significant decrease in the rate of infant death related to which of
the following:
a. Disorders associated with short
... [Show More] gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes
c. Correct. The rate of infant death related to SIDS has decreased from 87.1 to 47.2. The decrease in
rate is partially attributed to placing infants on their backs when sleeping.
2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant such as
intrauterine growth restriction, preterm births, and respiratory problems. By race, which has the
highest percentages of smokers? a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites
a. 36% of American Indian and Native American women are cigarette smokers.
3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman
d. Although age and race contribute to increased risk, income accounts for the largest disparity.
4. A neonate born at 36 weeks gestation is classified as which of the following? a. Very premature
b. Moderately premature
c. Late premature
d. Term
c. Correct. Late premature is 34 to 36 completed weeks’ gestation.
5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020 report is
to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%.
ANS: d
A goal of Healthy People 2020 is to increase the proportion of infants who are breastfed from 74%
to 81.9%.
6. The perinatal nurse explains to the student nurse that __________ is the leading cause
of infant death in the United States. a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities
ANS: d
Multiple Response
7. Which of the following statements are true related to teen pregnancies?
(Select all that apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems.
ANS: a, b, d
Health statistics report higher risk for HIV, for hypertensive problems, and for health problems to
infants born to teen mothers. Birth rates for teen mothers in all age categories have decreased
since 1991.
CHAPTER 2
1. An ethical dilemma unique to perinatal nursing is the:a. Innate conflict between maternal and
fetal rights
b. Intensive use of technologyc. Shortage of health-care resourcesd. Risk of violation of the principle
of veracity
ANS: a
Feedback
a. A unique aspect of maternity nursing is that the nurse advocates for two individuals: the woman
and the fetus.
2. The American Nurses Association Code of Ethics for Nurses directs nurses to provide patient
care that is: a. Curative
b. Utilitarian
c. NegotiabledD Respectful
d. Respect for the inherent dignity, worth, and uniqueness of every individual is part of the Code of
Ethics.
3. Evidence-based practice is the integration of the best:
a. Randomized clinical trials, clinical expertise, and patients’ requests
b. Research evidence, clinical expertise, and patients’ values
c. Quantitative research, clinical expertise, and patients’ preferences
d. Research findings, clinical experience, and patients’ preferences
b. These elements are the accepted definition of evidence-based practice.
Multiple Response
4. Infants whose mothers were obese during pregnancy are at higher risk for which of the
following? (Select all that apply.) a. Childhood diabetes
b. Heart defects
c. Hypospadias
d. Respiratory distress
ANS: a, b, c
Fetuses and/or infants of women who were obese during pregnancy are at higher risk for spina
bifida, health defects, anorectal atresia, hypospadias, intrauterine fetal death, birth injuries related
to macrosomia, and childhood obesity and diabetes. [Show Less]