MCN ch22pt1 quizlet

• All of the following are reasons for the increased number of teenage pregnancies EXCEPT

  More adolescents are getting married when they are in their late teen years.
• A teen expresses to the nurse that she does not want to give up gymnastics now that she is

  pregnant. What is the best response from the nurse?

  "Even though you cannot do gymnastics while you are pregnant, that doesn't mean you

  can't participate in team activities."
• Which of the following is a typical adolescent developmental task?

  Gaining freedom and more independence from parents
• A nurse in the prenatal clinic is taking a history of a female client who admits to heroin use

  during the current pregnancy. Which of the following interpretations by the nurse of the client's reasoning for seeking care would be appropriate?

  The female client understands the need for pregnancy care.
• A nurse is caring for a postpartum 42-year-old female client. Which of the following nursing interventions would decrease the risk of postpartum hemorrhage?

  Insertion of a straight Foley catheter to maintain uterine contractions
• A pregnant adolescent is at increased risk for all of the following EXCEPT

  Large for gestational age infant
• Why is cephalopelvic disproportion a risk factor for teens?

  A teenage female pelvis may not have completed its growth.
• At a prenatal visit, an adolescent expresses that recently she has had a strange craving for chalk.

  The nurse knows that this is a sign of

  Iron deficiency anemia
• Which of the following factors is most crucial to a healthy outcome for a pregnant adolescent?

  Early and consistent prenatal care
• A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the

  baby at risk. The most important assessment the nurse can make is

  whether the pregnant woman uses illegal substances.
• A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms of maternal cocaine use during pregnancy. These signs and symptoms are a result of what pathophysiological effect of opioid use during pregnancy?

  Vasoconstriction leading to reduced placental blood flow
• The nurse is attempting to obtain a detailed history to determine risk for a pregnant adolescent who is accompanied by her parents during her first prenatal visit. How is this information best obtained?


  With the adolescent in the room without the parents present
• Why should the nurse anticipate that the physician will take pelvic measurements on the pregnant adolescent early in the pregnancy?

  Because the adolescent has not completely developed, she is at risk for cephalopelvic disproportion.
• Why is it important for the nurse to obtain a baseline blood pressure and carefully monitor a pregnant adolescent's blood pressure carefully at each visit?

  Adolescents are more prone to pregnancy-induced hypertension than the average woman.
• The parent of a pregnant adolescent says to the nurse, "I don't know what is wrong with my daughter. I found her eating chalk the other day and she says she is craving it!" What information can the nurse give to the parent?

  "We will check her hemoglobin level. Often, iron deficiency anemia will cause pica, which is a craving for inedible substances."
• A 43-year-old woman had a vaginal delivery in the hospital. What priority assessment by the nurse should be performed in this patient?

  The nurse should monitor closely for postpartum hemorrhage due to inelasticity of the

  uterus.
• The nurse is caring for a client who is intellectually disabled and in her 16th week of pregnancy. What is the priority concern when caring for this client?

  Safety
• A pregnant patient has a history of cervical spine injury with resultant incomplete quadriplegia. What symptoms assessed by the nurse indicate that the patient is experiencing

  autonomicdysreflexia?(Select all that apply.)- Blood pressure of 260/140 mm Hg

  - Reports of a severe throbbing headache

  - Profuse diaphoresis of the neck and face
• How can the nurse determine that a patient who reports using cocaine has an actual substance

  dependence?

  The patient has withdrawal symptoms when she stops taking the drug.
• A 16-year-old client has been in the first stage of labor for 20 hours, which is much longer than

  normal. She demonstrated a lack of engagement at the beginning of labor, and fetal descent has

  been poor. The nurse recognizes that which of the following is the most likely complication

  affecting this client's pregnancy?

  Cephalopelvic disproportion
• A young client who has just learned that she is pregnant admits that she is a frequent heroin user.

  Which of the following interventions would be the most effective for this client?

  Refer the client to a methadone maintenance program
• To prevent supine hypotension syndrome, be certain a woman lies supine for an examination.

  False
• A woman over age 40 is less likely than a younger woman to enter pregnancy with a previously

  diagnosed condition, such as hypertension, varicosities, or hemorrhoids.

  False
• A nurse is teaching a pregnant adolescent at the clinic about nutrition. Which response by the client best shows the nurse's teaching is understood?

  "I know from reading your pamphlets that there are many food choices in each nutrition

  group."
• The maternal health nurse is caring for a pregnant woman with a physical disability. Which

  action is the nurse's priority when caring for the client?

  Establish the impact of the disability on the woman's lifestyle
• Use of which drug is associated with the highest risk of placental abruption?

  Cocaine
• Which postpartum complication is the nurse most likely to see in a mother who abuses

  marijuana?

  Inadequate milk production
• The nurse is preparing for a prenatal visit with a pregnant woman who cannot ambulate because

  of a thoracic spine injury several years ago. What should the nurse do first to prepare for this

  patient's visit?

  Assess the impact of the disability on the patient's lifestyle before offering assistance.
• A 16-year-old sexually active female is being treated with isotrerinoin (Accutane) for severe

  cystic acne. What instructions should the nurse give this patient?

  Be sure to use two forms of birth control because this medication is teratogenic.
• What does the nurse recognize as the developmental challenge of the pregnant woman who is 42

  years old?

  Developing generativity
• A 38-year-old woman at 15 weeks' gestation comes in for a prenatal visit. What test should the

  nurse offer at this time to detect an open fetal spinal cord or chromosomal defects?

  A triple screen ofalpha-fetoprotein, HCG, andunconjugated estriol levels
• A 41-year-old client in week 11 of her pregnancy has arrived for a prenatal visit. Which of the

  following assessments should the nurse offer to the client specifically because of the client's age?

  Chromosomal assessment
• A nurse in the prenatal clinic is preparing a 41-year-old female client at 17 weeks' gestation for a

  triple marker test (HCG, estriol, AFP). The client is slightly overweight, and her lab findings

  show she is Rh negative. The nurse suspects the health care provider is ruling out which

  disorder?

  Down syndrome
• The maternal health nurse is caring for a 13-year-old pregnant client who arrives to the outpatient maternal health clinic accompanied by her mother. During the visit, the nurse notes that the client's mother is trying to convince her daughter to make various health decisions. Which concept(s) does the nurse understand is true? Select all that apply.


  - The adolescent is responsible for the health care decisions regarding her pregnancy.

  - The adolescent is considered an emancipated minor when pregnant.
• The maternal health nurse is developing the plan of care for an adolescent client who is pregnant.

  Which risk will the nurse prioritize in the care plan?

  Imbalanced nutrition
• A pregnant 16-year-old has decided to have an amniocentesis for a positive Down syndrome

  screen. How should the nurse counsel this patient?

  "You do not need your parent's permission for this procedure."
• A 40-year-old has just received the news that her triple screen test came back positive for Down

  syndrome. How should the nurse counsel this patient?

  "Let's talk about an amniocentesis to confirm these results."
• Which of the following statements is true regarding trauma in pregnancy?

  The uterus is a peripheral organ and will see severely decreased blood flow in the event of trauma.
• The most common serious complications in a pregnant woman with blunt abdominal trauma are

  Preterm labor and placental abruption
• Which of the following pregnant women would be considered a patient with special needs?

  (Select all that apply.)

  - A 16 year old

  - A 42 year old

  - A woman with a history of cocaine addiction