Chapter 1: Trends and Issues

The nurse is caring for a 16-year-old patient who is 32 weeks' pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which of the following should the nurse indicate the child is at increased risk for during his adolescence?

Alcohol abuse

Which of the following sexually transmitted infections (STIs) has shown the most significant increase and has led to increased infant deaths in the United States?

Congenital syphilis

The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the nurse take first?

Educate the patient of the risks associated with cocaine use during pregnancy.

A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery. What guidelines will the nursing student use to assist in setting her goals?

Healthy People 2020

The maternal mortality rate for black women in the United States is:

Higher than the rate for white women, regardless of socioeconomic factors.

A patient with a history of hypertension is giving birth. During delivery, the staff was not able to stabilize the patient's blood pressure. Therefore, the patient died shortly after delivery. This is an example of what type of death?

Indirect obstetric death

The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient's baby at highest risk for?

Respiratory disorders

The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index (BMI) of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?

The Safe to Sleep campaign

Compared with other countries in the world, the United States' maternal mortality rate is:

The highest rate of all high-resource countries.

A pregnant patient with a body mass index (BMI) of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted infections (STIs) and indicated that she is in a committed, long-term relationship with the child's father. Which of the following is accurate?

The patient will have an increased risk of wound infection.

Biological weathering refers to:

The premature aging that occurs in the body due to prolonged exposure to stressors such as institutionalized racism

When should women be screened for mood disorders during pregnancy?

Women should be screened at the first prenatal visit, during the second and third trimesters, and during the first postpartum year.

A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the patient may be at risk for during pregnancy. Which response by the patient indicates that she understands?

"Due to my weight, there is a possibility that I may develop gestational diabetes."

The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching?

"It's best for my baby if I avoid drinking during pregnancy."

The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following?

"My child may be at increased risk for birth injury."

The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, "I do not need to stop smoking my electronic cigarette because it will not harm my baby." Which is the best response by the nurse?

"Tobacco products, including electronic cigarettes, should not be used during pregnancy due to the risk of nicotine toxicity."

The nurse is caring for a patient at 7 weeks' gestation. The nurse suspects that this pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate?

"Using marijuana while pregnant can have a negative effect on the neurological development of your baby."

The nurse is taking the history of a gravida 2 para 1 patient. Which findings in the patient's history warrant further action? Select all that apply.

1. Anemia 2. Severe hemorrhage 3. Infections 4. Eclampsia

A woman has recently given birth to an infant born at 35 weeks and 5 days' gestation. What long-term effects should the nurse be concerned about with the infant being born at this gestation? Select all that apply.

1. Cerebral palsy 2. Respiratory disorders 3. Developmental delays 4. Visual impairments 5. Hearing impairments

An infant was recently born weighing 1,498 grams. The nurse understands that the birth weight of this infant is an important indicator of what? Select all that apply

1. Morbidity rate 2. Mortality rate 3. Infant health