OB NURS 306 - Test Bank Chapters 1 to 19 ( Awesome stuff) A+ Guide, West Coast University, Los Angeles.

NURS 306 OB-Study Guide by chapters Ch1-to-Ch19

Chapter 1: Trends and Issues

Multiple Choice

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 gestation and low birth weight

b. Accidents

c. Sudden infant death

d. Newborns affected by complications of placenta, cord, and membranes

ANS: c

Feedback

a. The rates of prematurity and low birth weight

are increasing.

b. The rates of accidents have increased.

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.

d. The rates of newborns affected by

complications of placenta, cord, and

membranes have increased.

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

ANS: a

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a. 36% of American Indian and Native

American women are cigarette smokers.

b. 4.3% of Asian or Pacific Islander women are

cigarette smokers.

c. 17.1% of non-Hispanic black women are

cigarette smokers.

d. 19.6% of non-Hispanic white 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

ANS: d

Feedback

a. Although age is a risk factor, income

contributes to disparity.

b. Although African American women are at

increased risk, income accounts for the largest

disparity.

c. Although age and race contribute to increased

risk, income accounts for the largest disparity.

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

ANS: c

Feedback

a. Very premature is less than 32 weeks’

gestation.

b. Moderately premature is 32 to 33 completed

weeks’ gestation.

c. Correct. Late premature is 34 to 36 completed

weeks’ gestation.

d. Term is 37 to 42 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%