Question 1

Match each term with the correct definition.
-Opiates

Accepted Answer

Opiates are CNS depressants that produce a feeling of mental dullness, drowsiness, and finally stupor.

Answer: C
 The active constituent of marijuana is tetrahydrocannabinol, which crosses the placenta and accumulates in the fetus.

Answer: A is incorrect as it refers to CNS stimulants and not opiates.

Question 2

Many teens wait until the second or even third trimester to seek prenatal care. The nurse should understand that the reasons behind this delay include which of the following? (Select all that apply.)

Accepted Answer

Denying the pregnancy, uncertainty about where to go for care, lack of realization of pregnancy, and wanting to hide the pregnancy are all valid reasons for the teen to delay seeking prenatal care. A desire to gain control is not a reason to delay seeking health care.

Question 3

Which nursing diagnoses may apply to the childbearing family with special needs? (Select all that apply.)

Accepted Answer

A childbearing family with special needs may be at risk to develop spiritual distress, experience injury, and exhibit situational low self-esteem. There are no supportive data to hypothesize an ineffective breathing pattern and/or readiness for enhanced nutrition.

Question 4

Match each term with the correct definition.
-Cocaine

Accepted Answer

Cocaine is a powerful short-acting CNS stimulant.

Answer: B 
 CNS depressants produce a feeling of mental dullness, drowsiness, and finally stupor.

Answer: C 
 The active constituent in marijuana is tetrahydrocannabinol, which crosses the placenta and accumulates in the fetus. However, this answer does not match the term "Cocaine."

Question 5

Match each term with the correct definition.
-Marijuana

Accepted Answer

Molding refers to the changes in the shape of the head that allow it to pass through the birth canal.

Question 6

The nurse is seeing a 17-year-old female in the clinic for complaints of acne. The nurse plans on taking advantage of this teachable moment with the teen. What topics will the nurse include in the teen's teaching plan?

Accepted Answer

All the topics mentioned are worthy of discussion. However, sexual activity, contraception, and screening for violence have priority related to the age and gender of the patient. Because adolescents are often seen by a health care provider for various reasons before they become pregnant, counseling to improve health for a future pregnancy should be offered to them during any health care visit. Smoking cessation, attaining optimum weight, folic acid intake, and screening for violence are topics that should be discussed with all young women so that any future pregnancy has the most positive outcome.

Question 7

A patient has just acknowledged that she is 20 weeks pregnant and confides to the nurse that she has a daily heroin habit. The nurse discusses treatment options for the patient. Which patient statement requires follow-up?

Accepted Answer

Pregnant women who use heroin are often prescribed an alternative drug such as methadone, a synthetic opiate. Methadone can be taken orally once daily and is long- acting, providing consistent blood levels to decrease the adverse fetal effects of wide swings in blood levels found with heroin use. Methadone also reduces the risk of infections from contaminated needles and drug-seeking behavior, such as prostitution. At therapeutic levels, it does not produce the euphoria or sedation of heroin and allows the woman to have a relatively normal lifestyle. The woman who receives a daily dose of methadone in a drug treatment program is more likely to receive prenatal care. However, the newborn must withdraw from methadone after birth.

Question 8

Which characteristics of fetal alcohol syndrome (FAS) should the nurse expect to assess in affected neonates? (Select all that apply.)

Accepted Answer

Common facial anomalies associated with FAS include microcephaly, short palpebral fissures (the openings between the eyelids), epicanthal folds, flat midface with a low nasal bridge, indistinct philtrum (groove between the nose and upper lip), and a thin upper lip. Microcephaly is present, not hydrocephaly. Central nervous system impairment includes a high activity level, not a low one.

Question 9

Which congenital defects in a newborn are associated with long-term parenting problems? (Select all that apply.)

Accepted Answer

Although any defect in a newborn produces extreme concern and anxiety, certain defects are associated with long-term parenting problems. Accepting an infant with facial or genital anomalies is particularly difficult for the family and community. Polydactyl and ventral septal defects are reparable, with good outcomes.

Quiz 24: The Childbearing Family with Special Needs

Match each term with the correct definition. -Opiates