OBStudyQuestions Test1
1. The nurse is caring for a pregnant woman who admits to cocaine and ecstasy use on a regular basis. The client states, “Everybody knows that alcohol is bad during pregnancy, but what’s the big deal about ecstasy?” the best response by the nurse is “Ecstasy:
A. Can Cause Fever in you and therefore cause the baby harm.
B. Leads to deficiencies of thiamine and folic acid, which help baby develop. (Alcohol)
C. Produces babies with small heads and short bodies with brain function alterations (Cocaine)
D. Produces intrauterine growth restriction and meconium aspiration. (heroine)
2. The nurse is doing preconception counseling with a 28-year old woman with no prior pregnancies. Which of the following statements made by the client indicates to the nurse that the client has understood the teaching?
A. “I can continue to drink alcohol until I am diagnosed pregnant.”
B. “I need to stop drinking alcohol completely when I start trying to get pregnant.”
C. “A beer once a week will not damage the fetus.”
D. “I can drink alcohol while breastfeeding, since it doesn’t pass into breast milk.”
3. A woman’s history and appearance suggest drug abuse. The nurse’s best approach would be to:
A.) Ask the woman directly, “Do you use any street drugs?”
B.) Ask the woman if she would like to talk to a counselor.
C.) Ask some questions about over-the counter medications and avoid mention of illicit drugs.
D.) Explain how harmful drugs can be for her baby.
4. A 20 year old woman is at 28 weeks’ gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroine. The nurse should recognize that the woman is at increased risk for:
A. Erythroblastocis fetalis (2ndary to physiological blood disorders i.e. Rh incompat)
B. Diabeted Mellitus (unrelated to drug use/abuse)
C. Abruptio placentae (more commonly seen with cocaine/crack use)
D. Pregnancy-induced hypertension.
5. A client with insulin-dependent type II diabetes and and HbA1c of
A. Can Cause Fever in you and therefore cause the baby harm.
B. Leads to deficiencies of thiamine and folic acid, which help baby develop. (Alcohol)
C. Produces babies with small heads and short bodies with brain function alterations (Cocaine)
D. Produces intrauterine growth restriction and meconium aspiration. (heroine)
2. The nurse is doing preconception counseling with a 28-year old woman with no prior pregnancies. Which of the following statements made by the client indicates to the nurse that the client has understood the teaching?
A. “I can continue to drink alcohol until I am diagnosed pregnant.”
B. “I need to stop drinking alcohol completely when I start trying to get pregnant.”
C. “A beer once a week will not damage the fetus.”
D. “I can drink alcohol while breastfeeding, since it doesn’t pass into breast milk.”
3. A woman’s history and appearance suggest drug abuse. The nurse’s best approach would be to:
A.) Ask the woman directly, “Do you use any street drugs?”
B.) Ask the woman if she would like to talk to a counselor.
C.) Ask some questions about over-the counter medications and avoid mention of illicit drugs.
D.) Explain how harmful drugs can be for her baby.
4. A 20 year old woman is at 28 weeks’ gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroine. The nurse should recognize that the woman is at increased risk for:
A. Erythroblastocis fetalis (2ndary to physiological blood disorders i.e. Rh incompat)
B. Diabeted Mellitus (unrelated to drug use/abuse)
C. Abruptio placentae (more commonly seen with cocaine/crack use)
D. Pregnancy-induced hypertension.
5. A client with insulin-dependent type II diabetes and and HbA1c of