Chapter 5 - Health Promotion

Which reflects one purpose of preconception care?

a. Ensure that pregnancy complications do not occur.

b. Identify women who should not become pregnant.

c. Encourage healthy lifestyles for families desiring pregnancy.

d. Ensure that women know about prenatal care.

c. Encourage healthy lifestyles for families desiring pregnancy.

A nurse who provides preconception care understands which about preconception care?

a. It is designed for women who have never been pregnant.

b. It includes risk factor assessments for potential medical and psychological problems but does not consider socioeconomic status.

c. It avoids teaching about safer sex, as the woman is seeking pregnancy.

d. It could include interventions to reduce substance use.

d. It could include interventions to reduce substance use.

Which reflects one purpose of preconception care?

a. Ensure that pregnancy complications do not occur.

b. Identify women who should not become pregnant.

c. Encourage healthy lifestyles for families desiring pregnancy.

d. Ensure that women know about prenatal care.

c. Encourage healthy lifestyles for families desiring pregnancy.

A nurse who provides preconception care understands which about preconception care?

a. It is designed for women who have never been pregnant.

b. It includes risk factor assessments for potential medical and psychological problems but does not consider socioeconomic status.

c. It avoids teaching about safer sex, as the woman is seeking pregnancy.

d. It could include interventions to reduce substance use.

d. It could include interventions to reduce substance use.

What should nurses be aware of concerning the use and misuse of legal drugs or substances?

a. Although cigarette smoking causes a number of health problems, it has little direct effect on maternity-related health.

b. About 75% of women age 15 and older report alcohol consumption.

c. Coffee is a stimulant that can interrupt body functions and has been related to birth defects.

d. Prescription psychotherapeutic medications taken by the mother do not affect the fetus; otherwise, they would not have been prescribed.

b. About 75% of women age 15 and older report alcohol consumption.

The use of methamphetamine has been steadily increasing in Canada. What must the nurse be cognizant of in relation to methamphetamine use, to provide adequate nursing care to this patient population?

a. It is used only by those of a higher socioeconomic status, because of the expense.

b. It contains amphetamine, a central nervous system stimulant, as the active ingredient.

c. It manifests a response similar to marijuana when smoked.

d. Its use by fertile women decreases their sexual activity.

b. It contains amphetamine, a central nervous system stimulant, as the active ingredient.

Which opiate causes euphoria, relaxation, drowsiness, and detachment from reality and has increased risk of pregnancy complications?

a. Heroin

b. Alcohol

c. PCP

d. Cocaine

a. Heroin

What would be the best method for a nurse to use when teaching a new parent how to give a baby bath?

a. Group discussion

b. Lecture

c. Role play

d. Return demonstration

d. Return demonstration

The use of which during pregnancy causes vasoconstriction and decreased placental perfusion, resulting in maternal and neonatal complications?

a. Alcohol

b. Caffeine

c. Tobacco

d. Vitamin A

c. Tobacco

Which is true in relation to Kegel exercises?

a. They were developed to control or reduce incontinent urine loss.

b. They are the best exercises for a pregnant woman because they are so pleasurable.

c. They help to manage stress.

d. They are ineffective without sufficient calcium in the diet.

a. They were developed to control or reduce incontinent urine loss.

Body mass index is an important part of the health screening process, because obesity is closely associated with what?

a. Lower infant mortality rates

b. A large number of chronic conditions

c. Mostly acute illnesses

d. Improved mental well-being

b. A large number of chronic conditions

A nurse is most likely aware of the psychological symptoms of stress, such as anxiety and depression; however, a number of physiological symptoms may also occur. To best assist the patient in managing these symptoms, the nurse should be aware that stress may also result in which response?

a. Decreased heart rate and blood pressure

b. Rapid digestion resulting in heartburn

c. Decrease in hormone levels

d. Flare-ups of arthritis and asthma

d. Flare-ups of arthritis and asthma

When evaluating the care of a person in an abusive situation, which is a nurse’s best measure?

a. The abused person’s decision to leave their partner

b. The abused person’s declaration of a safety plan

c. The couple’s follow-through on a referral for counselling

d. The abused person’s gratitude to the nurse for the helpful information

b. The abused person’s declaration of a safety plan

Intervention for the survivor of sexual abuse often is not attempted by perinatal and women’s health nurses because of their concern about increasing the person’s distress and the lack of expertise in counselling. Which initial intervention is appropriate and most important in facilitating the abused person’s care?

a. Initiate a referral to an expert counsellor.

b. Set limits on what the patient discloses.

c. Listen and encourage therapeutic communication skills.

d. Acknowledge the nurse’s discomfort to the patient as an expression of empathy.

c. Listen and encourage therapeutic communication skills.

Which is one of the Five A’s of the Interventions for Smoking Cessation?

a. Abuse

b. Advise

c. Advocate

d. Accommodate

b. Advise

Which is true in relation to intimate partner violence?

a. Alcohol and drug use cause battering.

b. Many offenders are successful professionals.

c. Battering occurs in a small percentage of the population.

d. Only people who come from abusive families end up in abusive relationships.

b. Many offenders are successful professionals.

What should a nurse be aware of related to intimate partner violence (IPV)?

a. Relationship violence usually consists of a single episode that the couple can put behind them.

b. Violence often declines or ends with pregnancy.

c. Economic abuse is considered part of IPV.

d. People who are battered generally are poorly educated and come from a deprived social background.

c. Economic abuse is considered part of IPV.

What percentage of Canadians live with deep income poverty?

a. 3.1%

b. 4.6%

c. 6.9%

d. 8.5%

b. 4.6%

During which phase of the cycle of violence does the batterer become contrite and remorseful?

a. Battering phase

b. Honeymoon phase

c. Tension-building phase

d. Increased drug-taking phase

b. Honeymoon phase

A patient who is older than 35 years may have difficulty achieving pregnancy primarily because

a. personal risk behaviours influence fertility.

b. They have used contraceptives for an extended time.

c. their ovaries may be affected by the aging process.

d. prepregnancy medical attention is lacking.

c. their ovaries may be affected by the aging process.

Which are correlated with the occurrence of sleep disorders? (Select all that apply.)

a. Anxiety

b. Depression

c. Fibromyalgia

d. Hypertension

e. Pain

f. Obesity

b. Depression, c. Fibromyalgia, e. Pain

Which aspects should be included in well-women care for a healthy 23-year-old? (Select all that apply.)

a. Contraception information

b. Pre-conception counselling

c. Diabetes screening

d. Clinical breast examination

e. Papanicolaou (Pap) test

a. Contraception information, b. Pre-conception counselling