Chapter 1 Trends and Issues

Chapter 1  Trends and Issues

Complete Chapter Questions And Answers
 

Sample Questions

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.

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Easy

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

Feedback
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.

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Easy

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.

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate

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.
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Easy