Health Promotion in Nursing 3rd Edition

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Chapter 9 Promoting Mother, Infant, and Toddler Health

MULTIPLE CHOICE

1. Infant mortality refers to:

a. death rate of infants.
b. illness rate of infants.
c. postpartum depression occurrence in new mothers.
d. socio-economic status of parents of the infant.
ANS: A PTS: 1 DIF: Easy

2. What is the percentage of unintended pregnancies among adult women in the United States?
a. 25%
b. 35%
c. 50%
d. 75%
ANS: C PTS: 1 DIF: Moderate

3. Which of the following prenatal nutritional supplements is necessary to prevent neural tube disorders
in newborns?
a. Calcium
b. Folic acid
c. Iron
d. Vitamin C
ANS: B PTS: 1 DIF: Moderate

4. Nonhormonal contraceptives prevent pregnancy by which of the following actions?

a. Interfering with sperm movement and/or creating a difficult environment for sperm to
travel
b. Preventing the ovary from releasing an egg into a fallopian tube
c. Thickening of the cervical mucus, making it difficult for sperm to enter the uterus
d. Thinning of the lining of the endometrium to prevent implantation of the fertilized ovum
ANS: A PTS: 1 DIF: Moderate

5. Which of the following are important nutrients for fathers-to-be to improve sperm production?
a. Ascorbic acid and iron
b. Folic acid and Vitamin B
c. Vitamin K and magnesium
d. Zinc and selenium
ANS: D PTS: 1 DIF: Challenging

6. Genetic counseling would be recommended for prospective mothers and fathers who have a family
history of which one of the following?
a. Breast cancer
b. Diabetes mellitus
c. Cystic fibrosis
d. Rubella
ANS: C PTS: 1 DIF: Challenging
 7. Dangers to the fetus from environmental tobacco smoke include:
a. hearing loss and vision disturbances.
b. impaired fetal growth and low birth weight.
c. muscular dystrophy and skeletal deformities.
d. seizures and neurological deficits.
ANS: B PTS: 1 DIF: Moderate

8. Pregnancy (gestation) in humans lasts approximately how long?

a. 30 weeks
b. 34 weeks
c. 36 weeks
d. 40 weeks
ANS: D PTS: 1 DIF: Easy

9. Women with a normal body mass index are recommended to have a weight gain of how many pounds
during pregnancy?
a. 15 to 20
b. 20 to 40
c. 25 to 35
d. 30 to 45
ANS: C PTS: 1 DIF: Easy

10. Which of the following sweeteners should be avoided by pregnant women?

a. Nutrasweet (aspartame)
b. Splenda (sucralose)
c. Sweet’N Low (saccharin)
d. White refined sugar
ANS: C PTS: 1 DIF: Moderate

11. Which of the following is a pregnancy risk factor for chromosomal abnormalities?
a. Fetus with ultrasound showing increased neck thickness
b. Father with history of alcoholism or substance use
c. Mother older than 25 carrying more than one fetus
d. Parents younger than 18 years of age
ANS: A PTS: 1 DIF: Moderate

12. Which of the following requires companies with 50 or more employees to allow an employee who is
pregnant or the partner of a pregnant woman to take up to 12 weeks of unpaid leave in the year
following the birth of their baby?
a. Family and Medical Leave Act of 1993
b. Pregnancy Discrimination Act of 1978
c. Medicaid Amendment of 1965
d. Roe versus Wade decision of 1973
ANS: A PTS: 1 DIF: Easy

13. Infants are physiologically and developmentally ready for solid foods at what age?
a. 4 months
b. 6 months
c. 10 months
 d. 12 months
ANS: B PTS: 1 DIF: Moderate

14. Which of the following actions is recommended to prevent sudden infant death syndrome (SIDS) in
infants?
a. Allowing infants to sleep in the same bed as the parents
b. Offering a pacifier at naptime and bedtime for the first year
c. Positioning the infant in a side-lying position
d. Propping the infant’s head on a small soft pillow
ANS: B PTS: 1 DIF: Moderate

15. What immunization is provided to infants at birth?

a. Hepatitis B
b. Diphtheria, tetanus, and pertussis (DPT)
c. Measles, mumps, and rubella (MMR)
d. Pneumococcal (PCV)
ANS: A PTS: 1 DIF: Moderate

TRUE/FALSE

1. The flu vaccine can be administered to infants as young as 6 months.

ANS: T PTS: 1 DIF: Easy

2. Pregnant women should have a daily intake of 1000 to 1300 mg of calcium, 1 to 4 mg of folic acid,
and 30 mg of iron.

ANS: F PTS: 1 DIF: Moderate

3. Lactation uses about 500 calories a day, making it the best way to lose weight after childbirth.

ANS: F PTS: 1 DIF: Easy

4. Sex during pregnancy, especially during the last trimester, creates a significant risk for harm to the
fetus.

ANS: F PTS: 1 DIF: Easy

5. A lack of babbling at 6 months of age, coupled with parental reports of lack of response, warrants a
hearing evaluation by an audiologist.

ANS: T PTS: 1 DIF: Easy

6. The most important nutritional health-promotion strategy is to encourage the mother to breast-feed her
infant.

ANS: T PTS: 1 DIF: Easy

7. The United States is among the top 10 countries in the world having the lowest rates of infant deaths.

ANS: F PTS: 1 DIF: Easy

 8. The breast-fed infant does not get fluoride; therefore supplementation is recommended after 6 months
of age.

ANS: T PTS: 1 DIF: Moderate

9. Motor vehicle accidents are the leading cause of death in infants.

ANS: F PTS: 1 DIF: Easy

10. Trust versus mistrust is the conflict stage for the first stage of development at the infant level.

ANS: T PTS: 1 DIF: Easy

MATCHING

Match the following terms with the description below:

a. Couvade
b. Dyspepsia
c. Edwards’ Syndrome
d. Pica
e. Toxoplasmosis
1. Trisomy 18 chromosomal abnormality
2. Virus that can affect the fetus if the mother becomes infected
3. Ingestion of substances with no food value
4. Commonly known as heartburn
5. Sympathetic pregnancy by the father

1. ANS: C PTS: 1 DIF: Moderate

2. ANS: E PTS: 1 DIF: Moderate
3. ANS: D PTS: 1 DIF: Moderate
4. ANS: B PTS: 1 DIF: Easy
5. ANS: A PTS: 1 DIF: Moderate