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BASIC GERIATRIC NURSING 7th EDITION BY WILLIAMS

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Chapter 1: Trends and Issues Multiple Choice 1. Since 1995 there has been a significant decrease in the rate of infant deathrelated 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 membranesANS: 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 theirbacks when sleeping. d. The rates of newborns affected by complications of placenta, cord, andmembranes have increased. 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 hasthe highest percentages ofsmokers? 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 womanANS: d Feedback a. Although age is a risk factor, income contributes to disparity. b. Although African American women are at increased risk, income accounts forthe largest disparity. c. Although age and race contribute to increased risk, income accounts for thelargest disparity. d. Although age and race contribute to increased risk, income accounts for thelargest disparity. 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. 5. The perinatal nurse explains to the student nurse that a goal of the HealthyPeople 2020 report is to: a. Increase proportion of infants who are breastfed to 93.1%. b. Increase proportion of infants who are breastfed to 90.7%. c. Increase proportion of infants who are breastfed to 85.6%. d. Increase proportion of infants who are breastfed to 83.9%.ANS: d A goal of Healthy People 2020 is to increase the proportion of infants who are breastfed from 74% to 81.9%

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