1. Refer the patient to a drug abuse program. 2. Screen the infant for side effects associated with cocaine use.

3. Educate the patient of the risks associated with cocaine use during pregnancy. 4. Advise the patient that her baby will be okay even with the history of cocaine use. ____ 13. A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child’s father. Which of the following is accurate? 1. The patient’s infant is at increased risk of neonatal blindness. 2. The patient’s infant has a decreased risk of birth injury. 3. The patient will have increased risk of wound infection. 4. The patient will have a decreased risk of preeclampsia. ____ 14. The nurse has made it a goal to increase the rate at which women begin prenatal care in the first trimester. The nurse relates this decision to national goals for better maternal and infant outcomes. What guidelines will the nurse use to guide her maternal health goals? 1. WHO Maternal care guidelines

2. State Practice Acts 3. AWHONN white papers 4. Healthy People 2020 ____ 15. A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery. What guidelines will the nursing student use to assist in setting her goals? 1. WHO Maternal care guidelines 2. Healthy People 2020 3. AWHONN white papers 4. State Practice Act Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 16. A woman has recently given birth to an infant born at 35 weeks and 5 days gestation. What long-term effects should the nurse be concerned about with the infant being born at this gestation? Select all that apply.

1. Cerebral palsy 2. Respiratory disorders 3. Developmental delays 4. Visual impairments 5. Hearing impairments ____ 17. An infant was recently born weighing 1,498 grams. The nurse understands that the birth weight of this infant is an important indicator of what? Select all that apply. 1. Morbidity rate 2. Prenatal care 3. Mortality rate 4. Infant health outcome 5. Postpartum care ____ 18. The nurse is taking the history of a gravida 2 para 1 patient. Which findings in the patient’s history warrant further action? Select all that apply.

1. Anemia 2. Severe hemorrhage 3. Infections 4. Malnutrition 5. Eclampsia ____ 19. A nurse is caring for a single teen mother who has just given birth to her first child. The patient notes that the child’s father “wants no relationship with his son.” The patient goes on to express concerns about the short- and long-term impact of her teen pregnancy on herself and on her child. Which statements made by the nurse are accurate? Select all that apply.