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NCPD Tests

Social Determinant of Housing Instability and Adverse Pregnancy Outcomes: A Scoping Review

The Journal of Perinatal & Neonatal Nursing: April/May 2022 - Volume 36 - Issue 2 - p E3
doi: 10.1097/JPN.0000000000000659
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  • Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at Tests can no longer be mailed or faxed.
  • You'll need to create an account (it's free!) and log in to access My Planner before taking online tests. Your planner will keep track of all your Lippincott Professional Development online NCPD activities for you.
  • There's only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
  • For questions, contact Lippincott Professional Development: 1-800-787-8985.
  • Registration deadline is March 7, 2025.


Lippincott Professional Development will award 2.5 contact hours for this nursing continuing professional development activity.

Lippincott Professional Development is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

Payment: The registration fee for this test is $24.95.



Learning Outcome: Seventy-five percent of participants will demonstrate knowledge of pregnancy-related morbidity in birthing individuals and their infants experiencing housing instability (HI) by achieving a minimum score of 70% on the outcomes-based posttest.

Learning Objectives: After completing this continuing professional development activity, the participant will be able to:

  1. Select issues related to the epidemiology of HI and pregnancy-related mortality.
  2. Identify birthing individual morbidities related to HI.
  3. Recognize infant outcomes related to HI.
  1. In the United States in 2021, which ethnic group made up 12% of the country's population but accounted for 39% of all people experiencing HI?
    1. African American/Black
    2. Asian American
    3. Hispanic/Latina
  2. According to the Committee on Healthcare for Homeless Women (2013), what is one of the chronic conditions commonly seen in the HI population?
    1. asthma
    2. high cholesterol
    3. chronic pain
  3. Compared with non-Hispanic White women, how much higher is the rate of pregnancy-related mortality in non-Hispanic Black women?
    1. 2.6 times
    2. 3.4 times
    3. 4.1 times
  4. In Killion's 1995 ethnographic study, what was one of the challenges faced by the women during pregnancy?
    1. limited access to prescription medications
    2. frequent urinary tract infections
    3. being uninsured or underinsured
  5. In their 1991 study, what did Pennbridge et al report about homeless pregnant adolescents/youth as compared with housed pregnant adolescents/youth?
    1. They were younger; 46% were younger than 16 years.
    2. They were 4 times as likely to have a major mental illness.
    3. Sixty-four percent of them had sexually transmitted infections compared with less than 25% of those who were housed.
  6. In the Fragile Families and Child Wellbeing Study, what did the researchers find was 2 times higher among homeless pregnant participants than those in low-income housing settings?
    1. posttraumatic stress disorder
    2. underweight or class III obesity
    3. drug or alcohol problems
  7. As noted in the article, one of the specific complications that was significantly higher in pregnant participants with unstable housing (sheltered vs unsheltered) in the Clark et al (2019) study included
    1. venous thromboembolism.
    2. hypertension complicating pregnancy.
    3. peripartum cardiomyopathy.
  8. Richards et al (2011) found that unstably housed birthing individuals who used the Women, Infants, and Children (WIC) program
    1. practiced skin-to-skin contact.
    2. breastfed their children.
    3. got their children vaccinated.
  9. The 2015 analysis of Medicaid claims data in the Pregnancy Medical Home program in North Carolina revealed that homelessness or unstable housing was a risk factor for
    1. placental abruption or previa.
    2. dehydration in the newborn.
    3. preterm birth.
  10. According to Bassuk and Beardslee (2014), the prevention and treatment of what condition must be part of any effective solution to HI as it can interfere with obtaining housing and services that families need?
    1. attention-deficit/hyperactivity disorder
    2. schizophrenia
    3. depression
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