Test bank for Maternity and Women's Health Care 13th Edition by Deitra Leonard Lowdermilk,Kitty Cashion, Kathryn Rhodes Alden, Ellen Olshansky and Shannon E. Perry ISBN:9780323810180 Chapter 1-38 | Complete Guide.

Maternity79and79Women's79Health79Care7913th79Edition79Lowdermilk
Test




Maternity and 79 79




Women's Health 79




Care13thEdit 9
7 9
7




ion 79




Lowdermilk Test 79




Bank

, Maternity79and79Women's79Health79Care7913th79Edition79Lowdermilk
Test
Chapter7901:7921st79Century79Maternity79and79Women’s79Health79Nursing79Lowde
rmilk:79Maternity79&79Women’s79Health79Care,7912th79Edition


MULTIPLE79CHOICE

1. In79evaluating79the79level79of79a79pregnant79woman’s79risk79of79having79a79low-birth-
weight79(LBW)79infant,79which79factor79is79the79most79important79for79the79nurse79to79co
nsider?
a. African-American79race
b. Cigarette79smoking
c. Poor79nutritional79status
d. Limited79maternal79education
ANS:7 9 A
The79rise79in79the79overall79LBW79rates79were79due79to79increases79in79LBW79births79to79non-
Hispanic79black79women79(13.35%)79and79Hispanic79women79(7.21%);79non-
Hispanic79black79infants79are79almost79twice79as79likely79as79non-
Hispanic79white79infants79to79be79of79LBW79and79to79die79in79the79first79year79of79life..79Race79i
s79a79nonmodifiable79risk79factor.79Cigarette79smoking79is79an79important79factor79in79potential7
9infant79mortality79rates,79but79it79is79not79the79most79important.79Additionally,79smoking79is79
a79modifiable79risk79factor.79Poor79nutrition79is79an79important79factor79in79potential79infant79
mortality79rates,79but79it79is79not79the79most79important.79Additionally,79nutritional79status79is7
9a79modifiable79risk79factor.79Maternal79education79is79an79important79factor79in79potential79in
fant79mortality79rates,79but79it79is79not79the79most79important.79Additionally,79maternal79educa
tion79is79a79modifiable79risk79factor.

PTS: 1 DIF:
Cognitive79Level:79Understand79TOP:
Nursing79Process:79Assessment
MSC:7 9 7 9 Client7 9 Needs:7 9 HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,7 9 Antepartum7 9 Care
2. A7923-year-old79African-
American79woman79is79pregnant79with79her79first79child.79Based79on79current79statistics79for7
9infant79mortality,79which79intervention79is79most79important79for79the79nurse79to79include79in
79the79client’s79plan79of79care?
a. Perform79a79nutrition79assessment.
b. Refer79the79woman79to79a79social79worker.
c. Advise79the79woman79to79see79an79obstetrician,79not79a79midwife.
d. Explain79to79the79woman79the79importance79of79keeping79her79prenatal79care79appointments.
ANS:7 9 D
Consistent79prenatal79care79is79the79best79method79of79preventing79or79controlling79risk79factor
s79associated79with79infant79mortality.79Nutritional79status79is79an79important79modifiable79risk7
9factor,79but79it79is79not79the79most79important79action79a79nurse79should79take79in79this79situati
on.79The79client79may79need79assistance79from79a79social79worker79at79some79time79during79her
79pregnancy,79but79a79referral79to79a79social79worker79is79not79the79most79important79aspect79th
e79nurse79should79address79at79this79time.79If79the79woman79has79identifiable79high-
risk79problems,79then79her79health79care79may79need79to79be79provided79by79a79physician.79Ho
wever,79it79cannot79be79assumed79that79all79African-American79women79have79high-
risk79issues.79In79addition,79advising79the79woman79to79see79an79obstetrician79is79not79the79mos
t79important79aspect79on79which79the79nurse79should79focus79at79this79time,79and79it79is79not79ap
propriate79for79a79nurse79to79advise79or79manage79the79type79of79care79a79client79is79to79receive.

PTS: 1 DIF:

,Maternity79and79Women's79Health79Care7913th79Edition79Lowdermilk
Test
Cognitive79Level:79Understand79TOP:
Nursing79Process:79Planning

, Maternity79and79Women's79Health79Care7913th79Edition79Lowdermilk
Test
MSC:7 9 Client79Needs:79Health79Promotion79and79Maintenance

3. The79nurses79working79at79a79newly79established79birthing79center79have79begun79to79com
pare79their79performance79in79providing79maternal-
newborn79care79against79clinical79standards.79This79comparison79process79is79most79com
monly79known79as79what?
a. Best79practices79network
b. Clinical79benchmarking
c. Outcomes-oriented79pracNtiUceR S
d. Evidence-based79practice
ANS:7 9 C
Outcomes-
oriented79practice79measures79the79effectiveness79of79the79interventions79and79quality79of79car
e79against79benchmarks79or79standards.79The79term79best79practice79refers79to79a79program79or79
service79that79has79been79recognized79for79its79excellence.79Clinical79benchmarking79is79a79pr
ocess79used79to79compare79one’s79own79performance79against79the79performance79of79the79bes
t79in79an79area79of79service.79The79term79evidence-
based79practice79refers79to79the79provision79of79care79based79on79evidence79gained79through79r
esearch79and79clinical79trials.

PTS: 1 DIF:
Cognitive79Level:79Understand79TOP:
Nursing79Process:79Evaluation
MSC:7 9 Client79Needs:79Safe79and79Effective79Care79Environment

4. During79a79prenatal79intake79interview,79the79nurse79is79in79the79process79of79obtaining
79an79initial79assessment79of79a7921-year-
old79Hispanic79client79with79limited79English79proficiency.79Which79intervention79is79t
he79most79important79for79the79nurse79to79implement?
a. Use79maternity79jargon79to79enable79the79client79to79become79familiar79with79these79terms.
b. Speak79quickly79and79efficiently79to79expedite79the79visit.
c. Provide79the79client79with79handouts.
d. Assess79whether79the79client79understands79the79discussion.
ANS:7 9 D
Nurses79contribute79to79health79literacy79by79using79simple,79common79words,79avoiding79jar
gon,79and79evaluating79whether79the79client79understands79the79discussion.79Speaking79slowl
y79and79clearly79and79focusing79on79what79is79important79will79increase79understanding.79Mos
t79client79education79materials79are79written79at79a79level79too79high79for79the79average79adult7
9and79may79not79be79useful79for79a79client79with79limited79English79proficiency.



PTS: 1 DIF:
Cognitive79Level:79Apply79TOP:
Nursing79Process:79Implementation
MSC:7 9 Client79Needs:79Health79Promotion79and79Maintenance


5. Which79statement79best79exemplifies79contemporary79maternity79nursing?
a. Use79of79midwives79for79all79vaginal79deliveries
b. Family-centered79care
c. Free-standing79birth79clinics
d. Physician-
driven79care79ANS:7 9 B