Created3By:3A3Solution
Maternity and Women's Health Care 13th Edition Lowd
3 3 3 3 3 3 3
ermilk Test Bank A+
3 3 3
Chapter301:321st3Century3Maternity3and3Women’s3Health3Nursing3Lowdermilk:3Maternity3&3W
omen’s3Health3Care,313th3Edition
MULTIPLE3CHOICE
1. In3evaluating3the3level3of3a3pregnant3woman’s3risk3of3having3a3low-birth-
weight3(LBW)3infant,3which3factor3is3the3most3important3for3the3nurse3to3consider?
a. African-American3race
b. Cigarette3smoking
c. Poor3nutritional3status
d. Limited3maternal3education
3ANS:3A
The3rise3in3the3overall3LBW3rates3were3due3to3increases3in3LBW3births3to3non-
Hispanic3black3women3(13.35%)3and3Hispanic3women3(7.21%);3non-
Hispanic3black3infants3are3almost3twice3as3likely3as3non-
Hispanic3white3infants3to3be3of3LBW3and3to3die3in3the3first3year3of3life..3Race3is3a3nonmodifiabl
e3risk3factor.3Cigarette3smoking3is3an3important3factor3in3potential3infant3mortality3rates,3but3it3i
s3not3the3most3important.3Additionally,3smoking3is3a3modifiable3risk3factor.3Poor3nutrition3is3an3
important3factor3in3potential3infant3mortality3rates,3but3it3is3not3the3most3important.3Additionally,
3nutritional3status3is3a3modifiable3risk3factor.3Maternal3education3is3an3important3factor3in3potent
ial3infant3mortality3rates,3but3it3is3not3the3most3important.3Additionally,3maternal3education3is3a3
modifiable3risk3factor.
PTS: 1 DIF: Cognitive3Level:3Understand3TOP:
Nursing3Process:3Assessment3MSC:3 Client3Needs:3HealtNhUPrRoSmIotNioGnTanB
d.MCaOinMtenance,3Antepartum3Care
2. A323-year-old3African-
American3woman3is3pregnant3with3her3first3child.3Based3on3current3statistics3for3infant3m
ortality,3which3intervention3is3most3important3for3the3nurse3to3include3in3the3client’s3plan
3of3care?
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,Created3By:3A3Solution
a. Perform3a3nutrition3assessment.
b. Refer3the3woman3to3a3social3worker.
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,Created3By:3A3Solution
c. Advise3the3woman3to3see3an3obstetrician,3not3a3midwife.
d. Explain3to3the3woman3the3importance3of3keeping3her3prenatal3care3appointment
s.3ANS:3D
Consistent3prenatal3care3is3the3best3method3of3preventing3or3controlling3risk3factors3associated3
with3infant3mortality.3Nutritional3status3is3an3important3modifiable3risk3factor,3but3it3is3not3the3
most3important3action3a3nurse3should3take3in3this3situation.3The3client3may3need3assistance3from
a social3worker3at3some3time3during3her3pregnancy,3but3a3referral3to3a3social3worker3is3not3the3
3 3
most3important3aspect3the3nurse3should3address3at3this3time.3If3the3woman3has3identifiable3high-
risk3problems,3then3her3health3care3may3need3to3be3provided3by3a3physician.3However,3it3cannot
3be3assumed3that3all3African-American3women3have3high-
risk3issues.3In3addition,3advising3the3woman3to3see3an3obstetrician3is3not3the3most3important3asp
ect3on3which3the3nurse3should3focus3at3this3time,3and3it3is3not3appropriate3for3a3nurse3to3advise3
or3manage3the3type3of3care3a3client3is3to3receive.
PTS: 1 DIF: Cognitive3Level:3Understand3TOP: Nursing3Process:3Planning
MSC:3Client3Needs:3Health3Promotion3and3Maintenance
3. The3nurses3working3at3a3newly3established3birthing3center3have3begun3to3compare3the
ir3performance3in3providing3maternal-
newborn3care3against3clinical3standards.3This3comparison3process3is3most3commonly3known3
as3what?
a. Best3practices3network
b. Clinical3benchmarking
c. Outcomes-oriented3pracNtiUceRS
d. Evidence-
based3practice3ANS:3C
Outcomes-
oriented3practice3measures3the3effectiveness3of3the3interventions3and3quality3of3care3against3ben
chmarks3or3standards.3The3term3best3practice3refers3to3a3program3or3service3that3has3been3recog
nized3for3its3excellence.3Clinical3benchmarking3is3a3process3used3to3compare3one’s3own3perfor
mance3against3the3performance3of3the3best3in3an3area3of3service.3The3term3evidence-
3based3practice3refers3to3the3provision3of3care3based3on3evidence3gained3through3research3and3cl
A+ Page33
, Created3By:3A3Solution
inical3trials.
A+ Page34
Maternity and Women's Health Care 13th Edition Lowd
3 3 3 3 3 3 3
ermilk Test Bank A+
3 3 3
Chapter301:321st3Century3Maternity3and3Women’s3Health3Nursing3Lowdermilk:3Maternity3&3W
omen’s3Health3Care,313th3Edition
MULTIPLE3CHOICE
1. In3evaluating3the3level3of3a3pregnant3woman’s3risk3of3having3a3low-birth-
weight3(LBW)3infant,3which3factor3is3the3most3important3for3the3nurse3to3consider?
a. African-American3race
b. Cigarette3smoking
c. Poor3nutritional3status
d. Limited3maternal3education
3ANS:3A
The3rise3in3the3overall3LBW3rates3were3due3to3increases3in3LBW3births3to3non-
Hispanic3black3women3(13.35%)3and3Hispanic3women3(7.21%);3non-
Hispanic3black3infants3are3almost3twice3as3likely3as3non-
Hispanic3white3infants3to3be3of3LBW3and3to3die3in3the3first3year3of3life..3Race3is3a3nonmodifiabl
e3risk3factor.3Cigarette3smoking3is3an3important3factor3in3potential3infant3mortality3rates,3but3it3i
s3not3the3most3important.3Additionally,3smoking3is3a3modifiable3risk3factor.3Poor3nutrition3is3an3
important3factor3in3potential3infant3mortality3rates,3but3it3is3not3the3most3important.3Additionally,
3nutritional3status3is3a3modifiable3risk3factor.3Maternal3education3is3an3important3factor3in3potent
ial3infant3mortality3rates,3but3it3is3not3the3most3important.3Additionally,3maternal3education3is3a3
modifiable3risk3factor.
PTS: 1 DIF: Cognitive3Level:3Understand3TOP:
Nursing3Process:3Assessment3MSC:3 Client3Needs:3HealtNhUPrRoSmIotNioGnTanB
d.MCaOinMtenance,3Antepartum3Care
2. A323-year-old3African-
American3woman3is3pregnant3with3her3first3child.3Based3on3current3statistics3for3infant3m
ortality,3which3intervention3is3most3important3for3the3nurse3to3include3in3the3client’s3plan
3of3care?
A+ Page31
,Created3By:3A3Solution
a. Perform3a3nutrition3assessment.
b. Refer3the3woman3to3a3social3worker.
A+ Page32
,Created3By:3A3Solution
c. Advise3the3woman3to3see3an3obstetrician,3not3a3midwife.
d. Explain3to3the3woman3the3importance3of3keeping3her3prenatal3care3appointment
s.3ANS:3D
Consistent3prenatal3care3is3the3best3method3of3preventing3or3controlling3risk3factors3associated3
with3infant3mortality.3Nutritional3status3is3an3important3modifiable3risk3factor,3but3it3is3not3the3
most3important3action3a3nurse3should3take3in3this3situation.3The3client3may3need3assistance3from
a social3worker3at3some3time3during3her3pregnancy,3but3a3referral3to3a3social3worker3is3not3the3
3 3
most3important3aspect3the3nurse3should3address3at3this3time.3If3the3woman3has3identifiable3high-
risk3problems,3then3her3health3care3may3need3to3be3provided3by3a3physician.3However,3it3cannot
3be3assumed3that3all3African-American3women3have3high-
risk3issues.3In3addition,3advising3the3woman3to3see3an3obstetrician3is3not3the3most3important3asp
ect3on3which3the3nurse3should3focus3at3this3time,3and3it3is3not3appropriate3for3a3nurse3to3advise3
or3manage3the3type3of3care3a3client3is3to3receive.
PTS: 1 DIF: Cognitive3Level:3Understand3TOP: Nursing3Process:3Planning
MSC:3Client3Needs:3Health3Promotion3and3Maintenance
3. The3nurses3working3at3a3newly3established3birthing3center3have3begun3to3compare3the
ir3performance3in3providing3maternal-
newborn3care3against3clinical3standards.3This3comparison3process3is3most3commonly3known3
as3what?
a. Best3practices3network
b. Clinical3benchmarking
c. Outcomes-oriented3pracNtiUceRS
d. Evidence-
based3practice3ANS:3C
Outcomes-
oriented3practice3measures3the3effectiveness3of3the3interventions3and3quality3of3care3against3ben
chmarks3or3standards.3The3term3best3practice3refers3to3a3program3or3service3that3has3been3recog
nized3for3its3excellence.3Clinical3benchmarking3is3a3process3used3to3compare3one’s3own3perfor
mance3against3the3performance3of3the3best3in3an3area3of3service.3The3term3evidence-
3based3practice3refers3to3the3provision3of3care3based3on3evidence3gained3through3research3and3cl
A+ Page33
, Created3By:3A3Solution
inical3trials.
A+ Page34
