Maternity and Women's Health Care 13th Edition Lowdermilk Test
()
TestBank
For Maternityand Women's HealthCare
13th Edition Lowdermilk
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Chapt () ()
Bank
er 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mater
nity & Women’s Health Care, 12th Edition
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth- ()
weight (LBW)infant, which factor is the most important for the nurse to consider?
()
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
Hispanic black infants are almost twice as likely as non-
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
ble risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but
() ()
it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition
is an important factor in potential infant mortality rates, but it is not the most important. Ad
ditionally, nutritional status is a modifiable risk factor. Maternal education is an important fa
ctor in potential infant mortality rates, but it is not the most important. Additionally, materna
() ()
l education is a modifiable risk factor.
(
PTS: 1 DIF:
Cognitive Level: Understand TOP:
() ()
Nursing Process: Assessment
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
2. A 23-year-old African-
American woman is pregnant with her first child. Based on current statistics for infant mort
()
ality, which intervention is most important for the nurse to include in the client’s plan of car
() ()
e?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
()
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associate
d with infant mortality. Nutritional status is an important modifiable risk factor, butit is not the
()
most important action a nurse should take in this situation. The client may need assistance fr
om a social worker at some time during her pregnancy, but a referral to a socialworker is not
the most important aspect the nurse should address at this time. If the woman has identifiable
high-
risk problems, then her health care may need to be provided by a physician. However, it cann
()
ot be assumed that all African-American women have high-
()
risk issues. In addition, advising the woman to see an obstetrician is not the most important as
() ()
pect on which the nurse should focus at this time, and it is not appropriate for a nurse to advis
e or manage the type of care a client is to receive.
PTS: 1 DIF:
Cognitive Level: Understand TOP:
() ()
Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ()
MSC: Client Needs: Health Promotion and Maintenance
()
3. The nurses working at a newly established birthing center have begun to compare theirp
erformance in providing maternal-
newborn care against clinical standards. This comparison process is most commonlyk
nown as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracNtiUceR S
d. Evidence-based practice
ANS: C
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
benchmarks or standards. The term best practice refers to a program or service that has been r
() ()
ecognized for its excellence. Clinical benchmarking is a process used to compare one’s own
performance against the performance of the best in an area of service. The term evidence-
based practice refers to the provision of care based on evidence gained through research and
clinical trials.
PTS: 1 DIF:
Cognitive Level: UnderstandTOP:
Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial a
()
ssessment of a 21-year-
old Hispanic client with limited English proficiency. Which intervention is the most i
() () ()
mportant for the nurse to implement?
a. Use maternity jargon to enable the client to become familiar with these terms.
()
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
()
d. Assess whether the client understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
evaluating whether the client understands the discussion. Speaking slowly and clearly and f
() ()
ocusing on what is important will increase understanding. Most client education materialsar
() ()
e written at a level too high for the average adult and may not be useful for a client withlim
ited English proficiency.
PTS: 1 DIF:
Cognitive Level: ApplyTOP:
Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
()
5. Which statement best exemplifies contemporarymaternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
()
d. Physician-
drivencareANS: B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ()
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner
s, grandparents, and siblings may be present for the birth and participate in activities such as c
() ()
utting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
()
Free-
standing clinics are an example of alternative birth options. Contemporary maternity nursing
is driven by the relationship between nurses and their clients.
PTS: 1 DIF:
Cognitive Level: UnderstandTOP:
Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
()
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
ounce baby girl after being in labor for 43 hours. The baby died 3 days later from sepsis. On
()
what grounds could the woman have a legitimate legal case for negligence?
a. Inexperienced maternity nursewas assigned to care for the client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperi
enced maternity nurse would need to displaycompetency before being assigned to care for cl()
ients on his or her own. This client may have been past her due date; however, a term pregn
()
ancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard of
care, the client has the right to refuse treatment. This refusal is not a case for negligence, bu
t informed consent should be properly obtained, and the client should have signed an again
st medical advice form when refusing any treatment that is within the standardof care.
PTS: 1 DIF:
Cognitive Level: Analyze TOP: ()
Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
7. When the nurse is unsure how to perform a client care procedure that is high risk and lowv
() ()
olume, his or her best action in this situation would be what?
()
a. Ask another nurse.
b. Discuss the procedure with the client’s physician.
c. Look up the procedure in a nursing textbook.
d. First consult the agency procedure manual
ANS: D
Following the agency’s policies and procedures manual is always best when seeking inform ()
ation on correct client procedures. These policies should reflect the current standards of care ()
and the individual state’s guidelines. Each nurse is responsible for his or her own practice. R
elying on another nurse may not always be a safe practice. Each nurse is obligated to follow
()
the standards of care for safe client care delivery. Physicians are responsible for their own cl
ient care activity. Nurses may follow safe orders from physicians, but they are also responsi
()
ble for the activities that they, as nurses, are to carry out. Information provided in a nursing t ()
extbook is basic information for general knowledge.Furthermore, the information in a textbo
ok may not reflect the current standard of care or the individual state or hospital policies.
()
()
TestBank
For Maternityand Women's HealthCare
13th Edition Lowdermilk
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Chapt () ()
Bank
er 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mater
nity & Women’s Health Care, 12th Edition
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth- ()
weight (LBW)infant, which factor is the most important for the nurse to consider?
()
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
Hispanic black infants are almost twice as likely as non-
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
ble risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but
() ()
it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition
is an important factor in potential infant mortality rates, but it is not the most important. Ad
ditionally, nutritional status is a modifiable risk factor. Maternal education is an important fa
ctor in potential infant mortality rates, but it is not the most important. Additionally, materna
() ()
l education is a modifiable risk factor.
(
PTS: 1 DIF:
Cognitive Level: Understand TOP:
() ()
Nursing Process: Assessment
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
2. A 23-year-old African-
American woman is pregnant with her first child. Based on current statistics for infant mort
()
ality, which intervention is most important for the nurse to include in the client’s plan of car
() ()
e?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
()
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associate
d with infant mortality. Nutritional status is an important modifiable risk factor, butit is not the
()
most important action a nurse should take in this situation. The client may need assistance fr
om a social worker at some time during her pregnancy, but a referral to a socialworker is not
the most important aspect the nurse should address at this time. If the woman has identifiable
high-
risk problems, then her health care may need to be provided by a physician. However, it cann
()
ot be assumed that all African-American women have high-
()
risk issues. In addition, advising the woman to see an obstetrician is not the most important as
() ()
pect on which the nurse should focus at this time, and it is not appropriate for a nurse to advis
e or manage the type of care a client is to receive.
PTS: 1 DIF:
Cognitive Level: Understand TOP:
() ()
Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ()
MSC: Client Needs: Health Promotion and Maintenance
()
3. The nurses working at a newly established birthing center have begun to compare theirp
erformance in providing maternal-
newborn care against clinical standards. This comparison process is most commonlyk
nown as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracNtiUceR S
d. Evidence-based practice
ANS: C
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
benchmarks or standards. The term best practice refers to a program or service that has been r
() ()
ecognized for its excellence. Clinical benchmarking is a process used to compare one’s own
performance against the performance of the best in an area of service. The term evidence-
based practice refers to the provision of care based on evidence gained through research and
clinical trials.
PTS: 1 DIF:
Cognitive Level: UnderstandTOP:
Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial a
()
ssessment of a 21-year-
old Hispanic client with limited English proficiency. Which intervention is the most i
() () ()
mportant for the nurse to implement?
a. Use maternity jargon to enable the client to become familiar with these terms.
()
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
()
d. Assess whether the client understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
evaluating whether the client understands the discussion. Speaking slowly and clearly and f
() ()
ocusing on what is important will increase understanding. Most client education materialsar
() ()
e written at a level too high for the average adult and may not be useful for a client withlim
ited English proficiency.
PTS: 1 DIF:
Cognitive Level: ApplyTOP:
Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
()
5. Which statement best exemplifies contemporarymaternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
()
d. Physician-
drivencareANS: B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ()
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner
s, grandparents, and siblings may be present for the birth and participate in activities such as c
() ()
utting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
()
Free-
standing clinics are an example of alternative birth options. Contemporary maternity nursing
is driven by the relationship between nurses and their clients.
PTS: 1 DIF:
Cognitive Level: UnderstandTOP:
Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
()
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
ounce baby girl after being in labor for 43 hours. The baby died 3 days later from sepsis. On
()
what grounds could the woman have a legitimate legal case for negligence?
a. Inexperienced maternity nursewas assigned to care for the client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperi
enced maternity nurse would need to displaycompetency before being assigned to care for cl()
ients on his or her own. This client may have been past her due date; however, a term pregn
()
ancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard of
care, the client has the right to refuse treatment. This refusal is not a case for negligence, bu
t informed consent should be properly obtained, and the client should have signed an again
st medical advice form when refusing any treatment that is within the standardof care.
PTS: 1 DIF:
Cognitive Level: Analyze TOP: ()
Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
7. When the nurse is unsure how to perform a client care procedure that is high risk and lowv
() ()
olume, his or her best action in this situation would be what?
()
a. Ask another nurse.
b. Discuss the procedure with the client’s physician.
c. Look up the procedure in a nursing textbook.
d. First consult the agency procedure manual
ANS: D
Following the agency’s policies and procedures manual is always best when seeking inform ()
ation on correct client procedures. These policies should reflect the current standards of care ()
and the individual state’s guidelines. Each nurse is responsible for his or her own practice. R
elying on another nurse may not always be a safe practice. Each nurse is obligated to follow
()
the standards of care for safe client care delivery. Physicians are responsible for their own cl
ient care activity. Nurses may follow safe orders from physicians, but they are also responsi
()
ble for the activities that they, as nurses, are to carry out. Information provided in a nursing t ()
extbook is basic information for general knowledge.Furthermore, the information in a textbo
ok may not reflect the current standard of care or the individual state or hospital policies.
()
