vBank
Chapterv01:v21stvCenturyvMaternityvandvWomen’svHealthvNursingvL
owdermilk:vMaternityv&vWomen’svHealthvCare,v11thvEdition
MULTIPLEvCHOICE
1. vInvevaluatingvthevlevelvofvavpregnantvwoman’svriskvofvhavingvavlow-birth-
weightv(LBW)vinfant,vwhichvfactorvisvthevmostvimportantvforvthevnursevtovconsider?
a. African-Americanvrace
b. Cigarettevsmoking
c. Poorvnutritionalvstatus
d. Limitedvmaternalveducation
ANS:v A
ForvAfrican-
Americanvbirths,vthevincidencevofvLBWvinfantsvisvtwicevthatvofvCaucasianvbirths.vRac
evisvavnonmodifiablevriskvfactor.vCigarettevsmokingvisvanvimportantvfactorvinvpotential
vinfantvmortalityvrates,vbutvitvisvnotvthevmostvimportant.vAdditionally,vsmokingvisvavm
odifiablevriskvfactor.vPoorvnutritionvisvanvimportantvfactorvinvpotentialvinfantvmortalityv
rates,vbutvitvisvnotvthevmostvimportant.vAdditionally,vnutritionalvstatusvisvavmodifiablev
riskvfactor.vMaternalveducationvisvanvimportantvfactorvinvpotentialvinfantvmortalityvrate
s,vbutvitvisvnotvthevmostvimportant.vAdditionally,vmaternalveducationvisvavmodifiablevri
skvfactor.
DIF: CognitivevLevel:vUnderstand
REF:v p.v6vTOP:v NursingvProcess:vAssessm
ent
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance,vAntepartumvCare
2. Whatvisvthevprimaryvrolevofvp ract icin gvnu rs e s vi n the researchvprocess?
a. DesigningvresearchvstudiesN UvSvNvT
R I G B O.C M
b. Collectingvdatavforvothervresearchers
c. Identifyingvresearchablevproblems
d. Seekingvfundingvtovsupportvresearchvstudies
ANS:v C
Whenvproblemsvarevidentified,vresearchvcanvbevproperlyvconducted.vResearchvofvhealth
vcarevissuesvleadsvtovevidence-
basedvpracticevguidelines.vDesigningvresearchvstudiesvisvonlyvonevfactorvofvthevresearc
hvprocess.vDatavcollectionvisvanothervfactorvofvresearch.vFinancialvsupportvisvnecessary
vtovconductvresearch,vbutvitvisvnotvthevprimaryvrolevofvthevnursevinvthevresearchvproce
ss.
DIF: CognitivevLevel:vUnderstand REF:v p.v14
TOP:v NursingvProcess:vN/AvMSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvir
onment
3. Av23-year-oldvAfrican-
Americanvwomanvisvpregnantvwithvhervfirstvchild.vBasedvonvthevstatisticsvforvinf
antvmortality,vwhichvplanvisvmostvimportantvforvthevnursevtovimplement?
a. Performvavnutritionvassessment.
b. Refervthevwomanvtovavsocialvworker.
c. Advisevthevwomanvtovseevanvobstetrician,vnotvavmidwife.
d. Explainvtovthevwomanvthevimportancevofvkeepingvhervprenatalvcarevappointments.
ANS:v D
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, MaternityvandvWomen'svHealthvCarev11thvEditionvLowdermilkvTest
vBank
Consistentvprenatalvcarevisvthevbestvmethodvofvpreventingvorvcontrollingvriskvfactorsvas
sociatedvwithvinfantvmortality.vNutritionalvstatusvisvanvimportantvmodifiablevriskvfactor,
vbutvitvisvnotvthevmostvimportantvactionvavnursevshouldvtakevinvthisvsituation.vThevcli
entvmayvneedvassistancevfromvavsocialvworkervatvsomevtimevduringvhervpregnancy,vbu
tvavreferralvtovavsocialvworkervisvnotvthevmostvimportantvaspectvthevnursevshouldvaddr
essvatvthisvtime.vIfvthevwomanvhasvidentifiablevhigh-
riskvproblems,vthenvhervhealthvcarevmayvneedvtovbevprovidedvbyvavphysician.vHoweve
r,vitvcannotvbevassumedvthatvallvAfrican-Americanvwomenvhavevhigh-
riskvissues.vInvaddition,vadvisingvthevwomanvtovseevanvobstetricianvisvnotvthevmostvim
portantvaspectvonvwhichvthevnursevshouldvfocusvatvthisvtime,vandvitvisvnotvappropriate
vforvavnursevtovadvisevorvmanagevthevtypevofvcarevavclientvisvtovreceive.
DIF: CognitivevLevel:vUnderstand REF:v p.v6
TOP:v NursingvProcess:vPlanningvMSC:v ClientvNeeds:vHealthvPromotionvandvMainten
ance
4. Duringvavprenatalvintakevinterview,vthevnursevisvinvthevprocessvofvobtainingvanvinitialv
assessmentvofvav21-year-
oldvHispanicvclientvwithvlimitedvEnglishvproficiency.vWhichvactionvisvthevmostvimport
antvforvthevnursevtovperform?
a. Usevmaternityvjargonvtovenablevthevclientvtovbecomevfamiliarvwithvthesevterms.
b. Speakvquicklyvandvefficientlyvtovexpeditevthevvisit.
c. Providevthevclientvwithvhandouts.
d. Assessvwhethervthevclientvunderstandsvthevdiscussion.
ANS:v D
Nursesvcontributevtovhealthvliteracyvbyvusingvsimple,vcommonvwords,vavoidingvjargon,v
andvevaluatingvwhethervthevclientvunderstandsvthevdiscussion.vSpeakingvslowlyvandvclea
rlyvandvfocusingvonvwhatvisvimportantvwillvincreasevunderstanding.vMostvclientveducati
onvmaterialsvarevwrittenvatvavlevelvtoovhighvf o rNt h eRav eIr agG
e vadB
ul.
tvC
a n d Mm a yvnotvbevus
efulvforvavclientvwithvlimited
Englishvproficiency. UvSvNvT O
DIF: CognitivevLevel:vApply REF:v p.v5
TOP:v NursingvProcess:vEvaluationvMSC:v ClientvNeeds:vHealthvPromotionvandvMainten
ance
5. Thevnursesvworkingvatvavnewlyvestablishedvbirthingvcentervhavevbegunvtovcomparevth
eirvperformancevinvprovidingvmaternal-
newbornvcarevagainstvclinicalvstandards.vThisvcomparisonvprocessvisvmostvcommonlyvk
nownvasvwhat?
a. Bestvpracticesvnetwork
b. Clinicalvbenchmarking
c. Outcomes-orientedvpractice
d. Evidence-basedvpractice
ANS:v C
Outcomes-
orientedvpracticevmeasuresvtheveffectivenessvofvthevinterventionsvandvqualityvofvcarevag
ainstvbenchmarksvorvstandards.vThevtermvbestvpracticevrefersvtovavprogramvorvservicevt
hatvhasvbeenvrecognizedvforvitsvexcellence.vClinicalvbenchmarkingvisvavprocessvusedvto
vcompare
one’svownvperformancevagainstvthevperformancevofvthevbestvinvanvareavofvservice.v
Thevtermvevidence-
basedvpracticevrefersvtovthevprovisionvofvcarevbasedvonvevidencevgainedvthroughvre
NURSINGTB.COM
, MaternityvandvWomen'svHealthvCarev11thvEditionvLowdermilkvTest
vBank
searchvandvclinicalvtrials.
DIF: CognitivevLevel:vUnderstand REF:v p.v11
TOP:v NursingvProcess:vEvaluationvMSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvir
onment
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