L
T
F L
T
F L
FT L
T
F L
FT L
FT FT L L
FT
Test Bank FT L
For Maternity and Women's Health Care
L
FT L
FT L
FT L
FT L
FT
13th Edition Lowdermilk
L
FT FT L FT L
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Chap L
T
F L
T
F L
FT FT L L
FT L
FT FT L gi gi
Bank
ter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mat
FT L
L
T
F L
T
F L
T
F T
F L L
T
F L
T
F L
T
F L
T
F L
FT L
T
F
ernity & Women’s Health Care, 12th Edition
L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F
MULTIPLE CHOICE L
T
F
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
L
FT L
FT FT L L
FT L
FT L
FT FT L FT L L
FT L
FT L
FT FT L
weight (LBW) infant, which factor is the most important for the nurse to consider? L
FT gi L
FT L
FT L
T
F L
FT L
FT T
FL L
FT L
T
F FT L L
T
F L
FT
a. African-American race F T L
b. Cigarette smoking L
FT
c. Poor nutritional status L
T
F FT L
d. Limited maternal education L
T
F FT L
ANS: A F T L
The rise in the overall LBW rates were due to increases in LBW births to non-
L
FT FT L FT L L
FT FT L FT L L
FT L
FT FT L FT L FT L FT L FT L L
FT L
FT
Hispanic black women (13.35%) and Hispanic women (7.21%); non- F T L F T L F T L F T L F T L F T L FT L F T L
Hispanic black infants are almost twice as likely as non- L
FT FT L FT L FT L L
FT FT L FT L FT L FT L
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifi FT L FT L FT L FT L L
FT FT L FT L FT L L
FT FT L FT L FT L L
FT T
F L L
T
F L
T
F L
FT L
FT L
T
F
able risk factor. Cigarette smoking is an important factor in potential infant mortality rates, b
L
FT L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
FT L
T
F gi L
FT FT L L
FT L
FT
ut it is not the most important. Additionally, smoking is a modifiable risk factor. Poor
L
FT FT L FT L FT L FT L FT L FT L L
FT FT L FT L FT L FTL FT L FT L FT L
nutri tion is an important factor in potential infant mortality rates, but it is not the most
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT L
FT FT L L
FT FT L FT L L
FT
importan
L
FT
t. Additionally, nutritional status is a modifiable risk factor. Maternal education is an impor
L
FT FT L L
FT FT L FT L L
FT L
FT FT L L
FT L
FT FT L FT L L
FT
tant factor in potential infant mortality rates, but it is not the most important. Additionally,
L
FT L
FT L
FT FT L FT L L
FT FT L FT L FT L L
FT L
FT FT L FT L L
FT L
FT
maternal education is a modifiable risk factor.
L
FT FT L FT L FT L L
FT FTL FT L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L
T
F FT L gi
Nursing Process: Assessment L
T
F FT L
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
inM
tenance, F T L F T L F T L F T L F T L Antepartum Care F T L
2. A 23-year-old African- FT L FT L
American woman is pregnant with her first child. Based on current statistics for infant mor FT L L
FT L
FT L
FT L
FT L
FT L
FT FT L FTL L
FT gi FT L L
FT L
FT
tality, which intervention is most important for the nurse to include in the client’s plan of c
L
FT FT L L
FT L
FT L
FT L
FT L
FT FT L FT L L
FT L
FT gi T
FL L
FT L
FT L
FT L
FT
are? L
FT
a. Perform a nutrition assessment. L
FT L
T
F L
FT
b. Refer the woman to a social worker. L
T
F L
FT FT L L
FT L
FT L
FT
c. Advise the woman to see an obstetrician, not a midwife. L
T
F FT L FT L L
T
F FT L FT L FT L FT L FT L
d. Explain to the woman the importance of keeping her prenatal care appointments. L
T
F L
T
F FT L FT L L
T
F L
FT FT L FT L L
FT FT L L
FT
ANS: D F T L
Consistent prenatal care is the best method of preventing or controlling risk factors associat FT L L
FT FT L FT L L
FT FT L FT L L
FT FT L FT L FT L FT L L
FT
ed with infant mortality. Nutritional status is an important modifiable risk factor, but it is not t he
L
FT L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F gi L
FT FT L L
FT L
FT
most important action a nurse should take in this situation. The client may need assistanc e
L
FT L
FT L
FT FT L FT L FT L FT L FT L FT L L
FT FT L FT L FT L FT L FT L L
FT
from a social worker at some time during her pregnancy, but a referral to a social worker i
L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L FT L L
FT L
FT gi FT L
s not the most important aspect the nurse should address at this time. If the woman has
L
FT L
FT FT L FT L FT L FT L FT L FTL L
FT FT L L
FT FT L FT L FT L L
FT FT L FT L
iden tifiable high-
L
FT FT L FT L
risk problems, then her health care may need to be provided by a physician. However, it ca
gi FT L FT L FT L FT L FT L FT L FT L L
FT FT L L
FT L
FT FT L FT L FT L FT L
nnot be assumed that all African-American women have high-
L
FT L
FT FT L L
FT FT L FT L FT L FT L FT L
risk issues. In addition, advising the woman to see an obstetrician is not the most important
gi FT L FT L FT L L
FT FT L FT L FT L FT L L
FT FT L FT L L
FT FT L FT L
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
L
FT FT L L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT FT L FT L L
FT FT L FT L
a dvise or manage the type of care a client is to receive.
L
FT FT L FT L FT L L
FT FT L FT L FT L FT L L
FT FT L FT L L
FT
PTS: 1 DIF:
Cognitive Level: Understand TOP: L
T
F T
FL gi
, L
FT Nursing Process: Planning
FT L FT L
, Maternity and Women's Health Care 13th Edition Lowdermilk Test L
T
F L
T
F L
FT L
FT L
FT L
FT FT L gi
MSC: Client Needs: Health Promotion and Maintenance
F T L L
T
F L
FT L
FT gi L
FT
3. The nurses working at a newly established birthing center have begun to compare their
L
T
F FT L L
T
F L
FT L
FT L
T
F L
T
F L
T
F L
T
F L
FT T
F L FT L L
T
F
performance in providing maternal-
L
FT FT L FT L FT L
newborn care against clinical standards. This comparison process is most commonly k
FT L FT L FT L L
FT L
FT FT L FT L L
FT FT L L
FT L
T
F
nown as what?
L
FT FT L FT L
a. Best practices network L
T
F L
T
F
b. Clinical benchmarking L
T
F
c. Outcomes-oriented pracNtiU ceR S F T L
d. Evidence-based practice F T L
ANS: C F T L
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
FT L FT L FT L FT L FT L FT L FT L L
FT FT L L
FT L
FT L
FT
benchmarks or standards. The term best practice refers to a program or service that has been
L
FT L
FT T
F L L
FT L
T
F FT L L
FT T
F L L
T
F L
T
F T
FL FT L L
T
F gi L
FT L
FT
recognized for its excellence. Clinical benchmarking is a process used to compare one’s o
L
FT L
FT L
FT FT L FT L FT L FT L FT L L
FT FT L FT L L
FT FT L FT L
wn performance against the performance of the best in an area of service. The term
L
FT L
FT FT L FT L FT L FT L FT L FT L FT L L
FT FT L L
FT L
FT FT L L
FT
evidenc e-
L
FT FT L
based practice refers to the provision of care based on evidence gained through research an
L
FT FT L FT L FT L L
FT FT L FT L FT L L
FT FT L FT L FT L L
FT FT L
d clinical trials.
L
FT FT L FT L
PTS: 1 DIF:
Cognitive Level: Understand TOP: L
T
F L
T
F gi
Nursing Process: Evaluation L
T
F FT L
MSC: Client Needs: Safe and Effective Care Environment
F T L FT L FT L L
T
F FT L L
FT FT L
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
L
FT FTL FT L FT L FT L FT L L
FT FT L FT L FT L FT L L
FT FT L L
FT
assessment of a 21-year-
L
FT FT L FTL gi
old Hispanic client with limited English proficiency. Which intervention is the most
L
T
F L
T
F L
T
F T
FL gi L
T
F L
T
F gi L
T
F L
T
F L
T
F
important for the nurse to implement?
L
FT FT L L
FT FT L FT L FT L
a. Use maternity jargon to enable the client to become familiar with these terms.
L
T
F L
T
F FTL L
FT FT L L
FT L
FT FT L FT L FT L L
FT L
FT
b. Speak quickly and efficiently to expedite the visit. FT L FT L FT L L
T
F FT L L
T
F FT L
c. Provide the client with handouts. L
T
F FT L L
FT FT L
d. Assess whether the client understands the discussion. T
F L L
FT FT L L
FT FT L L
FT
ANS: D F T L
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
FT L FT L L
FT FT L FT L FT L FT L L
FT FT L FT L FT L L
FT
d evaluating whether the client understands the discussion. Speaking slowly and clearly an
L
FT gi L
FT L
FT FT L L
FT FT L L
FT L
FT L
FT L
T
F FT L L
FT
d focusing on what is important will increase understanding. Most client education material
L
FT gi L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F L
T
F T
F L
s are written at a level too high for the average adult and may not be useful for a client wit
L
FT gi L
FT FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
FT L
FT FT L FT L FT L FT L
h limited English proficiency.
L
FT gi FT L FT L
PTS: 1 DIF:
Cognitive Level: ApplyTOP: FT L FT L
Nursing Process: Implementation L
T
F F T L
MSC: Client Needs: Health Promotion and Maintenance
F T L L
T
F L
FT L
FT gi L
FT
5. Which statement best exemplifies contemporary maternity nursing?
L
T
F FT L L
FT L
FT L
T
F L
FT
a. Use of midwives for all vaginal deliveries L
T
F FT L L
FT L
FT L
FT FT L
b. Family-centered care F T L
c. Free-standing birth clinics L
T
F L
T
F
d. Physician-
drivencare ANS: L
T
F gi