, Verified Practice Questions: Chapter 1 – 21st Century Maternity and Women's Health
Nursing
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
Correct Answer: A
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential
infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable
risk factor. Poor nutrition is an important factor but is modifiable. Maternal education is an
important factor but is modifiable .
2) A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to
implement?
A. Perform a nutrition assessment.
B. Refer the woman to a social worker.
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, C. Advise the woman to see an obstetrician, not a midwife.
D. Explain to the woman the importance of keeping her prenatal care appointments.
Correct Answer: D
Consistent prenatal care is the best method of preventing or controlling risk factors
associated with infant mortality. Nutritional status is an important modifiable risk factor,
but it is not the most important action a nurse should take. The client may need assistance
from a social worker at some time, but a referral is not the most important aspect. It cannot
be assumed that all African-American women have high-risk issues, and it is not
appropriate for a nurse to advise the type of care a client is to receive .
3) What is the primary role of practicing nurses in the research process?
A. Designing research studies
B. Collecting data for other researchers
C. Identifying researchable problems
D. Seeking funding to support research studies
Correct Answer: C
When problems are identified, research can be properly conducted. Research of health
care issues leads to evidence-based practice guidelines. Designing research studies is only
one factor of the research process. Data collection is another factor. Financial support is
necessary to conduct research, but it is not the primary role of the nurse .
4) During a prenatal intake interview, the nurse is in the process of obtaining an initial
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
action is the most important for the nurse to perform?
A. Use maternity jargon to enable the client to become familiar with these terms.
B. Speak quickly and efficiently to expedite the visit.
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