Maternity and Women's Health Care 13th Edition
d d d d d d
Lowdermilk
d
, Maternity and Women's Health Care 13th Edition d d d d d d
Lowdermilk
d
Chapter 01: 21st Century Maternity and Women’s Health
d d d d d d d
dNursing Lowdermilk: Maternity & Women’s Health Care,
d d d d d d
d13th Edition
d
MULTIPLE CHOICE d
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
d d d d d d d d d d d d
weight(LBW)infant, which factor is the most important for the nurse to
d d d d d d d d d d d d
consider?
d
a. African-American race d
b. Cigarette smoking d
c. Poor nutritional status d d
d. Limited maternal education d d
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-
d d d d d d d d d d d d d d d
Hispanic black women (13.35%) and Hispanic women (7.21%); non-Hispanic black
d d d d d d d d d d
infants are almost twice as likely as non-Hispanic white infants to be of
d d d d d d d d d d d d d
dLBW and to die in the first year of life.. Race is a nonmodifiable risk
d d d d d d d d d d d d d d
dfactor. Cigarette smoking is an important factor inpotential infant mortality
d d d d d d d d d
drates, but it is not the most important. Additionally, smoking is a
d d d d d d d d d d d
dmodifiable risk factor. Poor nutrition is an important factor in potential infant
d d d d d d d d d d d
dmortality rates, but it is not the most important. Additionally, nutritional status
d d d d d d d d d d d
dis a modifiable risk factor. Maternal education is an important factor in potential
d d d d d d d d d d d d
dinfant mortality rates, but it is not the most important. Additionally, maternal
d d d d d d d d d d d
deducation is a modifiable risk factor. d d d d dd
PTS: 1 DIF: Cognitive Level: d
UnderstandTOP: d Nursing Process: Assessment d d
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
d d d d d d dd
2. A 23-year-old African-American woman is pregnant with her first child. Based on
d d d d d d d d d d d
current statistics for infant mortality, which intervention is most important for the
d d d d d d d d d d d d
nurse to includein the client’s plan of care?
d d d d d d d d
a. Perform a nutrition assessment. d d d
b. Refer the woman to a social worker. d d d d d d
c. Advise the woman to see an obstetrician, not a midwife. d d d d d d d d d
d. Explain to the woman the importance of keeping her prenatal care appointments.
d d d d d d d d d d d
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors
d d d d d d d d d d d d
associated with infant mortality. Nutritional status is an important modifiable risk
d d d d d d d d d d d
factor, butit is not the most important action a nurse should take in this
d d d d d d d d d d d d d d
situation. The client may needassistance from a social worker at some time during
d d d d d d d d d d d d d
her pregnancy, but a referral to a socialworker is not the most important
d d d d d d d d d d d d d
aspect the nurse should address at this time. If the woman has identifiable high-
d d d d d d d d d d d d d d
risk problems,then her health care may need to be provided by a
d d d d d d d d d d d d
physician. However, it cannot be assumed that all African-American women have
d d d d d d d d d d d
high-riskissues. In addition, advising the woman to see an obstetrician is not
d d d d d d d d d d d d
the most important aspect on which the nurse should focus at this time, and it is
d d d d d d d d d d d d d d d d
not appropriate for a nurse to advise or manage the type of care a client is to
d d d d d d d d d d d d d d d d d d
receive.
d
PTS: 1 DIF: Cognitive Level: d
, Maternity and Women's Health Care 13th Edition
d d d d d d
Lowdermilk
d
UnderstandTOP:
d d Nursing Process:
d
Planning
d
, Maternity and Women's Health Care 13th Edition d d d d d d
Lowdermilk
d
MSC: Client Needs: Health Promotion and Maintenance
d d d d d d
3. The nurses working at a newly established birthing center have begun to
d d d d d d d d d d d
compare theirperformance in providing maternal-newborn care against
d d d d dd d d
clinicalstandards. This comparison process is most commonly known as
d d d d d d d d d d
what?
d
a. Best practices network d d
b. Clinical benchmarking d
c. Outcomes-oriented pracNtiU
ceRS dd
d. Evidence-based practice d
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and d d d d d d d d
quality of care against benchmarks or standards. The term best practice refers
d d d d d d d d d d d d
dto aprogram or servicethat has been recognized for its excellence. Clinical
d d d d d d d d d d d
benchmarking is a process used to compare one’s own performance against the
d d d d d d d d d d d d
performance of the best in an area of service. The term evidence-based practice
d d d d d d d d d d d d d
refers to the provision of care based on evidence gainedthrough research and
d d d d d d d d d d d d
clinical trials.
d d
PTS: 1 DIF: Cognitive Level: d
Understand TOP: Nursing Process: Evaluation d d d
MSC: Client Needs: Safe and Effective Care Environment
d d d d d d d
4. During a prenatal intake interview, the nurse is in the process of
d d d d d d d d d d d d d
dobtaining an initial assessment of a 21-year-old Hispanic client with limited
d d d d d d d d d d
English proficiency. Which intervention is the most important for the nurse
d d d d d d d d d d d
dto implement?
d
a. Use maternity jargon to enable the client to become familiar with these terms.
d d d d d d d d d d d d
b. Speak quickly and efficiently to expedite the visit.
d d d d d d d
c. Provide the client with handouts. d d d d
d. Assess whether the client understands the discussion.
d d d d d d
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding
d d d d d d d d d d
jargon, and evaluating whether the client understands the discussion. Speaking
d d d d d d d d d d
slowly and clearly and focusing on what is important will increase understanding.
d d d d d d d d d d d d
Most client education materials are written at a level too high for the
d d d d d d d d d d d d d d d
daverage adult and may not be useful for a client withlimited English proficiency.
d d d d d d d d d d d d
PTS: 1 DIF: Cognitive Level: d
ApplyhTOP: Nursing
dProcess:Implementation d
MSC: Client Needs: Health Promotion and Maintenance
d d d d d d
5. Which statement best exemplifies contemporary maternity nursing?
d d d d d d
a. Use of midwives for all vaginal deliveries
d d d d d d
b. Family-centered care d
c. Free-standing birth clinics d d
d. Physician-
drivencareANS: d d
B
d d d d d d
Lowdermilk
d
, Maternity and Women's Health Care 13th Edition d d d d d d
Lowdermilk
d
Chapter 01: 21st Century Maternity and Women’s Health
d d d d d d d
dNursing Lowdermilk: Maternity & Women’s Health Care,
d d d d d d
d13th Edition
d
MULTIPLE CHOICE d
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
d d d d d d d d d d d d
weight(LBW)infant, which factor is the most important for the nurse to
d d d d d d d d d d d d
consider?
d
a. African-American race d
b. Cigarette smoking d
c. Poor nutritional status d d
d. Limited maternal education d d
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-
d d d d d d d d d d d d d d d
Hispanic black women (13.35%) and Hispanic women (7.21%); non-Hispanic black
d d d d d d d d d d
infants are almost twice as likely as non-Hispanic white infants to be of
d d d d d d d d d d d d d
dLBW and to die in the first year of life.. Race is a nonmodifiable risk
d d d d d d d d d d d d d d
dfactor. Cigarette smoking is an important factor inpotential infant mortality
d d d d d d d d d
drates, but it is not the most important. Additionally, smoking is a
d d d d d d d d d d d
dmodifiable risk factor. Poor nutrition is an important factor in potential infant
d d d d d d d d d d d
dmortality rates, but it is not the most important. Additionally, nutritional status
d d d d d d d d d d d
dis a modifiable risk factor. Maternal education is an important factor in potential
d d d d d d d d d d d d
dinfant mortality rates, but it is not the most important. Additionally, maternal
d d d d d d d d d d d
deducation is a modifiable risk factor. d d d d dd
PTS: 1 DIF: Cognitive Level: d
UnderstandTOP: d Nursing Process: Assessment d d
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
d d d d d d dd
2. A 23-year-old African-American woman is pregnant with her first child. Based on
d d d d d d d d d d d
current statistics for infant mortality, which intervention is most important for the
d d d d d d d d d d d d
nurse to includein the client’s plan of care?
d d d d d d d d
a. Perform a nutrition assessment. d d d
b. Refer the woman to a social worker. d d d d d d
c. Advise the woman to see an obstetrician, not a midwife. d d d d d d d d d
d. Explain to the woman the importance of keeping her prenatal care appointments.
d d d d d d d d d d d
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors
d d d d d d d d d d d d
associated with infant mortality. Nutritional status is an important modifiable risk
d d d d d d d d d d d
factor, butit is not the most important action a nurse should take in this
d d d d d d d d d d d d d d
situation. The client may needassistance from a social worker at some time during
d d d d d d d d d d d d d
her pregnancy, but a referral to a socialworker is not the most important
d d d d d d d d d d d d d
aspect the nurse should address at this time. If the woman has identifiable high-
d d d d d d d d d d d d d d
risk problems,then her health care may need to be provided by a
d d d d d d d d d d d d
physician. However, it cannot be assumed that all African-American women have
d d d d d d d d d d d
high-riskissues. In addition, advising the woman to see an obstetrician is not
d d d d d d d d d d d d
the most important aspect on which the nurse should focus at this time, and it is
d d d d d d d d d d d d d d d d
not appropriate for a nurse to advise or manage the type of care a client is to
d d d d d d d d d d d d d d d d d d
receive.
d
PTS: 1 DIF: Cognitive Level: d
, Maternity and Women's Health Care 13th Edition
d d d d d d
Lowdermilk
d
UnderstandTOP:
d d Nursing Process:
d
Planning
d
, Maternity and Women's Health Care 13th Edition d d d d d d
Lowdermilk
d
MSC: Client Needs: Health Promotion and Maintenance
d d d d d d
3. The nurses working at a newly established birthing center have begun to
d d d d d d d d d d d
compare theirperformance in providing maternal-newborn care against
d d d d dd d d
clinicalstandards. This comparison process is most commonly known as
d d d d d d d d d d
what?
d
a. Best practices network d d
b. Clinical benchmarking d
c. Outcomes-oriented pracNtiU
ceRS dd
d. Evidence-based practice d
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and d d d d d d d d
quality of care against benchmarks or standards. The term best practice refers
d d d d d d d d d d d d
dto aprogram or servicethat has been recognized for its excellence. Clinical
d d d d d d d d d d d
benchmarking is a process used to compare one’s own performance against the
d d d d d d d d d d d d
performance of the best in an area of service. The term evidence-based practice
d d d d d d d d d d d d d
refers to the provision of care based on evidence gainedthrough research and
d d d d d d d d d d d d
clinical trials.
d d
PTS: 1 DIF: Cognitive Level: d
Understand TOP: Nursing Process: Evaluation d d d
MSC: Client Needs: Safe and Effective Care Environment
d d d d d d d
4. During a prenatal intake interview, the nurse is in the process of
d d d d d d d d d d d d d
dobtaining an initial assessment of a 21-year-old Hispanic client with limited
d d d d d d d d d d
English proficiency. Which intervention is the most important for the nurse
d d d d d d d d d d d
dto implement?
d
a. Use maternity jargon to enable the client to become familiar with these terms.
d d d d d d d d d d d d
b. Speak quickly and efficiently to expedite the visit.
d d d d d d d
c. Provide the client with handouts. d d d d
d. Assess whether the client understands the discussion.
d d d d d d
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding
d d d d d d d d d d
jargon, and evaluating whether the client understands the discussion. Speaking
d d d d d d d d d d
slowly and clearly and focusing on what is important will increase understanding.
d d d d d d d d d d d d
Most client education materials are written at a level too high for the
d d d d d d d d d d d d d d d
daverage adult and may not be useful for a client withlimited English proficiency.
d d d d d d d d d d d d
PTS: 1 DIF: Cognitive Level: d
ApplyhTOP: Nursing
dProcess:Implementation d
MSC: Client Needs: Health Promotion and Maintenance
d d d d d d
5. Which statement best exemplifies contemporary maternity nursing?
d d d d d d
a. Use of midwives for all vaginal deliveries
d d d d d d
b. Family-centered care d
c. Free-standing birth clinics d d
d. Physician-
drivencareANS: d d
B
