Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
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,Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE qq
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW)
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qq infant,which factor is the most important for the nurse to consider?
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a. African-American race qq
b. Cigarette smoking qq
c. Poor nutritional status qq qq
d. Limited maternal education qq qq
ANS: A qq
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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qq Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential
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qq infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq risk factor.Poor nutrition is an important factor in potential infant mortality rates, but it is not
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qq the most important. Additionally, nutritional status is a modifiable risk factor. Maternal
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qq education is an important factor in potential infant mortality rates, but it is not the most
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qq important. Additionally, maternal education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOP: Nursing Process: Assessment
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MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
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2. What is the primary role of practicing nurses in the research process?
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a. Designing research studies qq qq
b. Collecting data for other researchers qq qq qq qq
c. Identifying researchable problems qq qq
, d. Seeking funding to support research studies qq qq qq qq qq
ANS: C qq
When problems are identified, research can be properly conducted. Research of health care
qq qq qq qq qq qq qq qq qq qq qq qq
qq issues leads to evidence-based practice guidelines. Designing research studies is only one
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factorof the research process. Data collection is another factor of research. Financial support
qq q qq qq qq qq qq qq qq qq qq qq qq qq
qq is necessary to conduct research, but it is not the primary role of the nurse in the research
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq process.
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process:
qq qq qq qq qq qq qq qq qq
qq N/AMSC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-American woman is pregnant with her first child. Based on
qq qq qq qq qq qq qq qq qq qq qq
qq thestatistics for infant mortality, which plan is most important for the nurse to
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qq implement?
a. Perform a nutrition assessment. qq qq qq
b. Refer the woman to a social worker. qq qq qq qq qq qq
c. Advise the woman to see an obstetrician, not a midwife. qq qq qq qq qq qq qq qq qq
d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D qq
Consistent prenatal care is the best method of preventing or controlling risk factors associated
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qq with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
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qq most important action a nurse should take in this situation. The client may need assistance
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq from asocial worker at some time during her pregnancy, but a referral to a social worker is
qq q qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq not the mostimportant aspect the nurse should address at this time. If the woman has
qq qq q qq qq qq qq qq qq qq qq qq qq qq qq
qq identifiable high-risk problems, then her health care may need to be provided by a physician.
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq However, it cannot be assumed that all African-American women have high-risk issues. In
qq qq qq qq qq qq qq qq qq qq qq qq
qq addition, advising the woman to see an obstetrician is not the most important aspect on which
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq the nurse should focus atthis time, and it is not appropriate for a nurse to advise or manage
qq qq qq qq q qq qq qq qq qq qq qq qq qq qq qq qq qq
qq the type of care a client is to receive.
qq qq qq qq qq qq qq qq
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
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, MSC: Client Needs: Health Promotion and Maintenance
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
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qq assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is
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themost important for the nurse to perform?
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a. Use maternity jargon to enable the client to become familiar with these terms.
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b. Speak quickly and efficiently to expedite the visit.
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c. Provide the client with handouts. qq qq qq qq
d. Assess whether the client understands the discussion.
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ANS: D qq
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
qq qq qq qq qq qq qq qq qq qq qq qq
qq evaluating whether the client understands the discussion. Speaking slowly and clearly and
qq qq qq qq qq qq qq qq qq qq qq
qq focusing on what is important will increase understanding. Most client education materials
qq qq qq qq qq qq qq qq qq qq qq
arewritten at a level too high for the average adult and may not be useful for a client with
qq q qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq limitedEnglish proficiency.
q qq
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process:
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EvaluationMSC: Client Needs: Health Promotion and Maintenance
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5. The nurses working at a newly established birthing center have begun to compare their
qq qq qq qq qq qq qq qq qq qq qq qq qq
qq performance in providing maternal-newborn care against clinical standards. This
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qq comparisonprocess is most commonly known as what?
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a. Best practices network qq qq
b. Clinical benchmarking qq
c. Outcomes-oriented practice qq
d. Evidence-based
qq practiceANS: C q qq
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,Chapter 1: 21st Century Maternity and Women’s Health Nursing
qq qq qq qq qq qq qq qq
MULTIPLE CHOICE qq
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW)
qq qq qq qq qq qq qq qq qq qq qq qq qq
qq infant,which factor is the most important for the nurse to consider?
q qq qq qq qq qq qq qq qq qq qq
a. African-American race qq
b. Cigarette smoking qq
c. Poor nutritional status qq qq
d. Limited maternal education qq qq
ANS: A qq
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
qq qq qq qq qq qq qq qq qq qq qq qq qq
qq Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential
qq qq qq qq qq qq qq qq qq qq qq qq qq
qq infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq risk factor.Poor nutrition is an important factor in potential infant mortality rates, but it is not
qq q qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq the most important. Additionally, nutritional status is a modifiable risk factor. Maternal
qq qq qq qq qq qq qq qq qq qq qq
qq education is an important factor in potential infant mortality rates, but it is not the most
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq important. Additionally, maternal education is a modifiable risk factor.
qq qq qq qq qq qq qq qq
DIF: Cognitive Level: Understand REF: IM:
qq qq qq qq qq
TOP: Nursing Process: Assessment
qq qq qq
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
qq qq qq qq qq qq qq qq
2. What is the primary role of practicing nurses in the research process?
qq qq qq qq qq qq qq qq qq qq qq
a. Designing research studies qq qq
b. Collecting data for other researchers qq qq qq qq
c. Identifying researchable problems qq qq
, d. Seeking funding to support research studies qq qq qq qq qq
ANS: C qq
When problems are identified, research can be properly conducted. Research of health care
qq qq qq qq qq qq qq qq qq qq qq qq
qq issues leads to evidence-based practice guidelines. Designing research studies is only one
qq qq qq qq qq qq qq qq qq qq qq
factorof the research process. Data collection is another factor of research. Financial support
qq q qq qq qq qq qq qq qq qq qq qq qq qq
qq is necessary to conduct research, but it is not the primary role of the nurse in the research
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq process.
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process:
qq qq qq qq qq qq qq qq qq
qq N/AMSC: Client Needs: Safe and Effective Care Environment
q qq qq qq qq qq qq qq
3. A 23-year-old African-American woman is pregnant with her first child. Based on
qq qq qq qq qq qq qq qq qq qq qq
qq thestatistics for infant mortality, which plan is most important for the nurse to
q qq qq qq qq qq qq qq qq qq qq qq qq
qq implement?
a. Perform a nutrition assessment. qq qq qq
b. Refer the woman to a social worker. qq qq qq qq qq qq
c. Advise the woman to see an obstetrician, not a midwife. qq qq qq qq qq qq qq qq qq
d. Explain to the woman the importance of keeping her prenatal care appointments.
qq qq qq qq qq qq qq qq qq qq qq
ANS: D qq
Consistent prenatal care is the best method of preventing or controlling risk factors associated
qq qq qq qq qq qq qq qq qq qq qq qq qq
qq with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq most important action a nurse should take in this situation. The client may need assistance
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq from asocial worker at some time during her pregnancy, but a referral to a social worker is
qq q qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq not the mostimportant aspect the nurse should address at this time. If the woman has
qq qq q qq qq qq qq qq qq qq qq qq qq qq qq
qq identifiable high-risk problems, then her health care may need to be provided by a physician.
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq However, it cannot be assumed that all African-American women have high-risk issues. In
qq qq qq qq qq qq qq qq qq qq qq qq
qq addition, advising the woman to see an obstetrician is not the most important aspect on which
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq the nurse should focus atthis time, and it is not appropriate for a nurse to advise or manage
qq qq qq qq q qq qq qq qq qq qq qq qq qq qq qq qq qq
qq the type of care a client is to receive.
qq qq qq qq qq qq qq qq
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
qq qq qq qq qq qq qq qq qq
, MSC: Client Needs: Health Promotion and Maintenance
qq qq qq qq qq qq
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is
qq qq qq qq qq qq qq qq qq qq qq qq
themost important for the nurse to perform?
qq q qq qq qq qq qq qq
a. Use maternity jargon to enable the client to become familiar with these terms.
qq qq qq qq qq qq qq qq qq qq qq qq
b. Speak quickly and efficiently to expedite the visit.
qq qq qq qq qq qq qq
c. Provide the client with handouts. qq qq qq qq
d. Assess whether the client understands the discussion.
qq qq qq qq qq qq
ANS: D qq
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
qq qq qq qq qq qq qq qq qq qq qq qq
qq evaluating whether the client understands the discussion. Speaking slowly and clearly and
qq qq qq qq qq qq qq qq qq qq qq
qq focusing on what is important will increase understanding. Most client education materials
qq qq qq qq qq qq qq qq qq qq qq
arewritten at a level too high for the average adult and may not be useful for a client with
qq q qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
qq limitedEnglish proficiency.
q qq
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process:
qq qq qq qq qq qq qq qq qq
EvaluationMSC: Client Needs: Health Promotion and Maintenance
qq q qq qq qq qq qq qq
5. The nurses working at a newly established birthing center have begun to compare their
qq qq qq qq qq qq qq qq qq qq qq qq qq
qq performance in providing maternal-newborn care against clinical standards. This
qq qq qq qq qq qq qq qq
qq comparisonprocess is most commonly known as what?
q qq qq qq qq qq qq
a. Best practices network qq qq
b. Clinical benchmarking qq
c. Outcomes-oriented practice qq
d. Evidence-based
qq practiceANS: C q qq
