Maternity and Women's Health Care 13th Edition Lowdermilk Test
Maternity And Women'S Health Care 13th Edition Lowdermilk Test
bAnk
Chapter 01: 21st Century Maternity And Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
TEST BANK
Multiple Choice
FOR MATERNITY AND WOMEN'S 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?
HEALTHCARE 13TH EDITION a. African-American Race
b. Cigarette Smoking
LOWDERMILK c. Poor Nutritional Status
d. Limited Maternal Education
ANSWER: A
The Rise In The Overall Lbw Rates Were Due To Increases In Lbw Births To Non-
Hispanic Black Women (13.35%) And Hispanic Women (7.21%); Non-Hispanic Black
Infants Are Almost Twice As Likely As Non-Hispanic White Infants To Be Of Lbw And
To Die In The First Year Of Life.. Race Is A Nonmodifiable Risk Factor. Cigarette
Smoking Is An Important Factor InPotential Infant Mortality Rates, But It Is Not The Most
Important. Additionally, Smoking Is A Modifiable Risk Factor. Poor Nutrition Is An
Important Factor In Potential Infant Mortality Rates, But It Is Not The Most Important.
Additionally, Nutritional Status Is A Modifiable Risk Factor. Maternal Education Is An
Important Factor In Potential Infant Mortality Rates, But It Is Not The Most Important.
Additionally, Maternal Education Is A Modifiable Risk Factor.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Assessment
Msc: Client Needs: Healnance, Antepartum Care
2. A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based On
Current Statistics For Infant Mortality, Which Intervention Is Most Important For The Nurse
To IncludeIn The Client’s Plan Of Care?
a. Perform A Nutrition Assessment.
b. Refer The Woman To A Social Worker.
c. Advise The Woman To See An Obstetrician, Not A Midwife.
d. Explain To The Woman The Importance Of Keeping Her Prenatal Care Appointments.
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 In This Situation.
The Client May Need Assistance From A Social Worker At Some Time During Her
Pregnancy, But A Referral To A Social Worker Is Not The Most Important Aspect The
Nurse Should Address At This Time. If The Woman Has Identifiable High-Risk Problems,
Then Her Health Care May Need To Be Provided By A Physician. However, It Cannot Be
Assumed That All African-American Women Have High-RiskIssues. In Addition, Advising
The Woman To See An Obstetrician Is Not The Most Important Aspect On Which The
Nurse Should Focus At This Time, And It Is Not Appropriate For A Nurse To Advise Or
Manage The Type Of Care A Client Is To Receive.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Maternity and Women's Health Care 13th Edition Lowdermilk Test
Msc: Client Needs: Health Promotion And Maintenance Contemporary Maternity Nursing Focuses On The Family’s Needs And Desires. Fathers,
Partners, Grandparents, And Siblings May Be Present For The Birth And Participate In
3. The Nurses Working At A Newly Established Birthing Center Have Begun To ActivitiesSuch As Cutting The Baby’s Umbilical Cord. Both Midwives And
Compare Their Performance In Providing Maternal-Newborn Care Against Clinical PhysiciANSWER Perform Vaginal Deliveries. Free-Standing Clinics Are An Example Of
Standards. This Comparison Process Is Most Commonly Known As What? Alternative Birth Options. Contemporary Maternity Nursing Is Driven By The Relationship
a. Best Practices Network Between Nurses And Their Clients.
b. Clinical Benchmarking
c. Outcomes-Oriented Pracntiu
cers Pts: 1 Dif: Cognitive Level: Understand
d. Evidence-Based Practice Top: Nursing Process: Planning
Msc: Client Needs: Health Promotion And Maintenance
ANSWER: C
Outcomes-Oriented Practice Measures The Effectiveness Of The Interventions And Quality
6. A 38-Year-Old Hispanic Woman Vaginally Delivered A 9-Pound, 6-Ounce Baby Girl After
Of Care Against Benchmarks Or Standards. The Term Best Practice Refers To A Program
BeingIn Labor For 43 Hours. The Baby Died 3 Days Later From Sepsis. On What Grounds
Or ServiceThat Has Been Recognized For Its Excellence. Clinical Benchmarking Is A
Could The Woman Have A Legitimate Legal Case For Negligence?
Process Used To Compare One’s Own Performance Against The Performance Of The Best
a. Inexperienced Maternity Nurse Was Assigned To Care For The Client.
In An Area Of Service. The Term Evidence-Based Practice Refers To The Provision Of
b. Client Was Past Her Due Date By 3 Days.
Care Based On Evidence Gained Through Research And Clinical Trials.
c. Standard Of Care Was Not Met.
d. Client Refused Electronic Fetal Monitoring.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Evaluation ANSWER: C
Msc: Client Needs: Safe And Effective Care Environment Not Meeting The Standard Of Care Is A Legitimate Factor For A Case Of Negligence. An
Inexperienced Maternity Nurse Would Need To Display Competency Before Being
4. During A Prenatal Intake Interview, The Nurse Is In The Process Of Obtaining An Assigned ToCare For Clients On His Or Her Own. This Client May Have Been Past Her
Initial Assessment Of A 21-Year-Old Hispanic Client With Limited English Due Date; However, ATerm Pregnancy Often Goes Beyond 40 Weeks Of Gestation.
Proficiency. Which Intervention Is The Most Important For The Nurse To Although Fetal Monitoring Is The Standard Of Care, The Client Has The Right To Refuse
Implement? Treatment. This Refusal Is Not A Case For Negligence, But Informed Consent Should Be
a. Use Maternity Jargon To Enable The Client To Become Familiar With These Terms. Properly Obtained, And The Client Should Have Signed An Against Medical Advice
b. Speak Quickly And Efficiently To Expedite The Visit. Form When Refusing Any Treatment That Is Within The Standard Of Care.
c. Provide The Client With Handouts. Pts: 1 Dif: Cognitive Level: Analyze
d. Assess Whether The Client Understands The Discussion. Top: Nursing Process: Implementation
ANSWER: D Msc: Client Needs: Safe And Effective Care Environment
Nurses Contribute To Health Literacy By Using Simple, Common Words, Avoiding
Jargon, AndEvaluating Whether The Client Understands The Discussion. Speaking Slowly 7. When The Nurse Is Unsure How To Perform A Client Care Procedure That Is High Risk
And Clearly And Focusing On What Is Important Will Increase Understanding. Most Client And LowVolume, His Or Her Best Action In This Situation Would Be What?
Education Materials Are Written At A Level Too High For The Average Adult And May a. Ask Another Nurse.
Not Be Useful For A Client With Limited English Proficiency. b. Discuss The Procedure With The Client’s Physician.
c. Look Up The Procedure In A Nursing Textbook.
Pts: 1 Dif: Cognitive Level: Apply d. First Consult The Agency Procedure Manual
Top: Nursing Process: Implementation ANSWER: D
Msc: Client Needs: Health Promotion And Maintenance Following The Agency’s Policies And Procedures Manual Is Always Best When Seeking
Information On Correct Client Procedures. These Policies Should Reflect The Current
StandardsOf Care And The Individual State’s Guidelines. Each Nurse Is Responsible For
5. Which Statement Best Exemplifies Contemporary Maternity Nursing? His Or Her Own Practice. Relying On Another Nurse May Not Always Be A Safe Practice.
a. Use Of Midwives For All Vaginal Deliveries Each Nurse Is Obligated To Follow The Standards Of Care For Safe Client Care Delivery.
b. Family-Centered Care PhysiciANSWER Are Responsible For Their Own Client Care Activity. Nurses May
c. Free-Standing Birth Clinics Follow Safe Orders From PhysiciANSWER, But They Are Also Responsible For The
d. Physician-Driven Activities That They, As Nurses, Are To Carry Out. Information Provided In A Nursing
CareANSWER: B Textbook Is Basic Information For General Knowledge. Furthermore, The Information In A
Textbook May Not Reflect The Current Standard Of Care Or The Individual State Or
Hospital Policies.
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Maternity and Women's Health Care 13th Edition Lowdermilk Test
Evidence-Based Practice Is Based On Knowledge Gained From Research And Clinical Trials.
Pts: 1 Dif: Cognitive Level: Understand TheNursing Intervention Classification Is A Method Of Standardizing Language And
Top: Nursing Process: Implementation Msc: Client Needs: Physiologic Integrity Categorizing Care. Dr. Cochrane Systematically Reviewed Research Trials And Is Part Of
The Evidence-BasedPractice Movement. Telemedicine Uses Communication Technologies To
8. A Nurse Caring For A Pregnant Client Should Be Aware That The U.S. Birth Rate Support Health Care.
Shows What Trend?
a. Births To Unmarried Women Are More Likely To Have Less Favorable Outcomes. Pts: 1 Dif: Cognitive Level: Understand
b. Birth Rates For Women 40 To 44 Years Of Age Are Declining. Top: Nursing Process: Diagnosis
c. Cigarette Smoking Among Pregnant Women Continues To Increase. Msc: Client Needs: Safe And Effective Care Environment
d. Rates Of Pregnancy And Abortion Among Teenagers Are Lower In The United
StatesThan In Any Other Industrialized Country. 11. What Is The Minimum Level Of Practice That A Reasonably Prudent Nurse Is
Expected ToProvide?
ANSWER: A a. Standard Of Care
Lbw Infants And Preterm Births Are More Likely Because Of The Large Number Of b. Risk Management
Teenagers InThe Unmarried Group. Birth Rates For Women In Their Early 40s Continue c. Sentinel Event
To Increase. Fewer Pregnant Women Smoke. Teen Pregnancy And Abortion Rates Are d. Failure To Rescue
Higher In The United States Than In Any Other Industrial Country.
ANSWER: A
Pts: 1 Dif: Cognitive Level: Understand Guidelines For Standards Of Care Are Published By Various Professional Nursing
Top: Nursing Process: Assessment Msc: Client Needs: Psychosocial Integrity Organizations. Risk Management Identifies Risks And Establishes Preventive Practices, But
It Does Not DefineThe Standard Of Care. Sentinel Events Are Unexpected Negative
9. A Recently Graduated Nurse Is Attempting To Understand The Reason For Increasing Occurrences. They Do Not Establish The Standard Of Care. Failure To Rescue Is An
Health CareSpending In The United States. Which Information Gathered From Research Evaluative Process For Nursing, But It Does Not Define The Standard Of Care.
Best Explains The Rationale For These Higher Costs Compared With Other Developed
Countries? Pts: 1 Dif: Cognitive Level: Remember
a. Higher Rate Of Obesity Among Pregnant Women Top: Nursing Process: Implementation
b. Limited Access To Technology Msc: Client Needs: Safe And Effective Care Environment
c. Increased Use Of Healthncaurerss
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Ngcwoim
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d. Homogeneity Of The Population 12. Using Social Media Technology, Nurses Can Link With Other Nurses Who May Share Similar
Interests, Insights About Practice, And Advocate For Clients. Which Factor Is The
ANSWER: A MostConcerning Pitfall For Nurses Using This Technology?
Health Care Is One Of The Fastest Growing Sectors Of The U.S. Economy. Currently, a. Violation Of Client Privacy And Confidentiality
17.5% OfThe Gross Domestic Product Is Spent On Health Care. Higher Spending In The b. Institutions And Colleagues Who May Be Cast In An Unfavorable Light
United States, AsCompared With 12 Other Industrialized Countries, Is Related To Higher c. Unintended Negative Consequences For Using Social Media
Prices And Readily Accessible Technology Along With Greater Obesity Rates Among d. Lack Of Institutional Policy Governing Online Contact
Women. More Than One Third Of Women In The United States Are Obese. In The
Population In The United States, 16% Are Uninsured And Have Limited Access To Health ANSWER: A
Care. Maternal Morbidity And Mortality Are Directly Related To Racial Disparities. The Most Significant Pitfall For Nurses Using This Technology Is The Violation Of Client
PrivacyAnd Confidentiality. Furthermore, Institutions And Colleagues Can Be Cast In An
Pts: 1 Dif: Cognitive Level: Understand Unfavorable Light With Negative Consequences For Those Posting Information. Nursing
Top: Teaching And Learning Students Have BeenExpelled From School And Nurses Have Been Fired Or Reprimanded
Msc: Client Needs: Safe And Effective Care Environment By Their Board Of Nursing For Injudicious Posts. The American Nurses Association Has
Published Six Principles For Social Networking And The Nurse. All Institutions Should
10. Which Statement Best Describes Maternity Nursing Care That Is Based On Knowledge Have Policies Guiding The Use Of Social Media, And The Nurse Should Be Familiar With
GainedThrough Research And Clinical Trials? These Guidelines.
a. Maternity Nursing Care Is Derived From The Nursing Intervention Classification.
b. Maternity Nursing Care Is Known As Evidence-Based Practice. Pts: 1 Dif: Cognitive Level: Analyze
c. Maternity Nursing Care Is At Odds With The Cochrane School Of Traditional Nursing. Top: Nursing Process: Implementation
d. Maternity Nursing Care Is An Outgrowth Of Msc: Client Needs: Safe And Effective Care Environment
Telemedicine. ANSWER: B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Maternity and Women's Health Care 13th Edition Lowdermilk Test
13. During A Prenatal Intake Interview, The Client Informs The Nurse That She Would
ANSWER: A
Prefer A Midwife To Provide Both Her Care During Pregnancy And Deliver Her Infant.
Sbar Is An Easy-To-Remember, Useful, And Concrete Mechanism For Communicating
Which Information Is Most Appropriate For The Nurse To Share With This Client About
Important Information That Requires A Clinician’s Immediate Attention. Baseline Is Not
Resulting Care?
Discussed As Part Of Sbar. Subjective And Analysis Are Not Specific To The Sbar
a. Midwifery Care Is A Good Option For Clients Who Are Uninsured.
Acronym. Subjective, Analysis, And Review Are Not Specific To The Sbar Acronym.
b. She Will Receive Fewer Interventions During The Birth Process.
c. She Should Be Aware That Midwives Are Not Certified.
Pts: 1 Dif: Cognitive Level: Understand
d. Her Delivery Can Take Place Only At Home Or In A Birth Center.
Top: Nursing Process: Implementation
ANSWER: B Msc: Client Needs: Safe And Effective Care Environment
This Client Will Be Able To Participate Actively In All Decisions Related To The Birth
Process AndIs Likely To Receive Fewer Interventions During The Birth Process.
Multiple Response
Midwifery Services Are Available To All Low-Risk Pregnant Women, Regardless Of The
Type Of Insurance They Have. 1. Greater Than One Third Of Women In The United States Are Now Obese (Body Mass
Midwifery Care In All Developed Countries Is Strictly Regulated By A Governing Body To Index [Bmi] Of 30 Or Greater). Less Than One Quarter Of Women In Canada Exhibit
EnsureThat Core Competencies Are Met. In The United States, This Body Is The American The Same Bmi. Obesity In The Pregnant Woman Increases Both Maternal Medical Risk
College Of Nurse-Midwives (Acnm). Midwives Can Provide Care And Delivery At Home, Factors And Negative Outcomes For The Infant. The Nurse Is About To Perform An
In Freestanding Birth Centers, And In Community And Teaching Hospitals. Assessment On A Client Who Is 28Weeks Pregnant And Has A Bmi Of 35. What Are The
Most Frequently Reported ComplicationsFor Which The Nurse Must Be Alert While
Pts: 1 Dif: Cognitive Level: Understand Assessing This Client? (Select All That Apply.)
Top: Nursing Process: Planning a. Potential Miscarriage
Msc: Client Needs: Safe And Effective Care Environment b. Diabetes
c. Fetal Death In Utero
14. While Obtaining A Detailed History From A Woman Who Has Recently Immigrated d. Decreased Fertility
From Somalia, The Nurse Realizes That The Client Has Undergone Female Genital e. Hypertension
Mutilation. What IsThe Nurse’s Most Appropriate Response In This Situation?
a. “This Is A Very Abnormal Practice And Rarely Seen In The United States.” ANSWER: B, E
b. “Are You Aware Of Who Performed This Mutilation So That It Can Be The Two Most Frequently Ren ortr
pu es
dMin
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edicm
al Risk Factors Associated With Obesity
Reported To TheAuthorities?” Nursingtb.Com Are Hypertension Associated With Pregnancy And Diabetes. Decreased Fertility, Miscarriage,
c. “We Will Be Able To Restore Fully Your Circumcision After Delivery.” Fetal
d. “The Extent Of Your Circumcision Will Affect The Potential For Complications.” Death, And Congenital Anomalies Are Also Associated With Obesity. These Clients Often
Experience Longer Hospital Stays And Increased Use Of Health Services.
ANSWER: D
The Extent Of The Circumcision Is Important. The Client May Experience Pain, Bleeding, Pts: 1 Dif: Cognitive Level: Apply
Scarring, Or Infection And May Require Surgery Before Childbirth. Although This Top: Nursing Process: Assessment Msc: Client Needs: Physiologic Integrity
Practice Is Not Prevalent In The United States, It Is Very Common In Many African And
Middle Eastern Countries For Religious Reasons. Mentioning That The Practice Is 2. The Patient Protection And Affordable Care Act (Aca) Was Signed Into Law By President
Abnormal And Rarely Seen In The United States Is Culturally Insensitive. The Infibulation Obama In Early 2010. The Act Provides Some Immediate Benefits, And Other Provisions
May Have Occurred During Infancy Or Childhood; Consequently, The Client Will Have WillTake Place Over The Next Several Years. The Practicing Nurse Should Have A
Little To No Recollection Of The Event. She Would Have Considered This To Be A Thorough Understanding Of How These Changes Will Benefit His Or Her Clients. Which
Normal Milestone During Her Growth And Development. The International Council Of Outcomes Are Goals Of The Aca? (Select All That Apply.)
Nurses Has Spoken Out Against This Procedure As Harmful To A Woman’s Health. a. Insurance Affordability
b. Improve Public Health
Pts: 1 Dif: Cognitive Level: Analyze c. Treatment Of Illness
Top: Nursing Process: Assessment Msc: Client Needs: Psychosocial Integrity d. Elimination Of Medicare And Medicaid
e. Cost Containment
15. Maternity Nurses Can Enhance Communication Among Health Care Providers By
Using TheSbar Technique. The Acronym Sbar Stands For What? ANSWER: A, B, E
a. Situation, Background, Assessment, Recommendation The Aca Goals Are To Make Insurance More Affordable, Contain Costs, And Strengthen
b. Situation, Baseline, Assessment, Recommendation Medicare And Medicaid. The Act Contains Provisions That Promote The Prevention Of
c. Subjective, Background, Analysis, Recommendation IllnessAnd Improve Access To Public Health. The Ultimate Goal Of The Act Is To
d. Subjective, Background, Analysis, Review Improve The Quality Of Care For All AmericANSWER While Reducing Waste, Fraud,
And Abuse Of The Current System.
Maternity And Women'S Health Care 13th Edition Lowdermilk Test
bAnk
Chapter 01: 21st Century Maternity And Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
TEST BANK
Multiple Choice
FOR MATERNITY AND WOMEN'S 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?
HEALTHCARE 13TH EDITION a. African-American Race
b. Cigarette Smoking
LOWDERMILK c. Poor Nutritional Status
d. Limited Maternal Education
ANSWER: A
The Rise In The Overall Lbw Rates Were Due To Increases In Lbw Births To Non-
Hispanic Black Women (13.35%) And Hispanic Women (7.21%); Non-Hispanic Black
Infants Are Almost Twice As Likely As Non-Hispanic White Infants To Be Of Lbw And
To Die In The First Year Of Life.. Race Is A Nonmodifiable Risk Factor. Cigarette
Smoking Is An Important Factor InPotential Infant Mortality Rates, But It Is Not The Most
Important. Additionally, Smoking Is A Modifiable Risk Factor. Poor Nutrition Is An
Important Factor In Potential Infant Mortality Rates, But It Is Not The Most Important.
Additionally, Nutritional Status Is A Modifiable Risk Factor. Maternal Education Is An
Important Factor In Potential Infant Mortality Rates, But It Is Not The Most Important.
Additionally, Maternal Education Is A Modifiable Risk Factor.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Assessment
Msc: Client Needs: Healnance, Antepartum Care
2. A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based On
Current Statistics For Infant Mortality, Which Intervention Is Most Important For The Nurse
To IncludeIn The Client’s Plan Of Care?
a. Perform A Nutrition Assessment.
b. Refer The Woman To A Social Worker.
c. Advise The Woman To See An Obstetrician, Not A Midwife.
d. Explain To The Woman The Importance Of Keeping Her Prenatal Care Appointments.
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 In This Situation.
The Client May Need Assistance From A Social Worker At Some Time During Her
Pregnancy, But A Referral To A Social Worker Is Not The Most Important Aspect The
Nurse Should Address At This Time. If The Woman Has Identifiable High-Risk Problems,
Then Her Health Care May Need To Be Provided By A Physician. However, It Cannot Be
Assumed That All African-American Women Have High-RiskIssues. In Addition, Advising
The Woman To See An Obstetrician Is Not The Most Important Aspect On Which The
Nurse Should Focus At This Time, And It Is Not Appropriate For A Nurse To Advise Or
Manage The Type Of Care A Client Is To Receive.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Maternity and Women's Health Care 13th Edition Lowdermilk Test
Msc: Client Needs: Health Promotion And Maintenance Contemporary Maternity Nursing Focuses On The Family’s Needs And Desires. Fathers,
Partners, Grandparents, And Siblings May Be Present For The Birth And Participate In
3. The Nurses Working At A Newly Established Birthing Center Have Begun To ActivitiesSuch As Cutting The Baby’s Umbilical Cord. Both Midwives And
Compare Their Performance In Providing Maternal-Newborn Care Against Clinical PhysiciANSWER Perform Vaginal Deliveries. Free-Standing Clinics Are An Example Of
Standards. This Comparison Process Is Most Commonly Known As What? Alternative Birth Options. Contemporary Maternity Nursing Is Driven By The Relationship
a. Best Practices Network Between Nurses And Their Clients.
b. Clinical Benchmarking
c. Outcomes-Oriented Pracntiu
cers Pts: 1 Dif: Cognitive Level: Understand
d. Evidence-Based Practice Top: Nursing Process: Planning
Msc: Client Needs: Health Promotion And Maintenance
ANSWER: C
Outcomes-Oriented Practice Measures The Effectiveness Of The Interventions And Quality
6. A 38-Year-Old Hispanic Woman Vaginally Delivered A 9-Pound, 6-Ounce Baby Girl After
Of Care Against Benchmarks Or Standards. The Term Best Practice Refers To A Program
BeingIn Labor For 43 Hours. The Baby Died 3 Days Later From Sepsis. On What Grounds
Or ServiceThat Has Been Recognized For Its Excellence. Clinical Benchmarking Is A
Could The Woman Have A Legitimate Legal Case For Negligence?
Process Used To Compare One’s Own Performance Against The Performance Of The Best
a. Inexperienced Maternity Nurse Was Assigned To Care For The Client.
In An Area Of Service. The Term Evidence-Based Practice Refers To The Provision Of
b. Client Was Past Her Due Date By 3 Days.
Care Based On Evidence Gained Through Research And Clinical Trials.
c. Standard Of Care Was Not Met.
d. Client Refused Electronic Fetal Monitoring.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Evaluation ANSWER: C
Msc: Client Needs: Safe And Effective Care Environment Not Meeting The Standard Of Care Is A Legitimate Factor For A Case Of Negligence. An
Inexperienced Maternity Nurse Would Need To Display Competency Before Being
4. During A Prenatal Intake Interview, The Nurse Is In The Process Of Obtaining An Assigned ToCare For Clients On His Or Her Own. This Client May Have Been Past Her
Initial Assessment Of A 21-Year-Old Hispanic Client With Limited English Due Date; However, ATerm Pregnancy Often Goes Beyond 40 Weeks Of Gestation.
Proficiency. Which Intervention Is The Most Important For The Nurse To Although Fetal Monitoring Is The Standard Of Care, The Client Has The Right To Refuse
Implement? Treatment. This Refusal Is Not A Case For Negligence, But Informed Consent Should Be
a. Use Maternity Jargon To Enable The Client To Become Familiar With These Terms. Properly Obtained, And The Client Should Have Signed An Against Medical Advice
b. Speak Quickly And Efficiently To Expedite The Visit. Form When Refusing Any Treatment That Is Within The Standard Of Care.
c. Provide The Client With Handouts. Pts: 1 Dif: Cognitive Level: Analyze
d. Assess Whether The Client Understands The Discussion. Top: Nursing Process: Implementation
ANSWER: D Msc: Client Needs: Safe And Effective Care Environment
Nurses Contribute To Health Literacy By Using Simple, Common Words, Avoiding
Jargon, AndEvaluating Whether The Client Understands The Discussion. Speaking Slowly 7. When The Nurse Is Unsure How To Perform A Client Care Procedure That Is High Risk
And Clearly And Focusing On What Is Important Will Increase Understanding. Most Client And LowVolume, His Or Her Best Action In This Situation Would Be What?
Education Materials Are Written At A Level Too High For The Average Adult And May a. Ask Another Nurse.
Not Be Useful For A Client With Limited English Proficiency. b. Discuss The Procedure With The Client’s Physician.
c. Look Up The Procedure In A Nursing Textbook.
Pts: 1 Dif: Cognitive Level: Apply d. First Consult The Agency Procedure Manual
Top: Nursing Process: Implementation ANSWER: D
Msc: Client Needs: Health Promotion And Maintenance Following The Agency’s Policies And Procedures Manual Is Always Best When Seeking
Information On Correct Client Procedures. These Policies Should Reflect The Current
StandardsOf Care And The Individual State’s Guidelines. Each Nurse Is Responsible For
5. Which Statement Best Exemplifies Contemporary Maternity Nursing? His Or Her Own Practice. Relying On Another Nurse May Not Always Be A Safe Practice.
a. Use Of Midwives For All Vaginal Deliveries Each Nurse Is Obligated To Follow The Standards Of Care For Safe Client Care Delivery.
b. Family-Centered Care PhysiciANSWER Are Responsible For Their Own Client Care Activity. Nurses May
c. Free-Standing Birth Clinics Follow Safe Orders From PhysiciANSWER, But They Are Also Responsible For The
d. Physician-Driven Activities That They, As Nurses, Are To Carry Out. Information Provided In A Nursing
CareANSWER: B Textbook Is Basic Information For General Knowledge. Furthermore, The Information In A
Textbook May Not Reflect The Current Standard Of Care Or The Individual State Or
Hospital Policies.
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Maternity and Women's Health Care 13th Edition Lowdermilk Test
Evidence-Based Practice Is Based On Knowledge Gained From Research And Clinical Trials.
Pts: 1 Dif: Cognitive Level: Understand TheNursing Intervention Classification Is A Method Of Standardizing Language And
Top: Nursing Process: Implementation Msc: Client Needs: Physiologic Integrity Categorizing Care. Dr. Cochrane Systematically Reviewed Research Trials And Is Part Of
The Evidence-BasedPractice Movement. Telemedicine Uses Communication Technologies To
8. A Nurse Caring For A Pregnant Client Should Be Aware That The U.S. Birth Rate Support Health Care.
Shows What Trend?
a. Births To Unmarried Women Are More Likely To Have Less Favorable Outcomes. Pts: 1 Dif: Cognitive Level: Understand
b. Birth Rates For Women 40 To 44 Years Of Age Are Declining. Top: Nursing Process: Diagnosis
c. Cigarette Smoking Among Pregnant Women Continues To Increase. Msc: Client Needs: Safe And Effective Care Environment
d. Rates Of Pregnancy And Abortion Among Teenagers Are Lower In The United
StatesThan In Any Other Industrialized Country. 11. What Is The Minimum Level Of Practice That A Reasonably Prudent Nurse Is
Expected ToProvide?
ANSWER: A a. Standard Of Care
Lbw Infants And Preterm Births Are More Likely Because Of The Large Number Of b. Risk Management
Teenagers InThe Unmarried Group. Birth Rates For Women In Their Early 40s Continue c. Sentinel Event
To Increase. Fewer Pregnant Women Smoke. Teen Pregnancy And Abortion Rates Are d. Failure To Rescue
Higher In The United States Than In Any Other Industrial Country.
ANSWER: A
Pts: 1 Dif: Cognitive Level: Understand Guidelines For Standards Of Care Are Published By Various Professional Nursing
Top: Nursing Process: Assessment Msc: Client Needs: Psychosocial Integrity Organizations. Risk Management Identifies Risks And Establishes Preventive Practices, But
It Does Not DefineThe Standard Of Care. Sentinel Events Are Unexpected Negative
9. A Recently Graduated Nurse Is Attempting To Understand The Reason For Increasing Occurrences. They Do Not Establish The Standard Of Care. Failure To Rescue Is An
Health CareSpending In The United States. Which Information Gathered From Research Evaluative Process For Nursing, But It Does Not Define The Standard Of Care.
Best Explains The Rationale For These Higher Costs Compared With Other Developed
Countries? Pts: 1 Dif: Cognitive Level: Remember
a. Higher Rate Of Obesity Among Pregnant Women Top: Nursing Process: Implementation
b. Limited Access To Technology Msc: Client Needs: Safe And Effective Care Environment
c. Increased Use Of Healthncaurerss
erivin
cg ab
estlo.
Ngcwoim
th Lower Prices Nursingtb.Com
d. Homogeneity Of The Population 12. Using Social Media Technology, Nurses Can Link With Other Nurses Who May Share Similar
Interests, Insights About Practice, And Advocate For Clients. Which Factor Is The
ANSWER: A MostConcerning Pitfall For Nurses Using This Technology?
Health Care Is One Of The Fastest Growing Sectors Of The U.S. Economy. Currently, a. Violation Of Client Privacy And Confidentiality
17.5% OfThe Gross Domestic Product Is Spent On Health Care. Higher Spending In The b. Institutions And Colleagues Who May Be Cast In An Unfavorable Light
United States, AsCompared With 12 Other Industrialized Countries, Is Related To Higher c. Unintended Negative Consequences For Using Social Media
Prices And Readily Accessible Technology Along With Greater Obesity Rates Among d. Lack Of Institutional Policy Governing Online Contact
Women. More Than One Third Of Women In The United States Are Obese. In The
Population In The United States, 16% Are Uninsured And Have Limited Access To Health ANSWER: A
Care. Maternal Morbidity And Mortality Are Directly Related To Racial Disparities. The Most Significant Pitfall For Nurses Using This Technology Is The Violation Of Client
PrivacyAnd Confidentiality. Furthermore, Institutions And Colleagues Can Be Cast In An
Pts: 1 Dif: Cognitive Level: Understand Unfavorable Light With Negative Consequences For Those Posting Information. Nursing
Top: Teaching And Learning Students Have BeenExpelled From School And Nurses Have Been Fired Or Reprimanded
Msc: Client Needs: Safe And Effective Care Environment By Their Board Of Nursing For Injudicious Posts. The American Nurses Association Has
Published Six Principles For Social Networking And The Nurse. All Institutions Should
10. Which Statement Best Describes Maternity Nursing Care That Is Based On Knowledge Have Policies Guiding The Use Of Social Media, And The Nurse Should Be Familiar With
GainedThrough Research And Clinical Trials? These Guidelines.
a. Maternity Nursing Care Is Derived From The Nursing Intervention Classification.
b. Maternity Nursing Care Is Known As Evidence-Based Practice. Pts: 1 Dif: Cognitive Level: Analyze
c. Maternity Nursing Care Is At Odds With The Cochrane School Of Traditional Nursing. Top: Nursing Process: Implementation
d. Maternity Nursing Care Is An Outgrowth Of Msc: Client Needs: Safe And Effective Care Environment
Telemedicine. ANSWER: B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Maternity and Women's Health Care 13th Edition Lowdermilk Test
13. During A Prenatal Intake Interview, The Client Informs The Nurse That She Would
ANSWER: A
Prefer A Midwife To Provide Both Her Care During Pregnancy And Deliver Her Infant.
Sbar Is An Easy-To-Remember, Useful, And Concrete Mechanism For Communicating
Which Information Is Most Appropriate For The Nurse To Share With This Client About
Important Information That Requires A Clinician’s Immediate Attention. Baseline Is Not
Resulting Care?
Discussed As Part Of Sbar. Subjective And Analysis Are Not Specific To The Sbar
a. Midwifery Care Is A Good Option For Clients Who Are Uninsured.
Acronym. Subjective, Analysis, And Review Are Not Specific To The Sbar Acronym.
b. She Will Receive Fewer Interventions During The Birth Process.
c. She Should Be Aware That Midwives Are Not Certified.
Pts: 1 Dif: Cognitive Level: Understand
d. Her Delivery Can Take Place Only At Home Or In A Birth Center.
Top: Nursing Process: Implementation
ANSWER: B Msc: Client Needs: Safe And Effective Care Environment
This Client Will Be Able To Participate Actively In All Decisions Related To The Birth
Process AndIs Likely To Receive Fewer Interventions During The Birth Process.
Multiple Response
Midwifery Services Are Available To All Low-Risk Pregnant Women, Regardless Of The
Type Of Insurance They Have. 1. Greater Than One Third Of Women In The United States Are Now Obese (Body Mass
Midwifery Care In All Developed Countries Is Strictly Regulated By A Governing Body To Index [Bmi] Of 30 Or Greater). Less Than One Quarter Of Women In Canada Exhibit
EnsureThat Core Competencies Are Met. In The United States, This Body Is The American The Same Bmi. Obesity In The Pregnant Woman Increases Both Maternal Medical Risk
College Of Nurse-Midwives (Acnm). Midwives Can Provide Care And Delivery At Home, Factors And Negative Outcomes For The Infant. The Nurse Is About To Perform An
In Freestanding Birth Centers, And In Community And Teaching Hospitals. Assessment On A Client Who Is 28Weeks Pregnant And Has A Bmi Of 35. What Are The
Most Frequently Reported ComplicationsFor Which The Nurse Must Be Alert While
Pts: 1 Dif: Cognitive Level: Understand Assessing This Client? (Select All That Apply.)
Top: Nursing Process: Planning a. Potential Miscarriage
Msc: Client Needs: Safe And Effective Care Environment b. Diabetes
c. Fetal Death In Utero
14. While Obtaining A Detailed History From A Woman Who Has Recently Immigrated d. Decreased Fertility
From Somalia, The Nurse Realizes That The Client Has Undergone Female Genital e. Hypertension
Mutilation. What IsThe Nurse’s Most Appropriate Response In This Situation?
a. “This Is A Very Abnormal Practice And Rarely Seen In The United States.” ANSWER: B, E
b. “Are You Aware Of Who Performed This Mutilation So That It Can Be The Two Most Frequently Ren ortr
pu es
dMin
ategrt
nab
lM.C
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al Risk Factors Associated With Obesity
Reported To TheAuthorities?” Nursingtb.Com Are Hypertension Associated With Pregnancy And Diabetes. Decreased Fertility, Miscarriage,
c. “We Will Be Able To Restore Fully Your Circumcision After Delivery.” Fetal
d. “The Extent Of Your Circumcision Will Affect The Potential For Complications.” Death, And Congenital Anomalies Are Also Associated With Obesity. These Clients Often
Experience Longer Hospital Stays And Increased Use Of Health Services.
ANSWER: D
The Extent Of The Circumcision Is Important. The Client May Experience Pain, Bleeding, Pts: 1 Dif: Cognitive Level: Apply
Scarring, Or Infection And May Require Surgery Before Childbirth. Although This Top: Nursing Process: Assessment Msc: Client Needs: Physiologic Integrity
Practice Is Not Prevalent In The United States, It Is Very Common In Many African And
Middle Eastern Countries For Religious Reasons. Mentioning That The Practice Is 2. The Patient Protection And Affordable Care Act (Aca) Was Signed Into Law By President
Abnormal And Rarely Seen In The United States Is Culturally Insensitive. The Infibulation Obama In Early 2010. The Act Provides Some Immediate Benefits, And Other Provisions
May Have Occurred During Infancy Or Childhood; Consequently, The Client Will Have WillTake Place Over The Next Several Years. The Practicing Nurse Should Have A
Little To No Recollection Of The Event. She Would Have Considered This To Be A Thorough Understanding Of How These Changes Will Benefit His Or Her Clients. Which
Normal Milestone During Her Growth And Development. The International Council Of Outcomes Are Goals Of The Aca? (Select All That Apply.)
Nurses Has Spoken Out Against This Procedure As Harmful To A Woman’s Health. a. Insurance Affordability
b. Improve Public Health
Pts: 1 Dif: Cognitive Level: Analyze c. Treatment Of Illness
Top: Nursing Process: Assessment Msc: Client Needs: Psychosocial Integrity d. Elimination Of Medicare And Medicaid
e. Cost Containment
15. Maternity Nurses Can Enhance Communication Among Health Care Providers By
Using TheSbar Technique. The Acronym Sbar Stands For What? ANSWER: A, B, E
a. Situation, Background, Assessment, Recommendation The Aca Goals Are To Make Insurance More Affordable, Contain Costs, And Strengthen
b. Situation, Baseline, Assessment, Recommendation Medicare And Medicaid. The Act Contains Provisions That Promote The Prevention Of
c. Subjective, Background, Analysis, Recommendation IllnessAnd Improve Access To Public Health. The Ultimate Goal Of The Act Is To
d. Subjective, Background, Analysis, Review Improve The Quality Of Care For All AmericANSWER While Reducing Waste, Fraud,
And Abuse Of The Current System.
