Test
, Maternity3fand3fWomen's3fHealth3fCare3f13th3fEdition3fLowdermilk3f
Test
Chapter01:21st3fCentury3fMaternity and Women’s3fHealthNursing3fLowdermilk:
il
3fMaternity3f&3fWomen’s3fHealth3fCare,3f12th3fEdition
MULTIPLECHOICE
1. In3fevaluating3fthe3flevel3fof3fa3fpregnant3fwoman’s3frisk3fof3fhaving3fa3flow-birth-
weight3f(LBW)3finfant,3fwhich3ffactor3fis3fthe3fmost3fimportant3ffor3fthe3fnurse3fto3fconsid
er?
a. African-Americanrace
b. Cigarettesmoking
c. Poor3fnutritional3fstatus
d. Limitedmaternal3feducation
ANS:3 f A
The3frise3fin3fthe3foverall3fLBW3frates3fwere3fdue3fto3fincreases3fin3fLBW3fbirths3fto3fnon-
Hispanic3fblack3fwomen3f(13.35%)3fand3fHispanic3fwomen3f(7.21%);3fnon-
Hispanic3fblack3finfants3fare3falmost3ftwice3fas3flikely3fas3fnon-
Hispanic3fwhite3finfants3fto3fbe3fof3fLBW3fand3fto3fdie3fin3fthe3ffirst3fyearoflife..3fRace3fis3fanonm
odifiable3frisk3ffactor.3fCigarettesmokingis3fan3fimportant3ffactor3fin3fpotential3finfant3m f ortality3f
rates,3fbut3fit3fis3fnot3fthe3fmost3fimportant.3fAdditionally,3fsmoking3fis3fa3fmodifiable3frisk3ffa
ctor.3fPoor3fnutrition3fis3fan3fimportant3ffactor3fin3fpotential3finfant3fmortality3frates,3fbut3fit3fis3fno
t3fthe3fmost3fimportant.3fAdditionally,3fnutritional3fstatus3fis3fa3fmodifiable3frisk3ffactor.3fMat
ernal3feducation3fis3fan3fimportant3ffactor3fin3fpotential3finfant3fmortality3frates,3fbut3fit3fis3fno
t3fthe3fmost3fimportant.3fAdditionally,3fmaternal3feducation3fis3fa3fmodifiable3frisk3ffactor.
PTS: 1 DIF:
CognitiveLevel:Understand3fTOP:3fNursing3fProce
ss:3fAssessment
MSC: Client3f3f3 f Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum3f3f3 f Care
2. A3f23-year-old3fAfrican-
American3fwoman3fis3fpregnant3fwith3fher3ffirst3fchild.3fBased3fon3fcurrent3fstatistics3ffor3finfa
nt3fmortality,3fwhich3fintervention3fis3fmost3fimportant3ffor3fthe3fnurse3fto3finclude3fin3fthe3fclient’s
3fplan3fof3fcare?
a. Perform3fanutrition3fassessment.
b. Refer3fthe3fwoman3fto3fa3fsocial3fworker.
c. Advisethe3fwoman3fto3fsee3fan3fobstetrician,3fnot3fa3fmidwife.
d. Explainto3fthe3fwoman3fthe3fimportance3fof3fkeeping3fher3fprenatal3fcare3fappointments.
ANS:3 f D
Consistent3fprenatal3fcare3fis3fthe3fbest3fmethod3fof3fpreventing3for3fcontrolling3frisk3ffactors3
fassociatedwithinfant3fmortality.3fNutritional3fstatusisan3fimportantmodifiableriskfactor,but
3fit3fis3fnot3fthe3fmost3fimportant3faction3fa3fnurse3fshould3ftake3fin3fthis3fsituation.3fThe3fclient
3fmay3fneed3fassistance3ffrom3fa3fsocial3fworker3fat3fsome3ftime3fduring3fher3fpregnancy,3fbut3fa3f
referral3fto3fa3fsocial3fworker3fis3fnot3fthe3fmost3fimportant3faspect3fthe3fnurse3fshould3faddress3fa
t3fthis3ftime.3fIf3fthe3fwoman3fhas3fidentifiable3fhigh-
risk3fproblems,3fthen3fher3fhealth3fcare3fmay3fneed3fto3fbe3fprovided3fby3fa3fphysician.3fHowe
ver,3fit3fcannot3fbe3fassumed3fthat3fall3fAfrican-American3fwomen3fhave3fhigh-
risk3fissues.3fIn3faddition,3fadvising3fthe3fwoman3fto3fsee3fan3fobstetrician3fis3fnot3fthe3fmost3fi
mportant3faspect3fon3fwhich3fthe3fnurse3fshould3ffocus3fat3fthis3ftime,3fand3fit3fis3fnot3fapprop
riate3ffor3fa3fnurse3fto3fadvise3for3fmanage3fthe3ftype3fof3fcare3fa3fclient3fis3fto3freceive.
PTS: 1 DIF:
CognitiveLevel:Understand3fTOP:3fNursing3fProce
, Maternity3fand3fWomen's3fHealth3fCare3f13th3fEdition3fLowdermilk3f
Test
ss:3fPlanning
, Maternity3fand3fWomen's3fHealth3fCare3f13th3fEdition3fLowdermilk3f
Test
MSC:3 f Client3fNeeds:3fHealth3fPromotionand3fMaintenance
3. Thenurses3fworking3fat3fa3fnewlyestablishedbirthingcenter3fhave3fbegunto3fcomparet
heir3fperformance3fin3fproviding3fmaternal-
newborn3fcare3fagainst3fclinical3fstandards.3fThis3fcomparison3fprocess3fis3fmost3fco
mmonly3fknown3fas3fwhat?
a. Bestpractices3fnetwork
b. Clinicalbenchmarking
c. Outcomes-orientedpracNtiUceR S
d. Evidence-basedpractice
ANS:3 f C
Outcomes-
oriented3fpractice3fmeasures3fthe3feffectiveness3fof3fthe3finterventions3fand3fquality3fof3fcarea
gainst3fbenchmarks3for3fstandards.3fTheterm3fbestpractice3freferstoaprogram3forservice3fthat3f
has3fbeen3frecognized3ffor3fits3fexcellence.3fClinical3fbenchmarking3fis3fa3fprocess3fused3fto3fc
ompare3fone’s3fown3fperformance3fagainst3fthe3fperformance3fof3fthe3fbest3fin3fan3farea3fof3fser
vice.3fThe3fterm3fevidence-
based3fpractice3frefers3fto3fthe3fprovision3fof3fcare3fbased3fon3fevidence3fgained3fthrough3fres
earch3fand3fclinical3ftrials.
PTS: 1 DIF:
CognitiveLevel:Understand3fTOP:3fNursing3fProce
il
ss:3fEvaluation
MSC:3 f Client3fNeeds:3fSafe3fand3fEffective3fCare3fEnvironment
4. During3fa3fprenatal3fintake3finterview,3fthe3fnurse3fis3fin3fthe3fprocess3fof3fobtaining3fa
n3finitial3fassessment3fof3fa3f21-year-
old3fHispanic3fclient3fwith3flimited3fEnglish3fproficiency.3 f Which3if ntervention3fis3fthe3f
most3fimportant3ffor3fthe3fnurse3fto3fimplement?
a. Usematernityjargon3fto3fenable3fthe3fclient3fto3fbecome3ffamiliarwith3fthese3fterms.
b. Speak3fquickly3fand3fefficientlyto3fexpeditethe3fvisit.
c. Providethe3fclient3fwith3fhandouts.
d. Assesswhetherthe3fclient3funderstands3fthe3fdiscussion.
ANS:3 f D
Nurses3fcontribute3fto3fhealth3fliteracy3fby3fusing3fsimple,3fcommon3fwords,3favoiding3fjarg
on,3fand3fevaluating3fwhether3fthe3fclient3funderstands3fthe3fdiscussion.3fSpeaking3fslowly3fa
nd3fclearly3fand3ffocusing3fon3fwhat3fis3fimportant3fwill3fincrease3funderstanding.3fMost3fclient
3feducation3fmaterials3fare3fwritten3fat3fa3flevel3ftoo3fhigh3ffor3fthe3faverage3fadult3fand3fmay3f
not3fbe3fuseful3ffor3fa3fclient3fwith3flimited3fEnglish3fproficiency.
PTS: 1 DIF:
CognitiveLevel:Apply3fTOP:3fNursing3fProce
il
ss:3fImplementation
MSC:3 f Client3fNeeds:3fHealth3fPromotionand3fMaintenance
5. Whichstatement3fbest3fexemplifies3fcontemporarymaternitynursing?
a. Useof3fmidwives3ffor3fall3fvaginal3fdeliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-
drivencare3fANS:3 f B
il