Maternity and Women's Health Care 13th Edition Lowdermilk Test
, Maternity1land1lWomen's1lHealth1lCare1l13th1lEdition1lLowdermilk1lT
est
Chapter1l01:1l21st1lCentury1lMaternity1land1lWomen’s1lHealth1lNursing1lLowdermi
lk:1lMaternity1l&1lWomen’s1lHealth1lCare,1l13th1lEdition
MULTIPLE1lCHOICE
1. In1levaluating1lthe1llevel1lof1la1lpregnant1lwoman’s1lrisk1lof1lhaving1la1llow-birth-
weight1l(LBW)1linfant,1lwhich1lfactor1lis1lthe1lmost1limportant1lfor1lthe1lnurse1lto1lconsider?
a. African-American1 l race
b. Cigarette1lsmoking
c. Poor1lnutritional1lstatus
d. Limited1lmaternal1leducation
ANS:1 l A
The1lrise1lin1lthe1loverall1lLBW1lrates1lwere1ldue1lto1lincreases1lin1lLBW1lbirths1lto1lnon-
Hispanic1lblack1lwomen1l(13.35%)1land1lHispanic1lwomen1l(7.21%);1lnon-
Hispanic1lblack1linfants1lare1lalmost1ltwice1las1llikely1las1lnon-
Hispanic1lwhite1linfants1lto1lbe1lof1lLBW1land1lto1ldie1lin1lthe1lfirst1lyear1lof1llife..1lRace1lis1la1lnon
modifiable1lrisk1lfactor.1lCigarette1lsmoking1lis1lan1limportant1lfactor1lin1lpotential1linfant1lmortal
ity1lrates,1lbut1lit1lis1lnot1lthe1lmost1limportant.1lAdditionally,1lsmoking1lis1la1lmodifiable1lrisk1lfa
ctor.1lPoor1lnutrition1lis1lan1limportant1lfactor1lin1lpotential1linfant1lmortality1lrates,1lbut1lit1lis1lno
t1lthe1lmost1limportant.1lAdditionally,1lnutritional1lstatus1lis1la1lmodifiable1lrisk1lfactor.1lMatern
al1leducation1lis1lan1limportant1lfactor1lin1lpotential1linfant1lmortality1lrates,1lbut1lit1lis1lnot1lthe1lm
ost1limportant.1lAdditionally,1lmaternal1leducation1lis1la1lmodifiable1lrisk1lfactor.
PTS: 1 DIF:
Cognitive1lLevel:1lUnderstand1lTOP:
Nursing1lProcess:1lAssessment
MSC:1 l 1 l Client1 l Needs:1 l HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,1 l Antepartum1 l Care
2. A1l23-year-old1lAfrican-
American1lwoman1lis1lpregnant1lwith1lher1lfirst1lchild.1lBased1lon1lcurrent1lstatistics1lfor1linfant
1lmortality,1lwhich1lintervention1lis1lmost1limportant1lfor1lthe1lnurse1lto1linclude1lin1lthe1lclient’s
1lplan1lof1lcare?
a. Perform1la1lnutrition1lassessment.
b. Refer1lthe1lwoman1lto1la1lsocial1lworker.
c. Advise1lthe1lwoman1lto1lsee1lan1lobstetrician,1lnot1la1lmidwife.
d. Explain1lto1lthe1lwoman1lthe1limportance1lof1lkeeping1lher1lprenatal1lcare1lappointments.
ANS:1 l D
Consistent1lprenatal1lcare1lis1lthe1lbest1lmethod1lof1lpreventing1lor1lcontrolling1lrisk1lfactors1lass
ociated1lwith1linfant1lmortality.1lNutritional1lstatus1lis1lan1limportant1lmodifiable1lrisk1lfactor,1lbut
1lit1lis1lnot1lthe1lmost1limportant1laction1la1lnurse1lshould1ltake1lin1lthis1lsituation.1lThe1lclient1lmay
1lneed1lassistance1lfrom1la1lsocial1lworker1lat1lsome1ltime1lduring1lher1lpregnancy, 1lbut1la1lreferral
1lto1la1lsocial1lworker1lis1lnot1lthe1lmost1limportant1laspect1lthe1lnurse1lshould1laddress1lat1lthis1lti
me.1lIf1lthe1lwoman1lhas1lidentifiable1lhigh-
risk1lproblems,1lthen1lher1lhealth1lcare1lmay1lneed1lto1lbe1lprovided1lby1la1lphysician.1lHowever,1l
it1lcannot1lbe1lassumed1lthat1lall1lAfrican-American1lwomen1lhave1lhigh-
risk1lissues.1lIn1laddition,1ladvising1lthe1lwoman1lto1lsee1lan1lobstetrician1lis1lnot1lthe1lmost1limpo
rtant1laspect1lon1lwhich1lthe1lnurse1lshould1lfocus1lat1lthis1ltime,1land1lit1lis1lnot1lappropriate1lfor1l
a1lnurse1lto1ladvise1lor1lmanage1lthe1ltype1lof1lcare1la1lclient1lis1lto1lreceive.
PTS: 1 DIF:
Cognitive1lLevel:1lUnderstand1lTOP:
Nursing1lProcess:1lPlanning
, Maternity1land1lWomen's1lHealth1lCare1l13th1lEdition1lLowdermilk1lT
est
MSC:1lClient1lNeeds:1lHealth1lPromotion1land1lMaintenance
3. The1lnurses1lworking1lat1la1lnewly1lestablished1lbirthing1lcenter1lhave1lbegun1lto1lcompare1lt
heir1lperformance1lin1lproviding1lmaternal-
newborn1lcare1lagainst1lclinical1lstandards.1lThis1lcomparison1lprocess1lis1lmost1lcommon
ly1lknown1las1lwhat?
a. Best1lpractices1lnetwork
b. Clinical1lbenchmarking
c. Outcomes-oriented1 l pracNt iUceR S
d. Evidence-based1lpractice
ANS:1 l C
Outcomes-
oriented1lpractice1lmeasures1lthe1leffectiveness1lof1lthe1linterventions1land1lquality1lof1lcare1laga
inst1lbenchmarks1lor1lstandards.1lThe1lterm1lbest1lpractice1lrefers1lto1la1lprogram1lor1lservice1lthat1l
has1lbeen1lrecognized1lfor1lits1lexcellence.1lClinical1lbenchmarking1lis1la1lprocess1lused1lto1lcom
pare1lone’s1lown1lperformance1lagainst1lthe1lperformance1lof1lthe1lbest1lin1lan1larea1lof1lservice.1l
The1lterm1levidence-
based1lpractice1lrefers1lto1lthe1lprovision1lof1lcare1lbased1lon1levidence1lgained1lthrough1lresearc
h1land1lclinical1ltrials.
PTS: 1 DIF:
Cognitive1lLevel:1lUnderstand1lTOP:
Nursing1lProcess:1lEvaluation
MSC:1l Client1lNeeds:1lSafe1land1lEffective1lCare1lEnvironment
4. During1la1lprenatal1lintake1linterview,1lthe1lnurse1lis1lin1lthe1lprocess1lof1lobtaining1lan1li
nitial1lassessment1lof1la1l21-year-
old1lHispanic1lclient1lwith1llimited1lEnglish1lproficiency.1lWhich1lintervention1lis1lthe1lm
ost1limportant1lfor1lthe1lnurse1lto1limplement?
a. Use1lmaternity1ljargon1lto1lenable1lthe1lclient1lto1lbecome1lfamiliar1lwith1lthese1lterms.
b. Speak1lquickly1land1lefficiently1lto1lexpedite1lthe1lvisit.
c. Provide1lthe1lclient1lwith1lhandouts.
d. Assess1lwhether1lthe1lclient1lunderstands1lthe1ldiscussion.
ANS:1 l D
Nurses1lcontribute1lto1lhealth1lliteracy1lby1lusing1lsimple,1lcommon1lwords,1lavoiding1ljargon,1l
and1levaluating1lwhether1lthe1lclient1lunderstands1lthe1ldiscussion.1lSpeaking1lslowly1land1lcle
arly1land1lfocusing1lon1lwhat1lis1limportant1lwill1lincrease1lunderstanding.1lMost1lclient1leducati
on1lmaterials1lare1lwritten1lat1la1llevel1ltoo1lhigh1lfor1lthe1laverage1ladult1land1lmay1lnot1lbe1lusef
ul1lfor1la1lclient1lwith1llimited1lEnglish1lproficiency.
PTS: 1 DIF:
Cognitive1lLevel:1lApply1lTOP:
Nursing1lProcess:1lImplementation
MSC:1lClient1lNeeds:1lHealth1lPromotion1land1lMaintenance
5. Which1lstatement1lbest1lexemplifies1lcontemporary1lmaternity1lnursing?
a. Use1lof1lmidwives1lfor1lall1lvaginal1ldeliveries
b. Family-centered1lcare
c. Free-standing1lbirth1lclinics
d. Physician-
driven1lcare1lANS:1 l B
, Maternity1land1lWomen's1lHealth1lCare1l13th1lEdition1lLowdermilk1lT
est
Contemporary1lmaternity1lnursing1lfocuses1lon1lthe1lfamily’s1lneeds1land1ldesires.1lFathers,1lpar
tners,1lgrandparents,1land1lsiblings1lmay1lbe1lpresent1lfor1lthe1lbirth1land1lparticipate1lin1lactivities1l
such1las1lcutting1lthe1lbaby’s1lumbilical1lcord.1lBoth1lmidwives1land1lphysicians1lperform1lvagin
al1ldeliveries.1lFree-
standing1lclinics1lare1lan1lexample1lof1lalternative1lbirth1loptions.1lContemporary1lmaternity1lnu
rsing1lis1ldriven1lby1lthe1lrelationship1lbetween1lnurses1land1ltheir1lclients.
PTS: 1 DIF:
Cognitive1lLevel:1lUnderstand1lTOP:
Nursing1lProcess:1lPlanning
MSC:1lClient1lNeeds:1lHealth1lPromotion1land1lMaintenance
6. A1l38-year-old1lHispanic1lwoman1lvaginally1ldelivered1la1l9-pound,1l6-
ounce1lbaby1lgirl1lafter1lbeing1lin1llabor1lfor1l431lhours.1lThe1lbaby1ldied1l31ldays1llater1lfrom1lseps
is.1lOn1lwhat1lgrounds1lcould1lthe1lwoman1lhave1la1llegitimate1llegal1lcase1lfor1lnegligence?
a. Inexperienced1lmaternity1lnurse1lwas1lassigned1lto1lcare1lfor1lthe1lclient.
b. Client1lwas1lpast1lher1ldue1ldate1lby1l31ldays.
c. Standard1lof1lcare1lwas1lnot1lmet.
d. Client1lrefused1lelectronic1lfetal1lmonitoring.
ANS:1 l C
Not1lmeeting1lthe1lstandard1lof1lcare1lis1la1llegitimate1lfactor1lfor1la1lcase1lof1lnegligence.1lAn1line
xperienced1lmaternity1lnurse1lwould1lneed1lto1ldisplay1lcompetency1lbefore1lbeing1lassigned1lto1lc
are1lfor1lclients1lon1lhis1lor1lher1lown.1lThis1lclient1lmay1lhave1lbeen1lpast1lher1ldue1ldate;1lhowever
,1la1lterm1lpregnancy1loften1lgoes1lbeyond1l401lweeks1lof1lgestation.1lAlthough1lfetal1lmonitoring1l
is1lthe1lstandard1lof1lcare,1lthe1lclient1lhas1lthe1lright1lto1lrefuse1ltreatment.1lThis1lrefusal1lis1lnot1la
1lcase1lfor1lnegligence,1lbut1linformed1lconsent1lshould1lbe1lproperly1lobtained,1land1lthe1lclient1l
should1lhave1lsigned1lan1lagainst1lmedical1ladvice1lform1lwhen1lrefusing1lany1ltreatment1lthat1lis
1lwithin1lthe1lstandard1lof1lcare.
PTS: 1 DIF:
Cognitive1lLevel:1lAnalyze1lTOP:
Nursing1lProcess:1lImplementation
MSC:1l Client1lNeeds:1lSafe1land1lEffective1lCare1lEnvironment
7. When1lthe1lnurse1lis1lunsure1lhow1lto1lperform1la1lclient1lcare1lprocedure1lthat1lis1lhigh1lrisk1land
1llow1lvolume,1lhis1lor1lher1lbest1laction1lin1lthis1lsituation1lwould1lbe1lwhat?
a. Ask1lanother1lnurse.
b. Discuss1lthe1lprocedure1lwith1lthe1lclient’s1lphysician.
c. Look1lup1lthe1lprocedure1lin1la1lnursing1ltextbook.
d. First1lconsult1lthe1lagency1lprocedure1lmanual
ANS:1 l D
Following1lthe1lagency’s1lpolicies1land1lprocedures1lmanual1lis1lalways1lbest1lwhen1lseeking1lin
formation1lon1lcorrect1lclient1lprocedures.1lThese1lpolicies1lshould1lreflect1lthe1lcurrent1lstandard
s1lof1lcare1land1lthe1lindividual1lstate’s1lguidelines.1lEach1lnurse1lis1lresponsible1lfor1lhis1lor1lher1l
own1lpractice.1lRelying1lon1lanother1lnurse1lmay1lnot1lalways1lbe1la1lsafe1lpractice.1lEach1lnurse1l
is1lobligated1lto1lfollow1lthe1lstandards1lof1lcare1lfor1lsafe1lclient1lcare1ldelivery.1lPhysicians1lare1
lresponsible1lfor1ltheir1lown1lclient1lcare1lactivity.1lNurses1lmay1lfollow1lsafe1lorders1lfrom1lphys
icians,1lbut1lthey1lare1lalso1lresponsible1lfor1lthe1lactivities1lthat1lthey,1las1lnurses,1lare1lto1lcarry1l
out.1lInformation1lprovided1lin1la1lnursing1ltextbook1lis1lbasic1linformation1lfor1lgeneral1lknowled
ge.1lFurthermore,1lthe1linformation1lin1la1ltextbook1lmay1lnot1lreflect1lthe1lcurrent1lstandard1lof1l
care1lor1lthe1lindividual1lstate1lor1lhospital1lpolicies.
, Maternity1land1lWomen's1lHealth1lCare1l13th1lEdition1lLowdermilk1lT
est
Chapter1l01:1l21st1lCentury1lMaternity1land1lWomen’s1lHealth1lNursing1lLowdermi
lk:1lMaternity1l&1lWomen’s1lHealth1lCare,1l13th1lEdition
MULTIPLE1lCHOICE
1. In1levaluating1lthe1llevel1lof1la1lpregnant1lwoman’s1lrisk1lof1lhaving1la1llow-birth-
weight1l(LBW)1linfant,1lwhich1lfactor1lis1lthe1lmost1limportant1lfor1lthe1lnurse1lto1lconsider?
a. African-American1 l race
b. Cigarette1lsmoking
c. Poor1lnutritional1lstatus
d. Limited1lmaternal1leducation
ANS:1 l A
The1lrise1lin1lthe1loverall1lLBW1lrates1lwere1ldue1lto1lincreases1lin1lLBW1lbirths1lto1lnon-
Hispanic1lblack1lwomen1l(13.35%)1land1lHispanic1lwomen1l(7.21%);1lnon-
Hispanic1lblack1linfants1lare1lalmost1ltwice1las1llikely1las1lnon-
Hispanic1lwhite1linfants1lto1lbe1lof1lLBW1land1lto1ldie1lin1lthe1lfirst1lyear1lof1llife..1lRace1lis1la1lnon
modifiable1lrisk1lfactor.1lCigarette1lsmoking1lis1lan1limportant1lfactor1lin1lpotential1linfant1lmortal
ity1lrates,1lbut1lit1lis1lnot1lthe1lmost1limportant.1lAdditionally,1lsmoking1lis1la1lmodifiable1lrisk1lfa
ctor.1lPoor1lnutrition1lis1lan1limportant1lfactor1lin1lpotential1linfant1lmortality1lrates,1lbut1lit1lis1lno
t1lthe1lmost1limportant.1lAdditionally,1lnutritional1lstatus1lis1la1lmodifiable1lrisk1lfactor.1lMatern
al1leducation1lis1lan1limportant1lfactor1lin1lpotential1linfant1lmortality1lrates,1lbut1lit1lis1lnot1lthe1lm
ost1limportant.1lAdditionally,1lmaternal1leducation1lis1la1lmodifiable1lrisk1lfactor.
PTS: 1 DIF:
Cognitive1lLevel:1lUnderstand1lTOP:
Nursing1lProcess:1lAssessment
MSC:1 l 1 l Client1 l Needs:1 l HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,1 l Antepartum1 l Care
2. A1l23-year-old1lAfrican-
American1lwoman1lis1lpregnant1lwith1lher1lfirst1lchild.1lBased1lon1lcurrent1lstatistics1lfor1linfant
1lmortality,1lwhich1lintervention1lis1lmost1limportant1lfor1lthe1lnurse1lto1linclude1lin1lthe1lclient’s
1lplan1lof1lcare?
a. Perform1la1lnutrition1lassessment.
b. Refer1lthe1lwoman1lto1la1lsocial1lworker.
c. Advise1lthe1lwoman1lto1lsee1lan1lobstetrician,1lnot1la1lmidwife.
d. Explain1lto1lthe1lwoman1lthe1limportance1lof1lkeeping1lher1lprenatal1lcare1lappointments.
ANS:1 l D
Consistent1lprenatal1lcare1lis1lthe1lbest1lmethod1lof1lpreventing1lor1lcontrolling1lrisk1lfactors1lass
ociated1lwith1linfant1lmortality.1lNutritional1lstatus1lis1lan1limportant1lmodifiable1lrisk1lfactor,1lbut
1lit1lis1lnot1lthe1lmost1limportant1laction1la1lnurse1lshould1ltake1lin1lthis1lsituation.1lThe1lclient1lmay
1lneed1lassistance1lfrom1la1lsocial1lworker1lat1lsome1ltime1lduring1lher1lpregnancy, 1lbut1la1lreferral
1lto1la1lsocial1lworker1lis1lnot1lthe1lmost1limportant1laspect1lthe1lnurse1lshould1laddress1lat1lthis1lti
me.1lIf1lthe1lwoman1lhas1lidentifiable1lhigh-
risk1lproblems,1lthen1lher1lhealth1lcare1lmay1lneed1lto1lbe1lprovided1lby1la1lphysician.1lHowever,1l
it1lcannot1lbe1lassumed1lthat1lall1lAfrican-American1lwomen1lhave1lhigh-
risk1lissues.1lIn1laddition,1ladvising1lthe1lwoman1lto1lsee1lan1lobstetrician1lis1lnot1lthe1lmost1limpo
rtant1laspect1lon1lwhich1lthe1lnurse1lshould1lfocus1lat1lthis1ltime,1land1lit1lis1lnot1lappropriate1lfor1l
a1lnurse1lto1ladvise1lor1lmanage1lthe1ltype1lof1lcare1la1lclient1lis1lto1lreceive.
PTS: 1 DIF:
Cognitive1lLevel:1lUnderstand1lTOP:
Nursing1lProcess:1lPlanning
, Maternity1land1lWomen's1lHealth1lCare1l13th1lEdition1lLowdermilk1lT
est
MSC:1lClient1lNeeds:1lHealth1lPromotion1land1lMaintenance
3. The1lnurses1lworking1lat1la1lnewly1lestablished1lbirthing1lcenter1lhave1lbegun1lto1lcompare1lt
heir1lperformance1lin1lproviding1lmaternal-
newborn1lcare1lagainst1lclinical1lstandards.1lThis1lcomparison1lprocess1lis1lmost1lcommon
ly1lknown1las1lwhat?
a. Best1lpractices1lnetwork
b. Clinical1lbenchmarking
c. Outcomes-oriented1 l pracNt iUceR S
d. Evidence-based1lpractice
ANS:1 l C
Outcomes-
oriented1lpractice1lmeasures1lthe1leffectiveness1lof1lthe1linterventions1land1lquality1lof1lcare1laga
inst1lbenchmarks1lor1lstandards.1lThe1lterm1lbest1lpractice1lrefers1lto1la1lprogram1lor1lservice1lthat1l
has1lbeen1lrecognized1lfor1lits1lexcellence.1lClinical1lbenchmarking1lis1la1lprocess1lused1lto1lcom
pare1lone’s1lown1lperformance1lagainst1lthe1lperformance1lof1lthe1lbest1lin1lan1larea1lof1lservice.1l
The1lterm1levidence-
based1lpractice1lrefers1lto1lthe1lprovision1lof1lcare1lbased1lon1levidence1lgained1lthrough1lresearc
h1land1lclinical1ltrials.
PTS: 1 DIF:
Cognitive1lLevel:1lUnderstand1lTOP:
Nursing1lProcess:1lEvaluation
MSC:1l Client1lNeeds:1lSafe1land1lEffective1lCare1lEnvironment
4. During1la1lprenatal1lintake1linterview,1lthe1lnurse1lis1lin1lthe1lprocess1lof1lobtaining1lan1li
nitial1lassessment1lof1la1l21-year-
old1lHispanic1lclient1lwith1llimited1lEnglish1lproficiency.1lWhich1lintervention1lis1lthe1lm
ost1limportant1lfor1lthe1lnurse1lto1limplement?
a. Use1lmaternity1ljargon1lto1lenable1lthe1lclient1lto1lbecome1lfamiliar1lwith1lthese1lterms.
b. Speak1lquickly1land1lefficiently1lto1lexpedite1lthe1lvisit.
c. Provide1lthe1lclient1lwith1lhandouts.
d. Assess1lwhether1lthe1lclient1lunderstands1lthe1ldiscussion.
ANS:1 l D
Nurses1lcontribute1lto1lhealth1lliteracy1lby1lusing1lsimple,1lcommon1lwords,1lavoiding1ljargon,1l
and1levaluating1lwhether1lthe1lclient1lunderstands1lthe1ldiscussion.1lSpeaking1lslowly1land1lcle
arly1land1lfocusing1lon1lwhat1lis1limportant1lwill1lincrease1lunderstanding.1lMost1lclient1leducati
on1lmaterials1lare1lwritten1lat1la1llevel1ltoo1lhigh1lfor1lthe1laverage1ladult1land1lmay1lnot1lbe1lusef
ul1lfor1la1lclient1lwith1llimited1lEnglish1lproficiency.
PTS: 1 DIF:
Cognitive1lLevel:1lApply1lTOP:
Nursing1lProcess:1lImplementation
MSC:1lClient1lNeeds:1lHealth1lPromotion1land1lMaintenance
5. Which1lstatement1lbest1lexemplifies1lcontemporary1lmaternity1lnursing?
a. Use1lof1lmidwives1lfor1lall1lvaginal1ldeliveries
b. Family-centered1lcare
c. Free-standing1lbirth1lclinics
d. Physician-
driven1lcare1lANS:1 l B
, Maternity1land1lWomen's1lHealth1lCare1l13th1lEdition1lLowdermilk1lT
est
Contemporary1lmaternity1lnursing1lfocuses1lon1lthe1lfamily’s1lneeds1land1ldesires.1lFathers,1lpar
tners,1lgrandparents,1land1lsiblings1lmay1lbe1lpresent1lfor1lthe1lbirth1land1lparticipate1lin1lactivities1l
such1las1lcutting1lthe1lbaby’s1lumbilical1lcord.1lBoth1lmidwives1land1lphysicians1lperform1lvagin
al1ldeliveries.1lFree-
standing1lclinics1lare1lan1lexample1lof1lalternative1lbirth1loptions.1lContemporary1lmaternity1lnu
rsing1lis1ldriven1lby1lthe1lrelationship1lbetween1lnurses1land1ltheir1lclients.
PTS: 1 DIF:
Cognitive1lLevel:1lUnderstand1lTOP:
Nursing1lProcess:1lPlanning
MSC:1lClient1lNeeds:1lHealth1lPromotion1land1lMaintenance
6. A1l38-year-old1lHispanic1lwoman1lvaginally1ldelivered1la1l9-pound,1l6-
ounce1lbaby1lgirl1lafter1lbeing1lin1llabor1lfor1l431lhours.1lThe1lbaby1ldied1l31ldays1llater1lfrom1lseps
is.1lOn1lwhat1lgrounds1lcould1lthe1lwoman1lhave1la1llegitimate1llegal1lcase1lfor1lnegligence?
a. Inexperienced1lmaternity1lnurse1lwas1lassigned1lto1lcare1lfor1lthe1lclient.
b. Client1lwas1lpast1lher1ldue1ldate1lby1l31ldays.
c. Standard1lof1lcare1lwas1lnot1lmet.
d. Client1lrefused1lelectronic1lfetal1lmonitoring.
ANS:1 l C
Not1lmeeting1lthe1lstandard1lof1lcare1lis1la1llegitimate1lfactor1lfor1la1lcase1lof1lnegligence.1lAn1line
xperienced1lmaternity1lnurse1lwould1lneed1lto1ldisplay1lcompetency1lbefore1lbeing1lassigned1lto1lc
are1lfor1lclients1lon1lhis1lor1lher1lown.1lThis1lclient1lmay1lhave1lbeen1lpast1lher1ldue1ldate;1lhowever
,1la1lterm1lpregnancy1loften1lgoes1lbeyond1l401lweeks1lof1lgestation.1lAlthough1lfetal1lmonitoring1l
is1lthe1lstandard1lof1lcare,1lthe1lclient1lhas1lthe1lright1lto1lrefuse1ltreatment.1lThis1lrefusal1lis1lnot1la
1lcase1lfor1lnegligence,1lbut1linformed1lconsent1lshould1lbe1lproperly1lobtained,1land1lthe1lclient1l
should1lhave1lsigned1lan1lagainst1lmedical1ladvice1lform1lwhen1lrefusing1lany1ltreatment1lthat1lis
1lwithin1lthe1lstandard1lof1lcare.
PTS: 1 DIF:
Cognitive1lLevel:1lAnalyze1lTOP:
Nursing1lProcess:1lImplementation
MSC:1l Client1lNeeds:1lSafe1land1lEffective1lCare1lEnvironment
7. When1lthe1lnurse1lis1lunsure1lhow1lto1lperform1la1lclient1lcare1lprocedure1lthat1lis1lhigh1lrisk1land
1llow1lvolume,1lhis1lor1lher1lbest1laction1lin1lthis1lsituation1lwould1lbe1lwhat?
a. Ask1lanother1lnurse.
b. Discuss1lthe1lprocedure1lwith1lthe1lclient’s1lphysician.
c. Look1lup1lthe1lprocedure1lin1la1lnursing1ltextbook.
d. First1lconsult1lthe1lagency1lprocedure1lmanual
ANS:1 l D
Following1lthe1lagency’s1lpolicies1land1lprocedures1lmanual1lis1lalways1lbest1lwhen1lseeking1lin
formation1lon1lcorrect1lclient1lprocedures.1lThese1lpolicies1lshould1lreflect1lthe1lcurrent1lstandard
s1lof1lcare1land1lthe1lindividual1lstate’s1lguidelines.1lEach1lnurse1lis1lresponsible1lfor1lhis1lor1lher1l
own1lpractice.1lRelying1lon1lanother1lnurse1lmay1lnot1lalways1lbe1la1lsafe1lpractice.1lEach1lnurse1l
is1lobligated1lto1lfollow1lthe1lstandards1lof1lcare1lfor1lsafe1lclient1lcare1ldelivery.1lPhysicians1lare1
lresponsible1lfor1ltheir1lown1lclient1lcare1lactivity.1lNurses1lmay1lfollow1lsafe1lorders1lfrom1lphys
icians,1lbut1lthey1lare1lalso1lresponsible1lfor1lthe1lactivities1lthat1lthey,1las1lnurses,1lare1lto1lcarry1l
out.1lInformation1lprovided1lin1la1lnursing1ltextbook1lis1lbasic1linformation1lfor1lgeneral1lknowled
ge.1lFurthermore,1lthe1linformation1lin1la1ltextbook1lmay1lnot1lreflect1lthe1lcurrent1lstandard1lof1l
care1lor1lthe1lindividual1lstate1lor1lhospital1lpolicies.
