TEST BANK FOR Maternity & Women’s Health Care, 11th Edition BY Lowdermilk UPDATED NEW ORIGINAL

, MaternityJandJWomen'sJHealthJCareJ11thJEditionJLowdermilkJTestJBank


Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowder
J J J J J J J J J

milk: Maternity & Women’s Health Care, 11th Edition
J J J J J J J




MULTIPLEJCHOICE

1. InJevaluatingJtheJlevelJofJaJpregnantJwoman’sJriskJofJhavingJaJlow-birth-
weightJ(LBW)Jinfant,JwhichJfactorJisJtheJmostJimportantJforJtheJnurseJtoJconsider?
a. African-AmericanJrace
b. CigaretteJsmoking
c. PoorJnutritionalJstatus
d. LimitedJmaternalJeducation

ANS:J A
ForJAfrican-
AmericanJbirths,JtheJincidenceJofJLBWJinfantsJisJtwiceJthatJofJCaucasianJbirths.JRaceJisJaJnonm
odifiableJriskJfactor.JCigaretteJsmokingJisJanJimportantJfactorJinJpotentialJinfantJmortalityJrates,J
butJitJisJnotJtheJmostJimportant.JAdditionally,JsmokingJisJaJmodifiableJriskJfactor.JPoorJnutritionJ
isJanJimportantJfactorJinJpotentialJinfantJmortalityJrates,JbutJitJisJnotJtheJmostJimportant.JAddition
ally,JnutritionalJstatusJisJaJmodifiableJriskJfactor.JMaternalJeducationJisJanJimportantJfactorJinJpo
tentialJinfantJmortalityJrates,JbutJitJisJnotJtheJmostJimportant.JAdditionally,JmaternalJeducationJisJ
aJmodifiableJriskJfactor.

DIF: CognitiveJLevel:JUnderstand
REF:J p.J6JTOP:J NursingJProcess:JAssessment
MSC:J ClientJNeeds:JHealthJPromotionJandJMaintenance,JAntepartumJCare

2. WhatJ isJ theJ primaryJ roleJ ofJ p ract icin g J nu rs e s J in the researchJ process?
a. DesigningJresearchN R I G B .C MO
JstudiesUJSJNJT

b. CollectingJdataJforJotherJresearchers
c. IdentifyingJresearchableJproblems
d. SeekingJfundingJtoJsupportJresearchJstudies

ANS:J C
WhenJproblemsJareJidentified,JresearchJcanJbeJproperlyJconducted.JResearchJofJhealthJcareJissu
esJleadsJtoJevidence-
basedJpracticeJguidelines.JDesigningJresearchJstudiesJisJonlyJoneJfactorJofJtheJresearchJprocess.J
DataJcollectionJisJanotherJfactorJofJresearch.JFinancialJsupportJisJnecessaryJtoJconductJresearch,J
butJitJisJnotJtheJprimaryJroleJofJtheJnurseJinJtheJresearchJprocess.

DIF: CognitiveJLevel:JUnderstand REF:J p.J14
TOP:J NursingJProcess:JN/AJMSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment

3. AJ23-year-oldJAfrican-
AmericanJwomanJisJpregnantJwithJherJfirstJchild.JBasedJonJtheJstatisticsJforJinfantJmortali
ty,JwhichJplanJisJmostJimportantJforJtheJnurseJtoJimplement?
a. PerformJaJnutritionJassessment.
b. ReferJtheJwomanJtoJaJsocialJworker.
c. AdviseJtheJwomanJtoJseeJanJobstetrician,JnotJaJmidwife.
d. ExplainJtoJtheJwomanJtheJimportanceJofJkeepingJherJprenatalJcareJappointments.

ANS:J D




NURSINGTB.COM

, MaternityJandJWomen'sJHealthJCareJ11thJEditionJLowdermilkJTestJBank

ConsistentJprenatalJcareJisJtheJbestJmethodJofJpreventingJorJcontrollingJriskJfactorsJassociatedJwi
thJinfantJmortality.JNutritionalJstatusJisJanJimportantJmodifiableJriskJfactor,JbutJitJisJnotJtheJmostJ
importantJactionJaJnurseJshouldJtakeJinJthisJsituation.JTheJclientJmayJneedJassistanceJfromJaJsoci
alJworkerJatJsomeJtimeJduringJherJpregnancy,JbutJaJreferralJtoJaJsocialJworkerJisJnotJtheJmostJimp
ortantJaspectJtheJnurseJshouldJaddressJatJthisJtime.JIfJtheJwomanJhasJidentifiableJhigh-
riskJproblems,JthenJherJhealthJcareJmayJneedJtoJbeJprovidedJbyJaJphysician.JHowever,JitJcannotJb
eJassumedJthatJallJAfrican-AmericanJwomenJhaveJhigh-
riskJissues.JInJaddition,JadvisingJtheJwomanJtoJseeJanJobstetricianJisJnotJtheJmostJimportantJaspec
tJonJwhichJtheJnurseJshouldJfocusJatJthisJtime,JandJitJisJnotJappropriateJforJaJnurseJtoJadviseJorJma
nageJtheJtypeJofJcareJaJclientJisJtoJreceive.

DIF: CognitiveJLevel:JUnderstand REF:J p.J6
TOP:J NursingJProcess:JPlanningJMSC:J ClientJNeeds:JHealthJPromotionJandJMaintenance

4. DuringJaJprenatalJintakeJinterview,JtheJnurseJisJinJtheJprocessJofJobtainingJanJinitialJassessmentJ
ofJaJ21-year-
oldJHispanicJclientJwithJlimitedJEnglishJproficiency.JWhichJactionJisJtheJmostJimportantJforJtheJ
nurseJtoJperform?
a. UseJmaternityJjargonJtoJenableJtheJclientJtoJbecomeJfamiliarJwithJtheseJterms.
b. SpeakJquicklyJandJefficientlyJtoJexpediteJtheJvisit.
c. ProvideJtheJclientJwithJhandouts.
d. AssessJwhetherJtheJclientJunderstandsJtheJdiscussion.

ANS:J D
NursesJcontributeJtoJhealthJliteracyJbyJusingJsimple,JcommonJwords,JavoidingJjargon,JandJevalu
atingJwhetherJtheJclientJunderstandsJtheJdiscussion.JSpeakingJslowlyJandJclearlyJandJfocusingJon
JwhatJisJimportantJwillJincreaseJunderstanding.JMostJclientJeducationJmaterialsJareJwrittenJatJaJleve

lJtooJhighJf o r t h e av e r a g e JadultJ a n d m a y JnotJbeJusefulJforJaJclientJwithJlimited
N R I G B.C M
EnglishJproficiency. UJSJNJT O
DIF: CognitiveJLevel:JApply REF:J p.J5
TOP:J NursingJProcess:JEvaluationJMSC:J ClientJNeeds:JHealthJPromotionJandJMaintenance

5. TheJnursesJworkingJatJaJnewlyJestablishedJbirthingJcenterJhaveJbegunJtoJcompareJtheirJperform
anceJinJprovidingJmaternal-
newbornJcareJagainstJclinicalJstandards.JThisJcomparisonJprocessJisJmostJcommonlyJknownJasJ
what?
a. BestJpracticesJnetwork
b. ClinicalJbenchmarking
c. Outcomes-orientedJpractice
d. Evidence-basedJpractice
ANS:J C
Outcomes-
orientedJpracticeJmeasuresJtheJeffectivenessJofJtheJinterventionsJandJqualityJofJcareJagainstJbenc
hmarksJorJstandards.JTheJtermJbestJpracticeJrefersJtoJaJprogramJorJserviceJthatJhasJbeenJrecogniz
edJforJitsJexcellence.JClinicalJbenchmarkingJisJaJprocessJusedJtoJcompare
one’sJownJperformanceJagainstJtheJperformanceJofJtheJbestJinJanJareaJofJservice.JTheJtermJevi
dence-
basedJpracticeJrefersJtoJtheJprovisionJofJcareJbasedJonJevidenceJgainedJthroughJresearchJandJ
clinicalJtrials.

DIF: CognitiveJLevel:JUnderstand REF:J p.J11
TOP:J NursingJProcess:JEvaluationJMSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment


NURSINGTB.COM

, MaternityJandJWomen'sJHealthJCareJ11thJEditionJLowdermilkJTestJBank

6. WhichJstatementJbestJexemplifiesJcontemporaryJmaternityJnursing?
a. UseJofJmidwivesJforJallJvaginalJdeliveries
b. Family-centeredJcare
c. Free-standingJbirthJclinics
d. Physician-drivenJcare

ANS:J B
ContemporaryJmaternityJnursingJfocusesJonJtheJfamily’sJneedsJandJdesires.JFathers,Jpartners,Jgra
ndparents,JandJsiblingsJmayJbeJpresentJforJtheJbirthJandJparticipateJinJactivitiesJsuchJas
cuttingJtheJbaby’sJumbilicalJcord.JBothJmidwivesJandJphysiciansJperformJvaginalJdeliveries.JFr
ee-
standingJclinicsJareJanJexampleJofJalternativeJbirthJoptions.JContemporaryJmaternityJnursingJis
JdrivenJbyJtheJrelationshipJbetweenJnursesJandJtheirJclients.




DIF: CognitiveJLevel:JUnderstand REF:J pp.J8-9
TOP:J NursingJProcess:JPlanningJMSC:J ClientJNeeds:JHealthJPromotionJandJMaintenance

7. AJ38-year-oldJHispanicJwomanJvaginallyJdeliveredJaJ9-pound,J6-
ounceJbabyJgirlJafterJbeingJinJlaborJforJ43Jhours.JTheJbabyJdiedJ3JdaysJlaterJfromJsepsis.JOnJwh
atJgroundsJcouldJtheJwomanJhaveJaJlegitimateJlegalJcaseJforJnegligence?
a. InexperiencedJmaternityJnurseJwasJassignedJtoJcareJforJtheJclient.
b. ClientJwasJpastJherJdueJdateJbyJ3Jdays.
c. StandardJofJcareJwasJnotJmet.
d. ClientJrefusedJelectronicJfetalJmonitoring.
ANS:J C
NotJmeetingJtheJstandardJofJcareJisJaJlegitimateJfactorJforJaJcaseJofJnegligence.JAnJinexperienced
JmaternityJnurseJwouldJneedJtoJdisplayJcompetencyJbeforeJbeingJassignedJtoJcareJforJclientsJonJhi


sJorJherJN
owUnR ShIisNcGlieTnBtJm
.JT .CayOhM
aveJbeenJpastJherJdueJdate;Jhowever,Ja
termJpregnancyJoftenJgoesJbeyondJ40JweeksJofJgestation.JAlthoughJfetalJmonitoringJisJthe
standardJofJcare,JtheJclientJhasJtheJrightJtoJrefuseJtreatment.JThisJrefusalJisJnotJaJcaseJforJnegligenc
e,JbutJinformedJconsentJshouldJbeJproperlyJobtained,JandJtheJclientJshouldJhaveJsignedJanJagainstJ
medicalJadviceJformJwhenJrefusingJanyJtreatmentJthatJisJwithinJtheJstandardJofJcare.

DIF: CognitiveJLevel:JAnalyze
REF:J p.J13JTOP:J NursingJProcess:JImplementati
on
MSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment

8. WhenJtheJnurseJisJunsureJhowJtoJperformJaJclientJcareJprocedureJthatJisJhighJriskJandJlowJvol
ume,JhisJorJherJbestJactionJinJthisJsituationJwouldJbeJwhat?
a. AskJanotherJnurse.
b. DiscussJtheJprocedureJwithJtheJclient’sJphysician.
c. LookJupJtheJprocedureJinJaJnursingJtextbook.
d. ConsultJtheJagencyJprocedureJmanual,JandJfollowJtheJguidelinesJforJtheJprocedure.
ANS:J D




NURSINGTB.COM