MaternityandWomen'sHealthCare13thEditionLowdermilkTest
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Chapter01:21stCenturyMaternityandWomen’sHealthNursingLowdermilk: b s x
xMaternity&Women’sHealthCare,13thEdition x
MULTIPLECHOICE
1. Inevaluatingthelevelofapregnantwoman’sriskofhavinga low-birth-weight(LBW) s x b x
infant,whichfactoristhemost importantforthenursetoconsider?
x x x x x x
a. African-Americanrace x
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: A x x
TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-Hispanicblackwomen s x
(13.35%)andHispanicwomen (7.21%);non-Hispanic blackinfantsarealmosttwiceas likelyas
x s s s x s
non-HispanicwhiteinfantstobeofLBWandtodieinthefirstyearoflife..Raceisa
x s s s b s
nonmodifiableriskfactor.Cigarettesmokingisanimportant factorinpotentialinfantmortality
x x b s x
rates,butitisnotthemostimportant.Additionally,smokingisamodifiableriskfactor.Poor
x s s s
nutritionisanimportantfactorinpotentialinfantmortalityrates,butitisnotthemostimportant.
x s s s x
Additionally,nutritionalstatusisamodifiablerisk factor.Maternaleducationisanimportant
x s x
factorinpotentialinfantmortalityrates,butitisnotthemostimportant.Additionally,maternal
x s x
educationisamodifiableriskfactor.
x x x
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Assessment
x x
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
o tN nTa nBd.MCaOi nMt e n a n c e , AntepartumCare
x x x x x
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
x x x x x x x x x x x x
statisticsforinfant mortality, whichintervention is most importantforthe nurse to include in the
x x x x x x x x x x x
client’splanofcare?
x s
a. Perform anutritionassessment. b
b. Referthewomantoa socialworker. b
c. Advisethewomantoseeanobstetrician,notamidwife. s
d. Explaintothewomantheimportanceofkeeping herprenatalcareappointments. x
ANS: D x x
Consistentprenatalcareisthebestmethodofpreventingorcontrollingriskfactorsassociated s s s
withinfant mortality.Nutritionalstatusisanimportantmodifiableriskfactor,butitisnotthe most
x s x x
important actionanurseshouldtakeinthissituation.Theclient mayneedassistancefroma
x x x x x
socialworkeratsometimeduringherpregnancy,butareferraltoasocialworkerisnotthemost
x x x x x x x x x
importantaspectthenurseshouldaddressatthistime.Ifthewomanhasidentifiablehigh-risk
x s s
problems,thenherhealthcaremayneedtobeprovidedbyaphysician.However,itcannotbe
x s s s s s s s s
assumedthatallAfrican-Americanwomenhavehigh-riskissues.Inaddition,advisingthe
x x x x
womantoseeanobstetricianisnotthemostimportantaspectonwhichthenurseshouldfocusatthis
x s s s x
time,anditisnotappropriatefora nursetoadviseormanagethetypeofcareaclientisto receive.
x x s x
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Planning
x x
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x
3. Thenursesworkingatanewlyestablishedbirthingcenterhavebegunto comparetheir x
performanceinprovidingmaternal-newborncareagainst clinical standards. This
x x x x
comparison process ismostcommonlyknownaswhat?
x x x x x x
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-oriented pracNt iUc eRS x x x x x
x
d. Evidence-based practice x
ANS: C x
Outcomes-orientedpracticemeasurestheeffectivenessoftheinterventionsandqualityofcare
againstbenchmarksorstandards.Thetermbestpracticereferstoaprogram orservicethathasbeen
x x b b x
recognizedforitsexcellence.Clinicalbenchmarkingisaprocessusedtocompareone’s
x s s s
ownperformanceagainstthe performance ofthebestinanarea ofservice.The termevidence-
x s s s s x s
basedpracticerefers to theprovisionofcarebased onevidencegainedthrough research and
x x x x x x x x
clinicaltrials.
x
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Evaluation
x x
MSC:ClientNeeds:SafeandEffectiveCareEnvironment
x s
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
x x x x x x x x x x x x x x
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
x x x x x x x x x x x
interventionisthemostimportant forthenursetoimplement?
x s s
a. Usematernityjargontoenabletheclienttobecomefamiliarwiththeseterms.
b. Speak quicklyandefficientlytoexpeditethe visit.
x x
c. Providetheclient withhandouts. b x
d. Assesswhethertheclient understandsthediscussion. x
ANS: D x x
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
x x x x x x x x x x x x
evaluating whether the client understands the discussion. Speaking slowly and clearly and
x x x x x x x x x x x x
focusingonwhat isimportantwillincreaseunderstanding. Mostclient educationmaterials are
x x x x x
written at a level too high for the average adult and may not be useful for a client with limited
x x x x x x x x x x x x x x x x x x x x
Englishproficiency.
x
PTS: 1 DIF: CognitiveLevel:Apply
TOP: NursingProcess:Implementation
x x
MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useofmidwivesforallvaginaldeliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-drivencare
ANS: B x
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Contemporarymaternitynursingfocusesonthefamily’sneedsanddesires.Fathers,partners, s
grandparents,andsiblingsmaybepresentforthebirthandparticipateinactivitiessuchascutting
x x x x x
thebaby’sumbilicalcord.Bothmidwivesandphysiciansperformvaginaldeliveries.Free-
x s
standingclinicsareanexampleofalternativebirthoptions.Contemporarymaternitynursingis
x s s
drivenbytherelationshipbetweennursesandtheirclients.
x
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Planning
x x
MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x
6. A38-year-old Hispanicwoman vaginallydelivered a9-pound, 6-ouncebabygirlafterbeing in labor for
x x b b x x x x
43 hours. The baby died 3 dayslater fromsepsis. On what grounds could the woman have a
x x x x x x x x x x x x x x x x
legitimatelegalcasefornegligence?
x
a. Inexperiencedmaternitynursewasassignedtocarefortheclient.
b. Clientwaspastherduedateby3days. x
c. Standardofcarewasnotmet. x
d. Clientrefused electronicfetalmonitoring. b
ANS: C x
Notmeetingthestandardofcareisalegitimatefactorforacaseofnegligence.An
s s s x
inexperiencedmaternitynursewouldneedtodisplaycompetencybeforebeingassignedtocare
x x x
forclientsonhisorherown.Thisclientmayhavebeenpastherduedate;however,aterm
x x x x
pregnancyoftengoesbeyond40weeksofgestation.Althoughfetalmonitoringisthestandardofcare,
x x x
theclienthastherighttorefusetreatment.Thisrefusalisnotacasefornegligence,butinformedconsent
x s s s s x
shouldbeproperlyobtained,and theclientshouldhavesigned an againstmedicaladviceformwhen
x s s s x
refusinganytreatmentthatiswithinthestandardofcare.
x s
PTS: 1 DIF: CognitiveLevel:Analyze
TOP: NursingProcess:Implementation
x x
MSC:ClientNeeds:SafeandEffectiveCareEnvironment
x s
7. Whenthenurseisunsurehowto performa clientcareprocedurethatishighriskandlow x b b
volume,hisorherbestactioninthissituationwouldbewhat?
x x x
a. Askanothernurse. x
b. Discusstheprocedurewiththeclient’sphysician.
c. Lookuptheprocedureina nursingtextbook. x x
d. Firstconsulttheagencyproceduremanual
s x
ANS: D x x
Followingtheagency’spoliciesandproceduresmanualisalwaysbestwhenseeking
s s s s
informationoncorrectclientprocedures.Thesepoliciesshouldreflectthecurrentstandardsof
x x x
careandtheindividualstate’sguidelines.Eachnurseisresponsibleforhisorherownpractice.
x s s s
Relyingonanothernursemaynotalwaysbeasafepractice.Each nurseis obligated tofollowthe
x x s s x
standardsofcareforsafeclientcaredelivery.Physiciansareresponsiblefortheirownclient
x s s
careactivity.Nurses mayfollowsafeordersfrom physicians,buttheyarealsoresponsiblefor
x x x x x
theactivitiesthatthey,asnurses,aretocarryout.Informationprovidedinanursingtextbookis basic
x x x x x x b x
informationforgeneralknowledge.Furthermore, theinformationinatextbookmaynot
x x x x
reflect thecurrentstandardofcareortheindividualstateorhospitalpolicies.
x s
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Chapter01:21stCenturyMaternityandWomen’sHealthNursingLowdermilk: b s x
xMaternity&Women’sHealthCare,13thEdition x
MULTIPLECHOICE
1. Inevaluatingthelevelofapregnantwoman’sriskofhavinga low-birth-weight(LBW) s x b x
infant,whichfactoristhemost importantforthenursetoconsider?
x x x x x x
a. African-Americanrace x
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: A x x
TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-Hispanicblackwomen s x
(13.35%)andHispanicwomen (7.21%);non-Hispanic blackinfantsarealmosttwiceas likelyas
x s s s x s
non-HispanicwhiteinfantstobeofLBWandtodieinthefirstyearoflife..Raceisa
x s s s b s
nonmodifiableriskfactor.Cigarettesmokingisanimportant factorinpotentialinfantmortality
x x b s x
rates,butitisnotthemostimportant.Additionally,smokingisamodifiableriskfactor.Poor
x s s s
nutritionisanimportantfactorinpotentialinfantmortalityrates,butitisnotthemostimportant.
x s s s x
Additionally,nutritionalstatusisamodifiablerisk factor.Maternaleducationisanimportant
x s x
factorinpotentialinfantmortalityrates,butitisnotthemostimportant.Additionally,maternal
x s x
educationisamodifiableriskfactor.
x x x
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Assessment
x x
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
o tN nTa nBd.MCaOi nMt e n a n c e , AntepartumCare
x x x x x
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
x x x x x x x x x x x x
statisticsforinfant mortality, whichintervention is most importantforthe nurse to include in the
x x x x x x x x x x x
client’splanofcare?
x s
a. Perform anutritionassessment. b
b. Referthewomantoa socialworker. b
c. Advisethewomantoseeanobstetrician,notamidwife. s
d. Explaintothewomantheimportanceofkeeping herprenatalcareappointments. x
ANS: D x x
Consistentprenatalcareisthebestmethodofpreventingorcontrollingriskfactorsassociated s s s
withinfant mortality.Nutritionalstatusisanimportantmodifiableriskfactor,butitisnotthe most
x s x x
important actionanurseshouldtakeinthissituation.Theclient mayneedassistancefroma
x x x x x
socialworkeratsometimeduringherpregnancy,butareferraltoasocialworkerisnotthemost
x x x x x x x x x
importantaspectthenurseshouldaddressatthistime.Ifthewomanhasidentifiablehigh-risk
x s s
problems,thenherhealthcaremayneedtobeprovidedbyaphysician.However,itcannotbe
x s s s s s s s s
assumedthatallAfrican-Americanwomenhavehigh-riskissues.Inaddition,advisingthe
x x x x
womantoseeanobstetricianisnotthemostimportantaspectonwhichthenurseshouldfocusatthis
x s s s x
time,anditisnotappropriatefora nursetoadviseormanagethetypeofcareaclientisto receive.
x x s x
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Planning
x x
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x
3. Thenursesworkingatanewlyestablishedbirthingcenterhavebegunto comparetheir x
performanceinprovidingmaternal-newborncareagainst clinical standards. This
x x x x
comparison process ismostcommonlyknownaswhat?
x x x x x x
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-oriented pracNt iUc eRS x x x x x
x
d. Evidence-based practice x
ANS: C x
Outcomes-orientedpracticemeasurestheeffectivenessoftheinterventionsandqualityofcare
againstbenchmarksorstandards.Thetermbestpracticereferstoaprogram orservicethathasbeen
x x b b x
recognizedforitsexcellence.Clinicalbenchmarkingisaprocessusedtocompareone’s
x s s s
ownperformanceagainstthe performance ofthebestinanarea ofservice.The termevidence-
x s s s s x s
basedpracticerefers to theprovisionofcarebased onevidencegainedthrough research and
x x x x x x x x
clinicaltrials.
x
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Evaluation
x x
MSC:ClientNeeds:SafeandEffectiveCareEnvironment
x s
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
x x x x x x x x x x x x x x
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
x x x x x x x x x x x
interventionisthemostimportant forthenursetoimplement?
x s s
a. Usematernityjargontoenabletheclienttobecomefamiliarwiththeseterms.
b. Speak quicklyandefficientlytoexpeditethe visit.
x x
c. Providetheclient withhandouts. b x
d. Assesswhethertheclient understandsthediscussion. x
ANS: D x x
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
x x x x x x x x x x x x
evaluating whether the client understands the discussion. Speaking slowly and clearly and
x x x x x x x x x x x x
focusingonwhat isimportantwillincreaseunderstanding. Mostclient educationmaterials are
x x x x x
written at a level too high for the average adult and may not be useful for a client with limited
x x x x x x x x x x x x x x x x x x x x
Englishproficiency.
x
PTS: 1 DIF: CognitiveLevel:Apply
TOP: NursingProcess:Implementation
x x
MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useofmidwivesforallvaginaldeliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-drivencare
ANS: B x
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Contemporarymaternitynursingfocusesonthefamily’sneedsanddesires.Fathers,partners, s
grandparents,andsiblingsmaybepresentforthebirthandparticipateinactivitiessuchascutting
x x x x x
thebaby’sumbilicalcord.Bothmidwivesandphysiciansperformvaginaldeliveries.Free-
x s
standingclinicsareanexampleofalternativebirthoptions.Contemporarymaternitynursingis
x s s
drivenbytherelationshipbetweennursesandtheirclients.
x
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Planning
x x
MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x
6. A38-year-old Hispanicwoman vaginallydelivered a9-pound, 6-ouncebabygirlafterbeing in labor for
x x b b x x x x
43 hours. The baby died 3 dayslater fromsepsis. On what grounds could the woman have a
x x x x x x x x x x x x x x x x
legitimatelegalcasefornegligence?
x
a. Inexperiencedmaternitynursewasassignedtocarefortheclient.
b. Clientwaspastherduedateby3days. x
c. Standardofcarewasnotmet. x
d. Clientrefused electronicfetalmonitoring. b
ANS: C x
Notmeetingthestandardofcareisalegitimatefactorforacaseofnegligence.An
s s s x
inexperiencedmaternitynursewouldneedtodisplaycompetencybeforebeingassignedtocare
x x x
forclientsonhisorherown.Thisclientmayhavebeenpastherduedate;however,aterm
x x x x
pregnancyoftengoesbeyond40weeksofgestation.Althoughfetalmonitoringisthestandardofcare,
x x x
theclienthastherighttorefusetreatment.Thisrefusalisnotacasefornegligence,butinformedconsent
x s s s s x
shouldbeproperlyobtained,and theclientshouldhavesigned an againstmedicaladviceformwhen
x s s s x
refusinganytreatmentthatiswithinthestandardofcare.
x s
PTS: 1 DIF: CognitiveLevel:Analyze
TOP: NursingProcess:Implementation
x x
MSC:ClientNeeds:SafeandEffectiveCareEnvironment
x s
7. Whenthenurseisunsurehowto performa clientcareprocedurethatishighriskandlow x b b
volume,hisorherbestactioninthissituationwouldbewhat?
x x x
a. Askanothernurse. x
b. Discusstheprocedurewiththeclient’sphysician.
c. Lookuptheprocedureina nursingtextbook. x x
d. Firstconsulttheagencyproceduremanual
s x
ANS: D x x
Followingtheagency’spoliciesandproceduresmanualisalwaysbestwhenseeking
s s s s
informationoncorrectclientprocedures.Thesepoliciesshouldreflectthecurrentstandardsof
x x x
careandtheindividualstate’sguidelines.Eachnurseisresponsibleforhisorherownpractice.
x s s s
Relyingonanothernursemaynotalwaysbeasafepractice.Each nurseis obligated tofollowthe
x x s s x
standardsofcareforsafeclientcaredelivery.Physiciansareresponsiblefortheirownclient
x s s
careactivity.Nurses mayfollowsafeordersfrom physicians,buttheyarealsoresponsiblefor
x x x x x
theactivitiesthatthey,asnurses,aretocarryout.Informationprovidedinanursingtextbookis basic
x x x x x x b x
informationforgeneralknowledge.Furthermore, theinformationinatextbookmaynot
x x x x
reflect thecurrentstandardofcareortheindividualstateorhospitalpolicies.
x s
