,
, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank
6. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care
ANS: B
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 activities such as
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
Free-standing clinics are an example of alternative birth options. Contemporary maternity
nursing is driven by the relationship between nurses and their clients.
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being
in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
woman have a legitimate legal case for negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
ANS: C
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 assigned to
care for clients on his or her NURThis
own. SINclient
GTB.C M been past her due date; however, a
mayOhave
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
standard of care, the client has the right to refuse treatment. This refusal is not a case for
negligence, but informed consent should be properly obtained, and the client should have
signed an against medical advice form when refusing any treatment that is within the standard
of care.
DIF: Cognitive Level: Analyze REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
8. When the nurse is unsure how to perform a client care procedure that is high risk and low
volume, his or her best action in this situation would be what?
a. Ask another nurse.
b. Discuss the procedure with the client’s physician.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual, and follow the guidelines for the procedure.
ANS: D
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