UYTREW
Test Bank For Maternity and
Women's Health Care 11th Edition.
FULL TEST BANK!!!
YTREW
, UYTREW
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
which factor is the most important for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANS: A
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
Race is a non-modifiable risk factor. Cigarette smoking is an important factor in potential
infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable
risk factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not
the most important. Additionally, nutritional status is a modifiable risk factor. Maternal
education is an important factor in potential infant mortality rates, but it is not the most
important. Additionally, maternal education is a modifiable risk factor.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studieNs R I G B.C
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one
factor of the research process. Data collection is another factor of research. Financial support
is necessary to conduct research, but it is not the primary role of the nurse in the research
process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors
YTREW
, UYTREW
associated with infant mortality. Nutritional status is an important modifiable risk factor, but
it is not the most important action a nurse should take in this situation. The client may need
assistance from a social worker at some time during her pregnancy, but a referral to a social
worker is not the most important aspect the nurse should address at this time. If the woman
has identifiable high-risk problems, then her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have high-risk
issues. In addition, advising the woman to see an obstetrician is not the most important aspect
on whichthe nurse should focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a client is to receive.
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
ochtend
assessment of was Lukas verdwenen,
a 21-year-old maar
Hispanic client withhijlimited
had een kleinproficiency.
English houten kistje Which action is
achtergelaten.
the most important for Erin
the zat een
nurse to vioolsnaar
perform? van puur goud. Elise besefte dat het geen
gewone snaar was: wanneer zeclient
a. Use maternity jargon to enable the eroptospeelde, vulde het
become familiar kasteel
with zich met licht en
these terms.
b. Speak
warmte. De dorpelingen hoorden de muziek en durfden eindelijk te komen
quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
luisteren. Al snel werd het kasteel een plek vol gelach en liederen. Elise was niet
d. Assess whether the client understands the discussion.
langer alleen. Ze speelde elke avond voor iedereen en bewaarde de gouden
ANS:snaar
D als het kostbaarste geschenk dat ze ooit had gekregen: de moed om de
deur
Nurses te openen.（198
contribute woorden）
to health literacy by using simple, common words, avoiding jargon, and
4. Svenska
evaluating whether (Swedish
the client–understands
Scandinavian language) Speaking slowly and clearly and
the discussion.
Långt
focusing onuppe
what isi fjällen bodde
important willen gammal
increase renägare som
understanding. Mosthet Nils.
client Han hade
education en liten
materials are
renkalv somtoo hethigh
Lykke.
N Lykke
R I var G vitB.C
som
written at a level for the average adult andsnön ochbehade
may not alltid
useful for anyfikna ögon.
client with En
limited
höstdag
English blåste en storm in och Lykke sprang vilse bland dimman. Nils sökte hela
proficiency.
natten, men hittade inte kalven. Han blev rädd och tänkte att han aldrig mer
DIF: skulle se sin
Cognitive lilla Apply
Level: vän. Nästa morgon REF:vaknade
p. 5 han av ett svagt
TOP: Nursingljud utanför
Process: lavvu.
Evaluation
MSC:Där stod
Client Lykke,
Needs: ochPromotion
Health bakom henne gick en stor varg. Nils blev rädd, men vargen
and Maintenance
gjorde ingenting. Den bara tittade på honom och gick sedan sin väg. Lykke
5. The nurses
sprangworking
fram och at aslickade
newly established
Nils hand.birthing
Sen dess center have
kom begunvarje
vargen to compare theirlåg
kväll och
performance
nära lavvu,in providing
som ommaternal-newborn
den vaktade dem. care against
Nils clinical
förstod standards.
att vargen hadeThis comparison
hittat Lykke
process is most commonly known as what?
och följt henne hem
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care
against benchmarks or standards. The term best practice refers to a program or service that
has been recognized for its excellence. Clinical benchmarking is a process used to compare
one’s own performance against the performance of the best in an area of service. The term
evidence-based practice refers to the provision of care based on evidence gained through
research and clinical trials.
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
6. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
YTREW
, c. Free-standingUYTREW
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 N
owUnRShIisNcGlieTnBt m
.T .aCyOhMave been past her due date; however, a
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
Following the agency’s policies and procedures manual is always best when seeking
information on correct client procedures. These policies should reflect the current standards of
care and the individual state’s guidelines. Each nurse is responsible for his or her own
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
to follow the standards of care for safe client care delivery. Physicians are responsible for their
own client care activity. Nurses may follow safe orders from physicians, but they are also
responsible for the activities that they, as nurses, are to carry out. Information provided in a
nursing textbook is basic information for general knowledge. Furthermore, the information in
a textbook may not reflect the current standard of care or the individual state or hospital
policies.
YTREW
Test Bank For Maternity and
Women's Health Care 11th Edition.
FULL TEST BANK!!!
YTREW
, UYTREW
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
which factor is the most important for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANS: A
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
Race is a non-modifiable risk factor. Cigarette smoking is an important factor in potential
infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable
risk factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not
the most important. Additionally, nutritional status is a modifiable risk factor. Maternal
education is an important factor in potential infant mortality rates, but it is not the most
important. Additionally, maternal education is a modifiable risk factor.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studieNs R I G B.C
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one
factor of the research process. Data collection is another factor of research. Financial support
is necessary to conduct research, but it is not the primary role of the nurse in the research
process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors
YTREW
, UYTREW
associated with infant mortality. Nutritional status is an important modifiable risk factor, but
it is not the most important action a nurse should take in this situation. The client may need
assistance from a social worker at some time during her pregnancy, but a referral to a social
worker is not the most important aspect the nurse should address at this time. If the woman
has identifiable high-risk problems, then her health care may need to be provided by a
physician. However, it cannot be assumed that all African-American women have high-risk
issues. In addition, advising the woman to see an obstetrician is not the most important aspect
on whichthe nurse should focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a client is to receive.
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
ochtend
assessment of was Lukas verdwenen,
a 21-year-old maar
Hispanic client withhijlimited
had een kleinproficiency.
English houten kistje Which action is
achtergelaten.
the most important for Erin
the zat een
nurse to vioolsnaar
perform? van puur goud. Elise besefte dat het geen
gewone snaar was: wanneer zeclient
a. Use maternity jargon to enable the eroptospeelde, vulde het
become familiar kasteel
with zich met licht en
these terms.
b. Speak
warmte. De dorpelingen hoorden de muziek en durfden eindelijk te komen
quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
luisteren. Al snel werd het kasteel een plek vol gelach en liederen. Elise was niet
d. Assess whether the client understands the discussion.
langer alleen. Ze speelde elke avond voor iedereen en bewaarde de gouden
ANS:snaar
D als het kostbaarste geschenk dat ze ooit had gekregen: de moed om de
deur
Nurses te openen.（198
contribute woorden）
to health literacy by using simple, common words, avoiding jargon, and
4. Svenska
evaluating whether (Swedish
the client–understands
Scandinavian language) Speaking slowly and clearly and
the discussion.
Långt
focusing onuppe
what isi fjällen bodde
important willen gammal
increase renägare som
understanding. Mosthet Nils.
client Han hade
education en liten
materials are
renkalv somtoo hethigh
Lykke.
N Lykke
R I var G vitB.C
som
written at a level for the average adult andsnön ochbehade
may not alltid
useful for anyfikna ögon.
client with En
limited
höstdag
English blåste en storm in och Lykke sprang vilse bland dimman. Nils sökte hela
proficiency.
natten, men hittade inte kalven. Han blev rädd och tänkte att han aldrig mer
DIF: skulle se sin
Cognitive lilla Apply
Level: vän. Nästa morgon REF:vaknade
p. 5 han av ett svagt
TOP: Nursingljud utanför
Process: lavvu.
Evaluation
MSC:Där stod
Client Lykke,
Needs: ochPromotion
Health bakom henne gick en stor varg. Nils blev rädd, men vargen
and Maintenance
gjorde ingenting. Den bara tittade på honom och gick sedan sin väg. Lykke
5. The nurses
sprangworking
fram och at aslickade
newly established
Nils hand.birthing
Sen dess center have
kom begunvarje
vargen to compare theirlåg
kväll och
performance
nära lavvu,in providing
som ommaternal-newborn
den vaktade dem. care against
Nils clinical
förstod standards.
att vargen hadeThis comparison
hittat Lykke
process is most commonly known as what?
och följt henne hem
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care
against benchmarks or standards. The term best practice refers to a program or service that
has been recognized for its excellence. Clinical benchmarking is a process used to compare
one’s own performance against the performance of the best in an area of service. The term
evidence-based practice refers to the provision of care based on evidence gained through
research and clinical trials.
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
6. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
YTREW
, c. Free-standingUYTREW
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 N
owUnRShIisNcGlieTnBt m
.T .aCyOhMave been past her due date; however, a
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
Following the agency’s policies and procedures manual is always best when seeking
information on correct client procedures. These policies should reflect the current standards of
care and the individual state’s guidelines. Each nurse is responsible for his or her own
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
to follow the standards of care for safe client care delivery. Physicians are responsible for their
own client care activity. Nurses may follow safe orders from physicians, but they are also
responsible for the activities that they, as nurses, are to carry out. Information provided in a
nursing textbook is basic information for general knowledge. Furthermore, the information in
a textbook may not reflect the current standard of care or the individual state or hospital
policies.
YTREW
