TEST BANK m
FOR MATERNITY AND WOMEN'S
m m m m
HEALTHCARE 13TH EDITION LO m m m
WDERMILK
, MaternitymAndmWomen'SmHealthmCarem13thmEditionmLowdermilkmTestmCh
bAnk
apter 0 1 : 2 1 s t Century Maternity And Women’s Health Nursing Lowdermil
m m m m m m m m
k: Maternity & Women’s Health Care, 12th Edition
m m m m m m m
MultiplemChoice
1. InmEvaluatingmThemLevelmOfmAmPregnantmWoman’smRiskmOfmHavingmAmLow-Birth-
mWeightm(Lbw)Infant,mWhichmFactormIsmThemMostmImportantmFormThemNursemTomConsid
er?
a. African-Americanm Race
b. CigarettemSmoking
c. PoormNutritionalmStatus
d. LimitedmMaternalmEducation
ANSWER:m A
ThemRisemInmThemOverallmLbwmRatesmWeremDuemTomIncreasesmInmLbwmBirthsmTomNon-
mHispanicmBlackmWomenm(13.35%)mAndmHispanicmWomenm(7.21%);mNon-
HispanicmBlackmInfantsmAremAlmostmTwicemAsmLikelymAsmNon-
HispanicmWhitemInfantsmTomBemOfmLbwmAndmTomDiemInmThemFirstmYearmOfmLife..mRacemIsm
AmNonmodifiablemRiskmFactor.mCigarettemSmokingmIsmAnmImportantmFactormInPotentialmInfa
ntmMortalitymRates,mButmItmIsmNotmThemMostmImportant.mAdditionally,mSmokingmIsmAmModifi
ablemRiskmFactor.mPoormNutritionmIsmAnmImportantmFactormInmPotentialmInfantmMortalitymRat
es,mButmItmIsmNotmThemMostmImportant.
Additionally,mNutritionalmStatusmIsmAmModifiablemRiskmFactor.mMaternalmEducationmIsm
AnmImportantmFactormInmPotentialmInfantmMortalitymRates,mButmItmIsmNotmThemMostmImp
ortant.mAdditionally,mMaternalmEducationmIsmAmModifiablemRiskmFactor.
Pts:m m 1
Dif:m CognitivemLevel:mUnderstandm
Top:m m NursingmProcess:mAssessment
Msc:m ClientmNeeds:mHealnance,mAntepartummCare
2. Am23-Year-OldmAfrican-
AmericanmWomanmIsmPregnantmWithmHermFirstmChild.mBasedmOnmCurrentStatisticsmFormInfa
ntmMortality,mWhichmInterventionmIsmMostmImportantmFormThemNursemTomIncludeInmThemClie
nt’smPlanmOfmCare?
a. PerformmAmNutritionmAssessment.
b. RefermThemWomanmTomAmSocialmWorker.
c. AdvisemThemWomanmTomSeemAnmObstetrician,mNotmAmMidwife.
d. ExplainmTomThemWomanmThemImportancemOfmKeepingmHermPrenatalmCaremAppointments.
ANSWER:m D
ConsistentmPrenatalmCaremIsmThemBestmMethodmOfmPreventingmOrmControllingmRiskmFactorsm
AssociatedmWithmInfantmMortality.mNutritionalmStatusmIsmAnmImportantmModifiablemRiskmFac
tor,mButItmIsmNotmThemMostmImportantmActionmAmNursemShouldmTakemInmThismSituation.mThe
mClientmMaymNeedmAssistancemFrommAmSocialmWorkermAtmSomemTimemDuringmHermPregnan
cy,mButmAmReferralmTomAmSocialWorkermIsmNotmThemMostmImportantmAspectmThemNursemSh
ouldmAddressmAtmThismTime.mIfmThemWomanmHasmIdentifiablemHigh-
RiskmProblems,mThenmHermHealthmCaremMaymNeedmTomBemProvidedmBymAmPhysician.mHowe
ver,mItmCannotmBemAssumedmThatmAllmAfrican-AmericanmWomenmHavemHigh-
RiskIssues.mInmAddition,mAdvisingmThemWomanmTomSeemAnmObstetricianmIsmNotmThemMostm
ImportantmAspectmOnmWhichmThemNursemShouldmFocusmAtmThismTime,mAndmItmIsmNotmAppr
opriatemFormAmNursemTomAdvisemOrmManagemThemTypemOfmCaremAmClientmIsmTomReceive.
Pts:m m 1
, Dif:m CognitivemLevel:mUnderstandm
Top:m m NursingmProcess:mPlanning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Msc:m ClientmNeeds:mHealthmPromotionmAndmMaintenance
3. ThemNursesmWorkingmAtmAmNewlymEstablishedmBirthingmCentermHavemBegunmTomC
omparemTheirPerformancemInmProvidingmMaternal-
NewbornmCaremAgainstmClinicalmStandards.mThismComparisonmProcessmIsmMostmCo
mmonlymKnownmAsmWhat?
a. BestmPracticesmNetwork
b. ClinicalmBenchmarking
c. Outcomes-Orientedm Pracnt iu
cer s
d. Evidence-Basedm Practice
ANSWER:m C
Outcomes-
OrientedmPracticemMeasuresmThemEffectivenessmOfmThemInterventionsmAndmQualitymOfmCare
mAgainstmBenchmarksmOrmStandards.mThemTermmBestmPracticemRefersmTomAmProgrammOrmSe
rviceThatmHasmBeenmRecognizedmFormItsmExcellence.mClinicalmBenchmarkingmIsmAmProcessm
UsedmTomComparemOne’smOwnmPerformancemAgainstmThemPerformancemOfmThemBestmInmAn
mAreamOfmService.mThemTermmEvidence-
BasedmPracticemRefersmTomThemProvisionmOfmCaremBasedmOnmEvidencemGainedmThroughmR
esearchmAndmClinicalmTrials.
Pts: 1 Dif:
CognitivemLevel:mUnderstandmTop:
NursingmProcess:mEvaluation
Msc:m ClientmNeeds:mSafemAndmEffectivemCaremEnvironment
4. DuringmAmPrenatalmIntakemInterview,mThemNursemIsmInmThemProcessmOfmObtainingmA
nmInitialmAssessmentmOfmAm21-Year-
OldmHispanicmClientmWithmLimitedmEnglishmProficiency.mWhichmInterventionmIsmThe
mMostmImportantmFormThemNursemTomImplement?
a. UsemMaternitymJargonmTomEnablemThemClientmTomBecomemFamiliarmWithmThesemTerms.
b. SpeakmQuicklymAndmEfficientlymTomExpeditemThemVisit.
c. ProvidemThemClientmWithmHandouts.
d. AssessmWhethermThemClientmUnderstandsmThemDiscussion.
ANSWER:m D
NursesmContributemTomHealthmLiteracymBymUsingmSimple,mCommonmWords,mAvoidingmJar
gon,mAndEvaluatingmWhethermThemClientmUnderstandsmThemDiscussion.mSpeakingmSlowlym
AndmClearlymAndFocusingmOnmWhatmIsmImportantmWillmIncreasemUnderstanding.mMostmClie
ntmEducationmMaterialsAremWrittenmAtmAmLevelmToomHighmFormThemAveragemAdultmAndm
MaymNotmBemUsefulmFormAmClientmWithLimitedmEnglishmProficiency.
Pts: 1 Dif:
CognitivemLevel:mApplymTop:
NursingmProcess:mImplementation
Msc:m ClientmNeeds:mHealthmPromotionmAndmMaintenance
5. WhichmStatementmBestmExemplifiesmContemporarymMaternitymNursing?
a. UsemOfmMidwivesmFormAllmVaginalmDeliveries
b. Family-CenteredmCare
c. Free-StandingmBirthmClinics
d. Physician-
DrivenmCareANSWE