TESTBANK b
For more test banks
b b b b
https://www.stuvia.com/user/angelinas
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
b b b b b b b b
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
b b b b b b b b
MULTIPLE CHOICE b
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
b b b b b b b b b b b b b b
b which factor is the most important for the nurse to consider?
b b b b b b b b b b
a. African-American race b
b. Cigarette smoking b
c. Poor nutritional status b b
d. Limited maternal education b b
ANS: A b
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
b b b b b b b b b b b b b
Race is a non-modifiable risk factor. Cigarette smoking is an important factor in potential infant
b b b b b b b b b b b b b b b
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
b b b b b b b b b b b b b b b b
Poor nutrition is an important factor in potential infant mortality rates, but it is not the most
b b b b b b b b b b b b b b b b b
important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
b b b b b b b b b b b b b
important factor in potential infant mortality rates, but it is not the most important. Additionally,
b b b b b b b b b b b b b b b
maternal education is a modifiable risk factor.
b b b b b b b
DIF: Cognitive Level: Understand REF: p.6 b b b b
TOP: Nursing Process: Assessment
b b b b
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
b b b b b b b b
2. What is the primaryrole of practicing nurses in the research process?
b b b b b b b b b b b
a. Designing research studieNs RIGB.C b b
b b b
b. Collecting data for other researchers b b b b
c. Identifying researchable problems b b
d. Seeking funding to support research studies b b b b b
ANS: C b
When problems are identified, research can be properly conducted. Research of health care issues
b b b b b b b b b b b b b
leads to evidence-based practice guidelines. Designing research studies is only one factor of the
b b b b b b b b b b b b b b
research process. Data collection is another factor of research. Financial support is necessary to
b b b b b b b b b b b b b b
conduct research, but it is not the primary role of the nurse in the research process.
b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understand REF: p. 14 b b b b TOP: NursingProcess: N/A b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b b
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
b b b b b b b b b b b b
statistics for infant mortality, which plan is most important for the nurse to implement?
b b b b b b b b b b b b b b
a. Perform a nutrition assessment. b b b
b. Refer the woman to a social worker. b b b b b b
c. Advise the woman to see an obstetrician, not a midwife. b b b b b b b b b
d. Explain to the woman the importance of keeping her prenatal care appointments. b b b b b b b b b b b
ANS: D b
Consistent prenatal care is the best method of preventing or controlling risk factors
b b b b b b b b b b b b
For more test banks b b b b
https://www.stuvia.com/user/angelinas
, associatedwith infant mortality. Nutritional status is an important modifiable risk factor, but it is b b b b b b b b b b b b b
not themost important action a nurse should take in this situation. The client may need assistance
b b b b b b b b b b b b b b b b
from a social worker at some time during her pregnancy, but a referral to a social worker is not the
b b b b b b b b b b b b b b b b b b b b
most important aspect the nurse should address at this time. If the woman has identifiable high-
b b b b b b b b b b b b b b b b
risk problems, then her health care may need to be provided by a physician. However, it cannot be
b b b b b b b b b b b b b b b b b
assumed that all African-American women have high-risk issues. In addition, advising the
b b b b b b b b b b b b
woman to see an obstetrician is not the most important aspect on whichthe nurse should focus at
b b b b b b b b b b b b b b b b b
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
b b b b b b b b b b b b b b b b b b b b b b
receive.
b
DIF: Cognitive Level: Understand REF: p. 6 b b b b TOP: NursingProcess: Planning b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of
b b b b b b b b b b b b b b b b
a 21-year-old Hispanic client with limited English proficiency. Which action is the most
b b b b b b b b b b b b b
important for the nurse to perform?
b b b b b b
a. Use maternity jargon to enable the client to become familiar with these terms.
b b b b b b b b b b b b
b. Speak quickly and efficiently to expedite the visit. b b b b b b b
c. Provide the client with handouts. b b b b
d. Assess whether the client understands the discussion. b b b b b b
ANS: D b
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
b b b b b b b b b b b b
evaluating whether the client understands the discussion. Speaking slowly and clearly and
b b b b b b b b b b b b
focusing on what is important will increase understanding. Most client education materials are
b b b b b b b b b b b b b
written at a level too high for the average adult and may not be useful for a client with limited
NRIGB.C
b b b b b b b b b b b b b b b b b b b b
English proficiency. b b b b
b b
DIF: Cognitive Level: Apply REF: p. 5 b b b b TOP: Nursing Process: Evaluation b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
5. The nurses working at a newly established birthing center have begun to compare their
b b b b b b b b b b b b b
performance in providing maternal-newborn care against clinical standards. This comparison
b b b b b b b b b b
process is most commonly known as what?
b b b b b b b
a. Best practices network b b
b. Clinical benchmarking b
c. Outcomes-oriented practice b
d. Evidence-based practice b
ANS: C b
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care b b b b b b b b b b b
against benchmarks or standards. The term best practice refers to a program or service that has
b b b b b b b b b b b b b b b b
been recognized for its excellence. Clinical benchmarking is a process used to compare one’s own
b b b b b b b b b b b b b b b
performance against the performance of the best in an area of service. The term evidence-based
b b b b b b b b b b b b b b b
practice refers to the provision of care based on evidence gained through research and clinical
b b b b b b b b b b b b b b b
trials.
b
DIF: Cognitive Level: Understand REF: p. 11 b b b b TOP: Nursing Process: Evaluation b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b b
6. Which statement best exemplifies contemporary maternity nursing?
b b b b b b
a. Use of midwives for all vaginal deliveries
b b b b b b
b. Family-centered care b
For more test banks b b b b
https://www.stuvia.com/user/angelinas
, c. Free-standing birth clinics b b
d. Physician-driven care b
ANS: B b
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, b b b b b b b b b b b
grandparents, and siblings may be present for the birth and participate in activities such as
b b b b b b b b b b b b b b b
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
b b b b b b b b b b b b
Free-standing clinics are an example of alternative birth options. Contemporary maternity
b b b b b b b b b b b
nursing is driven by the relationship between nurses and their clients.
b b b b b b b b b b b
DIF: Cognitive Level: Understand REF: pp. 8-9 b b b b TOP: NursingProcess: Planning b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
b b b b b b b b b b b b b
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
b b b b b b b b b b b b b b b b b b
have a legitimate legal case for negligence?
b b b b b b b
a. Inexperienced maternity nurse was assigned to care for the client. b b b b b b b b b
b. Client was past her due date by 3 days. b b b b b b b b
c. Standard of care was not met. b b b b b
d. Client refused electronic fetal monitoring. b b b b
ANS: C b
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced
b b b b b b b b b b b b b b b b
maternity nurse would need to display competency before being assigned to
b b b b b b b b b b b
care for clients on his or her N
b owUnR ShIisNcGlieTnBt m
.T .C
bayOhM
ave been past her due date; however, a term b b b b b b b b b b b b b b b
pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard of
b b b b b b b b b b b b b b b
care, the client has the right to refuse treatment. This refusal is not a case for
b b b b b b b b b b b b b b b b
negligence, but infor xonsent should be properly obtained, and the client should have signed an
b b b b b b b b b b b b b b
against medical advice form when refusing any treatment that is within the standard of care.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analyze REF: p.13 b b b b
TOP: Nursing Process: Implementation
b b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b
8. When the nurse is unsure how to perform a client care procedure that is high risk and low
b b b b b b b b b b b b b b b b b
b volume, his or her best action in this situation would be what?
b b b b b b b b b b b
a. Ask another nurse. b b
b. Discuss the procedure with the client’s physician. b b b b b b
c. Look up the procedure in a nursing textbook. b b b b b b b
d. Consult the agency procedure manual, and follow the guidelines for the procedure. b b b b b b b b b b b
ANS: D b
Following the agency’s policies and procedures manual is always best when seeking information
b b b b b b b b b b b b
bon correct client procedures. These policies should reflect the current standards of care and the
b b b b b b b b b b b b b b
bindividual state’s guidelines. Each nurse is responsible for his or her own practice. Relying on
b b b b b b b b b b b b b b
banother nurse may not always be a safe practice. Each nurse is obligated to follow the standards of
b b b b b b b b b b b b b b b b b
bcare for safe client care delivery. Physicians are responsible for their own client care activity.
b b b b b b b b b b b b b b
bNurses may follow safe orders from physicians, but they are also responsible for the activities that
b b b b b b b b b b b b b b b
bthey, as nurses, are to carry out. Information provided in a nursing textbook is basic information
b b b b b b b b b b b b b b b
bfor general knowledge. Furthermore, the information in a textbook may not reflect the current
b b b b b b b b b b b b b
bstandard of care or the individual state or hospital policies. b b b b b b b b b
For more test banks b b b b
https://www.stuvia.com/user/angelinas
For more test banks
b b b b
https://www.stuvia.com/user/angelinas
,Chapter 01: 21st Century Maternity and Women’s Health Nursing
b b b b b b b b
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
b b b b b b b b
MULTIPLE CHOICE b
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
b b b b b b b b b b b b b b
b which factor is the most important for the nurse to consider?
b b b b b b b b b b
a. African-American race b
b. Cigarette smoking b
c. Poor nutritional status b b
d. Limited maternal education b b
ANS: A b
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
b b b b b b b b b b b b b
Race is a non-modifiable risk factor. Cigarette smoking is an important factor in potential infant
b b b b b b b b b b b b b b b
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
b b b b b b b b b b b b b b b b
Poor nutrition is an important factor in potential infant mortality rates, but it is not the most
b b b b b b b b b b b b b b b b b
important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
b b b b b b b b b b b b b
important factor in potential infant mortality rates, but it is not the most important. Additionally,
b b b b b b b b b b b b b b b
maternal education is a modifiable risk factor.
b b b b b b b
DIF: Cognitive Level: Understand REF: p.6 b b b b
TOP: Nursing Process: Assessment
b b b b
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
b b b b b b b b
2. What is the primaryrole of practicing nurses in the research process?
b b b b b b b b b b b
a. Designing research studieNs RIGB.C b b
b b b
b. Collecting data for other researchers b b b b
c. Identifying researchable problems b b
d. Seeking funding to support research studies b b b b b
ANS: C b
When problems are identified, research can be properly conducted. Research of health care issues
b b b b b b b b b b b b b
leads to evidence-based practice guidelines. Designing research studies is only one factor of the
b b b b b b b b b b b b b b
research process. Data collection is another factor of research. Financial support is necessary to
b b b b b b b b b b b b b b
conduct research, but it is not the primary role of the nurse in the research process.
b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understand REF: p. 14 b b b b TOP: NursingProcess: N/A b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b b
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
b b b b b b b b b b b b
statistics for infant mortality, which plan is most important for the nurse to implement?
b b b b b b b b b b b b b b
a. Perform a nutrition assessment. b b b
b. Refer the woman to a social worker. b b b b b b
c. Advise the woman to see an obstetrician, not a midwife. b b b b b b b b b
d. Explain to the woman the importance of keeping her prenatal care appointments. b b b b b b b b b b b
ANS: D b
Consistent prenatal care is the best method of preventing or controlling risk factors
b b b b b b b b b b b b
For more test banks b b b b
https://www.stuvia.com/user/angelinas
, associatedwith infant mortality. Nutritional status is an important modifiable risk factor, but it is b b b b b b b b b b b b b
not themost important action a nurse should take in this situation. The client may need assistance
b b b b b b b b b b b b b b b b
from a social worker at some time during her pregnancy, but a referral to a social worker is not the
b b b b b b b b b b b b b b b b b b b b
most important aspect the nurse should address at this time. If the woman has identifiable high-
b b b b b b b b b b b b b b b b
risk problems, then her health care may need to be provided by a physician. However, it cannot be
b b b b b b b b b b b b b b b b b
assumed that all African-American women have high-risk issues. In addition, advising the
b b b b b b b b b b b b
woman to see an obstetrician is not the most important aspect on whichthe nurse should focus at
b b b b b b b b b b b b b b b b b
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
b b b b b b b b b b b b b b b b b b b b b b
receive.
b
DIF: Cognitive Level: Understand REF: p. 6 b b b b TOP: NursingProcess: Planning b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of
b b b b b b b b b b b b b b b b
a 21-year-old Hispanic client with limited English proficiency. Which action is the most
b b b b b b b b b b b b b
important for the nurse to perform?
b b b b b b
a. Use maternity jargon to enable the client to become familiar with these terms.
b b b b b b b b b b b b
b. Speak quickly and efficiently to expedite the visit. b b b b b b b
c. Provide the client with handouts. b b b b
d. Assess whether the client understands the discussion. b b b b b b
ANS: D b
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
b b b b b b b b b b b b
evaluating whether the client understands the discussion. Speaking slowly and clearly and
b b b b b b b b b b b b
focusing on what is important will increase understanding. Most client education materials are
b b b b b b b b b b b b b
written at a level too high for the average adult and may not be useful for a client with limited
NRIGB.C
b b b b b b b b b b b b b b b b b b b b
English proficiency. b b b b
b b
DIF: Cognitive Level: Apply REF: p. 5 b b b b TOP: Nursing Process: Evaluation b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
5. The nurses working at a newly established birthing center have begun to compare their
b b b b b b b b b b b b b
performance in providing maternal-newborn care against clinical standards. This comparison
b b b b b b b b b b
process is most commonly known as what?
b b b b b b b
a. Best practices network b b
b. Clinical benchmarking b
c. Outcomes-oriented practice b
d. Evidence-based practice b
ANS: C b
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care b b b b b b b b b b b
against benchmarks or standards. The term best practice refers to a program or service that has
b b b b b b b b b b b b b b b b
been recognized for its excellence. Clinical benchmarking is a process used to compare one’s own
b b b b b b b b b b b b b b b
performance against the performance of the best in an area of service. The term evidence-based
b b b b b b b b b b b b b b b
practice refers to the provision of care based on evidence gained through research and clinical
b b b b b b b b b b b b b b b
trials.
b
DIF: Cognitive Level: Understand REF: p. 11 b b b b TOP: Nursing Process: Evaluation b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b b
6. Which statement best exemplifies contemporary maternity nursing?
b b b b b b
a. Use of midwives for all vaginal deliveries
b b b b b b
b. Family-centered care b
For more test banks b b b b
https://www.stuvia.com/user/angelinas
, c. Free-standing birth clinics b b
d. Physician-driven care b
ANS: B b
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, b b b b b b b b b b b
grandparents, and siblings may be present for the birth and participate in activities such as
b b b b b b b b b b b b b b b
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
b b b b b b b b b b b b
Free-standing clinics are an example of alternative birth options. Contemporary maternity
b b b b b b b b b b b
nursing is driven by the relationship between nurses and their clients.
b b b b b b b b b b b
DIF: Cognitive Level: Understand REF: pp. 8-9 b b b b TOP: NursingProcess: Planning b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
b b b b b b b b b b b b b
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
b b b b b b b b b b b b b b b b b b
have a legitimate legal case for negligence?
b b b b b b b
a. Inexperienced maternity nurse was assigned to care for the client. b b b b b b b b b
b. Client was past her due date by 3 days. b b b b b b b b
c. Standard of care was not met. b b b b b
d. Client refused electronic fetal monitoring. b b b b
ANS: C b
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced
b b b b b b b b b b b b b b b b
maternity nurse would need to display competency before being assigned to
b b b b b b b b b b b
care for clients on his or her N
b owUnR ShIisNcGlieTnBt m
.T .C
bayOhM
ave been past her due date; however, a term b b b b b b b b b b b b b b b
pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard of
b b b b b b b b b b b b b b b
care, the client has the right to refuse treatment. This refusal is not a case for
b b b b b b b b b b b b b b b b
negligence, but infor xonsent should be properly obtained, and the client should have signed an
b b b b b b b b b b b b b b
against medical advice form when refusing any treatment that is within the standard of care.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analyze REF: p.13 b b b b
TOP: Nursing Process: Implementation
b b b b
MSC: Client Needs: Safe and Effective Care Environment
b b b b b b b
8. When the nurse is unsure how to perform a client care procedure that is high risk and low
b b b b b b b b b b b b b b b b b
b volume, his or her best action in this situation would be what?
b b b b b b b b b b b
a. Ask another nurse. b b
b. Discuss the procedure with the client’s physician. b b b b b b
c. Look up the procedure in a nursing textbook. b b b b b b b
d. Consult the agency procedure manual, and follow the guidelines for the procedure. b b b b b b b b b b b
ANS: D b
Following the agency’s policies and procedures manual is always best when seeking information
b b b b b b b b b b b b
bon correct client procedures. These policies should reflect the current standards of care and the
b b b b b b b b b b b b b b
bindividual state’s guidelines. Each nurse is responsible for his or her own practice. Relying on
b b b b b b b b b b b b b b
banother nurse may not always be a safe practice. Each nurse is obligated to follow the standards of
b b b b b b b b b b b b b b b b b
bcare for safe client care delivery. Physicians are responsible for their own client care activity.
b b b b b b b b b b b b b b
bNurses may follow safe orders from physicians, but they are also responsible for the activities that
b b b b b b b b b b b b b b b
bthey, as nurses, are to carry out. Information provided in a nursing textbook is basic information
b b b b b b b b b b b b b b b
bfor general knowledge. Furthermore, the information in a textbook may not reflect the current
b b b b b b b b b b b b b
bstandard of care or the individual state or hospital policies. b b b b b b b b b
For more test banks b b b b
https://www.stuvia.com/user/angelinas
