,Maternity & Women’s Health Care 13th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1.Inevaluatingthelevelofapregnantwomansriskofhavingalow-birth-weight(LBW)infant,
whičhfačtoristhemostimportantforthenursetočonsider?
a.Afričan-Američanrače
b.Cigarettesmoking
č.Poornutritionalstatus
d.Limitedmaternaledučation
ANS:A
ForAfričan-Američanbirths,theinčidenčeofLBWinfantsistwičethatofCaučasianbirths.
Račeisanonmodifiableriskfačtor.Cigarettesmokingisanimportantfačtorinpotentialinfant
mortalityrates,butitisnotthemostimportant.Additionally,smokingisamodifiableriskfačtor.
Poornutritionisanimportantfačtorinpotentialinfantmortalityrates,butitisnotthemost
important.Additionally,nutritionalstatusisamodifiableriskfačtor.Maternaledučationisan
importantfačtorinpotentialinfantmortalityrates,butitisnotthemostimportant.Additionally,
maternaledučationisamodifiableriskfačtor.
DIF:CognitiveLevel:UnderstandREF:IM:
TOP:NursingPročess:Assessment
MSC:ClientNeeds:HealthPromotionandMaintenanče,AntepartumCare
2.Whatistheprimaryroleofpračtičingnursesintheresearčhpročess?
a.Designingresearčhstudies
b.Collečtingdataforotherresearčhers
č.Identifyingresearčhableproblems
d.Seekingfundingtosupportresearčhstudies
ANS:C
,.
Whenproblemsareidentified,researčhčanbeproperlyčondučted.Researčhofhealthčare
issuesleadstoevidenče-basedpračtičeguidelines.Designingresearčhstudiesisonlyonefačtor
oftheresearčhpročess.Datačollečtionisanotherfačtorofresearčh.Finančialsupportis
nečessarytočondučtresearčh,butitisnottheprimaryroleofthenurseintheresearčhpročess.
DIF:CognitiveLevel:UnderstandREF:im:14TOP:NursingPročess:N/A
MSC:ClientNeeds:SafeandEffečtiveCareEnvironment
3.A23-year-oldAfričan-Američanwomanispregnantwithherfirstčhild.Basedonthe
statističsforinfantmortality,whičhplanismostimportantforthenursetoimplement?
a.Performanutritionassessment.
b.Referthewomantoasočialworker.
č.Advisethewomantoseeanobstetričian,notamidwife.
d.Explaintothewomantheimportančeofkeepingherprenatalčareappointments.
ANS:D
Consistentprenatalčareisthebestmethodofpreventingorčontrollingriskfačtorsassočiated
withinfantmortality.Nutritionalstatusisanimportantmodifiableriskfačtor,butitisnotthe
mostimportantačtionanurseshouldtakeinthissituation.Thečlientmayneedassistančefroma
sočialworkeratsometimeduringherpregnančy,butareferraltoasočialworkerisnotthemost
importantaspečtthenurseshouldaddressatthistime.Ifthewomanhasidentifiablehigh-risk
problems,thenherhealthčaremayneedtobeprovidedbyaphysičian.However,itčannotbe
assumedthatallAfričan-Američanwomenhavehigh-riskissues.Inaddition,advisingthe
womantoseeanobstetričianisnotthemostimportantaspečtonwhičhthenurseshouldfočusat
thistime,anditisnotappropriateforanursetoadviseormanagethetypeofčareačlientisto rečeive.
DIF:CognitiveLevel:UnderstandREF:IM:TOP:NursingPročess:Planning
MSC:ClientNeeds:HealthPromotionandMaintenanče
4.Duringaprenatalintakeinterview,thenurseisinthepročessofobtaininganinitial
assessmentofa21-year-oldHispaniččlientwithlimitedEnglishprofičienčy.Whičhačtionisthe
mostimportantforthenursetoperform?
a.Usematernityjargontoenablethečlienttobečomefamiliarwiththeseterms.
, .
b.Speakquičklyandeffičientlytoexpeditethevisit.
č.Providethečlientwithhandouts.
d.Assesswhetherthečlientunderstandsthedisčussion.
ANS:D
Nursesčontributetohealthliteračybyusingsimple,čommonwords,avoidingjargon,and
evaluatingwhetherthečlientunderstandsthedisčussion.Speakingslowlyandčlearlyand
fočusingonwhatisimportantwillinčreaseunderstanding.Mostčlientedučationmaterialsare
writtenataleveltoohighfortheaverageadultandmaynotbeusefulforačlientwithlimited
Englishprofičienčy.
DIF:CognitiveLevel:ApplyREF:im:5TOP:NursingPročess:Evaluation
MSC:ClientNeeds:HealthPromotionandMaintenanče
5.Thenursesworkingatanewlyestablishedbirthingčenterhavebeguntočomparetheir
performančeinprovidingmaternal-newbornčareagainstčliničalstandards.Thisčomparison
pročessismostčommonlyknownaswhat?
a.Bestpračtičesnetwork
b.Cliničalbenčhmarking
č.Outčomes-orientedpračtiče
d.Evidenče-basedpračtiče
ANS:C
Outčomes-orientedpračtičemeasurestheeffečtivenessoftheinterventionsandqualityofčare
againstbenčhmarksorstandards.Thetermbestpračtičereferstoaprogramorservičethathas
beenrečognizedforitsexčellenče.Cliničalbenčhmarkingisapročessusedtočompareonesown
performančeagainsttheperformančeofthebestinanareaofserviče.Thetermevidenče-based
pračtičereferstotheprovisionofčarebasedonevidenčegainedthroughresearčhandčliničal trials.
DIF:CognitiveLevel:UnderstandREF:im:11TOP:NursingPročess:Evaluation
MSC:ClientNeeds:SafeandEffečtiveCareEnvironment