Test Bank for Maternity & Women’s Health Care 12th Edition by Lowdermilk complete all chapters 1 -37 A+ guide Table of Contents Chapter 1: 21st Century Maternity and Women’s Health Nursing ................................ ................................ ................................ ......... 2 Chapter 2: Community Care: The Family and Culture ................................ ................................ ................................ ......................... 17 Chapter 3: Nursing and Genomics ................................ ................................ ................................ ................................ ........................ 34 Chapter 4: Assessment and Health Promotion ................................ ................................ ................................ ................................ ...... 47 Chapter 5: Violence Against Women ................................ ................................ ................................ ................................ ................... 67 Chapter 6: Reproductive System Concerns ................................ ................................ ................................ ................................ .......... 81 Chapter 7: Sexually Transmitted and Other Infections ................................ ................................ ................................ ......................... 94 Chapter 8: Contraception and Abortion ................................ ................................ ................................ ................................ .............. 111 Chapter 9: Infertility ................................ ................................ ................................ ................................ ................................ ........... 130 Chapter 10: Problems of the Breast ................................ ................................ ................................ ................................ .................... 144 Chapter 11: Structural Disorders and Neoplasms of the Reproductive System ................................ ................................ .................. 158 Chapter 12: Conception and Fetal Development ................................ ................................ ................................ ................................ 172 Chapter 13: Anatomy and Physiology of Pregnancy ................................ ................................ ................................ .......................... 188 Chapter 14: Nursing Care of the Family During Pregnancy ................................ ................................ ................................ ............... 209 Chapter 15: Maternal and Fetal Nutrition ................................ ................................ ................................ ................................ ........... 234 Chapter 16: Labor and Birth Processes ................................ ................................ ................................ ................................ ............... 254 Chapter 17: Maximizing Comfort for the Laboring Woman ................................ ................................ ................................ .............. 272 Chapter 18: Fetal Assessment During Labor ................................ ................................ ................................ ................................ ...... 294 Chapter 19: Nursing Care of the Family During Labor and Birth ................................ ................................ ................................ ...... 316 Chapter 20: Postpartum Physiologic Changes ................................ ................................ ................................ ................................ .... 343 Chapter 21: Nursing Care of the Family During the Postpartum Period ................................ ................................ ............................. 355 Chapter 22: Transition to Parenthood ................................ ................................ ................................ ................................ ................. 371 Chapter 23: Physiologic and Behavioral Adaptations of the Newborn ................................ ................................ ............................... 390 Chapter 24: Nursing Care of the Newborn and Family ................................ ................................ ................................ ...................... 414 Chapter 25: Newborn Nutrition and Feeding ................................ ................................ ................................ ................................ ..... 435 Chapter 26: Assessment of High Risk Pregnancy ................................ ................................ ................................ .............................. 456 Chapter 27: Hypertensive Disorders ................................ ................................ ................................ ................................ ................... 474 Chapter 28: Hemorrhagic Disorders ................................ ................................ ................................ ................................ ................... 488 Chapter 29: Endocrine and Metabolic Disorders ................................ ................................ ................................ ................................ 505 Chapter 30: Medical -Surgical Disorders ................................ ................................ ................................ ................................ ............ 518 Chapter 31: Mental Health Disorders and Substance Abuse ................................ ................................ ................................ .............. 532 Chapter 32: Labor and Birth Complications ................................ ................................ ................................ ................................ ....... 543 Chapter 33: Postpartum Complications ................................ ................................ ................................ ................................ .............. 561 Chapter 34: Nursing Care of the High Risk Newborn ................................ ................................ ................................ ........................ 571 Chapter 35: Acquired Problems of the Newbo rn ................................ ................................ ................................ ................................ 589 Chapter 36: Hemolytic Disorders and Congenital Anomalies ................................ ................................ ................................ ............ 603 Chapter 37: Perinatal Loss, Bereavement, and Grief ................................ ................................ ................................ .......................... 613 Chapter 1: 21st Century Maternity and Women’s Health Nursing MULTIPLE CHOICE 1. In evaluating the level of a pregnant womSELECTED ANSWER risk of having a low-birth -
weight (LBW) infant, which factor is the most important for th e nurse to consider? a. African -American race b. Cigarette smoking c. Poor nutritional status d. Limited maternal education SELECTED ANSWER: A For African -American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodifiable risk f actor. 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 n ot 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 fact or. DIF: Cognitive Level: Understand REF: IM: 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 studies b. Colle cting data for other researchers c. Identifying researchable problems d. Seeking funding to support research studies SELECTED ANSWER: 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: im: 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. SELEC TED ANSWER: D Consistent prenatal care is the best method of preventing or controlling risk factors 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 proble ms, 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 which the 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: IM: 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 assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is the most important for the nurse to perform? a. Use maternity jargon to enable the client to become familiar with these terms. b. Speak quickly and efficiently to expedite the visit. c. Provide the client with handouts. d. Assess whether the client understands the discussion. SELECTED ANSWER: D Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evaluating whether the client understands the discussion. Speaking slowly and clearly and focusing on what is important will increase understanding. Most client education materials are written at a level too high for the average adult and may not be useful for a client with limited English proficiency. DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance 5. The nurses working at a newly establish ed birthing center have begun to compare their performance in providing maternal -newborn care against clinical standards. This comparison process is most commonly known as what? a. Best practices network b. Clinical benchmarking c. Outcomes -oriented practice d. Eviden ce-based practice SELECTED ANSWER: C
weight (LBW) infant, which factor is the most important for th e nurse to consider? a. African -American race b. Cigarette smoking c. Poor nutritional status d. Limited maternal education SELECTED ANSWER: A For African -American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodifiable risk f actor. 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 n ot 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 fact or. DIF: Cognitive Level: Understand REF: IM: 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 studies b. Colle cting data for other researchers c. Identifying researchable problems d. Seeking funding to support research studies SELECTED ANSWER: 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: im: 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. SELEC TED ANSWER: D Consistent prenatal care is the best method of preventing or controlling risk factors 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 proble ms, 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 which the 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: IM: 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 assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is the most important for the nurse to perform? a. Use maternity jargon to enable the client to become familiar with these terms. b. Speak quickly and efficiently to expedite the visit. c. Provide the client with handouts. d. Assess whether the client understands the discussion. SELECTED ANSWER: D Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evaluating whether the client understands the discussion. Speaking slowly and clearly and focusing on what is important will increase understanding. Most client education materials are written at a level too high for the average adult and may not be useful for a client with limited English proficiency. DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance 5. The nurses working at a newly establish ed birthing center have begun to compare their performance in providing maternal -newborn care against clinical standards. This comparison process is most commonly known as what? a. Best practices network b. Clinical benchmarking c. Outcomes -oriented practice d. Eviden ce-based practice SELECTED ANSWER: C
