b Edition
, Maternity b and b Women's b Health b Care b 13th
b Edition
Chapter b01: b21st bCentury bMaternity band bWomen’s bHealth
bNursing bLowdermilk: bMaternity b& bWomen’s bHealth
bCare, b13th b Edition
MULTIPLE bCHOICE
1. In bevaluating bthe blevel bof ba b pregnant b woman’s b risk b of b having b a b low-
birth- bweight b(LBW) binfant, bwhich bfactor bis bthe bmost bimportant bfor b the
b nurse b to bconsider?
a. African-American brace
b. Cigarette b smoking
c. Poor b nutritional b status
d. Limited b maternal b education
ANS: A
The b rise b in b the b overall b LBW b rates b were b due b to b increases b in b LBW b births
b to bnon-Hispanic b black b b bwomen b (13.35%) b and b b bHispanic b women b b b(7.21%);
b b bnon- bHispanic b black b infants b are b almost b twice b as b likely b as b non-
Hispanic b white b infantsbto b be b of b LBW b and b to b b bdie b b bin b b bthe b b bfirst b b
byear b of b life.. b Race b b bis b a b nonmodifiablebrisk bfactor. bCigarette b smoking b is
b an b important b factor b in bpotential b infant b mortality brates, b but b it b is b b bnot b b
bthe b most b b bimportant. b b bAdditionally, b b bsmoking b is b a b modifiable brisk b factor.
b Poor b nutrition b is b an b important b b bfactor b in b b bpotential b b binfant b b bmortality
brates, bbut b it b is b not b the b most b important. b Additionally, b nutritional b status
b is b a bmodifiable b risk b factor. b Maternal b education b is b an b important b b bfactor b
b bin b b bpotential binfant bmortality brates, bbut bit bis b not b the b most b important.
b Additionally, b maternal beducation b is b a b modifiable b risk b factor.
PTS: 1 DIF: Cognitive b Level:
Understand bTOP: Nursing b Process: b Assessment
MSC: Client b b bNeeds: b b b HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, b b bAntepartum b b Care
2. A b 23-year-old b African-American b woman b is b pregnant b with b her b first
b child. b Based bon b current bstatistics b for b infant b b bmortality, b b bwhich b b
bintervention b b bis b b bmost b b bimportant bfor b the b nurse b to b include bin b the b client’s
b plan b of b care?
a. Perform b a b nutrition b assessment.
b. Refer b the b woman b to b a b social b worker.
c. Advise b the b woman b to b see b an b obstetrician, b not b a b midwife.
d. Explain b to b the b woman b the b importance b of b keeping b her b prenatal b care
b appointments.
ANS: D
Consistent b prenatal b care b is b the b best b b bmethod b b bof b preventing b b bor b b
bcontrolling b b brisk bfactors b associated b with b infant b mortality. b b bNutritional
b status b is b an b b bimportant bmodifiable b risk b factor, b but bit b is b not b the b b bmost
b b bimportant b b baction b b ba b b bnurse b b bshould btake b in b this b situation. b The b client
b may b need bassistance b from b a b social b worker b at bsome b time b during b her
b pregnancy, b but b a b referral b b bto b b ba b social bworker b b bis b b bnot b b bthe bmost
b important b aspect b the b nurse b should b address b at b this b time. b If b the b woman b has
bidentifiable b high-risk b problems, b then b her b health b care b may b need b to
b be b provided bby b b ba b physician. b b bHowever, b it b b bcannot b b bbe b assumed b that b
b ball b b bAfrican-American bwomen b have b high-risk bissues. b In b addition, b advising b
b bthe b woman b b bto b see b an bobstetrician b is b not b the b most b b bimportant b b
, Maternity b and b Women's b Health b Care b 13th
b Edition
baspect b b bon b b bwhich b b bthe b nurse b b bshould b b bfocusbat b this b b btime, b and b b bit b is
b b bnot b b bappropriate b b bfor b b ba b nurse b to b b badvise b or b b bmanage b b bthe btype b of
b care b a b client b is b to b receive.
PTS: 1 DIF: Cognitive b Level:
, Maternity b and b Women's b Health b Care b 13th
b Edition
Understand bTOP: Nursing b Process: b Planning