MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilk
nTest
Maternitynandn
Women'snHealt
hnCaren13thnE
dition
LowdermilknTes
t
Bank
, MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilk
nTest
Chaptern01:n21stnCenturynMaternitynandnWomen’snHealthnNursingnLowd
ermilk:nMaternityn&nWomen’snHealthnCare,n12thnEdition
MULTIPLEnCHOICE
1. Innevaluatingnthenlevelnofnanpregnantnwoman’snrisknofnhavingnanlow-birth-
weightn(LBW)ninfant,nwhichnfactornisnthenmostnimportantnfornthennursentonconsid
er?
a. African-Americannrace
b. Cigarettensmoking
c. Poornnutritionalnstatus
d. Limitednmaternalneducation
ANS:n A
ThenriseninnthenoverallnLBWnratesnwerenduentonincreasesninnLBWnbirthsntonnon-
Hispanicnblacknwomenn(13.35%)nandnHispanicnwomenn(7.21%);nnon-
Hispanicnblackninfantsnarenalmostntwicenasnlikelynasnnon-
HispanicnwhiteninfantsntonbenofnLBWnandntondieninnthenfirstnyearnofnlife..nRacenisna
nnonmodifiablenrisknfactor.nCigarettensmokingnisnannimportantnfactorninnpotentialninfa
ntnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nsmokingnisnanmodi
fiablenrisknfactor.nPoornnutritionnisnannimportantnfactorninnpotentialninfantnmortalitynr
ates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nnutritionalnstatusnisnanmodifiable
nrisknfactor.nMaternalneducationnisnannimportantnfactorninnpotentialninfantnmortalitynr
ates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nmaternalneducationnisnanmodifiab
lenrisknfactor.
PTS: 1 DIF:
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nAssessment
MSC:nn ClientnNeeds:nHealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,nAntepartumnCare
2. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonncurrentnstatisticsnfornin
fantnmortality,nwhichninterventionnisnmostnimportantnfornthennursentonincludeninnthe
nclient’snplannofncare?
a. Performnannutritionnassessment.
b. Refernthenwomanntonansocialnworker.
c. Advisenthenwomanntonseenannobstetrician,nnotnanmidwife.
d. Explainntonthenwomannthenimportancenofnkeepingnhernprenatalncarenappointments.
ANS:n D
Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsn
associatednwithninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfact
or,nbutnitnisnnotnthenmostnimportantnactionnannursenshouldntakeninnthisnsituation.nThe
nclientnmaynneednassistancenfromnansocialnworkernatnsomentimenduringnhernpregnanc
y,nbutnanreferralntonansocialnworkernisnnotnthenmostnimportantnaspectnthennursenshoul
dnaddressnatnthisntime.nIfnthenwomannhasnidentifiablenhigh-
risknproblems,nthennhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowev
er,nitncannotnbenassumednthatnallnAfrican-Americannwomennhavenhigh-
risknissues.nInnaddition,nadvisingnthenwomanntonseenannobstetriciannisnnotnthenmostni
mportantnaspectnonnwhichnthennursenshouldnfocusnatnthisntime,nandnitnisnnotnappropri
atenfornannursentonadvisenornmanagenthentypenofncarenanclientnisntonreceive.
PTS: 1 DIF:
,MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilk
nTest
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nPlanning
, MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilk
nTest
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
3. Thennursesnworkingnatnannewlynestablishednbirthingncenternhavenbegunntoncomp
arentheirnperformanceninnprovidingnmaternal-
newbornncarenagainstnclinicalnstandards.nThisncomparisonnprocessnisnmostncomm
onlynknownnasnwhat?
a. Bestnpracticesnnetwork
b. Clinicalnbenchmarking
c. Outcomes-orientednpracNtiU
ceRS
d. Evidence-basednpractice
ANS:n C
Outcomes-
orientednpracticenmeasuresntheneffectivenessnofntheninterventionsnandnqualitynofncaren
againstnbenchmarksnornstandards.nThentermnbestnpracticenrefersntonanprogramnornserv
icenthatnhasnbeennrecognizednfornitsnexcellence.nClinicalnbenchmarkingnisnanprocessnu
sedntoncomparenone’snownnperformancenagainstnthenperformancenofnthenbestninnanna
reanofnservice.nThentermnevidence-
basednpracticenrefersntonthenprovisionnofncarenbasednonnevidencengainednthroughnres
earchnandnclinicalntrials.
PTS: 1 DIF:
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nEvaluation
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
4. Duringnanprenatalnintakeninterview,nthennursenisninnthenprocessnofnobtainingna
nninitialnassessmentnofnan21-year-
oldnHispanicnclientnwithnlimitednEnglishnproficiency.nWhichninterventionnisnthe
nmostnimportantnfornthennursentonimplement?
a. Usenmaternitynjargonntonenablenthenclientntonbecomenfamiliarnwithnthesenterms.
b. Speaknquicklynandnefficientlyntonexpeditenthenvisit.
c. Providenthenclientnwithnhandouts.
d. Assessnwhethernthenclientnunderstandsnthendiscussion.
ANS:n D
Nursesncontributentonhealthnliteracynbynusingnsimple,ncommonnwords,navoidingnjarg
on,nandnevaluatingnwhethernthenclientnunderstandsnthendiscussion.nSpeakingnslowlyna
ndnclearlynandnfocusingnonnwhatnisnimportantnwillnincreasenunderstanding.nMostnclie
ntneducationnmaterialsnarenwrittennatnanlevelntoonhighnfornthenaveragenadultnandnma
ynnotnbenusefulnfornanclientnwithnlimitednEnglishnproficiency.
PTS: 1 DIF:
CognitivenLevel:nApplynTOP:
NursingnProcess:nImplementation
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
5. Whichnstatementnbestnexemplifiesncontemporarynmaternitynnursing?
a. Usenofnmidwivesnfornallnvaginalndeliveries
b. Family-centeredncare
c. Free-standingnbirthnclinics
d. Physician-
drivenncarenANS:n B
nTest
Maternitynandn
Women'snHealt
hnCaren13thnE
dition
LowdermilknTes
t
Bank
, MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilk
nTest
Chaptern01:n21stnCenturynMaternitynandnWomen’snHealthnNursingnLowd
ermilk:nMaternityn&nWomen’snHealthnCare,n12thnEdition
MULTIPLEnCHOICE
1. Innevaluatingnthenlevelnofnanpregnantnwoman’snrisknofnhavingnanlow-birth-
weightn(LBW)ninfant,nwhichnfactornisnthenmostnimportantnfornthennursentonconsid
er?
a. African-Americannrace
b. Cigarettensmoking
c. Poornnutritionalnstatus
d. Limitednmaternalneducation
ANS:n A
ThenriseninnthenoverallnLBWnratesnwerenduentonincreasesninnLBWnbirthsntonnon-
Hispanicnblacknwomenn(13.35%)nandnHispanicnwomenn(7.21%);nnon-
Hispanicnblackninfantsnarenalmostntwicenasnlikelynasnnon-
HispanicnwhiteninfantsntonbenofnLBWnandntondieninnthenfirstnyearnofnlife..nRacenisna
nnonmodifiablenrisknfactor.nCigarettensmokingnisnannimportantnfactorninnpotentialninfa
ntnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nsmokingnisnanmodi
fiablenrisknfactor.nPoornnutritionnisnannimportantnfactorninnpotentialninfantnmortalitynr
ates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nnutritionalnstatusnisnanmodifiable
nrisknfactor.nMaternalneducationnisnannimportantnfactorninnpotentialninfantnmortalitynr
ates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nmaternalneducationnisnanmodifiab
lenrisknfactor.
PTS: 1 DIF:
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nAssessment
MSC:nn ClientnNeeds:nHealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,nAntepartumnCare
2. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonncurrentnstatisticsnfornin
fantnmortality,nwhichninterventionnisnmostnimportantnfornthennursentonincludeninnthe
nclient’snplannofncare?
a. Performnannutritionnassessment.
b. Refernthenwomanntonansocialnworker.
c. Advisenthenwomanntonseenannobstetrician,nnotnanmidwife.
d. Explainntonthenwomannthenimportancenofnkeepingnhernprenatalncarenappointments.
ANS:n D
Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsn
associatednwithninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfact
or,nbutnitnisnnotnthenmostnimportantnactionnannursenshouldntakeninnthisnsituation.nThe
nclientnmaynneednassistancenfromnansocialnworkernatnsomentimenduringnhernpregnanc
y,nbutnanreferralntonansocialnworkernisnnotnthenmostnimportantnaspectnthennursenshoul
dnaddressnatnthisntime.nIfnthenwomannhasnidentifiablenhigh-
risknproblems,nthennhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowev
er,nitncannotnbenassumednthatnallnAfrican-Americannwomennhavenhigh-
risknissues.nInnaddition,nadvisingnthenwomanntonseenannobstetriciannisnnotnthenmostni
mportantnaspectnonnwhichnthennursenshouldnfocusnatnthisntime,nandnitnisnnotnappropri
atenfornannursentonadvisenornmanagenthentypenofncarenanclientnisntonreceive.
PTS: 1 DIF:
,MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilk
nTest
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nPlanning
, MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilk
nTest
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
3. Thennursesnworkingnatnannewlynestablishednbirthingncenternhavenbegunntoncomp
arentheirnperformanceninnprovidingnmaternal-
newbornncarenagainstnclinicalnstandards.nThisncomparisonnprocessnisnmostncomm
onlynknownnasnwhat?
a. Bestnpracticesnnetwork
b. Clinicalnbenchmarking
c. Outcomes-orientednpracNtiU
ceRS
d. Evidence-basednpractice
ANS:n C
Outcomes-
orientednpracticenmeasuresntheneffectivenessnofntheninterventionsnandnqualitynofncaren
againstnbenchmarksnornstandards.nThentermnbestnpracticenrefersntonanprogramnornserv
icenthatnhasnbeennrecognizednfornitsnexcellence.nClinicalnbenchmarkingnisnanprocessnu
sedntoncomparenone’snownnperformancenagainstnthenperformancenofnthenbestninnanna
reanofnservice.nThentermnevidence-
basednpracticenrefersntonthenprovisionnofncarenbasednonnevidencengainednthroughnres
earchnandnclinicalntrials.
PTS: 1 DIF:
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nEvaluation
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
4. Duringnanprenatalnintakeninterview,nthennursenisninnthenprocessnofnobtainingna
nninitialnassessmentnofnan21-year-
oldnHispanicnclientnwithnlimitednEnglishnproficiency.nWhichninterventionnisnthe
nmostnimportantnfornthennursentonimplement?
a. Usenmaternitynjargonntonenablenthenclientntonbecomenfamiliarnwithnthesenterms.
b. Speaknquicklynandnefficientlyntonexpeditenthenvisit.
c. Providenthenclientnwithnhandouts.
d. Assessnwhethernthenclientnunderstandsnthendiscussion.
ANS:n D
Nursesncontributentonhealthnliteracynbynusingnsimple,ncommonnwords,navoidingnjarg
on,nandnevaluatingnwhethernthenclientnunderstandsnthendiscussion.nSpeakingnslowlyna
ndnclearlynandnfocusingnonnwhatnisnimportantnwillnincreasenunderstanding.nMostnclie
ntneducationnmaterialsnarenwrittennatnanlevelntoonhighnfornthenaveragenadultnandnma
ynnotnbenusefulnfornanclientnwithnlimitednEnglishnproficiency.
PTS: 1 DIF:
CognitivenLevel:nApplynTOP:
NursingnProcess:nImplementation
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
5. Whichnstatementnbestnexemplifiesncontemporarynmaternitynnursing?
a. Usenofnmidwivesnfornallnvaginalndeliveries
b. Family-centeredncare
c. Free-standingnbirthnclinics
d. Physician-
drivenncarenANS:n B
