Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
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,Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE l
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW) infant,
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which factor is the most important for the nurse to consider?
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a. African-American race l
b. Cigarette smoking l
c. Poor nutritional status l l
d. Limited maternal education l l
ANS: A l
For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race
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is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant mortality
l l l l l l l l l l l l l l l
rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.Poor
l l l l l l l l l l l l l l l l
nutrition is an important factor in potential infant mortality rates, but it is not the most important.
l l l l l l l l l l l l l l l l l
Additionally, nutritional status is a modifiable risk factor. Maternal education is an important
l l l l l l l l l l l l l
factor in potential infant mortality rates, but it is not the most important. Additionally, maternal
l l l l l l l l l l l l l l l
education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOP: Nursing Process: Assessment
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MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
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2. What is the primary role of practicing nurses in the research process?
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a. Designing research studies l l
b. Collecting data for other researchers l l l l
c. Identifying researchable problems l l
, d. Seeking funding to support research studies l l l l l
ANS: C l
When problems are identified, research can be properly conducted. Research of health care issues
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leads to evidence-based practice guidelines. Designing research studies is only one factorof the
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research process. Data collection is another factor of research. Financial support is necessary to
l l l l l l l l l l l l l l
conduct research, but it is not the primary role of the nurse in the research process.
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DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
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MSC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-American woman is pregnant with her first child. Based on the
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statistics for infant mortality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. l l l
b. Refer the woman to a social worker. l l l l l l
c. Advise the woman to see an obstetrician, not a midwife.l l l l l l l l l
d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D l
Consistent prenatal care is the best method of preventing or controlling risk factors associated with
l l l l l l l l l l l l l l
infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most
l l l l l l l l l l l l l l l l
important action a nurse should take in this situation. The client may need assistance from asocial
l l l l l l l l l l l l l l l l l
worker at some time during her pregnancy, but a referral to a social worker is not the mostimportant
l l l l l l l l l l l l l l l l l l l
aspect the nurse should address at this time. If the woman has identifiable high-risk problems, then
l l l l l l l l l l l l l l l l
her health care may need to be provided by a physician. However, it cannot be assumed that all
l l l l l l l l l l l l l l l l l l
African-American women have high-risk issues. In addition, advising the woman to see an
l l l l l l l l l l l l l
obstetrician is not the most important aspect on which the nurse should focus atthis time, and it is
l l l l l l l l l l l l l l l l l l l
not appropriate for a nurse to advise or manage the type of care a client is to receive.
l l l l l l l l l l l l l l l l l l
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
l l l l l l l l l
, MSC: Client Needs: Health Promotion and Maintenance
l l l l l l
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment
l l l l l l l l l l l l l l l
of a 21-year-old Hispanic client with limited English proficiency. Which action is themost
l l l l l l l l l l l l l l
important for the nurse to perform?
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a. Use maternity jargon to enable the client to become familiar with these terms.
l l l l l l l l l l l l
b. Speak quickly and efficiently to expedite the visit.
l l l l l l l
c. Provide the client with handouts. l l l l
d. Assess whether the client understands the discussion. l l l l l l
ANS: D l
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
l l l l l l l l l l l l
evaluating whether the client understands the discussion. Speaking slowly and clearly and
l l l l l l l l l l l l
focusing on what is important will increase understanding. Most client education materials are
l l l l l l l l l l l l l
written at a level too high for the average adult and may not be useful for a client with limited
l l l l l l l l l l l l l l l l l l l l
English proficiency.
l l
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation
l l l l l l l l l l
MSC: Client Needs: Health Promotion and Maintenance
l l l l l l l
5. The nurses working at a newly established birthing center have begun to compare their
l l l l l l l l l l l l l
performance in providing maternal-newborn care against clinical standards. This comparison
l l l l l l l l l l
process is most commonly known as what?
l l l l l l l
a. Best practices network l l
b. Clinical benchmarking l
c. Outcomes-oriented practice l
d. Evidence-based practice l
ANS: C
l l
l l l l l l l l l
,Chapter 1: 21st Century Maternity and Women’s Health Nursing
l l l l l l l l
MULTIPLE CHOICE l
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW) infant,
l l l l l l l l l l l l l l
which factor is the most important for the nurse to consider?
l l l l l l l l l l l
a. African-American race l
b. Cigarette smoking l
c. Poor nutritional status l l
d. Limited maternal education l l
ANS: A l
For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race
l l l l l l l l l l l l l l
is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant mortality
l l l l l l l l l l l l l l l
rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.Poor
l l l l l l l l l l l l l l l l
nutrition is an important factor in potential infant mortality rates, but it is not the most important.
l l l l l l l l l l l l l l l l l
Additionally, nutritional status is a modifiable risk factor. Maternal education is an important
l l l l l l l l l l l l l
factor in potential infant mortality rates, but it is not the most important. Additionally, maternal
l l l l l l l l l l l l l l l
education is a modifiable risk factor.
l l l l l l
DIF: Cognitive Level: Understand REF: IM:
l l l l l
TOP: Nursing Process: Assessment
l l l
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
l l l l l l l l
2. What is the primary role of practicing nurses in the research process?
l l l l l l l l l l l
a. Designing research studies l l
b. Collecting data for other researchers l l l l
c. Identifying researchable problems l l
, d. Seeking funding to support research studies l l l l l
ANS: C l
When problems are identified, research can be properly conducted. Research of health care issues
l l l l l l l l l l l l l
leads to evidence-based practice guidelines. Designing research studies is only one factorof the
l l l l l l l l l l l l l l
research process. Data collection is another factor of research. Financial support is necessary to
l l l l l l l l l l l l l l
conduct research, but it is not the primary role of the nurse in the research process.
l l l l l l l l l l l l l l l l
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
l l l l l l l l l l
MSC: Client Needs: Safe and Effective Care Environment
l l l l l l l l
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
l l l l l l l l l l l l
statistics for infant mortality, which plan is most important for the nurse to implement?
l l l l l l l l l l l l l l
a. Perform a nutrition assessment. l l l
b. Refer the woman to a social worker. l l l l l l
c. Advise the woman to see an obstetrician, not a midwife.l l l l l l l l l
d. Explain to the woman the importance of keeping her prenatal care appointments.
l l l l l l l l l l l
ANS: D l
Consistent prenatal care is the best method of preventing or controlling risk factors associated with
l l l l l l l l l l l l l l
infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most
l l l l l l l l l l l l l l l l
important action a nurse should take in this situation. The client may need assistance from asocial
l l l l l l l l l l l l l l l l l
worker at some time during her pregnancy, but a referral to a social worker is not the mostimportant
l l l l l l l l l l l l l l l l l l l
aspect the nurse should address at this time. If the woman has identifiable high-risk problems, then
l l l l l l l l l l l l l l l l
her health care may need to be provided by a physician. However, it cannot be assumed that all
l l l l l l l l l l l l l l l l l l
African-American women have high-risk issues. In addition, advising the woman to see an
l l l l l l l l l l l l l
obstetrician is not the most important aspect on which the nurse should focus atthis time, and it is
l l l l l l l l l l l l l l l l l l l
not appropriate for a nurse to advise or manage the type of care a client is to receive.
l l l l l l l l l l l l l l l l l l
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
l l l l l l l l l
, MSC: Client Needs: Health Promotion and Maintenance
l l l l l l
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment
l l l l l l l l l l l l l l l
of a 21-year-old Hispanic client with limited English proficiency. Which action is themost
l l l l l l l l l l l l l l
important for the nurse to perform?
l l l l l l
a. Use maternity jargon to enable the client to become familiar with these terms.
l l l l l l l l l l l l
b. Speak quickly and efficiently to expedite the visit.
l l l l l l l
c. Provide the client with handouts. l l l l
d. Assess whether the client understands the discussion. l l l l l l
ANS: D l
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
l l l l l l l l l l l l
evaluating whether the client understands the discussion. Speaking slowly and clearly and
l l l l l l l l l l l l
focusing on what is important will increase understanding. Most client education materials are
l l l l l l l l l l l l l
written at a level too high for the average adult and may not be useful for a client with limited
l l l l l l l l l l l l l l l l l l l l
English proficiency.
l l
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation
l l l l l l l l l l
MSC: Client Needs: Health Promotion and Maintenance
l l l l l l l
5. The nurses working at a newly established birthing center have begun to compare their
l l l l l l l l l l l l l
performance in providing maternal-newborn care against clinical standards. This comparison
l l l l l l l l l l
process is most commonly known as what?
l l l l l l l
a. Best practices network l l
b. Clinical benchmarking l
c. Outcomes-oriented practice l
d. Evidence-based practice l
ANS: C
l l
