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