,
,MaternityandWomen'sHealthCare13th
Edition
MULTIPLE |CHOICE
1. In |evaluating |the |level |of |a |pregnant |woman’s |risk |of |having |a |low-birth-weight |(LBW)
|infant, |which |factor |is |the |most |important |for |the |nurse |to |consider?
a. African-American |race
b. Cigarette |smoking
c. Poor |nutritional |status
d. Limited |maternal |education
ANS: | A
The |rise |in |the |overall |LBW |rates |were |due |to |increases |in |LBW |births |to |non-Hispanic
|black |women |(13.35%) |and |Hispanic |women |(7.21%); |non-Hispanic |black |infants |are
|almost |twice |as |likely |as |non-Hispanic |white |infants |to |be |of |LBW |and |to |die |in |the |first
|year |of |life.. |Race |is |a |nonmodifiable |risk |factor. |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 |not |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 |factor.
PTS: 1 DIF: Cognitive |Level: |Understand
|TOP: Nursing |Process: |Assessment
MSC: | | Client | Needs: | HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, | Antepartum | Care
2. A |23-year-old |African-American |woman |is |pregnant |with |her |first |child. |Based |on
|current |statistics |for |infant |mortality, |which |intervention |is |most |important |for |the |nurse
|to |include |in |the |client’s |plan |of |care?
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.
ANS: | 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 |problems, |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.
|
PTS: 1 DIF: Cognitive |Level: |Understand
|TOP: Nursing |Process: |Planning
,MaternityandWomen'sHealthCare13th
Edition
MULTIPLE |CHOICE
1. In |evaluating |the |level |of |a |pregnant |woman’s |risk |of |having |a |low-birth-weight |(LBW)
|infant, |which |factor |is |the |most |important |for |the |nurse |to |consider?
a. African-American |race
b. Cigarette |smoking
c. Poor |nutritional |status
d. Limited |maternal |education
ANS: | A
The |rise |in |the |overall |LBW |rates |were |due |to |increases |in |LBW |births |to |non-Hispanic
|black |women |(13.35%) |and |Hispanic |women |(7.21%); |non-Hispanic |black |infants |are
|almost |twice |as |likely |as |non-Hispanic |white |infants |to |be |of |LBW |and |to |die |in |the |first
|year |of |life.. |Race |is |a |nonmodifiable |risk |factor. |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 |not |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 |factor.
PTS: 1 DIF: Cognitive |Level: |Understand
|TOP: Nursing |Process: |Assessment
MSC: | | Client | Needs: | HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, | Antepartum | Care
2. A |23-year-old |African-American |woman |is |pregnant |with |her |first |child. |Based |on
|current |statistics |for |infant |mortality, |which |intervention |is |most |important |for |the |nurse
|to |include |in |the |client’s |plan |of |care?
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.
ANS: | 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 |problems, |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.
|
PTS: 1 DIF: Cognitive |Level: |Understand
|TOP: Nursing |Process: |Planning
