Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th 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
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studiesNURSINGTB.COM
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one
factor of the research process. Data collection is another factor of research. Financial support
is necessary to conduct research, but it is not the primary role of the nurse in the research
process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
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
NURSINGTB.COM
, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank
Consistent prenatal care is the best method of preventing or controlling risk factors associated 6. Which statement best exemplifies contemporary maternity nursing?
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the a. Use of midwives for all vaginal deliveries
most important action a nurse should take in this situation. The client may need assistance b. Family-centered care
from a social worker at some time during her pregnancy, but a referral to a social worker is c. Free-standing birth clinics
not the most important aspect the nurse should address at this time. If the woman has d. Physician-driven care
identifiable high-risk problems, then her health care may need to be provided by a physician.
ANS: B
However, it cannot be assumed that all African-American women have high-risk issues. In
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
addition, advising the woman to see an obstetrician is not the most important aspect on which
grandparents, and siblings may be present for the birth and participate in activities such as
the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
the type of care a client is to receive.
Free-standing clinics are an example of alternative birth options. Contemporary maternity
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process: Planning nursing is driven by the relationship between nurses and their clients.
MSC: Client Needs: Health Promotion and Maintenance
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial MSC: Client Needs: Health Promotion and Maintenance
assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being
the most important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these terms.
in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
b. Speak quickly and efficiently to expedite the visit.
woman have a legitimate legal case for negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
c. Provide the client with handouts.
b. Client was past her due date by 3 days.
d. Assess whether the client understands the discussion.
c. Standard of care was not met.
ANS: D d. Client refused electronic fetal monitoring.
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
ANS: C
evaluating whether the client understands the discussion. Speaking slowly and clearly and
Not meeting the standard of care is a legitimate factor for a case of negligence. An
focusing on what is important will increase understanding. Most client education materials are
inexperienced maternity nurse would need to display competency before being assigned to
written at a level too high for the average adult and may not be useful for a client with limited
English proficiency.
NURSINGTB.COM care for clients on his or her NURThis
own. SINclient
GTB.C M been past her due date; however, a
mayOhave
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
DIF: Cognitive Level: Apply REF: p. 5 TOP: Nursing Process: Evaluation standard of care, the client has the right to refuse treatment. This refusal is not a case for
MSC: Client Needs: Health Promotion and Maintenance negligence, but informed consent should be properly obtained, and the client should have
signed an against medical advice form when refusing any treatment that is within the standard
5. The nurses working at a newly established birthing center have begun to compare their of care.
performance in providing maternal-newborn care against clinical standards. This comparison
process is most commonly known as what? DIF: Cognitive Level: Analyze REF: p. 13
a. Best practices network TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
b. Clinical benchmarking
c. Outcomes-oriented practice
8. When the nurse is unsure how to perform a client care procedure that is high risk and low
d. Evidence-based practice
volume, his or her best action in this situation would be what?
ANS: C a. Ask another nurse.
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care b. Discuss the procedure with the client’s physician.
against benchmarks or standards. The term best practice refers to a program or service that c. Look up the procedure in a nursing textbook.
has been recognized for its excellence. Clinical benchmarking is a process used to compare d. Consult the agency procedure manual, and follow the guidelines for the procedure.
one’s own performance against the performance of the best in an area of service. The term ANS: D
evidence-based practice refers to the provision of care based on evidence gained through
research and clinical trials.
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
NURSINGTB.COM NURSINGTB.COM
, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank
Following the agency’s policies and procedures manual is always best when seeking a. Higher rate of obesity among pregnant women
information on correct client procedures. These policies should reflect the current standards of b. Limited access to technology
care and the individual state’s guidelines. Each nurse is responsible for his or her own c. Increased use of health care services along with lower prices
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated d. Homogeneity of the population
to follow the standards of care for safe client care delivery. Physicians are responsible for their
ANS: A
own client care activity. Nurses may follow safe orders from physicians, but they are also
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the
responsible for the activities that they, as nurses, are to carry out. Information provided in a
gross domestic product is spent on health care. Higher spending in the United States, as
nursing textbook is basic information for general knowledge. Furthermore, the information in
compared with 12 other industrialized countries, is related to higher prices and readily
a textbook may not reflect the current standard of care or the individual state or hospital
accessible technology along with greater obesity rates among women. More than one third of
policies.
women in the United States are obese. In the population in the United States, 16% are
DIF: Cognitive Level: Understand REF: p. 13 uninsured and have limited access to health care. Maternal morbidity and mortality are
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity directly related to racial disparities.
9. The National Quality Forum has issued a list of “never events” specifically pertaining to DIF: Cognitive Level: Understand REF: p. 5 TOP: Nursing Process: N/A
maternal and child health. These include all of the following except: MSC: Client Needs: Safe and Effective Care Environment
a. infant discharged to the wrong person.
12. Which statement best describes maternity nursing care that is based on knowledge gained
b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
c. artificial insemination with the wrong donor sperm or egg.
through research and clinical trials?
a. Maternity nursing care is derived from the Nursing Intervention Classification.
d. foreign object retained after surgery.
b. Maternity nursing care is known as evidence-based practice.
ANS: D c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
Although a foreign object retained after surgery is a never event, it does not specifically d. Maternity nursing care is an outgrowth of telemedicine.
pertain to obstetric clients. A client undergoing any type of surgery may be at risk for this
ANS: B
event. An infant discharged to the wrong person specifically pertains to postpartum care.
Evidence-based practice is based on knowledge gained from research and clinical trials. The
Death or serious disability as a result of kernicterus pertains to newborn assessment and care.
Nursing Intervention Classification is a method of standardizing language and categorizing
Artificial insemination affects families seeking care for infertility.
NURSINGTB.COM NURS
care. Dr. Cochrane systematically INGTB.C
reviewed OMtrials and is part of the evidence-based
research
DIF: Cognitive Level: Remember REF: p. 4 practice movement. Telemedicine uses communication technologies to support health care.
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Diagnosis
MSC: Client Needs: Safe and Effective Care Environment
10. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
a. Births to unmarried women are more likely to have less favorable outcomes. 13. What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
a. Standard of care
b. Birth rates for women 40 to 44 years of age are declining.
b. Risk management
c. Cigarette smoking among pregnant women continues to increase.
c. Sentinel event
d. Rates of pregnancy and abortion among teenagers are lower in the United States
d. Failure to rescue
than in any other industrialized country.
ANS: A
ANS: A
LBW infants and preterm births are more likely because of the large number of teenagers in Guidelines for standards of care are published by various professional nursing organizations.
the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer Risk management identifies risks and establishes preventive practices, but it does not define
pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States the standard of care. Sentinel events are unexpected negative occurrences. They do not
than in any other industrial country. establish the standard of care. Failure to rescue is an evaluative process for nursing, but it does
not define the standard of care.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. A recently graduated nurse is attempting to understand the reason for increasing health care
spending in the United States. Which information gathered from her research best explains the
rationale for these higher costs compared with other developed countries?
NURSINGTB.COM NURSINGTB.COM
, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank
14. Through the use of social media technology, nurses can link with other nurses who may share ANS: D
similar interests, insights about practice, and advocate for clients. Which factor is the most The extent of the circumcision is important. The client may experience pain, bleeding,
concerning pitfall for nurses using this technology? scarring, or infection and may require surgery before childbirth. Although this practice is not
a. Violation of client privacy and confidentiality prevalent in the United States, it is very common in many African and Middle Eastern
b. Institutions and colleagues who may be cast in an unfavorable light countries for religious reasons. Mentioning that the practice is abnormal and rarely seen in the
c. Unintended negative consequences for using social media United States is culturally insensitive. The infibulation may have occurred during infancy or
d. Lack of institutional policy governing online contact childhood; consequently, the client will have little to no recollection of the event. She would
have considered this to be a normal milestone during her growth and development. The
ANS: A International Council of Nurses has spoken out against this procedure as harmful to a
The most significant pitfall for nurses using this technology is the violation of client privacy woman’s health.
and confidentiality. Furthermore, institutions and colleagues can be cast in an unfavorable
light with negative consequences for those posting information. Nursing students have been DIF: Cognitive Level: Analyze REF: p. 9
expelled from school and nurses have been fired or reprimanded by their Board of Nursing for TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
injudicious posts. The American Nurses Association has published six principles for social
networking and the nurse. All institutions should have policies guiding the use of social 17. To ensure client safety, the practicing nurse must have knowledge of The Joint Commission’s
media, and the nurse should be familiar with these guidelines. current “Do Not Use” list of abbreviations. Which term is acceptable for use regarding
medication administration?
DIF: Cognitive Level: Analyze REF: p. 8 a. q.o.d. or Q.O.D.
TOP: Nursing Process: Implementation b. MSO4 or MgSO4
MSC: Client Needs: Safe and Effective Care Environment c. International Unit
d. Lack of a leading zero
15. During a prenatal intake interview, the client informs the nurse that she would prefer a
midwife to provide both her care during pregnancy and deliver her infant. Which information ANS: C
is most appropriate for the nurse to share with this client? “I.U.” and “i.u.” are no longer acceptable because they could be misread as “I.V.” or the
a. Midwifery care is only available to clients who are uninsured because their number “10.” “Q.O.D.” should be written out as “every other day.” The period after the “Q”
services are less expensive than an obstetrician. could be mistaken for an “I” and the “o” could also be mistaken for an “i.” Confusing one
b. She will receive fewer interventions during the birth process. medication for another is too easy. Medications are used for very different purposes and could
c. She should be aware thatN URSINare
midwives
GTnot
B.C OM
certified.
NURSoutcome.
place a client at risk for an adverse
INGTB.C For O
M
example, these medications should be
d. Her delivery can take place only at home or in a birth center. written as morphine sulfate and magnesium sulfate. The decimal point should never be missed
before a number (e.g., 0.4 rather than .4). A leading zero is the preferred form.
ANS: B
This client will be able to participate actively in all decisions related to the birth process and is DIF: Cognitive Level: Remember REF: p. 13
likely to receive fewer interventions during the birth process. Midwifery services are available TOP: Nursing Process: Implementation
to all low-risk pregnant women, regardless of the type of insurance they have. Midwifery care MSC: Client Needs: Safe and Effective Care Environment
in all developed countries is strictly regulated by a governing body to ensure that core
competencies are met. In the United States, this body is the American College of 18. Maternity nurses can enhance communication among health care providers by using the
Nurse-Midwives (ACNM). Midwives can provide care and delivery at home, in freestanding SBAR technique. The acronym SBAR stands for what?
birth centers, and in community and teaching hospitals. a. Situation, background, assessment, recommendation
b. Situation, baseline, assessment, recommendation
DIF: Cognitive Level: Understand REF: p. 8 TOP: Nursing Process: Planning c. Subjective, background, analysis, recommendation
MSC: Client Needs: Safe and Effective Care Environment d. Subjective, background, analysis, review
16. While obtaining a detailed history from a woman who has recently immigrated from Somalia, ANS: A
the nurse realizes that the client has undergone female genital mutilation. What is the nurse’s SBAR is an easy-to-remember, useful, and concrete mechanism for communicating important
most appropriate response in this situation? information that requires a clinician’s immediate attention. Baseline is not discussed as part of
a. “This is a very abnormal practice and rarely seen in the United States.” SBAR. Subjective and analysis are not specific to the SBAR acronym. Subjective, analysis,
b. “Are you aware of who performed this mutilation so that it can be reported to the and review are not specific to the SBAR acronym.
authorities?”
c. “We will be able to restore fully your circumcision after delivery.” DIF: Cognitive Level: Apply REF: p. 14
d. “The extent of your circumcision will affect the potential for complications.” TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
NURSINGTB.COM NURSINGTB.COM
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 11th 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
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studiesNURSINGTB.COM
b. Collecting data for other researchers
c. Identifying researchable problems
d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one
factor of the research process. Data collection is another factor of research. Financial support
is necessary to conduct research, but it is not the primary role of the nurse in the research
process.
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
statistics for infant mortality, which plan is most important for the nurse to implement?
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
NURSINGTB.COM
, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank
Consistent prenatal care is the best method of preventing or controlling risk factors associated 6. Which statement best exemplifies contemporary maternity nursing?
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the a. Use of midwives for all vaginal deliveries
most important action a nurse should take in this situation. The client may need assistance b. Family-centered care
from a social worker at some time during her pregnancy, but a referral to a social worker is c. Free-standing birth clinics
not the most important aspect the nurse should address at this time. If the woman has d. Physician-driven care
identifiable high-risk problems, then her health care may need to be provided by a physician.
ANS: B
However, it cannot be assumed that all African-American women have high-risk issues. In
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
addition, advising the woman to see an obstetrician is not the most important aspect on which
grandparents, and siblings may be present for the birth and participate in activities such as
the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
the type of care a client is to receive.
Free-standing clinics are an example of alternative birth options. Contemporary maternity
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process: Planning nursing is driven by the relationship between nurses and their clients.
MSC: Client Needs: Health Promotion and Maintenance
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial MSC: Client Needs: Health Promotion and Maintenance
assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is
7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being
the most important for the nurse to perform?
a. Use maternity jargon to enable the client to become familiar with these terms.
in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
b. Speak quickly and efficiently to expedite the visit.
woman have a legitimate legal case for negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
c. Provide the client with handouts.
b. Client was past her due date by 3 days.
d. Assess whether the client understands the discussion.
c. Standard of care was not met.
ANS: D d. Client refused electronic fetal monitoring.
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
ANS: C
evaluating whether the client understands the discussion. Speaking slowly and clearly and
Not meeting the standard of care is a legitimate factor for a case of negligence. An
focusing on what is important will increase understanding. Most client education materials are
inexperienced maternity nurse would need to display competency before being assigned to
written at a level too high for the average adult and may not be useful for a client with limited
English proficiency.
NURSINGTB.COM care for clients on his or her NURThis
own. SINclient
GTB.C M been past her due date; however, a
mayOhave
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
DIF: Cognitive Level: Apply REF: p. 5 TOP: Nursing Process: Evaluation standard of care, the client has the right to refuse treatment. This refusal is not a case for
MSC: Client Needs: Health Promotion and Maintenance negligence, but informed consent should be properly obtained, and the client should have
signed an against medical advice form when refusing any treatment that is within the standard
5. The nurses working at a newly established birthing center have begun to compare their of care.
performance in providing maternal-newborn care against clinical standards. This comparison
process is most commonly known as what? DIF: Cognitive Level: Analyze REF: p. 13
a. Best practices network TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
b. Clinical benchmarking
c. Outcomes-oriented practice
8. When the nurse is unsure how to perform a client care procedure that is high risk and low
d. Evidence-based practice
volume, his or her best action in this situation would be what?
ANS: C a. Ask another nurse.
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care b. Discuss the procedure with the client’s physician.
against benchmarks or standards. The term best practice refers to a program or service that c. Look up the procedure in a nursing textbook.
has been recognized for its excellence. Clinical benchmarking is a process used to compare d. Consult the agency procedure manual, and follow the guidelines for the procedure.
one’s own performance against the performance of the best in an area of service. The term ANS: D
evidence-based practice refers to the provision of care based on evidence gained through
research and clinical trials.
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
NURSINGTB.COM NURSINGTB.COM
, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank
Following the agency’s policies and procedures manual is always best when seeking a. Higher rate of obesity among pregnant women
information on correct client procedures. These policies should reflect the current standards of b. Limited access to technology
care and the individual state’s guidelines. Each nurse is responsible for his or her own c. Increased use of health care services along with lower prices
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated d. Homogeneity of the population
to follow the standards of care for safe client care delivery. Physicians are responsible for their
ANS: A
own client care activity. Nurses may follow safe orders from physicians, but they are also
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the
responsible for the activities that they, as nurses, are to carry out. Information provided in a
gross domestic product is spent on health care. Higher spending in the United States, as
nursing textbook is basic information for general knowledge. Furthermore, the information in
compared with 12 other industrialized countries, is related to higher prices and readily
a textbook may not reflect the current standard of care or the individual state or hospital
accessible technology along with greater obesity rates among women. More than one third of
policies.
women in the United States are obese. In the population in the United States, 16% are
DIF: Cognitive Level: Understand REF: p. 13 uninsured and have limited access to health care. Maternal morbidity and mortality are
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity directly related to racial disparities.
9. The National Quality Forum has issued a list of “never events” specifically pertaining to DIF: Cognitive Level: Understand REF: p. 5 TOP: Nursing Process: N/A
maternal and child health. These include all of the following except: MSC: Client Needs: Safe and Effective Care Environment
a. infant discharged to the wrong person.
12. Which statement best describes maternity nursing care that is based on knowledge gained
b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
c. artificial insemination with the wrong donor sperm or egg.
through research and clinical trials?
a. Maternity nursing care is derived from the Nursing Intervention Classification.
d. foreign object retained after surgery.
b. Maternity nursing care is known as evidence-based practice.
ANS: D c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
Although a foreign object retained after surgery is a never event, it does not specifically d. Maternity nursing care is an outgrowth of telemedicine.
pertain to obstetric clients. A client undergoing any type of surgery may be at risk for this
ANS: B
event. An infant discharged to the wrong person specifically pertains to postpartum care.
Evidence-based practice is based on knowledge gained from research and clinical trials. The
Death or serious disability as a result of kernicterus pertains to newborn assessment and care.
Nursing Intervention Classification is a method of standardizing language and categorizing
Artificial insemination affects families seeking care for infertility.
NURSINGTB.COM NURS
care. Dr. Cochrane systematically INGTB.C
reviewed OMtrials and is part of the evidence-based
research
DIF: Cognitive Level: Remember REF: p. 4 practice movement. Telemedicine uses communication technologies to support health care.
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment DIF: Cognitive Level: Understand REF: pp. 10-11 TOP: Nursing Process: Diagnosis
MSC: Client Needs: Safe and Effective Care Environment
10. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
a. Births to unmarried women are more likely to have less favorable outcomes. 13. What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
a. Standard of care
b. Birth rates for women 40 to 44 years of age are declining.
b. Risk management
c. Cigarette smoking among pregnant women continues to increase.
c. Sentinel event
d. Rates of pregnancy and abortion among teenagers are lower in the United States
d. Failure to rescue
than in any other industrialized country.
ANS: A
ANS: A
LBW infants and preterm births are more likely because of the large number of teenagers in Guidelines for standards of care are published by various professional nursing organizations.
the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer Risk management identifies risks and establishes preventive practices, but it does not define
pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States the standard of care. Sentinel events are unexpected negative occurrences. They do not
than in any other industrial country. establish the standard of care. Failure to rescue is an evaluative process for nursing, but it does
not define the standard of care.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity DIF: Cognitive Level: Remember REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. A recently graduated nurse is attempting to understand the reason for increasing health care
spending in the United States. Which information gathered from her research best explains the
rationale for these higher costs compared with other developed countries?
NURSINGTB.COM NURSINGTB.COM
, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank
14. Through the use of social media technology, nurses can link with other nurses who may share ANS: D
similar interests, insights about practice, and advocate for clients. Which factor is the most The extent of the circumcision is important. The client may experience pain, bleeding,
concerning pitfall for nurses using this technology? scarring, or infection and may require surgery before childbirth. Although this practice is not
a. Violation of client privacy and confidentiality prevalent in the United States, it is very common in many African and Middle Eastern
b. Institutions and colleagues who may be cast in an unfavorable light countries for religious reasons. Mentioning that the practice is abnormal and rarely seen in the
c. Unintended negative consequences for using social media United States is culturally insensitive. The infibulation may have occurred during infancy or
d. Lack of institutional policy governing online contact childhood; consequently, the client will have little to no recollection of the event. She would
have considered this to be a normal milestone during her growth and development. The
ANS: A International Council of Nurses has spoken out against this procedure as harmful to a
The most significant pitfall for nurses using this technology is the violation of client privacy woman’s health.
and confidentiality. Furthermore, institutions and colleagues can be cast in an unfavorable
light with negative consequences for those posting information. Nursing students have been DIF: Cognitive Level: Analyze REF: p. 9
expelled from school and nurses have been fired or reprimanded by their Board of Nursing for TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
injudicious posts. The American Nurses Association has published six principles for social
networking and the nurse. All institutions should have policies guiding the use of social 17. To ensure client safety, the practicing nurse must have knowledge of The Joint Commission’s
media, and the nurse should be familiar with these guidelines. current “Do Not Use” list of abbreviations. Which term is acceptable for use regarding
medication administration?
DIF: Cognitive Level: Analyze REF: p. 8 a. q.o.d. or Q.O.D.
TOP: Nursing Process: Implementation b. MSO4 or MgSO4
MSC: Client Needs: Safe and Effective Care Environment c. International Unit
d. Lack of a leading zero
15. During a prenatal intake interview, the client informs the nurse that she would prefer a
midwife to provide both her care during pregnancy and deliver her infant. Which information ANS: C
is most appropriate for the nurse to share with this client? “I.U.” and “i.u.” are no longer acceptable because they could be misread as “I.V.” or the
a. Midwifery care is only available to clients who are uninsured because their number “10.” “Q.O.D.” should be written out as “every other day.” The period after the “Q”
services are less expensive than an obstetrician. could be mistaken for an “I” and the “o” could also be mistaken for an “i.” Confusing one
b. She will receive fewer interventions during the birth process. medication for another is too easy. Medications are used for very different purposes and could
c. She should be aware thatN URSINare
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place a client at risk for an adverse
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example, these medications should be
d. Her delivery can take place only at home or in a birth center. written as morphine sulfate and magnesium sulfate. The decimal point should never be missed
before a number (e.g., 0.4 rather than .4). A leading zero is the preferred form.
ANS: B
This client will be able to participate actively in all decisions related to the birth process and is DIF: Cognitive Level: Remember REF: p. 13
likely to receive fewer interventions during the birth process. Midwifery services are available TOP: Nursing Process: Implementation
to all low-risk pregnant women, regardless of the type of insurance they have. Midwifery care MSC: Client Needs: Safe and Effective Care Environment
in all developed countries is strictly regulated by a governing body to ensure that core
competencies are met. In the United States, this body is the American College of 18. Maternity nurses can enhance communication among health care providers by using the
Nurse-Midwives (ACNM). Midwives can provide care and delivery at home, in freestanding SBAR technique. The acronym SBAR stands for what?
birth centers, and in community and teaching hospitals. a. Situation, background, assessment, recommendation
b. Situation, baseline, assessment, recommendation
DIF: Cognitive Level: Understand REF: p. 8 TOP: Nursing Process: Planning c. Subjective, background, analysis, recommendation
MSC: Client Needs: Safe and Effective Care Environment d. Subjective, background, analysis, review
16. While obtaining a detailed history from a woman who has recently immigrated from Somalia, ANS: A
the nurse realizes that the client has undergone female genital mutilation. What is the nurse’s SBAR is an easy-to-remember, useful, and concrete mechanism for communicating important
most appropriate response in this situation? information that requires a clinician’s immediate attention. Baseline is not discussed as part of
a. “This is a very abnormal practice and rarely seen in the United States.” SBAR. Subjective and analysis are not specific to the SBAR acronym. Subjective, analysis,
b. “Are you aware of who performed this mutilation so that it can be reported to the and review are not specific to the SBAR acronym.
authorities?”
c. “We will be able to restore fully your circumcision after delivery.” DIF: Cognitive Level: Apply REF: p. 14
d. “The extent of your circumcision will affect the potential for complications.” TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
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