MaternityandWomen'sHealthCare13thEditionLowder
milkTestBank
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
| | | | | | | | |
Maternity & Women’s Health Care, 12th 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.M
CaOinMtenance, | 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
, MSC: | Client |Needs: |Health |Promotion |and |Maintenance
3. The |nurses |working |at |a |newly |established |birthing |center |have |begun |to |compare |their
|performance |in |providing |maternal-newborn |care |against |clinical |standards. |This
|comparison |process |is |most |commonly |known |as |what?
a. Best |practices |network
b. Clinical |benchmarking
c. Outcomes-oriented |p racNtiUceR S
d. Evidence-based |practice
ANS: | C
Outcomes-oriented |practice |measures |the |effectiveness |of |the |interventions |and |quality |of
|care |against |benchmarks |or |standards. |The |term |best |practice |refers |to |a |program |or |service
|that |has |been |recognized |for |its |excellence. |Clinical |benchmarking |is |a |process |used |to
|compare |one’s |own |performance |against |the |performance |of |the |best |in |an |area |of |service.
|The |term |evidence-based |practice |refers |to |the |provision |of |care |based |on |evidence |gained
|through |research |and |clinical |trials.
PTS: 1 DIF: Cognitive |Level: |Understand
|TOP: Nursing |Process: |Evaluation
MSC: | Client |Needs: |Safe |and |Effective |Care |Environment
4. During |a |prenatal |intake |interview, |the |nurse |is |in |the |process |of |obtaining |an |initial
|assessment |of |a |21-year-old |Hispanic |client |with |limited |English |proficiency. |Which
|intervention |is |the |most |important |for |the |nurse |to |implement?
a. Use |maternity |jargon |to |enable |the |client |to |become |familiar |with |these |terms.
b. Speak |quickly |and |efficiently |to |expedite |the |visit.
c. Provide |the |client |with |handouts.
d. Assess |whether |the |client |understands |the |discussion.
ANS: | D
Nurses |contribute |to |health |literacy |by |using |simple, |common |words, |avoiding |jargon, |and
|evaluating |whether |the |client |understands |the |discussion. |Speaking |slowly |and |clearly |and
|focusing |on |what |is |important |will |increase |understanding. |Most |client |education |materials
|are |written |at |a |level |too |high |for |the |average |adult |and |may |not |be |useful |for |a |client |with
|limited |English |proficiency.
PTS: 1 DIF: Cognitive |Level: |Apply
|TOP: Nursing |Process: |Implementation
MSC: | Client |Needs: |Health |Promotion |and |Maintenance
5. Which |statement |best |exemplifies |contemporary |maternity |nursing?
a. Use |of |midwives |for |all |vaginal |deliveries
b. Family-centered |care
c. Free-standing |birth |clinics
d. Physician-driven |care
ANS: | B
|
, Contemporary |maternity |nursing |focuses |on |the |family’s |needs |and |desires. |Fathers, |partners,
|grandparents, |and |siblings |may |be |present |for |the |birth |and |participate |in |activities |such |as
|cutting |the |baby’s |umbilical |cord. |Both |midwives |and |physicians |perform |vaginal |deliveries.
|Free-standing |clinics |are |an |example |of |alternative |birth |options. |Contemporary |maternity
|nursing |is |driven |by |the |relationship |between |nurses |and |their |clients.
PTS: 1 DIF: Cognitive |Level: |Understand
|TOP: Nursing |Process: |Planning
MSC: | Client |Needs: |Health |Promotion |and |Maintenance
6. A |38-year-old |Hispanic |woman |vaginally |delivered |a |9-pound, |6-ounce |baby |girl |after |being |in
|labor |for |43 |hours. |The |baby |died |3 |days |later |from |sepsis. |On |what |grounds |could |the |woman
|have |a |legitimate |legal |case |for |negligence?
a. Inexperienced |maternity |nurse |was |assigned |to |care |for |the |client.
b. Client |was |past |her |due |date |by |3 |days.
c. Standard |of |care |was |not |met.
d. Client |refused |electronic |fetal |monitoring.
ANS: | C
Not |meeting |the |standard |of |care |is |a |legitimate |factor |for |a |case |of |negligence. |An
|inexperienced |maternity |nurse |would |need |to |display |competency |before |being |assigned |to
|care |for |clients |on |his |or |her |own. |This |client |may |have |been |past |her |due |date; |however, |a |term
|pregnancy |often |goes |beyond |40 |weeks |of |gestation. |Although |fetal |monitoring |is |the |standard
|of |care, |the |client |has |the |right |to |refuse |treatment. |This |refusal |is |not |a |case |for |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 |of |care.
PTS: 1 DIF: Cognitive |Level: |Analyze
|TOP: Nursing |Process: |Implementation
MSC: | Client |Needs: |Safe |and |Effective |Care |Environment
7. When |the |nurse |is |unsure |how |to |perform |a |client |care |procedure |that |is |high |risk |and |low
|volume, |his |or |her |best |action |in |this |situation |would |be |what?
a. Ask |another |nurse.
b. Discuss |the |procedure |with |the |client’s |physician.
c. Look |up |the |procedure |in |a |nursing |textbook.
d. First |consult |the |agency |procedure |manual
ANS: | D
Following |the |agency’s |policies |and |procedures |manual |is |always |best |when |seeking
|information |on |correct |client |procedures. |These |policies |should |reflect |the |current |standards |of
|care |and |the |individual |state’s |guidelines. |Each |nurse |is |responsible |for |his |or |her |own
|practice. |Relying |on |another |nurse |may |not |always |be |a |safe |practice. |Each |nurse |is |obligated
|to |follow |the |standards |of |care |for |safe |client |care |delivery. |Physicians |are |responsible |for
|their |own |client |care |activity. |Nurses |may |follow |safe |orders |from |physicians, |but |they |are
|also |responsible |for |the |activities |that |they, |as |nurses, |are |to |carry |out. |Information |provided |in
|a |nursing |textbook |is |basic |information |for |general |knowledge. |Furthermore, |the |information
|in |a |textbook |may |not |reflect |the |current |standard |of |care |or |the |individual |state |or |hospital
|policies.
milkTestBank
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
| | | | | | | | |
Maternity & Women’s Health Care, 12th 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.M
CaOinMtenance, | 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
, MSC: | Client |Needs: |Health |Promotion |and |Maintenance
3. The |nurses |working |at |a |newly |established |birthing |center |have |begun |to |compare |their
|performance |in |providing |maternal-newborn |care |against |clinical |standards. |This
|comparison |process |is |most |commonly |known |as |what?
a. Best |practices |network
b. Clinical |benchmarking
c. Outcomes-oriented |p racNtiUceR S
d. Evidence-based |practice
ANS: | C
Outcomes-oriented |practice |measures |the |effectiveness |of |the |interventions |and |quality |of
|care |against |benchmarks |or |standards. |The |term |best |practice |refers |to |a |program |or |service
|that |has |been |recognized |for |its |excellence. |Clinical |benchmarking |is |a |process |used |to
|compare |one’s |own |performance |against |the |performance |of |the |best |in |an |area |of |service.
|The |term |evidence-based |practice |refers |to |the |provision |of |care |based |on |evidence |gained
|through |research |and |clinical |trials.
PTS: 1 DIF: Cognitive |Level: |Understand
|TOP: Nursing |Process: |Evaluation
MSC: | Client |Needs: |Safe |and |Effective |Care |Environment
4. During |a |prenatal |intake |interview, |the |nurse |is |in |the |process |of |obtaining |an |initial
|assessment |of |a |21-year-old |Hispanic |client |with |limited |English |proficiency. |Which
|intervention |is |the |most |important |for |the |nurse |to |implement?
a. Use |maternity |jargon |to |enable |the |client |to |become |familiar |with |these |terms.
b. Speak |quickly |and |efficiently |to |expedite |the |visit.
c. Provide |the |client |with |handouts.
d. Assess |whether |the |client |understands |the |discussion.
ANS: | D
Nurses |contribute |to |health |literacy |by |using |simple, |common |words, |avoiding |jargon, |and
|evaluating |whether |the |client |understands |the |discussion. |Speaking |slowly |and |clearly |and
|focusing |on |what |is |important |will |increase |understanding. |Most |client |education |materials
|are |written |at |a |level |too |high |for |the |average |adult |and |may |not |be |useful |for |a |client |with
|limited |English |proficiency.
PTS: 1 DIF: Cognitive |Level: |Apply
|TOP: Nursing |Process: |Implementation
MSC: | Client |Needs: |Health |Promotion |and |Maintenance
5. Which |statement |best |exemplifies |contemporary |maternity |nursing?
a. Use |of |midwives |for |all |vaginal |deliveries
b. Family-centered |care
c. Free-standing |birth |clinics
d. Physician-driven |care
ANS: | B
|
, Contemporary |maternity |nursing |focuses |on |the |family’s |needs |and |desires. |Fathers, |partners,
|grandparents, |and |siblings |may |be |present |for |the |birth |and |participate |in |activities |such |as
|cutting |the |baby’s |umbilical |cord. |Both |midwives |and |physicians |perform |vaginal |deliveries.
|Free-standing |clinics |are |an |example |of |alternative |birth |options. |Contemporary |maternity
|nursing |is |driven |by |the |relationship |between |nurses |and |their |clients.
PTS: 1 DIF: Cognitive |Level: |Understand
|TOP: Nursing |Process: |Planning
MSC: | Client |Needs: |Health |Promotion |and |Maintenance
6. A |38-year-old |Hispanic |woman |vaginally |delivered |a |9-pound, |6-ounce |baby |girl |after |being |in
|labor |for |43 |hours. |The |baby |died |3 |days |later |from |sepsis. |On |what |grounds |could |the |woman
|have |a |legitimate |legal |case |for |negligence?
a. Inexperienced |maternity |nurse |was |assigned |to |care |for |the |client.
b. Client |was |past |her |due |date |by |3 |days.
c. Standard |of |care |was |not |met.
d. Client |refused |electronic |fetal |monitoring.
ANS: | C
Not |meeting |the |standard |of |care |is |a |legitimate |factor |for |a |case |of |negligence. |An
|inexperienced |maternity |nurse |would |need |to |display |competency |before |being |assigned |to
|care |for |clients |on |his |or |her |own. |This |client |may |have |been |past |her |due |date; |however, |a |term
|pregnancy |often |goes |beyond |40 |weeks |of |gestation. |Although |fetal |monitoring |is |the |standard
|of |care, |the |client |has |the |right |to |refuse |treatment. |This |refusal |is |not |a |case |for |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 |of |care.
PTS: 1 DIF: Cognitive |Level: |Analyze
|TOP: Nursing |Process: |Implementation
MSC: | Client |Needs: |Safe |and |Effective |Care |Environment
7. When |the |nurse |is |unsure |how |to |perform |a |client |care |procedure |that |is |high |risk |and |low
|volume, |his |or |her |best |action |in |this |situation |would |be |what?
a. Ask |another |nurse.
b. Discuss |the |procedure |with |the |client’s |physician.
c. Look |up |the |procedure |in |a |nursing |textbook.
d. First |consult |the |agency |procedure |manual
ANS: | D
Following |the |agency’s |policies |and |procedures |manual |is |always |best |when |seeking
|information |on |correct |client |procedures. |These |policies |should |reflect |the |current |standards |of
|care |and |the |individual |state’s |guidelines. |Each |nurse |is |responsible |for |his |or |her |own
|practice. |Relying |on |another |nurse |may |not |always |be |a |safe |practice. |Each |nurse |is |obligated
|to |follow |the |standards |of |care |for |safe |client |care |delivery. |Physicians |are |responsible |for
|their |own |client |care |activity. |Nurses |may |follow |safe |orders |from |physicians, |but |they |are
|also |responsible |for |the |activities |that |they, |as |nurses, |are |to |carry |out. |Information |provided |in
|a |nursing |textbook |is |basic |information |for |general |knowledge. |Furthermore, |the |information
|in |a |textbook |may |not |reflect |the |current |standard |of |care |or |the |individual |state |or |hospital
|policies.
