Lowdermilk Test
,MaternitydtanddtWomen's dtHealth dtCare dt13th dtEdition
Lowdermilk Test
,MaternitydtanddtWomen's dtHealth dtCare dt13th dtEdition
Lowdermilk Test
, MaternitydtanddtWomen's dtHealth dtCare dt13th dtEdition
Lowdermilk Test
MaternitydtanddtWomen's dtHealth dtCare dt13th dtEdition dtLowdermilk Test Chapt dtBank () ()
er 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mater
dt dt dt dt dt dt dt dt dt dt
nity & Women’s Health Care, 12th Edition
dt dt dt dt dt dt
MULTIPLEdtCHOICE
1. In dtevaluating dtthe dtlevel dtof dta dtpregnant dtwoman’s dtrisk dtof dthaving a dtlow-birth- ()
weight dt(LBW)infant, dtwhich dtfactor dtis dtthe dtmost important dtfordtthe dtnurse dtto dtconsider?
()
a. African-American dtrace
b. Cigarette dtsmoking
c. Poordtnutritional dtstatus
d. Limiteddtmaternal dteducation
ANS: d t A
The dtrise dtin dtthe dtoverall dtLBW dtrates dtwere dtdue dtto dtincreases dtin dtLBW dtbirths dtto
dtnon- dtHispanic dtblack dtwomen dt(13.35%) dtand dtHispanic dtwomen dt(7.21%);
dtnon- dtHispanic dtblack dtinfants dtare dtalmost dttwice dtas dtlikely dtas dtnon-
Hispanic dtwhite dtinfants dtto dtbe dtof dtLBW dtand dtto dtdie dtin dtthe dtfirst dtyeardtofdtlife.. dtRace dtis dta
dtnonmodifia dtble dtrisk factor. dtCigarette dtsmoking is dtan dtimportant dtfactor dtinpotential dtinfant
() ()
dtmortality dtrates, dtbut dtit dtis dtnot dtthe dtmost dtimportant. dtAdditionally, dtsmoking dtis dta dtmodifiable
dtrisk dtfactor. dtPoor dtnutrition dtis dtan dtimportant dtfactor dtin dtpotential dtinfant dtmortality dtrates, dtbut
dtit dtis dtnot dtthe dtmost dtimportant. dtAd dtditionally, dtnutritional dtstatus dtis dta dtmodifiable dtrisk dtfactor.
dtMaternal dteducation dtis dtan dtimportant dtfa dtctor dtin dtpotential dtinfant dtmortality dtrates, dtbut dtit dtis
dtnot the most dtimportant. dtAdditionally, dtmaterna dtl d t education dtis dta dtmodifiable dtrisk dtfactor.
() () (
PTS: 1 DIF:
Cognitive Level: dt UnderstandTOP:
()
Nursing dtProcess: dtAssessment
MSC: d t d t Client d t Needs: d t HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, d t Antepartum d t Care
2. A dt23-year-old dtAfrican-
American dtwoman dtis dtpregnant dtwith dther dtfirst dtchild. dtBased dton dtcurrent statistics dtfor dtinfant ()
dtmort dtality, dtwhich dtintervention dtis dtmost dtimportant for dtthe dtnurse dtto dtinclude in dtthe dtclient’s
() ()
dtplan dtof dtcar dte?
a. Perform dtadtnutrition dtassessment.
b. Refer dtthe dtwoman dtto dta dtsocial dtworker.
c. Advisedtthe dtwoman dtto dtsee dtan dtobstetrician, dtnot dta dtmidwife.
d. Explaindttodtthe dtwoman dtthedtimportance dtofdtkeeping dther dtprenatal dtcare dtappointments.
ANS: d t D
Consistent dtprenatal dtcare dtis dtthe dtbest dtmethod dtof dtpreventing dtor dtcontrolling dtrisk dtfactors
dtassociate dtd with dtinfant dtmortality. dtNutritional dtstatus dtisdtan dtimportant dtmodifiabledtrisk dtfactor,
()
dtbutit dtis dtnot dtthe dtmost dtimportant dtaction dta dtnurse dtshould dttake dtin dtthis dtsituation. dtThe dtclient
dtmay dtneed dtassistance dtfr dtom dta dtsocial dtworker dtat dtsome dttime dtduring dther dtpregnancy, dtbut dta
dtreferral dtto dta dtsocialworker dtis dtnot dtthe dtmost dtimportant dtaspect dtthe dtnurse dtshould dtaddress dtat
dtthis dttime. dtIf dtthe dtwoman dthas dtidentifiable dthigh-
risk problems, dtthen dther dthealth dtcare dtmay dtneed dtto dtbe dtprovided dtbydta dtphysician. dtHowever, dtit
()
dtcann dtot dtbe dtassumed dtthat dtall dtAfrican-American women dthave dthigh-
()
risk issues. dtIn dtaddition, dtadvising dtthe dtwoman dtto dtsee dtan dtobstetrician dtis dtnot dtthe dtmost
()
dtimportant as dtpect dton dtwhich dtthe dtnurse dtshould dtfocus dtat dtthis dttime, dtand dtit dtis dtnot dtappropriate
()
dtfor dta dtnurse dtto dtadvis dte dtor dtmanage dtthe dttype dtof dtcare dta dtclient dtis dtto dtreceive.
PTS: 1 DIF:
Cognitive Level:dtUnderstandTOP:
()
, MaternitydtanddtWomen's dtHealth dtCare dt13th dtEdition
dtNursing dtProcess:
Lowdermilk Test dtPlanning
MSC: d t ClientdtNeeds: dtHealth Promotiondtand dtMaintenance
()
3. Thedtnurses dtworking dtat dta dtnewlydtestablished dtbirthing dtcenter dthave dtbegun dtto dtcompare
dttheirp dterformance dtin dtproviding dtmaternal-
newborn dtcare dtagainst dtclinical dtstandards. dtThis dtcomparison dtprocess dtis dtmost dtcommonlyk
dtnown dtas dtwhat?
a. Bestdtpractices dtnetwork
b. Clinicaldtbenchmarking
c. Outcomes-oriented dt pracNtiUceR S
d. Evidence-based dtpractice
ANS: d t C
Outcomes-
oriented dtpractice dtmeasures dtthe dteffectiveness dtof dtthe dtinterventions dtand dtquality dtof dtcare
dtagainst dtbenchmarks dtor dtstandards. dtThedtterm dtbest dtpractice dtrefers dtto dta program dtor dtservice that
() ()
dthas dtbeen dtr dtecognized dtfor dtits dtexcellence. dtClinical dtbenchmarking dtis dta dtprocess dtused dtto
dtcompare dtone’s dtown dtperformance dtagainst dtthe dtperformance dtof dtthe dtbest dtin dtan dtarea dtof
dtservice. dtThe dtterm dtevidence- dtbased dtpractice dtrefers dtto dtthe dtprovision dtof dtcare dtbased dton
dtevidence dtgained dtthrough dtresearch dtand dtclinical dttrials.
PTS: 1 DIF:
CognitivedtLevel:dtUnderstandTOP:
NursingdtProcess: dtEvaluation
MSC: d t Client dtNeeds: dtSafedtand dtEffective dtCare dtEnvironment
4. During dta dtprenatal dtintake dtinterview, dtthe dtnurse dtis dtin dtthe dtprocess dtof dtobtaining dtan
dtinitial a dtssessment dtof dta dt21-year-
()
olddtHispanicdtclient dtwith limiteddtEnglish dtproficiency. dtWhich intervention dtis dtthe dtmost i
() () ()
dtmportant dtfor dtthe dtnurse dtto dtimplement?
a. Usedtmaternitydtjargon dtto dtenable dtthedtclient dttodtbecome dtfamiliar dtwith dtthese dtterms.
b. Speak dtquicklydtand dtefficientlydtto dtexpeditedtthe dtvisit.
c. Provide the dtclient dtwith dthandouts.
()
d. Assess dtwhetherdtthe dtclient dtunderstands dtthe dtdiscussion.
ANS: d t D
Nurses dtcontribute dtto dthealth dtliteracy dtby dtusing dtsimple, dtcommon dtwords, dtavoiding dtjargon,
dtand dtevaluating dtwhether dtthe dtclient understands dtthe dtdiscussion. dtSpeaking dtslowly dtand
()
dtclearly dtand f dtocusing on dtwhat dtis dtimportant dtwill dtincrease understanding. dtMost dtclient
() () ()
dteducation dtmaterialsar dte dtwritten dtat dta dtlevel dttoo dthigh dtfor dtthe dtaverage dtadult dtand dtmay dtnot dtbe
dtuseful dtfor dta dtclient dtwithlim dtited dtEnglish dtproficiency.
PTS: 1 DIF:
Cognitive dtLevel: dtApplyTOP:
Nursing dtProcess: dtImplementation
MSC: d t ClientdtNeeds: dtHealth Promotiondtand dtMaintenance
()
5. Whichdtstatement dtbest dtexemplifies dtcontemporarymaternitydtnursing?
a. Usedot f dtmidwives dtfordtall dtvaginal dtdeliveries
b. Family-centered dtcare
c. Free-standing dtbirth clinics ()
d. Physician-
, MaternitydtanddtWomen's dtHealth dtCare dt13th dtEdition
dtdrivencare
Lowdermilk Test
ANS: d t B
Contemporary dtmaternity dtnursing dtfocuses dton dtthe dtfamily’s dtneeds dtand dtdesires. dtFathers,
dtpartner dts, dtgrandparents, dtand dtsiblings dtmaydtbe dtpresent dtfor dtthe dtbirth dtand participate dtin
()
dtactivities such dtas dtc dtutting the dtbaby’s dtumbilical dtcord. dtBoth dtmidwives dtand dtphysicians
() ()
dtperform dtvaginal dtdeliveries. dtFree-
standing dtclinics dtare dtan dtexample dtof dtalternative dtbirth dtoptions. dtContemporary dtmaternity
dtnursing dtis dtdriven dtby dtthe dtrelationship dtbetween dtnurses dtand dttheir dtclients.
PTS: 1 DIF:
CognitivedtLevel: dtUnderstandTOP:
NursingdtProcess: dtPlanning
MSC: d t ClientdtNeeds: dtHealth Promotiondtand dtMaintenance
()
6. Adt38-year-old dtHispanic dtwoman dtvaginallydtdelivered dtadt9-pound, dt6-
ounce dtbabydtgirl dtafter dtbeing in dtlabor dtfor dt43 dthours. dtThe dtbabydtdied dt3 dtdays dtlater dtfrom dtsepsis.
()
dtOn dtwhat dtgrounds dtcould dtthe dtwoman dthave dta dtlegitimate dtlegal dtcase dtfor dtnegligence?
a. Inexperienced dtmaternitydtnursewas dtassigned dtto dtcaredtfor dtthe dtclient.
b. Client dtwas dtpast dther dtduedtdate dtbydt3 dtdays.
c. Standard dtofdtcare dtwas dtnot dtmet.
d. Client dtrefused dtelectronic dtfetal dtmonitoring.
ANS: d t C
Not dtmeeting dtthe dtstandard dtof dtcare dtis dta dtlegitimate dtfactor dtfor dta dtcase dtof dtnegligence. dtAn
dtinexperi dtenced dtmaternity dtnurse dtwould dtneed dtto dtdisplaycompetency dtbefore dtbeing dtassigned
dtto care dtfor dtcl dtients dton dthis dtor dther dtown. dtThis dtclient dtmay dthave dtbeen dtpast dther dtdue dtdate;
()
dthowever, dta term dtpregn dtancy dtoften dtgoes dtbeyond dt40 dtweeks dtof dtgestation. dtAlthough dtfetal
()
dtmonitoring dtis dtthestandard dtof dtcare, dtthe dtclient dthas dtthe dtright dtto dtrefuse dttreatment. dtThis
dtrefusal dtis dtnot dta dtcase dtfor dtnegligence, dtbu dtt dtinformed dtconsent dtshould dtbe dtproperly dtobtained,
dtand dtthe dtclient dtshould dthave dtsigned dtan dtagain dtst dtmedical dtadvice dtform dtwhen dtrefusing dtany
dttreatment dtthat dtis dtwithin dtthe dtstandardof dtcare.
PTS: 1 DIF:
Cognitive dtLevel: dtAnalyze TOP: ()
Nursing dtProcess: dtImplementation
MSC: d t Client dtNeeds: dtSafedtand dtEffective dtCaredtEnvironment
7. When dtthe dtnursedtis dtunsure dthow dtto dtperform dta dtclient dtcare dtprocedure dtthat is dthigh dtrisk and
() ()
dtlowv dtolume, dthis dtor dther dtbest dtaction dtin this dtsituation dtwould dtbe dtwhat?
()
a. Ask dtanother dtnurse.
b. Discuss dtthe dtprocedure dtwith dtthe dtclient’s dtphysician.
c. Look dtup dtthe dtprocedure dtin dta dtnursing dttextbook.
d. First dtconsult dtthe dtagencydtproceduredtmanual
ANS: d t D
Following dtthe dtagency’s dtpolicies dtand dtprocedures dtmanual dtis dtalways dtbest dtwhen
dtseeking inform dtation dton dtcorrect dtclient dtprocedures. dtThese dtpolicies dtshould dtreflect dtthe
()
dtcurrent dtstandards of dtcare dtand dtthe dtindividual dtstate’s dtguidelines. dtEach dtnurse dtis dtresponsible
()
dtfor dthis dtor dther dtown dtpractice. dtR dtelying dton dtanother dtnurse dtmay dtnot dtalways dtbe dta safe ()
dtpractice. dtEach dtnurse dtis dtobligated dtto dtfollow dtthe dtstandards dtof dtcare dtfor dtsafe dtclient dtcare
dtdelivery. dtPhysicians dtare dtresponsible dtfor dttheir dtown dtcl dtient dtcare dtactivity. dtNurses dtmay
dtfollow dtsafe dtorders dtfrom dtphysicians, dtbut dtthey dtare dtalso dtresponsi dtble dtfor dtthe dtactivities dtthat
dtthey, dtas dtnurses, dtare dtto dtcarry dtout. dtInformation dtprovided dtin a dtnursing t dtextbook dtis dtbasic
() ()