Maternity and Women's Health Care 13th Edition Lowdermilk Test
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Chapter 01: 21st Century Maternity and Women’s Health Nursin
a1 a1 a1 a1 a1 a1 a1 a1
gLowdermilk: Maternity & Women’s Health Care, 13th Edition
1
a a1 a1 a1 a1 a1 a1 a1
MULTIPLE CHOICE a1
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
weight (LBW)infant, which factor is the most important for the nurse to consider?
a1 1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
a. African-American race a1
b. Cigarette smoking a1
c. Poor nutritional status a1 a1
d. Limited maternal education a1 a1
ANS: A a 1
The rise in the overall LBW rates were due to increases in LBW births to non-
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
a1 a1 a1 a1 a1 a1 a1 a1
Hispanic black infants are almost twice as likely as non-
a1 a1 a1 a1 a1 a1 a1 a1 a1
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmod
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ifiable risk factor. Cigarette smoking is an important factor inpotential infant mortality rate
a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1 a1
s, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a
1nutrition is an important factor in potential infant mortality rates, but it is not the most i
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
mportant. Additionally, nutritional status is a modifiable risk factor. Maternal education is
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
an important factor in potential infant mortality rates, but it is not the most important. A
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
dditionally, maternal education is a modifiable risk factor.
a1 a1 a1 a1 a1 a1 a1
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: a1 a1 1a
Nursing Process: Assessment a1 a1
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN
a1a1a1nTanBd.MCaO
inM
tenance, Antepartum Carea1 a1 a1 a1
2. A 23-year-old African-
a1 a1
American woman is pregnant with her first child. Based on currentstatistics for infant m
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1 a1
ortality, which intervention is most important for the nurse to includein the client’s plan
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1 a1 a
of care?
1 a1
a. Perform a nutrition assessment. a1 a1 a1
b. Refer the woman to a social worker. a1 a1 a1 a1 a1 a1
c. Advise the woman to see an obstetrician, not a midwife.
a1 a1 a1 a1 a1 a1 a1 a1 a1
d. Explain to the woman the importance of keeping her prenatal care appointments.
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ANS: D a 1
Consistent prenatal care is the best method of preventing or controlling risk factors associ
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ated with infant mortality. Nutritional status is an important modifiable risk factor, butit is
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1
not the most important action a nurse should take in this situation. The client may needas
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a
sistance from a social worker at some time during her pregnancy, but a referral to a socia
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
lworker is not the most important aspect the nurse should address at this time. If the wo
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
man has identifiable high-
a1 a1 a1
risk problems, then her health care may need to be provided by a physician. However, it
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
cannot be assumed that all African-American women have high-
a1 a1 a1 a1 a1 a1 a1 a1
riskissues. In addition, advising the woman to see an obstetrician is not the most importa
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
nt aspect on which the nurse should focus at this time, and it is not appropriate for a nurs
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
e to advise or manage the type of care a client is to receive.
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: a1 a1 1a
Nursing Process: Planning a1 a1
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
MSC: Client Needs: Health Promotion and Maintenance
a1 a1 a1 a1 a1 a1
3. The nurses working at a newly established birthing center have begun to compare the
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
irperformance in providing maternal-
1a a1 a1 a1
newborn care against clinical standards. This comparison process is most commonly
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
known as what?
a1 a1 a1
a. Best practices network a1 a1
b. Clinical benchmarking a1
c. Outcomes-oriented pracNtiU
ceRS a1
d. Evidence-based practice a1
ANS: C a 1
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care again
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
st benchmarks or standards. The term best practice refers to a program or servicethat has b
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1
een recognized for its excellence. Clinical benchmarking is a process used to compare on
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
e’s own performance against the performance of the best in an area of service. The term
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
evidence-
based practice refers to the provision of care based on evidence gainedthrough research a
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1
nd clinical trials.
a1 a1
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: a1 a1 1a
Nursing Process: Evaluation a1 a1
MSC: Client Needs: Safe and Effective Care Environment
a1 a1 a1 a1 a1 a1 a1
4. During a prenatal intake interview, the nurse is in the process of obtaining an initi
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
al assessment of a 21-year-
a1 a1 a1 a1
old Hispanic client with limited English proficiency. Whichintervention is the mos
a1 a1 a1 a1 a1 a1 a1 1a a1 a1 a1
t important for the nurse to implement?
a1 a1 a1 a1 a1 a1
a. Use maternity jargon to enable the client to become familiar with these terms.
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
b. Speak quickly and efficiently to expedite the visit.
a1 a1 a1 a1 a1 a1 a1
c. Provide the client with handouts. a1 a1 a1 a1
d. Assess whether the client understands the discussion.
a1 a1 a1 a1 a1 a1
ANS: D a 1
Nurses contribute to health literacy by using simple, common words, avoiding jargon, a
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ndevaluating whether the client understands the discussion. Speaking slowly and clearly
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a
andfocusing on what is important will increase understanding. Most client education mat
1 1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
erialsare written at a level too high for the average adult and may not be useful for a cli
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ent withlimited English proficiency.
a1 1a a1 a1
PTS: 1 DIF:
Cognitive Level: ApplyTOP: a1 a1 1a
Nursing Process: Implementation a1 a1
MSC: Client Needs: Health Promotion and Maintenance
a1 a1 a1 a1 a1 a1
5. Which statement best exemplifies contemporary maternity nursing?
a1 a1 a1 a1 a1 a1
a. Use of midwives for all vaginal deliveries
a1 a1 a1 a1 a1 a1
b. Family-centered care a1
c. Free-standing birth clinics a1 a1
d. Physician-
driven careANS: B a1 1a a 1
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partn
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ers, grandparents, and siblings may be present for the birth and participate in activitiessuch
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a
as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deli
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
veries. Free- a1
standing clinics are an example of alternative birth options. Contemporarymaternity nursi
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ng is driven by the relationship between nurses and their clients.
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: a1 a1 1a
Nursing Process: Planning a1 a1
MSC: Client Needs: Health Promotion and Maintenance
a1 a1 a1 a1 a1 a1
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
a1 a1 a1 a1 a1 a1 a1 a1
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis.
a1 a1 a1 a1 1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
On what grounds could the woman have a legitimate legal case for negligence?
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
a. Inexperienced maternity nurse was assigned to care for the client. a1 a1 a1 a1 a1 a1 a1 a1 a1
b. Client was past her due date by 3 days. a1 a1 a1 a1 a1 a1 a1 a1
c. Standard of care was not met. a1 a1 a1 a1 a1
d. Client refused electronic fetal monitoring. a1 a1 a1 a1
ANS: C a 1
Not meeting the standard of care is a legitimate factor for a case of negligence. An inex
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
perienced maternity nurse would need to display competency before being assigned tocar
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a
e for clients on his or her own. This client may have been past her due date; however, a
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is t
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
hestandard of care, the client has the right to refuse treatment. This refusal is not a case
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
for negligence, but informed consent should be properly obtained, and the client should
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
have signed an against medical advice form when refusing any treatment that is within
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
the standard of care.
a1 a1 a1
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: a1 a1 1a
Nursing Process: Implementation a1 a1
MSC: Client Needs: Safe and Effective Care Environment
a1 a1 a1 a1 a1 a1 a1
7. When the nurse is unsure how to perform a client care procedure that is high risk and l
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
owvolume, his or her best action in this situation would be what?
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
a. Ask another nurse. a1 a1
b. Discuss the procedure with the client’s physician. a1 a1 a1 a1 a1 a1
c. Look up the procedure in a nursing textbook.
a1 a1 a1 a1 a1 a1 a1
d. First consult the agency procedure manual
a1 a1 a1 a1 a1
ANS: D a 1
Following the agency’s policies and procedures manual is always best when seeking info
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
rmation on correct client procedures. These policies should reflect the current standardsof
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1
care and the individual state’s guidelines. Each nurse is responsible for his or her own pr
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
actice. Relying on another nurse may not always be a safe practice. Each nurse is obligat
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ed to follow the standards of care for safe client care delivery. Physicians are responsible
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a
1for their own client care activity. Nurses may follow safe orders from physicians, but the
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
y are also responsible for the activities that they, as nurses, are to carry out. Information
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
provided in a nursing textbook is basic information for general knowledge.Furthermore, th
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1
e information in a textbook may not reflect the current standard of care or the individual
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
state or hospital policies.
a1 a1 a1
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Chapter 01: 21st Century Maternity and Women’s Health Nursin
a1 a1 a1 a1 a1 a1 a1 a1
gLowdermilk: Maternity & Women’s Health Care, 13th Edition
1
a a1 a1 a1 a1 a1 a1 a1
MULTIPLE CHOICE a1
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
weight (LBW)infant, which factor is the most important for the nurse to consider?
a1 1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
a. African-American race a1
b. Cigarette smoking a1
c. Poor nutritional status a1 a1
d. Limited maternal education a1 a1
ANS: A a 1
The rise in the overall LBW rates were due to increases in LBW births to non-
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
a1 a1 a1 a1 a1 a1 a1 a1
Hispanic black infants are almost twice as likely as non-
a1 a1 a1 a1 a1 a1 a1 a1 a1
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmod
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ifiable risk factor. Cigarette smoking is an important factor inpotential infant mortality rate
a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1 a1
s, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a
1nutrition is an important factor in potential infant mortality rates, but it is not the most i
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
mportant. Additionally, nutritional status is a modifiable risk factor. Maternal education is
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
an important factor in potential infant mortality rates, but it is not the most important. A
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
dditionally, maternal education is a modifiable risk factor.
a1 a1 a1 a1 a1 a1 a1
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: a1 a1 1a
Nursing Process: Assessment a1 a1
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN
a1a1a1nTanBd.MCaO
inM
tenance, Antepartum Carea1 a1 a1 a1
2. A 23-year-old African-
a1 a1
American woman is pregnant with her first child. Based on currentstatistics for infant m
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1 a1
ortality, which intervention is most important for the nurse to includein the client’s plan
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1 a1 a
of care?
1 a1
a. Perform a nutrition assessment. a1 a1 a1
b. Refer the woman to a social worker. a1 a1 a1 a1 a1 a1
c. Advise the woman to see an obstetrician, not a midwife.
a1 a1 a1 a1 a1 a1 a1 a1 a1
d. Explain to the woman the importance of keeping her prenatal care appointments.
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ANS: D a 1
Consistent prenatal care is the best method of preventing or controlling risk factors associ
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ated with infant mortality. Nutritional status is an important modifiable risk factor, butit is
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1
not the most important action a nurse should take in this situation. The client may needas
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a
sistance from a social worker at some time during her pregnancy, but a referral to a socia
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
lworker is not the most important aspect the nurse should address at this time. If the wo
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
man has identifiable high-
a1 a1 a1
risk problems, then her health care may need to be provided by a physician. However, it
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
cannot be assumed that all African-American women have high-
a1 a1 a1 a1 a1 a1 a1 a1
riskissues. In addition, advising the woman to see an obstetrician is not the most importa
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
nt aspect on which the nurse should focus at this time, and it is not appropriate for a nurs
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
e to advise or manage the type of care a client is to receive.
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: a1 a1 1a
Nursing Process: Planning a1 a1
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
MSC: Client Needs: Health Promotion and Maintenance
a1 a1 a1 a1 a1 a1
3. The nurses working at a newly established birthing center have begun to compare the
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
irperformance in providing maternal-
1a a1 a1 a1
newborn care against clinical standards. This comparison process is most commonly
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
known as what?
a1 a1 a1
a. Best practices network a1 a1
b. Clinical benchmarking a1
c. Outcomes-oriented pracNtiU
ceRS a1
d. Evidence-based practice a1
ANS: C a 1
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care again
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
st benchmarks or standards. The term best practice refers to a program or servicethat has b
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1
een recognized for its excellence. Clinical benchmarking is a process used to compare on
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
e’s own performance against the performance of the best in an area of service. The term
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
evidence-
based practice refers to the provision of care based on evidence gainedthrough research a
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a a1 a1
nd clinical trials.
a1 a1
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: a1 a1 1a
Nursing Process: Evaluation a1 a1
MSC: Client Needs: Safe and Effective Care Environment
a1 a1 a1 a1 a1 a1 a1
4. During a prenatal intake interview, the nurse is in the process of obtaining an initi
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
al assessment of a 21-year-
a1 a1 a1 a1
old Hispanic client with limited English proficiency. Whichintervention is the mos
a1 a1 a1 a1 a1 a1 a1 1a a1 a1 a1
t important for the nurse to implement?
a1 a1 a1 a1 a1 a1
a. Use maternity jargon to enable the client to become familiar with these terms.
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
b. Speak quickly and efficiently to expedite the visit.
a1 a1 a1 a1 a1 a1 a1
c. Provide the client with handouts. a1 a1 a1 a1
d. Assess whether the client understands the discussion.
a1 a1 a1 a1 a1 a1
ANS: D a 1
Nurses contribute to health literacy by using simple, common words, avoiding jargon, a
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ndevaluating whether the client understands the discussion. Speaking slowly and clearly
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a
andfocusing on what is important will increase understanding. Most client education mat
1 1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
erialsare written at a level too high for the average adult and may not be useful for a cli
1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ent withlimited English proficiency.
a1 1a a1 a1
PTS: 1 DIF:
Cognitive Level: ApplyTOP: a1 a1 1a
Nursing Process: Implementation a1 a1
MSC: Client Needs: Health Promotion and Maintenance
a1 a1 a1 a1 a1 a1
5. Which statement best exemplifies contemporary maternity nursing?
a1 a1 a1 a1 a1 a1
a. Use of midwives for all vaginal deliveries
a1 a1 a1 a1 a1 a1
b. Family-centered care a1
c. Free-standing birth clinics a1 a1
d. Physician-
driven careANS: B a1 1a a 1
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partn
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ers, grandparents, and siblings may be present for the birth and participate in activitiessuch
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a
as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deli
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
veries. Free- a1
standing clinics are an example of alternative birth options. Contemporarymaternity nursi
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
ng is driven by the relationship between nurses and their clients.
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: a1 a1 1a
Nursing Process: Planning a1 a1
MSC: Client Needs: Health Promotion and Maintenance
a1 a1 a1 a1 a1 a1
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
a1 a1 a1 a1 a1 a1 a1 a1
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis.
a1 a1 a1 a1 1a a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
On what grounds could the woman have a legitimate legal case for negligence?
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
a. Inexperienced maternity nurse was assigned to care for the client. a1 a1 a1 a1 a1 a1 a1 a1 a1
b. Client was past her due date by 3 days. a1 a1 a1 a1 a1 a1 a1 a1
c. Standard of care was not met. a1 a1 a1 a1 a1
d. Client refused electronic fetal monitoring. a1 a1 a1 a1
ANS: C a 1
Not meeting the standard of care is a legitimate factor for a case of negligence. An inex
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
perienced maternity nurse would need to display competency before being assigned tocar
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a
e for clients on his or her own. This client may have been past her due date; however, a
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 1a
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is t
a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1 a1
hestandard of care, the client has the right to refuse treatment. This refusal is not a case
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for negligence, but informed consent should be properly obtained, and the client should
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have signed an against medical advice form when refusing any treatment that is within
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the standard of care.
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PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: a1 a1 1a
Nursing Process: Implementation a1 a1
MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high risk and l
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owvolume, his or her best action in this situation would be what?
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a. Ask another nurse. a1 a1
b. Discuss the procedure with the client’s physician. a1 a1 a1 a1 a1 a1
c. Look up the procedure in a nursing textbook.
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d. First consult the agency procedure manual
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ANS: D a 1
Following the agency’s policies and procedures manual is always best when seeking info
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rmation on correct client procedures. These policies should reflect the current standardsof
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care and the individual state’s guidelines. Each nurse is responsible for his or her own pr
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actice. Relying on another nurse may not always be a safe practice. Each nurse is obligat
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ed to follow the standards of care for safe client care delivery. Physicians are responsible
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1for their own client care activity. Nurses may follow safe orders from physicians, but the
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y are also responsible for the activities that they, as nurses, are to carry out. Information
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provided in a nursing textbook is basic information for general knowledge.Furthermore, th
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e information in a textbook may not reflect the current standard of care or the individual
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state or hospital policies.
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