Test Bank
Chapter 01: 21st Century Maternity and Women’s Health Nursing
wq wq wq wq wq wq wq wq
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
wq wq wq wq wq wq wq wq
MULTIPLE wqCHOICE
1. In wqevaluating wqthe wqlevel wqof wqa wqpregnant wqwoman‘s wqrisk wqof wqhaving wqa wqlow-birth-weight
wq (LBW) wqinfant, wqwhich wqfactor wqis wqthe wqmost wqimportant wqfor wqthe wqnurse wqto wqconsider?
a. African-American wqrace
b. Cigarette wqsmoking
c. Poor wqnutritional wqstatus
d. Limited wqmaternal wqeducation
ANS: w q A
For wqAfrican-American wqbirths, wqthe wqincidence wqof wqLBW wqinfants wqis wqtwice wqthat wqof
wqCaucasian wqbirths. wqRace wqis wqa wqnonmodifiable wqrisk wqfactor. wqCigarette wqsmoking wqis wqan
wqimportant wqfactor wqin wqpotential wqinfant wqmortality wqrates, wqbut wqit wqis wqnot wqthe wqmost
wqimportant. wqAdditionally, wqsmoking wqis wqa wqmodifiable wqrisk wqfactor. wqPoor wqnutrition wqis wqan
wqimportant wqfactor wqin wqpotential wqinfant wqmortality wqrates, wqbut wqit wqis wqnot wqthe wqmost
wqimportant. wqAdditionally, wqnutritional wqstatus wqis wqa wqmodifiable wqrisk wqfactor. wqMaternal
wqeducation wqis wqan wqimportant wqfactor wqin wqpotential wqinfant wqmortality wqrates, wqbut wqit wqis wqnot
wqthe wqmost wqimportant. wqAdditionally, wqmaternal wqeducation wqis wqa wqmodifiable wqrisk wqfactor.
DIF: Cognitive wqLevel: wqUnderstand REF:
w q p. wq6 wqTOP: w q Nursing wqProcess: wqAssessment
MSC: w q Client wqNeeds: wqHealth wqPromotion wqand wqMaintenance, wqAntepartum wqCare
2. What wq is wq the wq primary w q role w q of wq p ract icin g w q nu rs e s w q in the research w q process?
a. Designing wqresearch wqstudies NU wqS
R wqNIwqT G OB .C M
b. Collecting wqdata wqfor wqother wqresearchers
c. Identifying wqresearchable wqproblems
d. Seeking wqfunding wqto wqsupport wqresearch wqstudies
ANS: w q C
When wqproblems wqare wqidentified, wqresearch wqcan wqbe wqproperly wqconducted. wqResearch wqof
wqhealth wqcare wqissues wqleads wqto wqevidence-based wqpractice wqguidelines. wqDesigning wqresearch
wqstudies wqis wqonly wqone wqfactor wqof wqthe wqresearch wqprocess. wqData wqcollection wqis wqanother wqfactor
wqof wqresearch. wqFinancial wqsupport wqis wqnecessary wqto wqconduct wqresearch, wqbut wqit wqis wqnot wqthe
wqprimary wqrole wqof wqthe wqnurse wqin wqthe wqresearch wqprocess.
DIF: Cognitive wqLevel: wqUnderstand REF: w q p. wq14 TOP: w q Nursing wqProcess:
wqN/A wqMSC: w q Client wqNeeds: wqSafe wqand wqEffective wqCare wqEnvironment
3. A wq23-year-old wqAfrican-American wqwoman wqis wqpregnant wqwith wqher wqfirst wqchild.
Based wqon wqthe wqstatistics wqfor wqinfant wqmortality, wqwhich wqplan wqis wqmost wqimportant
wq
for wqthe wqnurse wqto wqimplement?
wq
a. Perform wqa wqnutrition wqassessment.
b. Refer wqthe wqwoman wqto wqa wqsocial wqworker.
c. Advise wqthe wqwoman wqto wqsee wqan wqobstetrician, wqnot wqa wqmidwife.
d. Explain wqto wqthe wqwoman wqthe wqimportance wqof wqkeeping wqher wqprenatal wqcare wqappointments.
ANS: w q D
NURSINGTB.COM
, Maternity wqand wqWomen's wqHealth wqCare wq11th wqEdition wqLowdermilk
Test Bank
Consistent wqprenatal wqcare wqis wqthe wqbest wqmethod wqof wqpreventing wqor wqcontrolling wqrisk wqfactors
wqassociated wqwith wqinfant wqmortality. wqNutritional wqstatus wqis wqan wqimportant wqmodifiable wqrisk
wqfactor, wqbut wqit wqis wqnot wqthe wqmost wqimportant wqaction wqa wqnurse wqshould wqtake wqin wqthis
wqsituation. wqThe wqclient wqmay wqneed wqassistance wqfrom wqa wqsocial wqworker wqat wqsome wqtime
wqduring wqher wqpregnancy, wqbut wqa wqreferral wqto wqa wqsocial wqworker wqis wqnot wqthe wqmost wqimportant
wqaspect wqthe wqnurse wqshould wqaddress wqat wqthis wqtime. wqIf wqthe wqwoman wqhas wqidentifiable wqhigh-
risk wqproblems, wqthen wqher wqhealth wqcare wqmay wqneed wqto wqbe wqprovided wqby wqa wqphysician.
wqHowever, wqit wqcannot wqbe wqassumed wqthat wqall wqAfrican-American wqwomen wqhave wqhigh-risk
wqissues. wq In wqaddition, wqadvising wqthe wqwoman wqto wqsee wqan wqobstetrician wqis wqnot wqthe wqmost
wqimportant wqaspect wqon wqwhich wqthe wqnurse wqshould wqfocus wqat wqthis wqtime, wqand wqit wqis wqnot
wqappropriate wqfor wqa wqnurse wqto wqadvise wqor wqmanage wqthe wqtype wqof wqcare wqa wqclient wqis wqto
wqreceive.
DIF: Cognitive wqLevel: wqUnderstand REF: w q p. wq6 TOP: w q Nursing wqProcess:
wqPlanning wqMSC: w q Client wqNeeds: wqHealth wqPromotion wqand wqMaintenance
4. During wqa wqprenatal wqintake wqinterview, wqthe wqnurse wqis wqin wqthe wqprocess wqof wqobtaining wqan
initial wqassessment wqof wqa wq21-year-old wqHispanic wqclient wqwith wqlimited wqEnglish wqproficiency.
wq
Which wqaction wqis wqthe wqmost wqimportant wqfor wqthe wqnurse wqto wqperform?
wq
a. Use wqmaternity wqjargon wqto wqenable wqthe wqclient wqto wqbecome wqfamiliar wqwith wqthese wqterms.
b. Speak wqquickly wqand wqefficiently wqto wqexpedite wqthe wqvisit.
c. Provide wqthe wqclient wqwith wqhandouts.
d. Assess wqwhether wqthe wqclient wqunderstands wqthe wqdiscussion.
ANS: w q D
Nurses wqcontribute wqto wqhealth wqliteracy wqby wqusing wqsimple, wqcommon wqwords, wqavoiding
wqjargon, wqand wqevaluating wqwhether wqthe wqclient wqunderstands wqthe wqdiscussion. wqSpeaking
wqslowly wqand wqclearly wqand wqfocusing wqon wqwhat wqis wqimportant wqwill wqincrease wqunderstanding.
wqMost wqclient wqeducation wqmaterials wqare wqwritten wqat wqa wqlevel wqtoo wqhigh wqf o r t h e av e r a g e
N R I G
wqadB
ul.
t wqC
a n d Mm a y wqnot wqbe wquseful wqfor wqa wqclient wqwith wqlimited
English
wqproficiency.
U wqS wqN wqT O
DIF: Cognitive wqLevel: wqApply REF: w q p. wq5 TOP: w q Nursing wqProcess:
wqEvaluation wqMSC: w q Client wqNeeds: wqHealth wqPromotion wqand wqMaintenance
5. The wqnurses wqworking wqat wqa wqnewly wqestablished wqbirthing wqcenter wqhave wqbegun wqto wqcompare
their wqperformance wqin wqproviding wqmaternal-newborn wqcare wqagainst wqclinical wqstandards.
wq
This wqcomparison wqprocess wqis wqmost wqcommonly wqknown wqas wqwhat?
wq
a. Best wqpractices wqnetwork
b. Clinical wqbenchmarking
c. Outcomes-oriented wqpractice
d. Evidence-based wqpractice
ANS: w q C
Outcomes-oriented wqpractice wqmeasures wqthe wqeffectiveness wqof wqthe wqinterventions wqand wqquality
wqof wqcare wqagainst wqbenchmarks wqor wqstandards. wqThe wqterm wqbest wqpractice wqrefers wqto wqa
wqprogram wqor wqservice wqthat wqhas wqbeen wqrecognized wqfor wqits wqexcellence. wqClinical
wqbenchmarking wqis wqa wqprocess wqused wqto wqcompare
one‘s wqown wqperformance wqagainst wqthe wqperformance wqof wqthe wqbest wqin wqan wqarea wqof
wqservice. wqThe wqterm wqevidence-based wqpractice wqrefers wqto wqthe wqprovision wqof wqcare wqbased
wqon wqevidence wqgained wqthrough wqresearch wqand wqclinical wqtrials.
DIF: Cognitive wqLevel: wqUnderstand REF: w q p. wq11 TOP: w q Nursing wqProcess:
wqEvaluation wqMSC: w q Client wqNeeds: wqSafe wqand wqEffective wqCare wqEnvironment
NURSINGTB.COM
, Maternity wqand wqWomen's wqHealth wqCare wq11th wqEdition wqLowdermilk
Test Bank
6. Which wqstatement wqbest wqexemplifies wqcontemporary wqmaternity wqnursing?
a. Use wqof wqmidwives wqfor wqall wqvaginal wqdeliveries
b. Family-centered wqcare
c. Free-standing wqbirth wqclinics
d. Physician-driven wqcare
ANS: w q B
Contemporary wqmaternity wqnursing wqfocuses wqon wqthe wqfamily‘s wqneeds wqand wqdesires. wqFathers,
wqpartners, wqgrandparents, wqand wqsiblings wqmay wqbe wqpresent wqfor wqthe wqbirth wqand wqparticipate wqin
wqactivities wqsuch wqas
cutting wqthe wqbaby‘s wqumbilical wqcord. wqBoth wqmidwives wqand wqphysicians wqperform wqvaginal
wqdeliveries. wqFree-standing wqclinics wqare wqan wqexample wqof wqalternative wqbirth wqoptions.
wqContemporary wqmaternity wqnursing wqis wqdriven wqby wqthe wqrelationship wqbetween wqnurses wqand
wqtheir wqclients.
DIF: Cognitive wqLevel: wqUnderstand REF: w q pp. wq8-9 TOP: w q Nursing wqProcess:
wqPlanning wqMSC: w q Client wqNeeds: wqHealth wqPromotion wqand wqMaintenance
7. A wq38-year-old wqHispanic wqwoman wqvaginally wqdelivered wqa wq9-pound, wq6-ounce wqbaby wqgirl
after wqbeing wqin wqlabor wqfor wq43 wqhours. wqThe wqbaby wqdied wq3 wqdays wqlater wqfrom wqsepsis. wqOn
wq
what wqgrounds wqcould wqthe wqwoman wqhave wqa wqlegitimate wqlegal wqcase wqfor wqnegligence?
wq
a. Inexperienced wqmaternity wqnurse wqwas wqassigned wqto wqcare wqfor wqthe wqclient.
b. Client wqwas wqpast wqher wqdue wqdate wqby wq3 wqdays.
c. Standard wqof wqcare wqwas wqnot wqmet.
d. Client wqrefused wqelectronic wqfetal wqmonitoring.
ANS: w q C
Not wqmeeting wqthe wqstandard wqof wqcare wqis wqa wqlegitimate wqfactor wqfor wqa wqcase wqof wqnegligence.
wqAn wqinexperienced wqmaternity wqnurse wqwould wqneed wqto wqdisplay wqcompetency wqbefore wqbeing
wqassigned wqto wqcare wqfor wqclients wqon wqhis wqor wqher wqN
owUnR ShIisNcGlieTnBt wqm
. wqT .CayOhM
ave wqbeen wqpast
wqher wqdue wqdate; wqhowever, wqa
term wqpregnancy wqoften wqgoes wqbeyond wq40 wqweeks wqof wqgestation. wqAlthough wqfetal wqmonitoring
wqis wqthe
standard wqof wqcare, wqthe wqclient wqhas wqthe wqright wqto wqrefuse wqtreatment. wqThis wqrefusal wqis wqnot wqa
wqcase wqfor wqnegligence, wqbut wqinformed wqconsent wqshould wqbe wqproperly wqobtained, wqand wqthe
wqclient wqshould wqhave wqsigned wqan wqagainst wqmedical wqadvice wqform wqwhen wqrefusing wqany
wqtreatment wqthat wqis wqwithin wqthe wqstandard wqof wqcare.
DIF: Cognitive wqLevel: wqAnalyze REF: w q p.
wq13 wqTOP: w q Nursing wqProcess: wqImplementation
MSC: w q Client wqNeeds: wqSafe wqand wqEffective wqCare wqEnvironment
8. When wqthe wqnurse wqis wqunsure wqhow wqto wqperform wqa wqclient wqcare wqprocedure wqthat wqis wqhigh
risk wqand wqlow wqvolume, wqhis wqor wqher wqbest wqaction wqin wqthis wqsituation wqwould wqbe wqwhat?
wq
a. Ask wqanother wqnurse.
b. Discuss wqthe wqprocedure wqwith wqthe wqclient‘s wqphysician.
c. Look wqup wqthe wqprocedure wqin wqa wqnursing wqtextbook.
d. Consult wqthe wqagency wqprocedure wqmanual, wqand wqfollow wqthe wqguidelines wqfor wqthe
wqprocedure.
ANS: w q D
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