TEST BANK FOR
MATERNITY & WOMEN’S HEALTH CARE, 11TH EDITION
BY LOWDERMILK||COMPLETE CHAPTERS 1-37||100% VERIFIED ASNWERS
,Table of Contents
Chapter 01: 21st Century Maternity And Women’s Health Nursing.......................................................... 4
Chapter 02: Community Care: The Family And Culture ............................................................................. 17
Chapter 03: Nursing And Genomics ................................................................................................................ 32
Chapter 04: Assessment And Health Promotion ........................................................................................ 44
Chapter 05: Violence Against Women ............................................................................................................ 64
Chapter 06: Reproductive System Concerns ............................................................................................... 76
Chapter 07: Sexually Transmitted And Other Infections .......................................................................... 90
Chapter 08: Contraception And Abortion .................................................................................................... 104
Chapter 09: Infertility .......................................................................................................................................... 122
Chapter 10: Problems Of The Breast ..............................................................................................................136
Chapter 11: Structural Disorders And Neoplasms Of The Reproductive System ............................ 150
Chapter 12: Conception And Fetal Development ........................................................................................163
Chapter 13: Anatomy And Physiology Of Pregnancy .................................................................................178
Chapter 14: Nursing Care Of The Family During Pregnancy ................................................................... 196
Chapter 15: Maternal And Fetal Nutrition ..................................................................................................... 221
Chapter 16: Labor And Birth Processes....................................................................................................... 241
Chapter 17: Maximizing Comfort For The Laboring Woman .................................................................. 257
Chapter 18: Fetal Assessment During Labor ............................................................................................. 277
Chapter 19: Nursing Care Of The Family During Labor And Birth........................................................ 297
Chapter 20: Postpartum Physiologic Changes .......................................................................................... 323
Chapter 21: Nursing Care Of The Family During The Postpartum Period .......................................... 337
Chapter 22: Transmition To Parenthood ...................................................................................................... 352
Chapter 23: Physiologic And Behavioral Adaptations Of The Newborn ............................................ 369
Chapter 24: Nursing Care Of The Newborn And Family ......................................................................... 393
Chapter 25: Newborn Nutrition And Feeding ............................................................................................. 412
Chapter 26: Assessment Of High Risk Pregnancy .................................................................................. 430
Chapter 27: Hypertensive Disorders ........................................................................................................... 448
Chapter 28: Hemorrhagic Disorders ........................................................................................................... 460
Chapter 29: Endocrine And Metabolic Disorders ...................................................................................... 476
Chapter 30: Medical-Surgical Disorders .................................................................................................... 489
Chapter 31: Mental Health Disorders And Substance Abuse ............................................................... 504
,Chapter 32: Labor And Birth Complications ............................................................................................... 513
Chapter 33: Postpartum Complications .......................................................................................................530
Chapter 34: Nursing Care Of The High Risk Newborn ........................................................................... 540
Chapter 35: Acquired Problems Of The Newborn .................................................................................... 557
Chapter 36: Hemolytic Disorders And Congenital Anomalies ..............................................................568
Chapter 37: Perinatal Loss, Bereavement, And Grief.............................................................................. 577
,Chapter 01: 21st Century Maternity And Women’s Health Nursing
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
ANSWER: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 Studies
B. Collecting Data For Other Researchers
C. Identifying Researchable Problems
D. Seeking Funding To Support Research Studies
ANSWER: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.
ANSWER: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.
DIF: Cognitive Level: Understand
REF: P. 6
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion And Maintenance
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 Action Is
The Most Important For The Nurse To Perform?
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.
ANSWER: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.
DIF: Cognitive Level: Apply
REF: P. 5
TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion And Maintenance
5. 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 Practice
D. Evidence-Based Practice
ANSWER: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.
DIF: Cognitive Level: Understand
REF: P. 11
TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe And Effective Care Environment
,6. 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
ANSWER: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 Physical 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.
DIF: Cognitive Level: Understand
REF: Pp. 8-9
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion And Maintenance
7. 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.
ANSWER: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.
,DIF: Cognitive Level: Analyze
REF: P. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe And Effective Care Environment
8. 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. Consult The Agency Procedure Manual, And Follow The Guidelines For The Procedure.
ANSWER: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. Physician Are
Responsible For Theirown Client Care Activity. Nurses May Follow Safe Orders From
Physician, 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.
DIF: Cognitive Level: Understand
REF: P. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity
9. The National Quality Forum Has Issued A List Of ―Never Events‖ Specifically Pertaining To
Maternal And Child Health. These Include All Of The Following Except:
A. Infant Discharged To The Wrong Person.
B. Kernicterus Associated With The Failure To Identify And Treat Hyperbilirubinemia.
C. Artificial Insemination With The Wrong Donor Sperm Or Egg.
,D. Foreign Object Retained After Surgery.
ANSWER:D
Although A Foreign Object Retained After Surgery Is A Never Event, It Does Not Specifically
Pertain To Obstetric Clients. A Client Undergoing Any Type Of Surgery May Be At Risk For This
Event. An Infant Discharged To The Wrong Person Specifically Pertains To Postpartum Care.
Death Or Serious Disability As A Result Of Kernicterus Pertains To Newborn Assessment And
Care. Artificial Insemination Affects Families Seeking Care For Infertility.
DIF: Cognitive Level: Remember
REF: P. 4
TOP: Nursing Process: Implementation
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.
B. Birth Rates For Women 40 To 44 Years Of Age Are Declining.
C. Cigarette Smoking Among Pregnant Women Continues To Increase.
D. Rates Of Pregnancy And Abortion Among Teenagers Are Lower In The United States
Than In Any Other Industrialized Country.
ANSWER:A
LBW Infants And Preterm Births Are More Likely Because Of The Large Number Of Teenagers
In The Unmarried Group. Birth Rates For Women In Their Early 40s Continue To Increase.
Fewer Pregnant Women Smoke. Teen Pregnancy And Abortion Rates Are Higher In The United
States Than In Any Other Industrial Country.
DIF: Cognitive Level: Understand
REF: P. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
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?
, A. Higher Rate Of Obesity Among Pregnant Women
B. Limited Access To Technology
C. Increased Use Of Health Care Services Along With Lower Prices
D. Homogeneity Of The Population
ANSWER:A
Health Care Is One Of The Fastest Growing Sectors Of The U.S. Economy. Currently, 17.4% Of
The Gross Domestic Product Is Spent On Health Care. Higher Spending In The United States, As
Compared With 12 Other Industrialized Countries, Is Related To Higher Prices And Readily
Accessible Technology Along With Greater Obesity Rates Among Women. More Than One Third
Of Women In The United States Are Obese. In The Population In The United States, 16% Are
Uninsured And Have Limited Access To Health Care. Maternal Morbidity And Mortality Are
Directly Related To Racial Disparities.
DIF: Cognitive Level: Understand
REF: P. 5
TOP: Nursing Process: N/A
MSC: Client Needs: Safe And Effective Care Environment
12. Which Statement Best Describes Maternity Nursing Care That Is Based On Knowledge
Gained Through Research And Clinical Trials?
A. Maternity Nursing Care Is Derived From The Nursing Intervention Classification.
B. Maternity Nursing Care Is Known As Evidence-Based Practice.
C. Maternity Nursing Care Is At Odds With The Cochrane School Of Traditional Nursing.
D. Maternity Nursing Care Is An Outgrowth Of Telemedicine.
ANSWER:B
Evidence-Based Practice Is Based On Knowledge Gained From Research And Clinical Trials.
The Nursing Intervention Classification Is A Method Of Standardizing Language And
Categorizing Care. Dr. Cochrane Systematically Reviewed Research Trials And Is Part Of The
Evidence-Based Practice Movement. Telemedicine Uses Communication Technologies To
Support Health Care.
DIF: Cognitive Level: Understand
REF: Pp. 10-11
TOP: Nursing Process: Diagnosis
MATERNITY & WOMEN’S HEALTH CARE, 11TH EDITION
BY LOWDERMILK||COMPLETE CHAPTERS 1-37||100% VERIFIED ASNWERS
,Table of Contents
Chapter 01: 21st Century Maternity And Women’s Health Nursing.......................................................... 4
Chapter 02: Community Care: The Family And Culture ............................................................................. 17
Chapter 03: Nursing And Genomics ................................................................................................................ 32
Chapter 04: Assessment And Health Promotion ........................................................................................ 44
Chapter 05: Violence Against Women ............................................................................................................ 64
Chapter 06: Reproductive System Concerns ............................................................................................... 76
Chapter 07: Sexually Transmitted And Other Infections .......................................................................... 90
Chapter 08: Contraception And Abortion .................................................................................................... 104
Chapter 09: Infertility .......................................................................................................................................... 122
Chapter 10: Problems Of The Breast ..............................................................................................................136
Chapter 11: Structural Disorders And Neoplasms Of The Reproductive System ............................ 150
Chapter 12: Conception And Fetal Development ........................................................................................163
Chapter 13: Anatomy And Physiology Of Pregnancy .................................................................................178
Chapter 14: Nursing Care Of The Family During Pregnancy ................................................................... 196
Chapter 15: Maternal And Fetal Nutrition ..................................................................................................... 221
Chapter 16: Labor And Birth Processes....................................................................................................... 241
Chapter 17: Maximizing Comfort For The Laboring Woman .................................................................. 257
Chapter 18: Fetal Assessment During Labor ............................................................................................. 277
Chapter 19: Nursing Care Of The Family During Labor And Birth........................................................ 297
Chapter 20: Postpartum Physiologic Changes .......................................................................................... 323
Chapter 21: Nursing Care Of The Family During The Postpartum Period .......................................... 337
Chapter 22: Transmition To Parenthood ...................................................................................................... 352
Chapter 23: Physiologic And Behavioral Adaptations Of The Newborn ............................................ 369
Chapter 24: Nursing Care Of The Newborn And Family ......................................................................... 393
Chapter 25: Newborn Nutrition And Feeding ............................................................................................. 412
Chapter 26: Assessment Of High Risk Pregnancy .................................................................................. 430
Chapter 27: Hypertensive Disorders ........................................................................................................... 448
Chapter 28: Hemorrhagic Disorders ........................................................................................................... 460
Chapter 29: Endocrine And Metabolic Disorders ...................................................................................... 476
Chapter 30: Medical-Surgical Disorders .................................................................................................... 489
Chapter 31: Mental Health Disorders And Substance Abuse ............................................................... 504
,Chapter 32: Labor And Birth Complications ............................................................................................... 513
Chapter 33: Postpartum Complications .......................................................................................................530
Chapter 34: Nursing Care Of The High Risk Newborn ........................................................................... 540
Chapter 35: Acquired Problems Of The Newborn .................................................................................... 557
Chapter 36: Hemolytic Disorders And Congenital Anomalies ..............................................................568
Chapter 37: Perinatal Loss, Bereavement, And Grief.............................................................................. 577
,Chapter 01: 21st Century Maternity And Women’s Health Nursing
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
ANSWER: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 Studies
B. Collecting Data For Other Researchers
C. Identifying Researchable Problems
D. Seeking Funding To Support Research Studies
ANSWER: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.
ANSWER: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.
DIF: Cognitive Level: Understand
REF: P. 6
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion And Maintenance
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 Action Is
The Most Important For The Nurse To Perform?
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.
ANSWER: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.
DIF: Cognitive Level: Apply
REF: P. 5
TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion And Maintenance
5. 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 Practice
D. Evidence-Based Practice
ANSWER: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.
DIF: Cognitive Level: Understand
REF: P. 11
TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe And Effective Care Environment
,6. 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
ANSWER: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 Physical 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.
DIF: Cognitive Level: Understand
REF: Pp. 8-9
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion And Maintenance
7. 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.
ANSWER: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.
,DIF: Cognitive Level: Analyze
REF: P. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe And Effective Care Environment
8. 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. Consult The Agency Procedure Manual, And Follow The Guidelines For The Procedure.
ANSWER: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. Physician Are
Responsible For Theirown Client Care Activity. Nurses May Follow Safe Orders From
Physician, 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.
DIF: Cognitive Level: Understand
REF: P. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity
9. The National Quality Forum Has Issued A List Of ―Never Events‖ Specifically Pertaining To
Maternal And Child Health. These Include All Of The Following Except:
A. Infant Discharged To The Wrong Person.
B. Kernicterus Associated With The Failure To Identify And Treat Hyperbilirubinemia.
C. Artificial Insemination With The Wrong Donor Sperm Or Egg.
,D. Foreign Object Retained After Surgery.
ANSWER:D
Although A Foreign Object Retained After Surgery Is A Never Event, It Does Not Specifically
Pertain To Obstetric Clients. A Client Undergoing Any Type Of Surgery May Be At Risk For This
Event. An Infant Discharged To The Wrong Person Specifically Pertains To Postpartum Care.
Death Or Serious Disability As A Result Of Kernicterus Pertains To Newborn Assessment And
Care. Artificial Insemination Affects Families Seeking Care For Infertility.
DIF: Cognitive Level: Remember
REF: P. 4
TOP: Nursing Process: Implementation
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.
B. Birth Rates For Women 40 To 44 Years Of Age Are Declining.
C. Cigarette Smoking Among Pregnant Women Continues To Increase.
D. Rates Of Pregnancy And Abortion Among Teenagers Are Lower In The United States
Than In Any Other Industrialized Country.
ANSWER:A
LBW Infants And Preterm Births Are More Likely Because Of The Large Number Of Teenagers
In The Unmarried Group. Birth Rates For Women In Their Early 40s Continue To Increase.
Fewer Pregnant Women Smoke. Teen Pregnancy And Abortion Rates Are Higher In The United
States Than In Any Other Industrial Country.
DIF: Cognitive Level: Understand
REF: P. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
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?
, A. Higher Rate Of Obesity Among Pregnant Women
B. Limited Access To Technology
C. Increased Use Of Health Care Services Along With Lower Prices
D. Homogeneity Of The Population
ANSWER:A
Health Care Is One Of The Fastest Growing Sectors Of The U.S. Economy. Currently, 17.4% Of
The Gross Domestic Product Is Spent On Health Care. Higher Spending In The United States, As
Compared With 12 Other Industrialized Countries, Is Related To Higher Prices And Readily
Accessible Technology Along With Greater Obesity Rates Among Women. More Than One Third
Of Women In The United States Are Obese. In The Population In The United States, 16% Are
Uninsured And Have Limited Access To Health Care. Maternal Morbidity And Mortality Are
Directly Related To Racial Disparities.
DIF: Cognitive Level: Understand
REF: P. 5
TOP: Nursing Process: N/A
MSC: Client Needs: Safe And Effective Care Environment
12. Which Statement Best Describes Maternity Nursing Care That Is Based On Knowledge
Gained Through Research And Clinical Trials?
A. Maternity Nursing Care Is Derived From The Nursing Intervention Classification.
B. Maternity Nursing Care Is Known As Evidence-Based Practice.
C. Maternity Nursing Care Is At Odds With The Cochrane School Of Traditional Nursing.
D. Maternity Nursing Care Is An Outgrowth Of Telemedicine.
ANSWER:B
Evidence-Based Practice Is Based On Knowledge Gained From Research And Clinical Trials.
The Nursing Intervention Classification Is A Method Of Standardizing Language And
Categorizing Care. Dr. Cochrane Systematically Reviewed Research Trials And Is Part Of The
Evidence-Based Practice Movement. Telemedicine Uses Communication Technologies To
Support Health Care.
DIF: Cognitive Level: Understand
REF: Pp. 10-11
TOP: Nursing Process: Diagnosis
