Answers.
1. Chapter 01: 21st Century Materni- ANS: A
ty and Women's Health
For African-American births, the incidence of LBW infants
1. To assess a mother's risk of hav- is twice that of Caucasian births. Race is a nonmodifiable
ing a low-birth-weight (LBW) in- risk factor.
fant, what is the most important
factor for the nurse to consider? Cigarette smoking is an important factor in potential infant
mortality rates, but it is not the most important. Addition-
a. African-American race ally, smoking is a modifiable risk factor.
b. Cigarette smoking
c. Poor nutritional status Poor nutrition is an important factor in potential infant
d. Limited maternal education mortality rates, but it is not the most important. Addition-
ally, 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.
2. 2. What is the primary role of ANS: C
practicing nurses in the research
process? When problems are identified, research can be prop-
a.Designing research studies erly conducted. Research of health care issues leads to
b.Collecting data for other re- evidence-based practice guidelines. Designing research
searchers studies is only one factor of the research process. Data
c.Identifying researchable prob- collection is another factor of research. Financial support
lems is necessary to conduct research, but it is not the primary
d.Seeking funding to support re- role of the nurse in the research process.
search studies
3. 3. The nurse should be aware that ANS: B
a statistic widely used to compare
the health status of different pop- City, county, and state health departments provide annual
, Week 1: Maternity by Lowdermilk & Perry: Chapters 1, 2 Questions &
Answers.
ulations is the: reports of births and deaths. Maternal and infant death
, Week 1: Maternity by Lowdermilk & Perry: Chapters 1, 2 Questions &
Answers.
rates are particularly important because they reflect health
a. Incidence of specific infections, outcomes that may be preventable. Infant mortality con-
such as acquired immunodefi- tinues to be a concern in all populations.
ciency syndrome (AIDS) and tu-
berculosis AIDS and tuberculosis may be the target of research stud-
b. Infant mortality rate ies; however, maternal and infant mortality rates are par-
c. Maternal morbidity rate ticularly important in the evaluation of the health of a
d. Incidence of low-birth-weight population.
(LBW) infants
The number of maternal deaths in the United States is
small; however, worldwide many women die each year
from problems related to pregnancy and childbirth.
The incidence of LBW infants is monitored in order to
determine risk factors such as racial disparity. It is not as
widely used as infant mortality.
4. 4. Alternative and complemen- ANS: C
tary therapies:
City, county, and state health departments provide annual
a. Replace conventional Western reports of births and deaths. Maternal and infant death
modalities of treatment rates are particularly important because they reflect health
b. Are used by only a small num- outcomes that may be preventable. Infant mortality con-
ber of American adults tinues to be a concern in all populations.
c. Allow for more client autonomy
d. Focus primarily on the disease Alternative and complementary therapies are part of an
an individual is experiencing integrative approach to health care.
An increasing number of American adults are seeking
alternative and complementary health care options.
Alternative healing modalities otter a holistic approach to
, Week 1: Maternity by Lowdermilk & Perry: Chapters 1, 2 Questions &
Answers.
health, focusing on the whole person and not just the
disease.
5. 5. The nurses working at a ANS: C
newly established birthing cen-
Outcomes-oriented care measures ettectiveness of inter-
ter have begun to compare their
ventions and quality of care against benchmarks or stan-
performance in providing mater-
dards.
nal-newborn care against clini-
cal standards. This comparison
The term best practice refers to a program or service that
process, designed to improve the has been recognized for excellence.
quality of client care, is called:
Clinical benchmarking is a process used to compare one's
a. . Best practices network
own performance against the performance of the best in
b. Clinical benchmarking
an area of service.
c. Outcomes-oriented care
d. Evidence-based practice The term evidence-based practice refers to the provision
of care based on evidence gained through research and
clinical trials.
6. 6. Contemporary maternity nurs- ANS: B
ing is exemplified by:
a. The use of midwives for all vagi- Contemporary maternity nursing focuses on the family's
nal deliveries needs and desires.
b. Family-centered care
Midwives and physicians both perform vaginal deliver-
c. Free-standing birth clinics
ies.
d. Physician-driven care
Free-standing clinics are an example of alternative birth
options.
Contemporary maternity nursing is driven by the relation-
ship between nurses and their clients.