TEST BANK
MATERNITY & WOMEN’S HEALTH CARE
,TABLE OF CONTENTS
Part 1: Introduction to Maternity and Women’s Health Care
Chapter 1: 21st-Century Maternity and Women’s Health Nursing
Chapter 2: Community Care: The Family and Culture
Chapter 3: Nursing and Genomics
Part 2: Women’s Health
Chapter 4: Assessment and Health Promotion
Chapter 5: Violence Against Women
Chapter 6: Reproductive System Concerns
Chapter 7: Sexually Transmitted and Other Infections
Chapter 8: Contraception and Abortion
Chapter 9: Infertility
Chapter 10: Problems of the Breast
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System
Part 3: Pregnancy
Chapter 12: Conception and Fetal Development
Chapter 13: Anatomy and Physiology of Pregnancy
Chapter 14: Nursing Care of the Family During Pregnancy
Chapter 15: Maternal Nutrition
Part 4: Labor and Birth
Chapter 16: Labor and Birth Processes
Chapter 17: Maximizing Comfort for the Laboring Person
Chapter 18: Fetal Assessment During Labor
Chapter 19: Nursing Care of the Family During Labor and Birth
Part 5: Postpartum
Chapter 20: Postpartum Anatomical and Physiologic Changes
Chapter 21: Nursing Care of the Family During the Postpartum Period
Chapter 22: Transition to Parenthood
Part 6: The Newborn
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn
Chapter 24: Nursing Care of the Newborn and Family
Chapter 25: Newborn Nutrition and Feeding
Part 7: Complications of Pregnancy
Chapter 26: Assessment of High-Risk Pregnancy
Chapter 27: Hypertensive Disorders
Chapter 28: Hemorrhagic Disorders
Chapter 29: Endocrine and Metabolic Disorders
Chapter 30: Medical-Surgical Disorders
Chapter 31: Mental Health Disorders and Substance Abuse
Chapter 32: Labor and Birth at Risk
Chapter 33: Postpartum Complications
Part 8: Newborn Complications
Chapter 34: Nursing Care of the High-Risk Newborn
Chapter 35: Acquired Problems of the Newborn
Chapter 36: Hemolytic Disorders and Congenital Anomalies
Chapter 37: Perinatal Loss, Bereavement, and Grief
, Maternity & Women’s Health Care 13th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity And Women’s Health Nursing
MULTIPLE CHOICE
1. In Evaluating The Level Of A Pregnant Womans 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: IM:
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: Im: 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: IM: 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: Im: 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 Ones 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: Im: 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 Familys Needs And Desires. Fathers,
Partners, Grandparents, And Siblings May Be Present For The Birth And Participate In
Activities Such As Cutting The Babys Umbilical Cord. Both Midwives And Physicians
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: Im: 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 Clients 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 Agencys 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 States 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. Physicians Are Responsible For Their Own Client Care
Activity. Nurses May Follow Safe Orders From Physicians, 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: Im: 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: Im: 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: IM:
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
MATERNITY & WOMEN’S HEALTH CARE
,TABLE OF CONTENTS
Part 1: Introduction to Maternity and Women’s Health Care
Chapter 1: 21st-Century Maternity and Women’s Health Nursing
Chapter 2: Community Care: The Family and Culture
Chapter 3: Nursing and Genomics
Part 2: Women’s Health
Chapter 4: Assessment and Health Promotion
Chapter 5: Violence Against Women
Chapter 6: Reproductive System Concerns
Chapter 7: Sexually Transmitted and Other Infections
Chapter 8: Contraception and Abortion
Chapter 9: Infertility
Chapter 10: Problems of the Breast
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System
Part 3: Pregnancy
Chapter 12: Conception and Fetal Development
Chapter 13: Anatomy and Physiology of Pregnancy
Chapter 14: Nursing Care of the Family During Pregnancy
Chapter 15: Maternal Nutrition
Part 4: Labor and Birth
Chapter 16: Labor and Birth Processes
Chapter 17: Maximizing Comfort for the Laboring Person
Chapter 18: Fetal Assessment During Labor
Chapter 19: Nursing Care of the Family During Labor and Birth
Part 5: Postpartum
Chapter 20: Postpartum Anatomical and Physiologic Changes
Chapter 21: Nursing Care of the Family During the Postpartum Period
Chapter 22: Transition to Parenthood
Part 6: The Newborn
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn
Chapter 24: Nursing Care of the Newborn and Family
Chapter 25: Newborn Nutrition and Feeding
Part 7: Complications of Pregnancy
Chapter 26: Assessment of High-Risk Pregnancy
Chapter 27: Hypertensive Disorders
Chapter 28: Hemorrhagic Disorders
Chapter 29: Endocrine and Metabolic Disorders
Chapter 30: Medical-Surgical Disorders
Chapter 31: Mental Health Disorders and Substance Abuse
Chapter 32: Labor and Birth at Risk
Chapter 33: Postpartum Complications
Part 8: Newborn Complications
Chapter 34: Nursing Care of the High-Risk Newborn
Chapter 35: Acquired Problems of the Newborn
Chapter 36: Hemolytic Disorders and Congenital Anomalies
Chapter 37: Perinatal Loss, Bereavement, and Grief
, Maternity & Women’s Health Care 13th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity And Women’s Health Nursing
MULTIPLE CHOICE
1. In Evaluating The Level Of A Pregnant Womans 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: IM:
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: Im: 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: IM: 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: Im: 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 Ones 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: Im: 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 Familys Needs And Desires. Fathers,
Partners, Grandparents, And Siblings May Be Present For The Birth And Participate In
Activities Such As Cutting The Babys Umbilical Cord. Both Midwives And Physicians
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: Im: 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 Clients 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 Agencys 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 States 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. Physicians Are Responsible For Their Own Client Care
Activity. Nurses May Follow Safe Orders From Physicians, 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: Im: 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: Im: 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: IM:
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
