Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
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,Chapter 1: 21st Century Maternity and Women’s Health Nursing
gg gg gg gg gg gg gg gg
MULTIPLE CHOICE gg
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight
gg gg gg gg gg gg gg gg gg gg gg gg
gg (LBW) infant, which factor is the most important for the nurse to consider?
gg q gg gg gg gg gg gg gg gg gg gg
a. African-American race gg
b. Cigarette smoking gg
c. Poor nutritional status gg gg
d. Limited maternal education gg gg
ANS: A gg
For African-American births, the incidence of LBW infants is twice that of Caucasian
gg gg gg gg gg gg gg gg gg gg gg gg
births. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
potential
gg g g infant mortality rates, but it is not the most important. Additionally,
gg gg gg gg gg gg gg gg gg gg
smoking is a modifiable risk factor.Poor nutrition is an important factor in potential
gg gg gg gg gg gg gg gg gg gg gg gg gg
infant mortality rates, but it is not the most important. Additionally, nutritional status is
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg a modifiable risk factor. Maternal education is an important factor in potential infant
gg gg gg gg gg gg gg gg gg gg gg gg
mortality rates, but it is not the most important. Additionally, maternal education is a
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
modifiable risk factor.
gg gg gg
DIF: Cognitive Level: Understand REF: IM:
gg gg gg gg gg
TOP: Nursing Process: Assessment
gg gg gg
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
gg gg gg gg gg gg gg gg
2. What is the primary role of practicing nurses in the research process?
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a. Designing research studies gg gg
b. Collecting data for other researchers gg gg gg gg
c. Identifying researchable problems gg gg
,d. Seeking funding to support research studies gg gg gg gg gg
ANS: C gg
When problems are identified, research can be properly conducted. Research of health
gg gg gg gg gg gg gg gg gg gg gg
gg care issues leads to evidence-based practice guidelines. Designing research studies is
gg gg gg gg gg gg gg gg gg gg
only one factorof the research process. Data collection is another factor of research.
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg Financial support is necessary to conduct research, but it is not the primary role of
gg g g gg gg gg gg gg gg gg gg gg gg gg gg
the nurse in the research process.
gg gg gg gg gg gg
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process:
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gg N/A MSC: Client Needs: Safe and Effective Care Environment
qq gg gg gg gg gg gg gg
3. A 23-year-old African-American woman is pregnant with her first child. Based
gg gg gg gg gg gg gg gg gg gg
gg on the statistics for infant mortality, which plan is most important for the nurse
gg q gg gg gg gg gg gg gg gg gg gg gg
gg to implement?
gg
a. Perform a nutrition assessment. gg gg gg
b. Refer the woman to a social worker. gg gg gg gg gg gg
c. Advise the woman to see an obstetrician, not a midwife.
gg gg gg gg gg gg gg gg gg
d. Explain to the woman the importance of keeping her prenatal care appointments.
gg gg gg gg gg gg gg gg gg gg gg
ANS: D gg
Consistent prenatal care is the best method of preventing or controlling risk factors
gg gg gg gg gg gg gg gg gg gg gg gg
gg associated with infant mortality. Nutritional status is an important modifiable risk factor,
gg gg gg gg gg gg gg gg gg gg gg
gg but it is not the most important action a nurse should take in this situation. The
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg client may need assistance from asocial worker at some time during her
gg gg gg gg gg gg gg gg gg gg gg
gg pregnancy, but a referral to a social worker is not the most important aspect the
gg gg gg gg gg gg gg gg gg gg gg q gg gg
gg nurse should address at this time. If the woman has identifiable high-risk problems, then
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg her health care may need to be provided by a physician. However, it cannot be assumed
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg that all African-American women have high-risk issues. In addition, advising the woman
gg gg gg gg gg gg gg gg gg gg gg
gg to see an obstetrician is not the most important aspect on which the nurse should focus
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg at this time, and it is not appropriate for a nurse to advise or manage the type of
qq gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg care a client is to receive.
gg gg gg gg gg
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
gg gg gg gg gg gg gg gg gg
, MSC: Client Needs: Health Promotion and Maintenance
gg gg gg gg gg gg
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg assessment of a 21-year-old Hispanic client with limited English proficiency. Which
gg gg gg gg gg gg gg gg gg gg
gg action is themost important for the nurse to perform?
gg gg gg gg gg gg gg gg
a. Use maternity jargon to enable the client to become familiar with these terms.
gg gg gg gg gg gg gg gg gg gg gg gg
b. Speak quickly and efficiently to expedite the visit.
gg gg gg gg gg gg gg
c. Provide the client with handouts. gg gg gg gg
d. Assess whether the client understands the discussion.
gg gg gg gg gg gg
ANS: D gg
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
gg gg gg gg gg gg gg gg gg gg gg
gg and evaluating whether the client understands the discussion. Speaking slowly and
gg gg gg gg gg gg gg gg gg gg
gg clearly and focusing on what is important will increase understanding. Most client
gg gg gg gg gg gg gg gg gg gg gg
gg education materials arewritten at a level too high for the average adult and may not
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
be useful for a client with limited English proficiency.
gg gg gg gg gg gg gg q gg
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process:
gg gg gg gg gg gg gg gg gg
EvaluationMSC: Client Needs: Health Promotion and Maintenance
gg q gg gg gg gg gg gg
5. The nurses working at a newly established birthing center have begun to compare
gg gg gg gg gg gg gg gg gg gg gg gg
gg their performance in providing maternal-newborn care against clinical standards. This
gg gg gg gg gg gg gg gg gg
gg comparison process is most commonly known as what?
q gg gg gg gg gg gg
a. Best practices network gg gg
b. Clinical benchmarking gg
c. Outcomes-oriented practice gg
d. Evidence-based
practice ANS: C
gg q gg
gg gg gg gg gg gg gg gg gg
,Chapter 1: 21st Century Maternity and Women’s Health Nursing
gg gg gg gg gg gg gg gg
MULTIPLE CHOICE gg
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight
gg gg gg gg gg gg gg gg gg gg gg gg
gg (LBW) infant, which factor is the most important for the nurse to consider?
gg q gg gg gg gg gg gg gg gg gg gg
a. African-American race gg
b. Cigarette smoking gg
c. Poor nutritional status gg gg
d. Limited maternal education gg gg
ANS: A gg
For African-American births, the incidence of LBW infants is twice that of Caucasian
gg gg gg gg gg gg gg gg gg gg gg gg
births. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
potential
gg g g infant mortality rates, but it is not the most important. Additionally,
gg gg gg gg gg gg gg gg gg gg
smoking is a modifiable risk factor.Poor nutrition is an important factor in potential
gg gg gg gg gg gg gg gg gg gg gg gg gg
infant mortality rates, but it is not the most important. Additionally, nutritional status is
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg a modifiable risk factor. Maternal education is an important factor in potential infant
gg gg gg gg gg gg gg gg gg gg gg gg
mortality rates, but it is not the most important. Additionally, maternal education is a
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
modifiable risk factor.
gg gg gg
DIF: Cognitive Level: Understand REF: IM:
gg gg gg gg gg
TOP: Nursing Process: Assessment
gg gg gg
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
gg gg gg gg gg gg gg gg
2. What is the primary role of practicing nurses in the research process?
gg gg gg gg gg gg gg gg gg gg gg
a. Designing research studies gg gg
b. Collecting data for other researchers gg gg gg gg
c. Identifying researchable problems gg gg
,d. Seeking funding to support research studies gg gg gg gg gg
ANS: C gg
When problems are identified, research can be properly conducted. Research of health
gg gg gg gg gg gg gg gg gg gg gg
gg care issues leads to evidence-based practice guidelines. Designing research studies is
gg gg gg gg gg gg gg gg gg gg
only one factorof the research process. Data collection is another factor of research.
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg Financial support is necessary to conduct research, but it is not the primary role of
gg g g gg gg gg gg gg gg gg gg gg gg gg gg
the nurse in the research process.
gg gg gg gg gg gg
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process:
gg gg gg gg gg gg gg gg gg
gg N/A MSC: Client Needs: Safe and Effective Care Environment
qq gg gg gg gg gg gg gg
3. A 23-year-old African-American woman is pregnant with her first child. Based
gg gg gg gg gg gg gg gg gg gg
gg on the statistics for infant mortality, which plan is most important for the nurse
gg q gg gg gg gg gg gg gg gg gg gg gg
gg to implement?
gg
a. Perform a nutrition assessment. gg gg gg
b. Refer the woman to a social worker. gg gg gg gg gg gg
c. Advise the woman to see an obstetrician, not a midwife.
gg gg gg gg gg gg gg gg gg
d. Explain to the woman the importance of keeping her prenatal care appointments.
gg gg gg gg gg gg gg gg gg gg gg
ANS: D gg
Consistent prenatal care is the best method of preventing or controlling risk factors
gg gg gg gg gg gg gg gg gg gg gg gg
gg associated with infant mortality. Nutritional status is an important modifiable risk factor,
gg gg gg gg gg gg gg gg gg gg gg
gg but it is not the most important action a nurse should take in this situation. The
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg client may need assistance from asocial worker at some time during her
gg gg gg gg gg gg gg gg gg gg gg
gg pregnancy, but a referral to a social worker is not the most important aspect the
gg gg gg gg gg gg gg gg gg gg gg q gg gg
gg nurse should address at this time. If the woman has identifiable high-risk problems, then
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg her health care may need to be provided by a physician. However, it cannot be assumed
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg that all African-American women have high-risk issues. In addition, advising the woman
gg gg gg gg gg gg gg gg gg gg gg
gg to see an obstetrician is not the most important aspect on which the nurse should focus
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg at this time, and it is not appropriate for a nurse to advise or manage the type of
qq gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg care a client is to receive.
gg gg gg gg gg
DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
gg gg gg gg gg gg gg gg gg
, MSC: Client Needs: Health Promotion and Maintenance
gg gg gg gg gg gg
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
gg assessment of a 21-year-old Hispanic client with limited English proficiency. Which
gg gg gg gg gg gg gg gg gg gg
gg action is themost important for the nurse to perform?
gg gg gg gg gg gg gg gg
a. Use maternity jargon to enable the client to become familiar with these terms.
gg gg gg gg gg gg gg gg gg gg gg gg
b. Speak quickly and efficiently to expedite the visit.
gg gg gg gg gg gg gg
c. Provide the client with handouts. gg gg gg gg
d. Assess whether the client understands the discussion.
gg gg gg gg gg gg
ANS: D gg
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
gg gg gg gg gg gg gg gg gg gg gg
gg and evaluating whether the client understands the discussion. Speaking slowly and
gg gg gg gg gg gg gg gg gg gg
gg clearly and focusing on what is important will increase understanding. Most client
gg gg gg gg gg gg gg gg gg gg gg
gg education materials arewritten at a level too high for the average adult and may not
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
be useful for a client with limited English proficiency.
gg gg gg gg gg gg gg q gg
DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process:
gg gg gg gg gg gg gg gg gg
EvaluationMSC: Client Needs: Health Promotion and Maintenance
gg q gg gg gg gg gg gg
5. The nurses working at a newly established birthing center have begun to compare
gg gg gg gg gg gg gg gg gg gg gg gg
gg their performance in providing maternal-newborn care against clinical standards. This
gg gg gg gg gg gg gg gg gg
gg comparison process is most commonly known as what?
q gg gg gg gg gg gg
a. Best practices network gg gg
b. Clinical benchmarking gg
c. Outcomes-oriented practice gg
d. Evidence-based
practice ANS: C
gg q gg
