MaternityandWomen's Health Care 13th Edition Lowdermilk Test
4r 4r 4r 4r 4r 4r 4r 4r
Chapter01:21stCenturyMaternityandWomen’sHealthNursing Lowdermilk:
4r 4r 4r 4r 4r 4r 4r 4r 4r
Maternity & Women’s Health Care, 12th Edition
4r 4r 4r 4r 4r 4r 4r
, MaternityandWomen's Health Care 13th Edition Lowdermilk Test 4r 4r 4r 4r 4r 4r 4r 4r
MULTIPLECHOICE 4r
1. In evaluating thelevel of a pregnant woman’s risk of having alow-birth-weight (LBW)
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
infant, which factor is the most important for the nurse to consider?
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. African-Americanrace 4r
b. Cigarettesmoking 4r
c. Poor nutritional status 4r 4r
d. Limitedmaternal education 4r 4r
ANS: A 4 r
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice as
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
likely as non-Hispanic white infants to be of LBW and to die in the first yearoflife..Race isa
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
nonmodifiable riskfactor. Cigarettesmokingisan important factorin potential infant mortality
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
rates, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
nutrition is an important factor in potential infant mortality rates, but it is not the most important.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Additionally, nutritional status is a modifiable risk factor. Maternal education is an important
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
factor in potential infant mortality rates, but it is not the most important. Additionally, maternal
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
education is a modifiable risk factor.
4r 4r 4r 4r 4r 4r
PTS: 1 DIF: CognitiveLevel:Understand 4r 4r
TOP: Nursing Process: Assessment
4r 4r 4r
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
4 inM
tenance, Antepartum Care
r 4 r 4 r 4 r 4 r 4 r
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
statistics for infant mortality, which intervention is most important for the nurse to include in the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
client’s plan of care?
4r 4r 4r 4r
a. Perform anutrition assessment. 4r 4r 4r
b. Referthe woman to a social worker. 4r 4r 4r 4r 4r 4r
c. Advisethe woman to see an obstetrician, not a midwife. 4r 4r 4r 4r 4r 4r 4r 4r 4r
d. Explainto the woman theimportance of keeping her prenatal care appointments. 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
ANS: D 4 r
Consistent prenatal care is the best method of preventing or controlling risk factors associated 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
withinfantmortality. Nutritionalstatusisan importantmodifiableriskfactor,but it is not the most
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
important action a nurse should take in this situation. The client may need assistance from a social
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
worker at some time during her pregnancy, but a referral to a social worker is not the most
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
important aspect the nurse should address at this time. If the woman has identifiable high-risk
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
problems, then her health care may need to be provided by a physician. However, it cannot be
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
assumed that all African-American women have high-risk issues. In addition, advising the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
woman to see an obstetrician is not the most important aspect on which the nurse should focus at
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
receive.
4r
PTS: 1 DIF: CognitiveLevel:Understand 4r 4r
TOP: Nursing Process: Planning
4r 4r 4r
, MaternityandWomen's Health Care 13th Edition Lowdermilk Test 4r 4r 4r 4r 4r 4r 4r 4r
MSC: ClientNeeds: Health Promotionand Maintenance
4 r 4r 4r 4r 4r 4r
3. Thenurses workingat a newlyestablishedbirthingcenter have begunto comparetheir
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
performance in providing maternal-newborn care against clinical standards. This
4r 4r 4r 4r 4r 4r 4r 4r 4r
comparison process is most commonly known as what?
4r 4r 4r 4r 4r 4r 4r 4r
a. Bestpractices network 4r 4r
b. Clinicalbenchmarking 4r
c. Outcomes-orientedp racNtiUceR S 4r
d. Evidence-basedpractice 4r
ANS: C 4 r
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
against benchmarks or standards. Theterm bestpracticereferstoaprogram orservice that has been
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
recognized for its excellence. Clinical benchmarking is a process used to compare one’s own
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
performance against the performance of the best in an area of service. The term evidence-based
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
practice refers to the provision of care based on evidence gained through research and clinical
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
trials.
4r
PTS: 1 DIF: CognitiveLevel:Understand 4r 4r
TOP: Nursing Process: Evaluation
4r 4r 4r
MSC: Client Needs: Safeand Effective Care Environment
4 r 4r 4r 4r 4r 4r 4r
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
intervention is the most important for the nurse to implement?
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. Usematernityjargon to enable theclient to become familiarwith these terms.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Speak quickly and efficiently to expeditethe visit. 4r 4r 4r 4r 4r 4r 4r
c. Providetheclient with handouts. 4r 4r 4r 4r
d. Assesswhetherthe client understands the discussion. 4r 4r 4r 4r 4r 4r
ANS: D 4 r
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
evaluating whether the client understands the discussion. Speaking slowly and clearly and
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
focusing on what is important will increase understanding. Most client education materials are
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
written at a level too high for the average adult and may not be useful for a client with limited
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
English proficiency.
4r 4r
PTS: 1 DIF: CognitiveLevel:Apply 4r 4r
TOP: Nursing Process: Implementation
4r 4r 4r
MSC: ClientNeeds: Health Promotionand Maintenance
4 r 4r 4r 4r 4r 4r
5. Whichstatement best exemplifies contemporarymaternitynursing?
4r 4r 4r 4r 4r 4r
a. Useof midwives for all vaginal deliveries
4r 4r 4r 4r 4r 4r
b. Family-centeredcare 4r
c. Free-standingbirthclinics 4r 4r
d. Physician-drivencare 4r
4r ANS: B 4 r
, MaternityandWomen's Health Care 13th Edition Lowdermilk Test 4r 4r 4r 4r 4r 4r 4r 4r
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
grandparents, and siblings maybe present forthe birthand participate inactivities such as cutting
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries. Free-
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
standing clinics are an example of alternative birth options. Contemporary maternity nursing is
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
driven by the relationship between nurses and their clients.
4r 4r 4r 4r 4r 4r 4r 4r 4r
PTS: 1 DIF: CognitiveLevel:Understand 4r 4r
TOP: Nursing Process: Planning
4r 4r 4r
MSC: ClientNeeds: Health Promotionand Maintenance 4 r 4r 4r 4r 4r 4r
6. A38-year-old Hispanicwoman vaginallydelivered a9-pound,6-ounce babygirlafter being in
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
have a legitimate legal case for negligence?
4r 4r 4r 4r 4r 4r 4r
a. Inexperienced maternity nursewas assigned to careforthe client. 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Client was past her duedate by3 days. 4r 4r 4r 4r 4r 4r 4r 4r
c. Standard ofcare was not met. 4r 4r 4r 4r 4r
d. Clientrefused electronicfetal monitoring. 4r 4r 4r 4r
ANS: C 4 r
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
maternitynurse wouldneed todisplaycompetencybefore beingassigned to care for clients on his
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
or her own. This client may have been past her due date; however, a term pregnancy often goes
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
beyond 40 weeks of gestation. Although fetal monitoring isthe standard of care, the client has the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
right to refuse treatment. This refusal is not a case for negligence, but informed consent should be
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
properly obtained, and the client should have signed an against medical advice form when
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
refusing any treatment that is within the standard of care.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
PTS: 1 DIF: CognitiveLevel:Analyze 4r 4r
TOP: Nursing Process: Implementation
4r 4r 4r
MSC: Client Needs: Safeand Effective CareEnvironment
4 r 4r 4r 4r 4r 4r 4r
7. Whenthe nurseisunsure how to perform a client care procedurethat ishigh risk and low volume,
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
his or her best action in this situation would be what?
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. Ask another nurse. 4r 4r
b. Discuss theprocedure withtheclient’s physician. 4r 4r 4r 4r 4r 4r
c. Look up the procedure in a nursing textbook. 4r 4r 4r 4r 4r 4r 4r
d. First consult the agency proceduremanual 4r 4r 4r 4r 4r
ANS: D 4 r
Following the agency’s policies and procedures manual is always best when seeking 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
information on correct client procedures. These policies should reflect thecurrent standards of
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
care and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Relying on another nurse may not always be a safe practice. Each nurse is obligated to follow the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
standards of care for safe client care delivery. Physicians are responsible for their own client care
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
activity. Nurses may follow safe orders from physicians, but they are also responsible for the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
activities that they, as nurses, are to carry out. Information provided ina nursingtextbookisbasic
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
informationforgeneral knowledge. Furthermore, the information in a textbook may not reflect
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
the current standard of care or the individual state or hospital policies.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
4r 4r 4r 4r 4r 4r 4r 4r
Chapter01:21stCenturyMaternityandWomen’sHealthNursing Lowdermilk:
4r 4r 4r 4r 4r 4r 4r 4r 4r
Maternity & Women’s Health Care, 12th Edition
4r 4r 4r 4r 4r 4r 4r
, MaternityandWomen's Health Care 13th Edition Lowdermilk Test 4r 4r 4r 4r 4r 4r 4r 4r
MULTIPLECHOICE 4r
1. In evaluating thelevel of a pregnant woman’s risk of having alow-birth-weight (LBW)
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
infant, which factor is the most important for the nurse to consider?
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. African-Americanrace 4r
b. Cigarettesmoking 4r
c. Poor nutritional status 4r 4r
d. Limitedmaternal education 4r 4r
ANS: A 4 r
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice as
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
likely as non-Hispanic white infants to be of LBW and to die in the first yearoflife..Race isa
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
nonmodifiable riskfactor. Cigarettesmokingisan important factorin potential infant mortality
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
rates, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
nutrition is an important factor in potential infant mortality rates, but it is not the most important.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Additionally, nutritional status is a modifiable risk factor. Maternal education is an important
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
factor in potential infant mortality rates, but it is not the most important. Additionally, maternal
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
education is a modifiable risk factor.
4r 4r 4r 4r 4r 4r
PTS: 1 DIF: CognitiveLevel:Understand 4r 4r
TOP: Nursing Process: Assessment
4r 4r 4r
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
4 inM
tenance, Antepartum Care
r 4 r 4 r 4 r 4 r 4 r
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
statistics for infant mortality, which intervention is most important for the nurse to include in the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
client’s plan of care?
4r 4r 4r 4r
a. Perform anutrition assessment. 4r 4r 4r
b. Referthe woman to a social worker. 4r 4r 4r 4r 4r 4r
c. Advisethe woman to see an obstetrician, not a midwife. 4r 4r 4r 4r 4r 4r 4r 4r 4r
d. Explainto the woman theimportance of keeping her prenatal care appointments. 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
ANS: D 4 r
Consistent prenatal care is the best method of preventing or controlling risk factors associated 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
withinfantmortality. Nutritionalstatusisan importantmodifiableriskfactor,but it is not the most
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
important action a nurse should take in this situation. The client may need assistance from a social
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
worker at some time during her pregnancy, but a referral to a social worker is not the most
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
important aspect the nurse should address at this time. If the woman has identifiable high-risk
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
problems, then her health care may need to be provided by a physician. However, it cannot be
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
assumed that all African-American women have high-risk issues. In addition, advising the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
woman to see an obstetrician is not the most important aspect on which the nurse should focus at
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
receive.
4r
PTS: 1 DIF: CognitiveLevel:Understand 4r 4r
TOP: Nursing Process: Planning
4r 4r 4r
, MaternityandWomen's Health Care 13th Edition Lowdermilk Test 4r 4r 4r 4r 4r 4r 4r 4r
MSC: ClientNeeds: Health Promotionand Maintenance
4 r 4r 4r 4r 4r 4r
3. Thenurses workingat a newlyestablishedbirthingcenter have begunto comparetheir
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
performance in providing maternal-newborn care against clinical standards. This
4r 4r 4r 4r 4r 4r 4r 4r 4r
comparison process is most commonly known as what?
4r 4r 4r 4r 4r 4r 4r 4r
a. Bestpractices network 4r 4r
b. Clinicalbenchmarking 4r
c. Outcomes-orientedp racNtiUceR S 4r
d. Evidence-basedpractice 4r
ANS: C 4 r
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
against benchmarks or standards. Theterm bestpracticereferstoaprogram orservice that has been
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
recognized for its excellence. Clinical benchmarking is a process used to compare one’s own
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
performance against the performance of the best in an area of service. The term evidence-based
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
practice refers to the provision of care based on evidence gained through research and clinical
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
trials.
4r
PTS: 1 DIF: CognitiveLevel:Understand 4r 4r
TOP: Nursing Process: Evaluation
4r 4r 4r
MSC: Client Needs: Safeand Effective Care Environment
4 r 4r 4r 4r 4r 4r 4r
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
intervention is the most important for the nurse to implement?
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. Usematernityjargon to enable theclient to become familiarwith these terms.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Speak quickly and efficiently to expeditethe visit. 4r 4r 4r 4r 4r 4r 4r
c. Providetheclient with handouts. 4r 4r 4r 4r
d. Assesswhetherthe client understands the discussion. 4r 4r 4r 4r 4r 4r
ANS: D 4 r
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
evaluating whether the client understands the discussion. Speaking slowly and clearly and
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
focusing on what is important will increase understanding. Most client education materials are
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
written at a level too high for the average adult and may not be useful for a client with limited
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
English proficiency.
4r 4r
PTS: 1 DIF: CognitiveLevel:Apply 4r 4r
TOP: Nursing Process: Implementation
4r 4r 4r
MSC: ClientNeeds: Health Promotionand Maintenance
4 r 4r 4r 4r 4r 4r
5. Whichstatement best exemplifies contemporarymaternitynursing?
4r 4r 4r 4r 4r 4r
a. Useof midwives for all vaginal deliveries
4r 4r 4r 4r 4r 4r
b. Family-centeredcare 4r
c. Free-standingbirthclinics 4r 4r
d. Physician-drivencare 4r
4r ANS: B 4 r
, MaternityandWomen's Health Care 13th Edition Lowdermilk Test 4r 4r 4r 4r 4r 4r 4r 4r
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
grandparents, and siblings maybe present forthe birthand participate inactivities such as cutting
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries. Free-
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
standing clinics are an example of alternative birth options. Contemporary maternity nursing is
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
driven by the relationship between nurses and their clients.
4r 4r 4r 4r 4r 4r 4r 4r 4r
PTS: 1 DIF: CognitiveLevel:Understand 4r 4r
TOP: Nursing Process: Planning
4r 4r 4r
MSC: ClientNeeds: Health Promotionand Maintenance 4 r 4r 4r 4r 4r 4r
6. A38-year-old Hispanicwoman vaginallydelivered a9-pound,6-ounce babygirlafter being in
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
have a legitimate legal case for negligence?
4r 4r 4r 4r 4r 4r 4r
a. Inexperienced maternity nursewas assigned to careforthe client. 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Client was past her duedate by3 days. 4r 4r 4r 4r 4r 4r 4r 4r
c. Standard ofcare was not met. 4r 4r 4r 4r 4r
d. Clientrefused electronicfetal monitoring. 4r 4r 4r 4r
ANS: C 4 r
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
maternitynurse wouldneed todisplaycompetencybefore beingassigned to care for clients on his
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
or her own. This client may have been past her due date; however, a term pregnancy often goes
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
beyond 40 weeks of gestation. Although fetal monitoring isthe standard of care, the client has the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
right to refuse treatment. This refusal is not a case for negligence, but informed consent should be
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properly obtained, and the client should have signed an against medical advice form when
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refusing any treatment that is within the standard of care.
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PTS: 1 DIF: CognitiveLevel:Analyze 4r 4r
TOP: Nursing Process: Implementation
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MSC: Client Needs: Safeand Effective CareEnvironment
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7. Whenthe nurseisunsure how to perform a client care procedurethat ishigh risk and low volume,
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his or her best action in this situation would be what?
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a. Ask another nurse. 4r 4r
b. Discuss theprocedure withtheclient’s physician. 4r 4r 4r 4r 4r 4r
c. Look up the procedure in a nursing textbook. 4r 4r 4r 4r 4r 4r 4r
d. First consult the agency proceduremanual 4r 4r 4r 4r 4r
ANS: D 4 r
Following the agency’s policies and procedures manual is always best when seeking 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
information on correct client procedures. These policies should reflect thecurrent standards of
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care and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
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Relying on another nurse may not always be a safe practice. Each nurse is obligated to follow the
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standards of care for safe client care delivery. Physicians are responsible for their own client care
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activity. Nurses may follow safe orders from physicians, but they are also responsible for the
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activities that they, as nurses, are to carry out. Information provided ina nursingtextbookisbasic
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informationforgeneral knowledge. Furthermore, the information in a textbook may not reflect
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the current standard of care or the individual state or hospital policies.
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