Maternity and Women's Health Care 13th Edition Lowdermilk Tes
m m m m m m m m
t
Test Bank c*
For aternity and Wo en's HealthCare 13
c*C* c* c* c* c* *c c*
th Edition Lowder ilk
c* c* c*
, C* aternity and Wo en's Health Care 13th Edition Lowder ilk TestChapter
c* c* c* c* c* c* c* c* c* c* *c
Bank
01: 21st Century aternity and Wo en’s Health Nursing Lowder ilk: aternity
c* c* c*C* c* c* c* c* c* c* c* c*C* c*
& Wo en’s Health Care, 12th Edition
c* c* c* c* c* c*
C* ULTIPLE CHOICE c*
1. In evaluating the level of a pregnant wo an’s risk of having a low-birth-
c* c* c* c* c* c* c* c* c* c* c* c* c*
weight (LBW)infant, which factor is the ost i portant for the nurse to consider?
c* *c c* c* c* c* c*c* c* c* c* c* c* c* c*
a. African-A erican race c* c*
b. Cigarette s oking c* c*
c. Poor nutritional status c* c*
d. Li ited aternal education c* c*c* c*
ANS: A c *
The rise in the overall LBW rates were due to increases in LBW births to non-
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
Hispanic black wo en (13.35%) and Hispanic wo en (7.21%); non-
c* c* c* c* c* c* c* c* c* c*
Hispanic black infants are al ost twice as likely as non-
c* c* c* c* c* c* c* c* c* c*
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a non odi
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
fiable risk factor. Cigarette s oking is an i portant factor inpotential infant ortality rates, b
c* c* c* c* c* c* c* c* c* c* c* *c c* c*c* c* c*
ut it is not the ost i portant. Additionally, s oking is a odifiable risk factor. Poor nutritio
c* c* c* c* c*c* c* c* c* c* c* c* c* c*c* c* c* c* c*
n is an i portant factor in potential infant ortality rates, but it is not the ost i portant. Ad
c* c* c* c* c* c* c* c* c*c* c* c* c* c* c* c* c*c* c* c* c*
ditionally, nutritional status is a odifiable risk factor. aternal education is an i portant fa
c* c* c* c* c*c* c* c* c*C* c* c* c* c* c* c*
ctor in potential infant ortality rates, but it is not the ost i portant. Additionally, aternal
c* c* c* c*c* c* c* c* c* c* c* c*c* c* c* c* c*c* c*
education is a odifiable risk factor. c* c* c*c* c* c*
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: c* c* *c
Nursing Process: Assess ent c* c* c*
C* SC: Client Needs: HealtN
c*c * hUPrRoS
IotNioGn TanBd.CaOintenance, Antepartu Care
c* c* c* C
* *
C c* c*c*
2. A 23-year-old African-
c* c*
A erican wo an is pregnant with her first child. Based on currentstatistics for infant ort
c* c* c* c* c* c* c* c* c* c* c* c* *c c* c* c*c*
ality, which intervention is ost i portant for the nurse to includein the client’s plan of c
c* c* c* c*c* c* c* c* c* c* c* c* *c c* c* c* c* c*
are?
a. Perfor a nutrition assess ent. c*c* c* c* c*
b. Refer the wo an to a social worker. c* c* c* c* c* c* c*
c. Advise the wo an to see an obstetrician, not a idwife.c* c* c* c* c* c* c* c* c* c*c*
d. Explain to the wo an the i portance of keeping her prenatal care appoint ents.
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ANS: D c *
Consistent prenatal care is the best ethod of preventing or controlling risk factors associat
c* c* c* c* c* c*c* c* c* c* c* c* c* c*
ed with infant ortality. Nutritional status is an i portant odifiable risk factor, butit is not th
c* c* c*c* c* c* c* c* c* c* c*c* c* c* c* *c c* c* c*
e ost i portant action a nurse should take in this situation. The client ay need assistance f
c*c* c* c* c* c* c* c* c* c* c* c* c* c* c*c* c* c* c*
ro a social worker at so e ti e during her pregnancy, but a referral to a socialworker is no
c*c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* *c c* c*
t the ost i portant aspect the nurse should address at this ti e. If the wo an has identifiabl
c* c*c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
e high-
c*
risk proble s, then her health care ay need to be provided by a physician. However, it can
c* c* c* c* c* c* c*c* c* c* c* c* c* c* c* c* c* c*
not be assu ed that all African-A erican wo en have high-
c* c* c* c* c* c* c* c* c* c* c*
riskissues. In addition, advising the wo an to see an obstetrician is not the ost i portant as
*c c* c* c* c* c* c* c* c* c* c* c* c* c* c*c* c* c* c*
pect on which the nurse should focus at this ti e, and it is not appropriate for a nurse to a
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
dvise or anage the type of care a client is to receive.
c* c*c* c* c* c* c* c* c* c* c* c*
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: c* c* *c
Nursing Process: Planning c* c*
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
m m m m m m m m
t
C* SC: Client Needs: Health Pro otion and aintenance
c* c* c* c* c* c* c*C*
3. The nurses working at a newly established birthing center have begun to co pare thei
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
rperfor ance in providing aternal-
*c c* c* c* c*c*
newborn care against clinical standards. This co parison process is ost co only kno
c* c* c* c* c* c* c* c* c* c*c* c* c*c* c*
wn as what? c* c*
a. Best practices network c* c*
b. Clinical bench arking c* c*
c. Outco es-oriented pracNtiU
ceRS c* c*
d. Evidence-based practice c*
ANS: C c *
Outco es- c*
oriented practice easures the effectiveness of the interventions and quality of care against
c* c*c* c* c* c* c* c* c* c* c* c* c*
bench arks or standards. The ter best practice refers to a progra or servicethat has been
c* c* c* c* c* c* c*c* c* c* c* c* c* c*c* c* *c c* c* c*
recognized for its excellence. Clinical bench arking is a process used to co pare one’s ow
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
n perfor ance against the perfor ance of the best in an area of service. The ter evidence-
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*c*
based practice refers to the provision of care based on evidence gained through research
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
and clinical trials. c* c*
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: c* c* *c
Nursing Process: Evaluation c* c*
C* SC: Client Needs: Safe and Effective Care Environ ent
c* c* c* c* c* c* c* c*
4. During a prenatal intake interview, the nurse is in the process of obtaining an initi
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
alassess ent of a 21-year-
*c c* c* c* c*
old Hispanic client with li ited English proficiency. Whichintervention is the ost i
c* c* c* c* c* c* c* c* *c c* c* c*c* c* c
portant for the nurse to i ple ent?
* c* c* c* c* c* c* c*
a. Use aternity jargon to enable the client to beco e fa iliar with these ter s.
c*c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
b. Speak quickly and efficiently to expedite the visit. c* c* c* c* c* c* c*
c. Provide the client with handouts. c* c* c* c*
d. Assess whether the client understands the discussion. c* c* c* c* c* c*
ANS: D c *
Nurses contribute to health literacy by using si ple, co on words, avoiding jargon, ande
c* c* c* c* c* c* c* c* c* c*c* c* c* c* c* *c
valuating whether the client understands the discussion. Speaking slowly and clearly an
c* c* c* c* c* c* c* c* c* c* c*
dfocusing on what is i portant will increase understanding. ost client education aterialsa
*c c* c* c* c* c* c* c* c* c*C* c* c* c*c* *c
re written at a level too high for the average adult and ay not be useful for a client wit
c* c* c* c* c* c* c* c* c* c* c* c*c* c* c* c* c* c* c* c*
hli ited English proficiency.
*c c* c* c*
PTS: 1 DIF:
Cognitive Level: ApplyTOP: c* c* *c
Nursing Process: I ple entation c* c* c* c*
C* SC: Client Needs: Health Pro otion and aintenance
c* c* c* c* c* c* c*C*
5. Which state ent best exe plifies conte porary aternity nursing?
c* c* c* c* c* c* c* c*c* c*
a. Use of idwives for all vaginal deliveries c* c*c* c* c* c* c*
b. Fa ily-centered care c* c*
c. Free-standing birth clinics c* c*
d. Physician-
driven careANS: B c* *c c *
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
m m m m m m m m
t
Conte porary aternity nursing focuses on the fa ily’s needs and desires. Fathers, partners,
c* c*c* c* c* c* c* c* c* c* c* c* c* c*
grandparents, and siblings ay be present for the birth and participate in activitiessuch as
c* c* c* c*c* c* c* c* c* c* c* c* c* c* *c c* c*
cutting the baby’s u bilical cord. Both idwives and physicians perfor vaginal deliveries.
c* c* c* c* c* c* c*c* c* c* c* c*c* c* c*
Free-
standing clinics are an exa ple of alternative birth options. Conte porary aternity nursing
c* c* c* c* c* c* c* c* c* c* c* c*c* c* c*
is driven by the relationship between nurses and their clients.
c* c* c* c* c* c* c* c* c*
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: c* c* *c
Nursing Process: Planning c* c*
C* SC: Client Needs: Health Pro otion and aintenance
c* c* c* c* c* c* c*C*
6. A 38-year-old Hispanic wo an vaginally delivered a 9-pound, 6-
c* c* c* c* c* c* c* c* c*
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later fro sepsis. O
c* c* c* c* *c c* c* c* c* c* c* c* c* c* c* c* c*c* c*
n what grounds could the wo an have a legiti ate legal case for negligence?
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
a. Inexperienced aternity nurse was assigned to care for the client. c*c* c* c* c* c* c* c* c* c*
b. Client was past her due date by 3 days. c* c* c* c* c* c* c* c*
c. Standard of care was not et. c* c* c* c* c*c*
d. Client refused electronic fetal onitoring. c* c* c* c*c*
ANS: C c *
Not eeting the standard of care is a legiti ate factor for a case of negligence. An inexpe
c*c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
rienced aternity nurse would need to display co petency before being assigned tocare for
c*c* c* c* c* c* c* c* c* c* c* c* c* *c c* c
clients on his or her own. This client ay have been past her due date; however, ater pr
* c* c* c* c* c* c* c* c*c* c* c* c* c* c* c* c* c* *c c*c*
egnancy often goes beyond 40 weeks of gestation. Although fetal onitoring is thestanda
c* c* c* c* c* c* c* c* c* c*c* c* c* *c
rd of care, the client has the right to refuse treat ent. This refusal is not a case for neglig
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ence, but infor ed consent should be properly obtained, and the client should have signe
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
d an against edical advice for when refusing any treat ent that is within the standard of
c* c* c*c* c* c* c*c* c* c* c* c* c* c* c* c* c* c*
care.
c*
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: c* c* *c
Nursing Process: I ple entation c* c* c* c*
C* SC: Client Needs: Safe and Effective Care Environ ent
c* c* c* c* c* c* c* c*
7. When the nurse is unsure how to perfor a client care procedure that is high risk and lo
c* c* c* c* c* c* c* c*c* c* c* c* c* c* c* c* c* c*
wvolu e, his or her best action in this situation would be what?
*c c* c* c* c* c* c* c* c* c* c* c* c*
a. Ask another nurse. c* c*
b. Discuss the procedure with the client’s physician. c* c* c* c* c* c*
c. Look up the procedure in a nursing textbook.c* c* c* c* c* c* c*
d. First consult the agency procedure anual
c* c* c* c* c*c*
ANS: D c *
Following the agency’s policies and procedures anual is always best when seeking infor
c* c* c* c* c* c*c* c* c* c* c* c* c* c*
ation on correct client procedures. These policies should reflect the current standardsof ca
c* c* c* c* c* c* c* c* c* c* c* *c c*
re and the individual state’s guidelines. Each nurse is responsible for his or her own pract
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ice. Relying on another nurse ay not always be a safe practice. Each nurse is obligated t
c* c* c* c* c*c* c* c* c* c* c* c* c* c* c* c* c*
o follow the standards of care for safe client care delivery. Physicians are responsible for
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c
*their own client care activity. Nurses ay follow safe orders fro physicians, but they are
c* c* c* c* c* c*c* c* c* c* c* c*c* c* c* c* c*
also responsible for the activities that they, as nurses, are to carry out. Infor ation provide
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
d in a nursing textbook is basic infor ation for general knowledge.Further ore, the infor ati
c* c* c* c* c* c* c* c* c* c* c* *c c* c* c* c*
on in a textbook ay not reflect the current standard of care or the individual state or hosp
c* c* c* c*c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ital policies. c*
m m m m m m m m
t
Test Bank c*
For aternity and Wo en's HealthCare 13
c*C* c* c* c* c* *c c*
th Edition Lowder ilk
c* c* c*
, C* aternity and Wo en's Health Care 13th Edition Lowder ilk TestChapter
c* c* c* c* c* c* c* c* c* c* *c
Bank
01: 21st Century aternity and Wo en’s Health Nursing Lowder ilk: aternity
c* c* c*C* c* c* c* c* c* c* c* c*C* c*
& Wo en’s Health Care, 12th Edition
c* c* c* c* c* c*
C* ULTIPLE CHOICE c*
1. In evaluating the level of a pregnant wo an’s risk of having a low-birth-
c* c* c* c* c* c* c* c* c* c* c* c* c*
weight (LBW)infant, which factor is the ost i portant for the nurse to consider?
c* *c c* c* c* c* c*c* c* c* c* c* c* c* c*
a. African-A erican race c* c*
b. Cigarette s oking c* c*
c. Poor nutritional status c* c*
d. Li ited aternal education c* c*c* c*
ANS: A c *
The rise in the overall LBW rates were due to increases in LBW births to non-
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
Hispanic black wo en (13.35%) and Hispanic wo en (7.21%); non-
c* c* c* c* c* c* c* c* c* c*
Hispanic black infants are al ost twice as likely as non-
c* c* c* c* c* c* c* c* c* c*
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a non odi
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
fiable risk factor. Cigarette s oking is an i portant factor inpotential infant ortality rates, b
c* c* c* c* c* c* c* c* c* c* c* *c c* c*c* c* c*
ut it is not the ost i portant. Additionally, s oking is a odifiable risk factor. Poor nutritio
c* c* c* c* c*c* c* c* c* c* c* c* c* c*c* c* c* c* c*
n is an i portant factor in potential infant ortality rates, but it is not the ost i portant. Ad
c* c* c* c* c* c* c* c* c*c* c* c* c* c* c* c* c*c* c* c* c*
ditionally, nutritional status is a odifiable risk factor. aternal education is an i portant fa
c* c* c* c* c*c* c* c* c*C* c* c* c* c* c* c*
ctor in potential infant ortality rates, but it is not the ost i portant. Additionally, aternal
c* c* c* c*c* c* c* c* c* c* c* c*c* c* c* c* c*c* c*
education is a odifiable risk factor. c* c* c*c* c* c*
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: c* c* *c
Nursing Process: Assess ent c* c* c*
C* SC: Client Needs: HealtN
c*c * hUPrRoS
IotNioGn TanBd.CaOintenance, Antepartu Care
c* c* c* C
* *
C c* c*c*
2. A 23-year-old African-
c* c*
A erican wo an is pregnant with her first child. Based on currentstatistics for infant ort
c* c* c* c* c* c* c* c* c* c* c* c* *c c* c* c*c*
ality, which intervention is ost i portant for the nurse to includein the client’s plan of c
c* c* c* c*c* c* c* c* c* c* c* c* *c c* c* c* c* c*
are?
a. Perfor a nutrition assess ent. c*c* c* c* c*
b. Refer the wo an to a social worker. c* c* c* c* c* c* c*
c. Advise the wo an to see an obstetrician, not a idwife.c* c* c* c* c* c* c* c* c* c*c*
d. Explain to the wo an the i portance of keeping her prenatal care appoint ents.
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ANS: D c *
Consistent prenatal care is the best ethod of preventing or controlling risk factors associat
c* c* c* c* c* c*c* c* c* c* c* c* c* c*
ed with infant ortality. Nutritional status is an i portant odifiable risk factor, butit is not th
c* c* c*c* c* c* c* c* c* c* c*c* c* c* c* *c c* c* c*
e ost i portant action a nurse should take in this situation. The client ay need assistance f
c*c* c* c* c* c* c* c* c* c* c* c* c* c* c*c* c* c* c*
ro a social worker at so e ti e during her pregnancy, but a referral to a socialworker is no
c*c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* *c c* c*
t the ost i portant aspect the nurse should address at this ti e. If the wo an has identifiabl
c* c*c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
e high-
c*
risk proble s, then her health care ay need to be provided by a physician. However, it can
c* c* c* c* c* c* c*c* c* c* c* c* c* c* c* c* c* c*
not be assu ed that all African-A erican wo en have high-
c* c* c* c* c* c* c* c* c* c* c*
riskissues. In addition, advising the wo an to see an obstetrician is not the ost i portant as
*c c* c* c* c* c* c* c* c* c* c* c* c* c* c*c* c* c* c*
pect on which the nurse should focus at this ti e, and it is not appropriate for a nurse to a
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
dvise or anage the type of care a client is to receive.
c* c*c* c* c* c* c* c* c* c* c* c*
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: c* c* *c
Nursing Process: Planning c* c*
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
m m m m m m m m
t
C* SC: Client Needs: Health Pro otion and aintenance
c* c* c* c* c* c* c*C*
3. The nurses working at a newly established birthing center have begun to co pare thei
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
rperfor ance in providing aternal-
*c c* c* c* c*c*
newborn care against clinical standards. This co parison process is ost co only kno
c* c* c* c* c* c* c* c* c* c*c* c* c*c* c*
wn as what? c* c*
a. Best practices network c* c*
b. Clinical bench arking c* c*
c. Outco es-oriented pracNtiU
ceRS c* c*
d. Evidence-based practice c*
ANS: C c *
Outco es- c*
oriented practice easures the effectiveness of the interventions and quality of care against
c* c*c* c* c* c* c* c* c* c* c* c* c*
bench arks or standards. The ter best practice refers to a progra or servicethat has been
c* c* c* c* c* c* c*c* c* c* c* c* c* c*c* c* *c c* c* c*
recognized for its excellence. Clinical bench arking is a process used to co pare one’s ow
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
n perfor ance against the perfor ance of the best in an area of service. The ter evidence-
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*c*
based practice refers to the provision of care based on evidence gained through research
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
and clinical trials. c* c*
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: c* c* *c
Nursing Process: Evaluation c* c*
C* SC: Client Needs: Safe and Effective Care Environ ent
c* c* c* c* c* c* c* c*
4. During a prenatal intake interview, the nurse is in the process of obtaining an initi
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
alassess ent of a 21-year-
*c c* c* c* c*
old Hispanic client with li ited English proficiency. Whichintervention is the ost i
c* c* c* c* c* c* c* c* *c c* c* c*c* c* c
portant for the nurse to i ple ent?
* c* c* c* c* c* c* c*
a. Use aternity jargon to enable the client to beco e fa iliar with these ter s.
c*c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
b. Speak quickly and efficiently to expedite the visit. c* c* c* c* c* c* c*
c. Provide the client with handouts. c* c* c* c*
d. Assess whether the client understands the discussion. c* c* c* c* c* c*
ANS: D c *
Nurses contribute to health literacy by using si ple, co on words, avoiding jargon, ande
c* c* c* c* c* c* c* c* c* c*c* c* c* c* c* *c
valuating whether the client understands the discussion. Speaking slowly and clearly an
c* c* c* c* c* c* c* c* c* c* c*
dfocusing on what is i portant will increase understanding. ost client education aterialsa
*c c* c* c* c* c* c* c* c* c*C* c* c* c*c* *c
re written at a level too high for the average adult and ay not be useful for a client wit
c* c* c* c* c* c* c* c* c* c* c* c*c* c* c* c* c* c* c* c*
hli ited English proficiency.
*c c* c* c*
PTS: 1 DIF:
Cognitive Level: ApplyTOP: c* c* *c
Nursing Process: I ple entation c* c* c* c*
C* SC: Client Needs: Health Pro otion and aintenance
c* c* c* c* c* c* c*C*
5. Which state ent best exe plifies conte porary aternity nursing?
c* c* c* c* c* c* c* c*c* c*
a. Use of idwives for all vaginal deliveries c* c*c* c* c* c* c*
b. Fa ily-centered care c* c*
c. Free-standing birth clinics c* c*
d. Physician-
driven careANS: B c* *c c *
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
m m m m m m m m
t
Conte porary aternity nursing focuses on the fa ily’s needs and desires. Fathers, partners,
c* c*c* c* c* c* c* c* c* c* c* c* c* c*
grandparents, and siblings ay be present for the birth and participate in activitiessuch as
c* c* c* c*c* c* c* c* c* c* c* c* c* c* *c c* c*
cutting the baby’s u bilical cord. Both idwives and physicians perfor vaginal deliveries.
c* c* c* c* c* c* c*c* c* c* c* c*c* c* c*
Free-
standing clinics are an exa ple of alternative birth options. Conte porary aternity nursing
c* c* c* c* c* c* c* c* c* c* c* c*c* c* c*
is driven by the relationship between nurses and their clients.
c* c* c* c* c* c* c* c* c*
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: c* c* *c
Nursing Process: Planning c* c*
C* SC: Client Needs: Health Pro otion and aintenance
c* c* c* c* c* c* c*C*
6. A 38-year-old Hispanic wo an vaginally delivered a 9-pound, 6-
c* c* c* c* c* c* c* c* c*
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later fro sepsis. O
c* c* c* c* *c c* c* c* c* c* c* c* c* c* c* c* c*c* c*
n what grounds could the wo an have a legiti ate legal case for negligence?
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
a. Inexperienced aternity nurse was assigned to care for the client. c*c* c* c* c* c* c* c* c* c*
b. Client was past her due date by 3 days. c* c* c* c* c* c* c* c*
c. Standard of care was not et. c* c* c* c* c*c*
d. Client refused electronic fetal onitoring. c* c* c* c*c*
ANS: C c *
Not eeting the standard of care is a legiti ate factor for a case of negligence. An inexpe
c*c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
rienced aternity nurse would need to display co petency before being assigned tocare for
c*c* c* c* c* c* c* c* c* c* c* c* c* *c c* c
clients on his or her own. This client ay have been past her due date; however, ater pr
* c* c* c* c* c* c* c* c*c* c* c* c* c* c* c* c* c* *c c*c*
egnancy often goes beyond 40 weeks of gestation. Although fetal onitoring is thestanda
c* c* c* c* c* c* c* c* c* c*c* c* c* *c
rd of care, the client has the right to refuse treat ent. This refusal is not a case for neglig
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ence, but infor ed consent should be properly obtained, and the client should have signe
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
d an against edical advice for when refusing any treat ent that is within the standard of
c* c* c*c* c* c* c*c* c* c* c* c* c* c* c* c* c* c*
care.
c*
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: c* c* *c
Nursing Process: I ple entation c* c* c* c*
C* SC: Client Needs: Safe and Effective Care Environ ent
c* c* c* c* c* c* c* c*
7. When the nurse is unsure how to perfor a client care procedure that is high risk and lo
c* c* c* c* c* c* c* c*c* c* c* c* c* c* c* c* c* c*
wvolu e, his or her best action in this situation would be what?
*c c* c* c* c* c* c* c* c* c* c* c* c*
a. Ask another nurse. c* c*
b. Discuss the procedure with the client’s physician. c* c* c* c* c* c*
c. Look up the procedure in a nursing textbook.c* c* c* c* c* c* c*
d. First consult the agency procedure anual
c* c* c* c* c*c*
ANS: D c *
Following the agency’s policies and procedures anual is always best when seeking infor
c* c* c* c* c* c*c* c* c* c* c* c* c* c*
ation on correct client procedures. These policies should reflect the current standardsof ca
c* c* c* c* c* c* c* c* c* c* c* *c c*
re and the individual state’s guidelines. Each nurse is responsible for his or her own pract
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ice. Relying on another nurse ay not always be a safe practice. Each nurse is obligated t
c* c* c* c* c*c* c* c* c* c* c* c* c* c* c* c* c*
o follow the standards of care for safe client care delivery. Physicians are responsible for
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c
*their own client care activity. Nurses ay follow safe orders fro physicians, but they are
c* c* c* c* c* c*c* c* c* c* c* c*c* c* c* c* c*
also responsible for the activities that they, as nurses, are to carry out. Infor ation provide
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
d in a nursing textbook is basic infor ation for general knowledge.Further ore, the infor ati
c* c* c* c* c* c* c* c* c* c* c* *c c* c* c* c*
on in a textbook ay not reflect the current standard of care or the individual state or hosp
c* c* c* c*c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ital policies. c*