Test
TEST BANK te
FOR MATERNITY AND WOMEN'S
te te te
HEALTHCARE 13TH EDITION
te te te
LOWDERMILK te
, Maternity teAnd teWomen'S teHealth teCare te13th teEdition teLowdermilk teTest
bAnk
te Chapter 0 1 : 2 1 s t Century Maternity And Women’s Health Nursing
te te te te te te te
te Lowdermilk: Maternity & Women’s Health Care, 12th Edition
te te te te te te te
Multiple teChoice
1. In teEvaluating teThe teLevel teOf teA tePregnant teWoman’s teRisk teOf teHaving teA teLow-Birth-
teWeight te(Lbw)Infant, teWhich teFactor teIs teThe teMost teImportant teFor teThe teNurse teTo
teConsider?
a. African-American t e Race
b. Cigarette teSmoking
c. Poor teNutritional teStatus
d. Limited teMaternal teEducation
ANSWER: t e A
The teRise teIn teThe teOverall teLbw teRates teWere teDue teTo teIncreases teIn teLbw teBirths teTo teNon-
teHispanic teBlack teWomen te(13.35%) teAnd teHispanic teWomen te(7.21%); teNon-Hispanic teBlack
teInfants teAre teAlmost teTwice teAs teLikely teAs teNon-Hispanic teWhite teInfants teTo teBe teOf teLbw
teAnd teTo teDie teIn teThe teFirst teYear teOf teLife.. teRace teIs teA teNonmodifiable teRisk teFactor.
teCigarette teSmoking teIs teAn teImportant teFactor teInPotential teInfant teMortality teRates, teBut teIt teIs
teNot teThe teMost teImportant. teAdditionally, teSmoking teIs teA teModifiable teRisk teFactor. tePoor
teNutrition teIs teAn teImportant teFactor teIn tePotential teInfant teMortality teRates, teBut teIt teIs teNot
teThe teMost teImportant.
Additionally, teNutritional teStatus teIs teA teModifiable teRisk teFactor. teMaternal teEducation teIs
teAn teImportant teFactor teIn tePotential teInfant teMortality teRates, teBut teIt teIs teNot teThe teMost
teImportant. teAdditionally, teMaternal teEducation teIs teA teModifiable teRisk teFactor.
Pts: t e t e 1 Dif: t e Cognitive teLevel:
teUnderstand teTop: t e t e Nursing teProcess: teAssessment
Msc: t e Client teNeeds: teHealnance, teAntepartum teCare
2. A te23-Year-Old teAfrican-American teWoman teIs tePregnant teWith teHer teFirst teChild. teBased
teOn teCurrentStatistics teFor teInfant teMortality, teWhich teIntervention teIs teMost teImportant teFor
teThe teNurse teTo teIncludeIn teThe teClient’s tePlan teOf teCare?
a. Perform teA teNutrition teAssessment.
b. Refer teThe teWoman teTo teA teSocial teWorker.
c. Advise teThe teWoman teTo teSee teAn teObstetrician, teNot teA teMidwife.
d. Explain teTo teThe teWoman teThe teImportance teOf teKeeping teHer tePrenatal teCare teAppointments.
ANSWER: t e D
Consistent tePrenatal teCare teIs teThe teBest teMethod teOf tePreventing teOr teControlling teRisk
teFactors teAssociated teWith teInfant teMortality. teNutritional teStatus teIs teAn teImportant
teModifiable teRisk teFactor, teButIt teIs teNot teThe teMost teImportant teAction teA teNurse teShould
teTake teIn teThis teSituation. teThe teClient teMay teNeed teAssistance teFrom teA teSocial teWorker teAt
teSome teTime teDuring teHer tePregnancy, teBut teA teReferral teTo teA teSocialWorker teIs teNot teThe
teMost teImportant teAspect teThe teNurse teShould teAddress teAt teThis teTime. teIf teThe teWoman teHas
teIdentifiable teHigh-Risk teProblems, teThen teHer teHealth teCare teMay teNeed teTo teBe teProvided
teBy teA tePhysician. teHowever, teIt teCannot teBe teAssumed teThat teAll teAfrican-American teWomen
teHave teHigh-RiskIssues. teIn teAddition, teAdvising teThe teWoman teTo teSee teAn teObstetrician teIs
teNot teThe teMost teImportant teAspect teOn teWhich teThe teNurse teShould teFocus teAt teThis teTime,
teAnd teIt teIs teNot teAppropriate teFor teA teNurse teTo teAdvise teOr teManage teThe teType teOf teCare teA
teClient teIs teTo teReceive.
Pts: t e t e 1 Dif: t e Cognitive Level:
te
teUnderstand teTop: t e t e Nursing teProcess: tePlanning
, Maternity teand teWomen's teHealth teCare te13th teEdition teLowdermilk
Test
Msc: t e Client teNeeds: teHealth tePromotion teAnd teMaintenance
3. The teNurses teWorking teAt teA teNewly teEstablished teBirthing teCenter teHave teBegun teTo
teCompare teTheirPerformance teIn teProviding teMaternal-Newborn teCare teAgainst
teClinical teStandards. teThis teComparison teProcess teIs teMost teCommonly teKnown teAs
teWhat?
a. Best tePractices teNetwork
b. Clinical teBenchmarking
c. Outcomes-Oriented t e Pracnt iu cer s
d. Evidence-Based t e Practice
ANSWER: t e C
Outcomes-Oriented tePractice teMeasures teThe teEffectiveness teOf teThe teInterventions teAnd
teQuality teOf teCare teAgainst teBenchmarks teOr teStandards. teThe teTerm teBest tePractice teRefers
teTo teA teProgram teOr teServiceThat teHas teBeen teRecognized teFor teIts teExcellence. teClinical
teBenchmarking teIs teA teProcess teUsed teTo teCompare teOne’s teOwn tePerformance teAgainst teThe
tePerformance teOf teThe teBest teIn teAn teArea teOf teService. teThe teTerm teEvidence-Based tePractice
teRefers teTo teThe teProvision teOf teCare teBased teOn teEvidence teGained teThrough teResearch teAnd
teClinical teTrials.
Pts: 1 Dif: Cognitive teLevel: teUnderstand
teTop: Nursing teProcess: teEvaluation
Msc: t e Client teNeeds: teSafe teAnd teEffective teCare teEnvironment
4. During teA tePrenatal teIntake teInterview, teThe teNurse teIs teIn teThe teProcess teOf teObtaining
teAn teInitial teAssessment teOf teA te21-Year-Old teHispanic teClient teWith teLimited
teEnglish teProficiency. teWhich teIntervention teIs teThe teMost teImportant teFor teThe teNurse
teTo teImplement?
a. Use teMaternityteJargon teTo teEnable teThe teClient teTo teBecome teFamiliar teWith teThese teTerms.
b. Speak teQuickly teAnd teEfficiently teTo teExpedite teThe teVisit.
c. Provide teThe teClient teWith teHandouts.
d. Assess teWhether teThe teClient teUnderstands teThe teDiscussion.
ANSWER: t e D
Nurses teContribute teTo teHealth teLiteracy teBy teUsing teSimple, teCommon teWords, teAvoiding
teJargon, teAndEvaluating teWhether teThe teClient teUnderstands teThe teDiscussion. teSpeaking
teSlowly teAnd teClearly teAndFocusing teOn teWhat teIs teImportant teWill teIncrease teUnderstanding.
teMost teClient teEducation teMaterialsAre teWritten teAt teA teLevel teToo teHigh teFor teThe teAverage
teAdult teAnd teMay teNot teBe teUseful teFor teA teClient teWithLimited teEnglish teProficiency.
Pts: 1 Dif: Cognitive teLevel: teApply
teTop: Nursing teProcess: teImplementation
Msc: t e Client teNeeds: teHealth tePromotion teAnd teMaintenance
5. WhichteStatement teBest teExemplifies teContemporary teMaternityteNursing?
a. Use teOf teMidwives teFor teAll teVaginal teDeliveries
b. Family-Centered teCare
c. Free-Standing teBirth teClinics
d. Physician-Driven
CareANSWER: t e B
te
, Maternity teand teWomen's teHealth teCare te13th teEdition teLowdermilk
Test
Contemporary teMaternity teNursing teFocuses teOn teThe teFamily’s teNeeds teAnd teDesires.
teFathers, tePartners, teGrandparents, teAnd teSiblings teMay teBe tePresent teFor teThe teBirth teAnd
teParticipate teIn teActivitiesSuch teAs teCutting teThe teBaby’s teUmbilical teCord. teBoth teMidwives
teAnd tePhysiciANSWER tePerform teVaginal teDeliveries. teFree-Standing teClinics teAre teAn
teExample teOf teAlternative teBirth teOptions. teContemporary teMaternity teNursing teIs teDriven teBy
teThe teRelationship teBetween teNurses teAnd teTheir teClients.
Pts: 1 Dif: Cognitive teLevel: teUnderstand
teTop: Nursing teProcess: tePlanning
Msc: t e Client teNeeds: teHealth tePromotion teAnd teMaintenance
6. A te38-Year-Old teHispanic teWoman teVaginally teDelivered teA te9-Pound, te6-Ounce teBaby teGirl
teAfter teBeingIn teLabor teFor te43 teHours. teThe teBaby teDied te3 teDays teLater teFrom teSepsis. teOn
teWhat teGrounds teCould teThe teWoman teHave teA teLegitimate teLegal teCase teFor teNegligence?
a. Inexperienced teMaternity teNurse teWas teAssigned teTo teCare teFor teThe teClient.
b. Client teWas tePast teHer teDue teDate teByte3 teDays.
c. Standard teOf teCare teWas teNot teMet.
d. Client teRefused teElectronic teFetal teMonitoring.
ANSWER: t e C
Not teMeeting teThe teStandard teOf teCare teIs teA teLegitimate teFactor teFor teA teCase teOf teNegligence.
teAn teInexperienced teMaternity teNurse teWould teNeed teTo teDisplay teCompetency teBefore teBeing
teAssigned teToCare teFor teClients teOn teHis teOr teHer teOwn. teThis teClient teMay teHave teBeen tePast
teHer teDue teDate; teHowever, teATerm tePregnancy teOften teGoes teBeyond te40 teWeeks teOf
teGestation.
Although teFetal teMonitoring teIs teTheStandard teOf teCare, teThe teClient teHas teThe teRight teTo
teRefuse teTreatment. teThis teRefusal teIs teNot teA teCase teFor teNegligence, teBut teInformed
teConsent teShould teBe teProperly teObtained, teAnd teThe teClient teShould teHave teSigned teAn
teAgainst teMedical teAdvice teForm teWhen teRefusing teAny teTreatment teThat teIs teWithin teThe
teStandard teOf teCare.
Pts: 1 Dif: Cognitive teLevel: teAnalyze
teTop: Nursing teProcess: teImplementation
Msc: t e Client teNeeds: teSafe teAnd teEffective teCare teEnvironment
7. When teThe teNurse teIs teUnsure teHow teTo tePerform teA teClient teCare teProcedure teThat teIs teHigh
teRisk teAnd teLowVolume, teHis teOr teHer teBest teAction teIn teThis teSituation teWould teBe
teWhat?
a. Ask teAnother teNurse.
b. Discuss teThe teProcedure teWith teThe teClient’s tePhysician.
c. Look teUp teThe teProcedure teIn teA teNursing teTextbook.
d. First teConsult teThe teAgency teProcedure teManual
ANSWER: t e D
Following teThe teAgency’s tePolicies teAnd teProcedures teManual teIs teAlways teBest teWhen
teSeeking teInformation teOn teCorrect teClient teProcedures. teThese tePolicies teShould teReflect teThe
teCurrent teStandardsOf teCare teAnd teThe teIndividual teState’s teGuidelines. teEach teNurse teIs
teResponsible teFor teHis teOr teHer teOwn tePractice. teRelying teOn teAnother teNurse teMay teNot
teAlways teBe teA teSafe tePractice. teEach teNurse teIs teObligated teTo teFollow teThe teStandards teOf
teCare teFor teSafe teClient teCare teDelivery. tePhysiciANSWER teAre teResponsible teFor teTheir
teOwn teClient teCare teActivity. teNurses teMay teFollow teSafe teOrders teFrom tePhysiciANSWER,
teBut teThey teAre teAlso teResponsible teFor teThe teActivities teThat teThey, teAs teNurses, teAre teTo
teCarry teOut. teInformation teProvided teIn teA teNursing teTextbook teIs teBasic teInformation teFor
teGeneral teKnowledge.Furthermore, teThe teInformation teIn teA teTextbook teMay teNot teReflect
teThe teCurrent teStandard teOf teCare teOr teThe teIndividual teState teOr teHospital tePolicies.