Maternityd &dWomen’sd Healthd Cared 12thd Edition
d Lowdermilkd Testd Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE d
1. In evaluating the level of a pregnant womans risk of having a low-birth-
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weight (LBW) infant, which factor is the most important for the nurse to consider?
d d d d d d d d d d d d d
a. African-American race d
b. Cigarette smoking d
c. Poor nutritional status d d
d. Limited maternal education d d
ANS: A d
For African-
d
American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodif
d d d d d d d d d d d d d d d d
iable risk factor. Cigarette smoking is an important factor in potential infant mortality rates, but it is
d d d d d d d d d d d d d d d d d
not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition is an import
d d d d d d d d d d d d d d d
ant factor in potential infant mortality rates, but it is not the most important. Additionally, nutritiona
d d d d d d d d d d d d d d d
l status is a modifiable risk factor. Maternal education is an important factor in potential infant mort
d d d d d d d d d d d d d d d d
ality rates, but it is not the most important. Additionally, maternal education is a modifiable risk fact
d d d d d d d d d d d d d d d d
or.
DIF: Cognitive Level: Understand REF: IM:
d d d d d
TOP: Nursing Process: Assessment
d d d
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
d d d d d d d d
2. What is the primary role of practicing nurses in the research process?
d d d d d d d d d d d
a. Designing research studies d d
b. Collecting data for other researchers d d d d
,c. Identifying researchable problems
d d
, d. Seeking funding to support research studies d d d d d d
ANS: C d
When problems are identified, research can be properly conducted. Research of health care issues l
d d d d d d d d d d d d d d
eads to evidence- d d
based practice guidelines. Designing research studies is only one factor of the research process. Dat
d d d d d d d d d d d d d d
a collection is another factor of research. Financial support is necessary to conduct research, but it i
d d d d d d d d d d d d d d d d
s not the primary role of the nurse in the research process.
d d d d d d d d d d d
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A MSC:
d d d d d d d d d d d
Client Needs: Safe and Effective Care Environment
d d d d d d d
3. A 23-year-old African-
d d
American woman is pregnant with her first child. Based on the statistics for infant mortality
d d d d d d d d d d d d d d
, which plan is most important for the nurse to implement?
d d d d d d d d d d
a. Perform a nutrition assessment. d d d
b. Refer the woman to a social worker. d d d d d d
c. Advise the woman to see an obstetrician, not a midwife. d d d d d d d d d
d. Explain to the woman the importance of keeping her prenatal care appointments.
d d d d d d d d d d d
ANS: D d
Consistent prenatal care is the best method of preventing or controlling risk factors associated with i
d d d d d d d d d d d d d d d
nfant mortality. Nutritional status is an important modifiable risk factor, but it is not the most import
d d d d d d d d d d d d d d d d
ant action a nurse should take in this situation. The client may need assistance from a social worker a
d d d d d d d d d d d d d d d d d d
t some time during her pregnancy, but a referral to a social worker is not the most important aspect t
d d d d d d d d d d d d d d d d d d d
he nurse should address at this time. If the woman has identifiable high-
d d d d d d d d d d d d
risk problems, then her health care may need to be provided by a physician. However, it cannot be a
d d d d d d d d d d d d d d d d d d
ssumed that all African-American women have high-
d d d d d d
risk issues. In addition, advising the woman to see an obstetrician is not the most important aspect o
d d d d d d d d d d d d d d d d d
n which the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage t
d d d d d d d d d d d d d d d d d d d d d
he type of care a client is to receive.
d d d d d d d d
, DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
d d d d d d d d d
d Lowdermilkd Testd Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
d d d d d d d d
MULTIPLE CHOICE d
1. In evaluating the level of a pregnant womans risk of having a low-birth-
d d d d d d d d d d d d
weight (LBW) infant, which factor is the most important for the nurse to consider?
d d d d d d d d d d d d d
a. African-American race d
b. Cigarette smoking d
c. Poor nutritional status d d
d. Limited maternal education d d
ANS: A d
For African-
d
American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodif
d d d d d d d d d d d d d d d d
iable risk factor. Cigarette smoking is an important factor in potential infant mortality rates, but it is
d d d d d d d d d d d d d d d d d
not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition is an import
d d d d d d d d d d d d d d d
ant factor in potential infant mortality rates, but it is not the most important. Additionally, nutritiona
d d d d d d d d d d d d d d d
l status is a modifiable risk factor. Maternal education is an important factor in potential infant mort
d d d d d d d d d d d d d d d d
ality rates, but it is not the most important. Additionally, maternal education is a modifiable risk fact
d d d d d d d d d d d d d d d d
or.
DIF: Cognitive Level: Understand REF: IM:
d d d d d
TOP: Nursing Process: Assessment
d d d
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
d d d d d d d d
2. What is the primary role of practicing nurses in the research process?
d d d d d d d d d d d
a. Designing research studies d d
b. Collecting data for other researchers d d d d
,c. Identifying researchable problems
d d
, d. Seeking funding to support research studies d d d d d d
ANS: C d
When problems are identified, research can be properly conducted. Research of health care issues l
d d d d d d d d d d d d d d
eads to evidence- d d
based practice guidelines. Designing research studies is only one factor of the research process. Dat
d d d d d d d d d d d d d d
a collection is another factor of research. Financial support is necessary to conduct research, but it i
d d d d d d d d d d d d d d d d
s not the primary role of the nurse in the research process.
d d d d d d d d d d d
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A MSC:
d d d d d d d d d d d
Client Needs: Safe and Effective Care Environment
d d d d d d d
3. A 23-year-old African-
d d
American woman is pregnant with her first child. Based on the statistics for infant mortality
d d d d d d d d d d d d d d
, which plan is most important for the nurse to implement?
d d d d d d d d d d
a. Perform a nutrition assessment. d d d
b. Refer the woman to a social worker. d d d d d d
c. Advise the woman to see an obstetrician, not a midwife. d d d d d d d d d
d. Explain to the woman the importance of keeping her prenatal care appointments.
d d d d d d d d d d d
ANS: D d
Consistent prenatal care is the best method of preventing or controlling risk factors associated with i
d d d d d d d d d d d d d d d
nfant mortality. Nutritional status is an important modifiable risk factor, but it is not the most import
d d d d d d d d d d d d d d d d
ant action a nurse should take in this situation. The client may need assistance from a social worker a
d d d d d d d d d d d d d d d d d d
t some time during her pregnancy, but a referral to a social worker is not the most important aspect t
d d d d d d d d d d d d d d d d d d d
he nurse should address at this time. If the woman has identifiable high-
d d d d d d d d d d d d
risk problems, then her health care may need to be provided by a physician. However, it cannot be a
d d d d d d d d d d d d d d d d d d
ssumed that all African-American women have high-
d d d d d d
risk issues. In addition, advising the woman to see an obstetrician is not the most important aspect o
d d d d d d d d d d d d d d d d d
n which the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage t
d d d d d d d d d d d d d d d d d d d d d
he type of care a client is to receive.
d d d d d d d d
, DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
d d d d d d d d d
