Test Bank by Lowdermilk: Maternity & Women’s Health Care, 11th Edition. All Chapters with Correct Answers

Lowdermilk: iMaternity i& iWomen‘s iHealth iCare, i11th
iEdition




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Chapter 01: 21st Century Maternity and Women’s Health Nursing
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Lowdermilk: Maternity & Women’s Health Care, 11th Edition
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MULTIPLE iCHOICE

,Lowdermilk: iMaternity i& iWomen‘s iHealth iCare, i11th
iEdition

1. In ievaluating ithe ilevel iof ia ipregnant iwoman‘s irisk iof ihaving ia ilow-birth-weight i(LBW)
iinfant, iwhich ifactor iis ithe imost iimportant ifor ithe inurse ito iconsider?
a. African-American irace
b. Cigarette ismoking
c. Poor inutritional istatus
d. Limited imaternal ieducation
CORRECT iANSWER:
iA

For iAfrican-American ibirths, ithe iincidence iof iLBW iinfants iis itwice ithat iof iCaucasian
ibirths. iRace iis ia inonmodifiable irisk ifactor. iCigarette ismoking iis ian iimportant ifactor iin

ipotential iinfant imortality irates, ibut iit iis inot ithe imost iimportant. iAdditionally, ismoking iis ia

imodifiable irisk ifactor. iPoor inutrition iis ian iimportant ifactor iin ipotential iinfant imortality

irates, ibut iit iis inot ithe imost iimportant. iAdditionally, inutritional istatus iis ia imodifiable irisk

ifactor. iMaternal ieducation iis ian iimportant ifactor iin ipotential iinfant imortality irates, ibut iit iis

inot ithe imost iimportant. iAdditionally, imaternal ieducation iis ia imodifiable irisk ifactor.




DIF: Cognitive iLevel: iUnderstand REF: ip. i6
iTOP: i Nursing iProcess: iAssessment

MSC: i Client iNeeds: iHealth iPromotion iand iMaintenance, iAntepartum iCare

2. What iis ithe iprimary irole iof ipracticing inurses iin ithe iresearch iprocess?
a. Designing iresearch istudies
b. Collecting idata ifor iother iresearchers
c. Identifying iresearchable iproblems
d. Seeking ifunding ito isupport iresearch istudies
CORRECT iANSWER:
iC

When iproblems iare iidentified, iresearch ican ibe iproperly iconducted. iResearch iof ihealth icare
iissues ileads ito ievidence-based ipractice iguidelines. iDesigning iresearch i studies iis ionly ione

ifactor iof ithe iresearch iprocess. iData icollection iis ianother ifactor iof iresearch. iFinancial

isupport iis inecessary ito iconduct iresearch, ibut iit iis inot ithe iprimary irole iof ithe inurse iin ithe

iresearch iprocess.




DIF: Cognitive iLevel: iUnderstand REF: i p. i14 TOP: i Nursing iProcess:
iN/A iMSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment




3. A i23-year-old iAfrican-American iwoman iis ipregnant iwith iher ifirst ichild. iBased ion
ithe istatistics ifor iinfant imortality, iwhich iplan iis imost iimportant ifor ithe inurse ito
iimplement?

a. Perform ia inutrition iassessment.
b. Refer ithe iwoman ito ia isocial iworker.
c. Advise ithe iwoman ito isee ian iobstetrician, inot ia imidwife.
d. Explain ito ithe iwoman ithe iimportance iof ikeeping iher iprenatal icare iappointments.
CORRECT iANSWER:
iD

,Lowdermilk: iMaternity i& iWomen‘s iHealth iCare, i11th
iEdition
Consistent iprenatal icare iis ithe ibest imethod iof ipreventing ior icontrolling irisk ifactors
iassociated iwith iinfant imortality. iNutritional istatus iis ian iimportant imodifiable irisk ifactor,
ibut iit iis inot ithe imost iimportant iaction ia inurse ishould itake iin ithis isituation. iThe iclient imay
ineed iassistance ifrom ia isocial iworker iat i some itime iduring iher ipregnancy, ibut ia ireferral ito

ia isocial iworker iis inot ithe imost iimportant iaspect ithe inurse ishould iaddress iat ithis itime. iIf

ithe iwoman ihas iidentifiable ihigh-risk iproblems, ithen iher ihealth icare imay ineed ito ibe

iprovided iby ia iphysician. iHowever, iit icannot ibe iassumed ithat iall iAfrican-American iwomen

ihave ihigh-risk iissues. iIn iaddition, iadvising ithe iwoman ito isee ian iobstetrician iis inot ithe imost

iimportant iaspect ion iwhich ithe inurse ishould ifocus iat ithis itime, iand iit iis inot iappropriate ifor

ia inurse ito iadvise ior imanage ithe itype iof icare ia iclient iis ito ireceive.




DIF: Cognitive iLevel: iUnderstand REF: i p. i6 TOP: i Nursing iProcess:
iPlanning iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance




4. During ia iprenatal iintake iinterview, ithe inurse iis iin ithe iprocess iof iobtaining ian iinitial
assessment iof ia i21-year-old iHispanic iclient iwith ilimited iEnglish iproficiency. iWhich iaction
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is ithe imost iimportant ifor ithe inurse ito iperform?
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a. Use imaternity ijargon ito ienable ithe iclient ito ibecome ifamiliar iwith ithese iterms.
b. Speak iquickly iand iefficiently ito iexpedite ithe ivisit.
c. Provide ithe iclient iwith ihandouts.
d. Assess iwhether ithe iclient iunderstands ithe idiscussion.
CORRECT iANSWER: i D
Nurses icontribute ito ihealth iliteracy iby iusing isimple, icommon iwords, iavoiding ijargon, iand
ievaluating iwhether ithe iclient iunderstands ithe idiscussion. iSpeaking islowly iand iclearly iand

ifocusing ion iwhat iis iimportant iwill iincrease iunderstanding. iMost iclient ieducation imaterials

iare iwritten iat ia ilevel itoo ihigh ifor ithe iaverage iadult iand imay inot ibe iuseful ifor ia iclient iwith

ilimited iEnglish iproficiency.




DIF: Cognitive iLevel: iApply REF: i p. i5 TOP: i Nursing iProcess:
iEvaluation iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance




5. The inurses iworking iat ia inewly iestablished ibirthing icenter ihave ibegun ito icompare itheir
iperformance iin iproviding imaternal-newborn icare iagainst iclinical istandards. iThis
icomparison iprocess iis imost icommonly iknown ias iwhat?

a. Best ipractices inetwork
b. Clinical ibenchmarking
c. Outcomes-oriented ipractice
d. Evidence-based ipractice
CORRECT iANSWER: i C
Outcomes-oriented ipractice imeasures ithe ieffectiveness iof ithe iinterventions iand iquality iof
icare iagainst ibenchmarks ior istandards. iThe iterm ibest ipractice irefers ito ia iprogram ior iservice

ithat ihas ibeen irecognized ifor iits iexcellence. iClinical ibenchmarking iis ia iprocess iused ito

icompare ione‘s iown iperformance iagainst ithe iperformance iof ithe ibest iin ian iarea iof iservice.

iThe iterm ievidence-based ipractice irefers ito ithe iprovision iof icare ibased ion ievidence igained

ithrough iresearch iand iclinical itrials.




DIF: Cognitive iLevel: iUnderstand REF: i p. i11 TOP: i Nursing iProcess:
iEvaluation iMSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment

, Lowdermilk: iMaternity i& iWomen‘s iHealth iCare, i11th
iEdition
6. Which istatement ibest iexemplifies icontemporary imaternity inursing?
a. Use iof imidwives ifor iall ivaginal ideliveries
b. Family-centered icare
c. Free-standing ibirth iclinics
d. Physician-driven icare
CORRECT iANSWER: i B
Contemporary imaternity inursing ifocuses ion ithe ifamily‘s ineeds iand idesires. iFathers, ipartners,
igrandparents, iand isiblings imay ibe ipresent ifor ithe ibirth iand iparticipate iin iactivities isuch ias

icutting ithe ibaby‘s iumbilical icord. iBoth imidwives iand iphysiciCORRECT iANSWER

iperform ivaginal ideliveries. iFree-standing iclinics i are ian iexample iof ialternative ibirth

ioptions.

Contemporary imaternity inursing iis idriven iby ithe irelationship ibetween inurses iand itheir
iclients.




DIF: Cognitive iLevel: iUnderstand REF: i pp. i8-9 TOP: i Nursing iProcess:
iPlanning iMSC: i Client iNeeds: iHealth iPromotion iand iMaintenance




7. A i38-year-old iHispanic iwoman ivaginally idelivered ia i9-pound, i6-ounce ibaby igirl iafter
being iin ilabor ifor i43 ihours. iThe ibaby idied i3 idays ilater ifrom isepsis. iOn iwhat igrounds
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could ithe iwoman ihave ia ilegitimate ilegal icase ifor inegligence?
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a. Inexperienced imaternity inurse iwas iassigned ito icare ifor ithe iclient.
b. Client iwas ipast iher idue idate iby i3 idays.
c. Standard iof icare iwas inot imet.
d. Client irefused ielectronic ifetal imonitoring.
CORRECT iANSWER: i C
Not imeeting ithe istandard iof icare iis ia ilegitimate ifactor ifor ia icase iof inegligence. iAn
iinexperienced imaternity inurse iwould ineed ito idisplay icompetency ibefore ibeing iassigned ito

icare ifor iclients ion ihis ior iher iown. iThis iclient imay ihave ibeen ipast iher idue idate; ihowever, ia

iterm ipregnancy ioften igoes ibeyond i40 iweeks iof igestation. iAlthough ifetal imonitoring iis ithe

istandard iof icare, ithe iclient ihas ithe iright ito irefuse itreatment. iThis irefusal iis inot ia icase ifor

inegligence, ibut iinformed iconsent ishould ibe iproperly iobtained, iand ithe iclient ishould ihave

isigned ian iagainst imedical iadvice iform iwhen irefusing iany itreatment ithat iis iwithin ithe

istandard iof icare.




DIF: Cognitive iLevel: iAnalyze REF: ip. i13
iTOP: i Nursing iProcess: iImplementation

MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment

8. When ithe inurse iis iunsure ihow ito iperform ia iclient icare iprocedure ithat iis ihigh irisk iand
low ivolume, ihis ior iher ibest iaction iin ithis isituation iwould ibe iwhat?
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a. Ask ianother inurse.
b. Discuss ithe iprocedure iwith ithe iclient‘s iphysician.
c. Look iup ithe iprocedure iin ia inursing itextbook.
d. Consult ithe iagency iprocedure imanual, iand ifollow ithe iguidelines ifor ithe iprocedure.
CORRECT iANSWER: i D