Test Bank for Maternity & Women’s Health Care, 11th Edition, Lowdermilk.pdf

, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank v v v v v v v v v




Chapter 01: 21st Century Maternity and Women’s HealthNursing
v v v v v v v v




Lowdermilk: Maternity & Women’s Health Care, 11th Edition
v v v v v v v v




MULTIPLECHOICE v




1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
v v v v v v v v v v v v v v




which factor is the most important for the nurse to consider?
v v v v v v v v v v v




a. African-American race v




b. Cigarette smoking v




c. Poor nutritional status v v




d. Limited maternal education v v




ANS: A v




For African-American births, the incidence of LBW infants is twice that of Caucasian births.
v v v v v v v v v v v v v




Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
v v v v v v v v v v v v v v v




mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
v v v v v v v v v v v v v v v v




Poor nutrition is an important factor in potential infant mortality rates, but it is not the most
v v v v v v v v v v v v v v v v v




important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
v v v v v v v v v v v v v




important factor in potential infant mortality rates, but it is not the most important. Additionally,
v v v v v v v v v v v v v v v




maternal education is a modifiable risk factor.
v v v v v v v




DIF: Cognitive Level: Understand REF: p.6 v v v v




TOP: Nursing Process: Assessment
v v v v




MSC: Client Needs: Health Promotion andMaintenance, Antepartum Care
v v v v v v v v




2. Whatistheprimaryroleofpracticing nurses in the research process?
N R UISNGT B.C M O
v v v v v v v v v v v v v v v v v




a. Designing research studies v v
v v
v
v
v v
v v v




b. Collecting data for other researchers v v v v




c. Identifying researchable problems v v




d. Seeking funding to support research studies v v v v v




ANS: C v




When problems are identified, research can be properly conducted. Research of health care
v v v v v v v v v v v v




issues leads to evidence-based practice guidelines. Designing research studies is only one factor
v v v v v v v v v v v v v




of the research process. Data collection is anotherfactor of research. Financial support is
v v v v v v v v v v v v v v




necessary to conduct research, but it is not the primary role of the nurse in the research process.
v v v v v v v v v v v v v v v v v v




DIF: Cognitive Level: Understand REF: p. 14 v v v v TOP: NursingProcess:N/A v v v




MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v v




3. A 23-year-old African-American woman is pregnant with her first child. Based on the
v v v v v v v v v v v v




statistics for infant mortality, which plan is most important for the nurse to implement?
v v v v v v v v v v v v v v




a. Perform a nutrition assessment. v v v




b. Refer the woman to a social worker. v v v v v v




c. Advise the woman to see an obstetrician, not a midwife. v v v v v v v v v




d. Explain to the woman the importance of keeping her prenatal care appointments.v v v v v v v v v v v




ANS: D v




NURSINGTB.COM

, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank v v v v v v v v v




Consistent prenatal care is the best method of preventing or controlling risk factors associated with
v v v v v v v v v v v v v v




infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most
v v v v v v v v v v v v v v v v




important action a nurse should take in this situation. The client may need assistance from a social
v v v v v v v v v v v v v v v v v




worker at some time during her pregnancy, but a referral to a social worker is not the most
v v v v v v v v v v v v v v v v v v




important aspect the nurse should address at this time. If the woman has identifiable high-risk
v v v v v v v v v v v v v v v




problems, then her health care may need to be provided by a physician. However, it cannot be
v v v v v v v v v v v v v v v v v




assumed that all African-American women have high-risk issues. In addition, advising the
v v v v v v v v v v v v




woman to see an obstetrician is not the most important aspect on which the nurse should focus at
v v v v v v v v v v v v v v v v v v




this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
v v v v v v v v v v v v v v v v v v v v v v




receive.
v




DIF: Cognitive Level: Understand REF: p. 6 v v v v TOP: NursingProcess:Planning v v v




MSC: Client Needs: Health Promotion and Maintenance
v v v v v v v




4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of
v v v v v v v v v v v v v v v v




a 21-year-old Hispanic client with limited English proficiency. Which action is the most
v v v v v v v v v v v v v




important for the nurse to perform?
v v v v v v




a. Use maternity jargon to enable the client to become familiar with these terms.
v v v v v v v v v v v v




b. Speak quickly and efficiently to expedite the visit. v v v v v v v




c. Provide the client with handouts. v v v v




d. Assess whether the client understands the discussion. v v v v v v




ANS: D v




Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
v v v v v v v v v v v v




evaluating whether the client understands the discussion. Speaking slowly and clearly and
v v v v v v v v v v v v




focusing on what is important will increase understanding. Most client education materials are
v v v v v v v v v v v v v




writtenataleveltoohighforNtheRaveIra g G
v v e adB
v ul.
tC
andMmay notbeusefulforaclientwithlimited
v v v v v v v v v v v v v v v v v v v v v v




English proficiency. USNT v O v v v




DIF: Cognitive Level: Apply REF: p. 5 v v v v TOP: NursingProcess:Evaluation v v v




MSC: Client Needs: Health Promotion and Maintenance
v v v v v v v




5. The nurses working at a newly established birthing center have begun to compare their
v v v v v v v v v v v v v




performancein providing maternal-newborn care against clinical standards. This comparison
v v v v v v v v v v




process is most commonly known as what?
v v v v v v v




a. Best practices network v v




b. Clinical benchmarking v




c. Outcomes-oriented practice v




d. Evidence-based practice v




ANS: C v




Outcomes-oriented practice measures the effectiveness of the interventions and quality of care v v v v v v v v v v v




against benchmarks or standards. The term best practice refers to a program or service that has
v v v v v v v v v v v v v v v v




been recognized for its excellence. Clinical benchmarking is a process used to compare one’s
v v v v v v v v v v v v v v




own performance against the performance of the best in an area of service. The term evidence-
v v v v v v v v v v v v v v v v




based practice refers to the provision of care based on evidence gained through research and
v v v v v v v v v v v v v v




clinical trials.
v v




DIF: Cognitive Level: Understand REF: p. 11 v v v v TOP: NursingProcess:Evaluation v v v




MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v v




NURSINGTB.COM

, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank v v v v v v v v v




6. Which statement best exemplifies contemporary maternity nursing?
v v v v v v




a. Use of midwives for all vaginal deliveries v v v v v v




b. Family-centered care v




c. Free-standing birth clinics v v




d. Physician-driven care v




ANS: B v




Contemporarymaternity nursing focuses on the family’s needs and desires. Fathers, partners, v v v v v v v v v v v




grandparents, and siblings may be present for the birth and participate in activities such as
v v v v v v v v v v v v v v v




cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
v v v v v v v v v v v v




Free-standing clinics are an example of alternative birth options. Contemporary maternity
v v v v v v v v v v v




nursing is driven by the relationship between nurses and their clients.
v v v v v v v v v v v




DIF: Cognitive Level: Understand REF: pp. 8-9 v v v v TOP: NursingProcess:Planning v v v




MSC: Client Needs: Health Promotion and Maintenance
v v v v v v v




7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
v v v v v v v v v v v v v




labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
v v v v v v v v v v v v v v v v v v




have a legitimate legal case for negligence?
v v v v v v v




a. Inexperienced maternity nurse was assigned to care for the client. v v v v v v v v v




b. Client was past her due date by 3 days. v v v v v v v v




c. Standard of care was not met. v v v v v




d. Client refused electronic fetal monitoring. v v v v




ANS: C v




Not meeting the standard of care is a legitimate factor for a case of negligence. An
v v v v v v v v v v v v v v v




inexperienced maternity nursewould need to display competency before being assigned to care
v v v v v v v v v v v v v




for clients on his or her N
v v owUnRShIisNcGlieTnBt m
.T .C
ayOhM
ave been past her due date; however, a
v v v v v v v v v v v v v v




term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
v v v v v v v v v v v v v




standard of care, the client has the right to refuse treatment. This refusal is not a case for
v v v v v v v v v v v v v v v v v




negligence, but informed consent should be properly obtained, and the client should have signed
v v v v v v v v v v v v v v




an against medical advice form when refusing any treatment that is within the standard of care.
v v v v v v v v v v v v v v v v




DIF: Cognitive Level: Analyze REF: p.13 v v v v




TOP: Nursing Process: Implementation
v v v v




MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v




8. When the nurse is unsure how to perform a client care procedure that is high risk and low
v v v v v v v v v v v v v v v v v




vvolume, his or her best action in this situation would be what?
v v v v v v v v v v v




a. Ask another nurse. v v




b. Discuss the procedure with the client’s physician. v v v v v v




c. Look up the procedure in a nursing textbook. v v v v v v v




d. Consult the agency procedure manual, and follow the guidelines for the procedure. v v v v v v v v v v v




ANS: D v




NURSINGTB.COM