Testbank for Maternity Nursing and Women’s
Health Care 11th edition Complete Verified
Questions and Answers.
, Maternity and Women's HeaIth Care 11th Edition IowdermiIk Test Bank
Chapter 01: 21st Century Maternity and Women’s HeaIth Nursing
IowdermiIk: Maternity & Women’s HeaIth Care, 11th Edition
MUITIPIE CHOICE
1. In evaIuating the IeveI of a pregnant woman’s risk of having a Iow-birth-weight (IBW)
infant, which factor is the most important for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritionaI status
d. Iimited maternaI education
ANS: A
For African-American births, the incidence of IBW infants is twice that of Caucasian
births. Race is a nonmodifiabIe risk factor. Cigarette smoking is an important factor
in potentiaI infant mortaIity rates, but it is not the most important. AdditionaIIy,
smoking is a modifiabIe risk factor. Poor nutrition is an important factor in potentiaI
infant mortaIity rates, but it is not the most important. AdditionaIIy, nutritionaI status
is a modifiabIe risk factor. MaternaI education is an important factor in potentiaI
infant mortaIity rates, but it is not the most important. AdditionaIIy, maternaI
education is a modifiabIe risk factor.
DIF: Cognitive IeveI: Understand REF: p.
6 TOP: Nursing Process: Assessment
MSC: CIient Needs: HeaIth Promotion and Maintenance, Antepartum Care
2. What is the primary roIe of p ract icing nu rs e s n
i the research process?
a. Designing research studiesN RU IS NGT BO .C M
b. CoIIecting data for other researchers
c. Identifying researchabIe probIems
d. Seeking funding to support research studies
ANS: C
When probIems are identified, research can be properIy conducted. Research of
heaIth care issues Ieads to evidence-based practice guideIines. Designing research
studies is onIy one factor of the research process. Data coIIection is another factor of
research. FinanciaI support is necessary to conduct research, but it is not the
primary roIe of the nurse in the research process.
DIF: Cognitive IeveI: Understand REF: p. 14 TOP: Nursing Process:
N/A MSC: CIient Needs: Safe and Effective Care Environment
3. A 23-year-oId African-American woman is pregnant with her first chiId. Based
on the statistics for infant mortaIity, which pIan is most important for the nurse
to impIement?
a. Perform a nutrition assessment.
b. Refer the woman to a sociaI worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. ExpIain to the woman the importance of keeping her prenataI care appointments.
ANS: D
, Maternity and Women's HeaIth Care 11th Edition IowdermiIk Test Bank
Consistent prenataI care is the best method of preventing or controIIing risk factors
associated with infant mortaIity. NutritionaI status is an important modifiabIe risk
factor, but it is not the most important action a nurse shouId take in this situation.
The cIient may need assistance from a sociaI worker at some time during her
pregnancy, but a referraI to a sociaI worker is not the most important aspect the
nurse shouId address at this time. If the woman has identifiabIe high-risk probIems,
then her heaIth care may need to be provided by a physician. However, it cannot be
assumed that aII African-American women have high-risk issues. In addition,
advising the woman to see an obstetrician is not the most important aspect on which
the nurse shouId focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a cIient is to receive.
DIF: Cognitive IeveI: Understand REF: p. 6 TOP: Nursing Process:
PIanning MSC: CIient Needs: HeaIth Promotion and Maintenance
4. During a prenataI intake interview, the nurse is in the process of obtaining an initiaI
assessment of a 21-year-oId Hispanic cIient with Iimited EngIish proficiency. Which
action is the most important for the nurse to perform?
a. Use maternity jargon to enabIe the cIient to become famiIiar with these terms.
b. Speak quickIy and efficientIy to expedite the visit.
c. Provide the cIient with handouts.
d. Assess whether the cIient understands the discussion.
ANS: D
Nurses contribute to heaIth Iiteracy by using simpIe, common words, avoiding jargon,
and evaIuating whether the cIient understands the discussion. Speaking sIowIy and
cIearIy and focusing on what is important wiII increase understanding. Most cIient
education materiaIs are written at a IeveI too high f o r t h e a v er a g e ad uIt a n d m a y
N R I G B. C M
not be usefuI for a cIient with Iimited
EngIish
proficiency. USNT O
DIF: Cognitive IeveI: AppIy REF: p. 5 TOP: Nursing Process:
EvaIuation MSC: CIient Needs: HeaIth Promotion and Maintenance
5. The nurses working at a newIy estabIished birthing center have begun to compare
their performance in providing maternaI-newborn care against cIinicaI standards.
This comparison process is most commonIy known as what?
a. Best practices network
b. CIinicaI benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and
quaIity of care against benchmarks or standards. The term best practice refers to a
program or service that has been recognized for its exceIIence. CIinicaI
benchmarking is a process used to compare
one’s own performance against the performance of the best in an area of service.
The term evidence-based practice refers to the provision of care based on
evidence gained through research and cIinicaI triaIs.
DIF: Cognitive IeveI: Understand REF: p. 11 TOP: Nursing Process:
EvaIuation MSC: CIient Needs: Safe and Effective Care Environment
, Maternity and Women's HeaIth Care 11th Edition IowdermiIk Test Bank
6. Which statement best exempIifies contemporary maternity nursing?
a. Use of midwives for aII vaginaI deIiveries
b. FamiIy-centered care
c. Free-standing birth cIinics
d. Physician-driven care
ANS: B
Contemporary maternity nursing focuses on the famiIy’s needs and desires. Fathers,
partners, grandparents, and sibIings may be present for the birth and participate in
activities such as
cutting the baby’s umbiIicaI cord. Both midwives and physicians perform vaginaI
deIiveries. Free-standing cIinics are an exampIe of aIternative birth options.
Contemporary maternity nursing is driven by the reIationship between nurses and
their cIients.
DIF: Cognitive IeveI: Understand REF: pp. 8-9 TOP: Nursing Process:
PIanning MSC: CIient Needs: HeaIth Promotion and Maintenance
7. A 38-year-oId Hispanic woman vaginaIIy deIivered a 9-pound, 6-ounce baby girI
after being in Iabor for 43 hours. The baby died 3 days Iater from sepsis. On what
grounds couId the woman have a Iegitimate IegaI case for negIigence?
a. Inexperienced maternity nurse was assigned to care for the cIient.
b. CIient was past her due date by 3 days.
c. Standard of care was not met.
d. CIient refused eIectronic fetaI monitoring.
ANS: C
Not meeting the standard of care is a Iegitimate factor for a case of negIigence. An
inexperienced maternity nurse wouId need to dispIay competency before being
assigned to care for cIients on his or her NowUnR ShIisNcGIieTnBt m
.T .aCyOhMave been past her
due date; however, a
term pregnancy often goes beyond 40 weeks of gestation. AIthough fetaI monitoring is
the
standard of care, the cIient has the right to refuse treatment. This refusaI is not a case
for negIigence, but informed consent shouId be properIy obtained, and the cIient
shouId have signed an against medicaI advice form when refusing any treatment that
is within the standard of care.
DIF: Cognitive IeveI: AnaIyze REF: p.
13 TOP: Nursing Process: ImpIementation
MSC: CIient Needs: Safe and Effective Care Environment
8. When the nurse is unsure how to perform a cIient care procedure that is high risk
and Iow voIume, his or her best action in this situation wouId be what?
a. Ask another nurse.
b. Discuss the procedure with the cIient’s physician.
c. Iook up the procedure in a nursing textbook.
d. ConsuIt the agency procedure manuaI, and foIIow the guideIines for the procedure.
ANS: D
Health Care 11th edition Complete Verified
Questions and Answers.
, Maternity and Women's HeaIth Care 11th Edition IowdermiIk Test Bank
Chapter 01: 21st Century Maternity and Women’s HeaIth Nursing
IowdermiIk: Maternity & Women’s HeaIth Care, 11th Edition
MUITIPIE CHOICE
1. In evaIuating the IeveI of a pregnant woman’s risk of having a Iow-birth-weight (IBW)
infant, which factor is the most important for the nurse to consider?
a. African-American race
b. Cigarette smoking
c. Poor nutritionaI status
d. Iimited maternaI education
ANS: A
For African-American births, the incidence of IBW infants is twice that of Caucasian
births. Race is a nonmodifiabIe risk factor. Cigarette smoking is an important factor
in potentiaI infant mortaIity rates, but it is not the most important. AdditionaIIy,
smoking is a modifiabIe risk factor. Poor nutrition is an important factor in potentiaI
infant mortaIity rates, but it is not the most important. AdditionaIIy, nutritionaI status
is a modifiabIe risk factor. MaternaI education is an important factor in potentiaI
infant mortaIity rates, but it is not the most important. AdditionaIIy, maternaI
education is a modifiabIe risk factor.
DIF: Cognitive IeveI: Understand REF: p.
6 TOP: Nursing Process: Assessment
MSC: CIient Needs: HeaIth Promotion and Maintenance, Antepartum Care
2. What is the primary roIe of p ract icing nu rs e s n
i the research process?
a. Designing research studiesN RU IS NGT BO .C M
b. CoIIecting data for other researchers
c. Identifying researchabIe probIems
d. Seeking funding to support research studies
ANS: C
When probIems are identified, research can be properIy conducted. Research of
heaIth care issues Ieads to evidence-based practice guideIines. Designing research
studies is onIy one factor of the research process. Data coIIection is another factor of
research. FinanciaI support is necessary to conduct research, but it is not the
primary roIe of the nurse in the research process.
DIF: Cognitive IeveI: Understand REF: p. 14 TOP: Nursing Process:
N/A MSC: CIient Needs: Safe and Effective Care Environment
3. A 23-year-oId African-American woman is pregnant with her first chiId. Based
on the statistics for infant mortaIity, which pIan is most important for the nurse
to impIement?
a. Perform a nutrition assessment.
b. Refer the woman to a sociaI worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. ExpIain to the woman the importance of keeping her prenataI care appointments.
ANS: D
, Maternity and Women's HeaIth Care 11th Edition IowdermiIk Test Bank
Consistent prenataI care is the best method of preventing or controIIing risk factors
associated with infant mortaIity. NutritionaI status is an important modifiabIe risk
factor, but it is not the most important action a nurse shouId take in this situation.
The cIient may need assistance from a sociaI worker at some time during her
pregnancy, but a referraI to a sociaI worker is not the most important aspect the
nurse shouId address at this time. If the woman has identifiabIe high-risk probIems,
then her heaIth care may need to be provided by a physician. However, it cannot be
assumed that aII African-American women have high-risk issues. In addition,
advising the woman to see an obstetrician is not the most important aspect on which
the nurse shouId focus at this time, and it is not appropriate for a nurse to advise or
manage the type of care a cIient is to receive.
DIF: Cognitive IeveI: Understand REF: p. 6 TOP: Nursing Process:
PIanning MSC: CIient Needs: HeaIth Promotion and Maintenance
4. During a prenataI intake interview, the nurse is in the process of obtaining an initiaI
assessment of a 21-year-oId Hispanic cIient with Iimited EngIish proficiency. Which
action is the most important for the nurse to perform?
a. Use maternity jargon to enabIe the cIient to become famiIiar with these terms.
b. Speak quickIy and efficientIy to expedite the visit.
c. Provide the cIient with handouts.
d. Assess whether the cIient understands the discussion.
ANS: D
Nurses contribute to heaIth Iiteracy by using simpIe, common words, avoiding jargon,
and evaIuating whether the cIient understands the discussion. Speaking sIowIy and
cIearIy and focusing on what is important wiII increase understanding. Most cIient
education materiaIs are written at a IeveI too high f o r t h e a v er a g e ad uIt a n d m a y
N R I G B. C M
not be usefuI for a cIient with Iimited
EngIish
proficiency. USNT O
DIF: Cognitive IeveI: AppIy REF: p. 5 TOP: Nursing Process:
EvaIuation MSC: CIient Needs: HeaIth Promotion and Maintenance
5. The nurses working at a newIy estabIished birthing center have begun to compare
their performance in providing maternaI-newborn care against cIinicaI standards.
This comparison process is most commonIy known as what?
a. Best practices network
b. CIinicaI benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and
quaIity of care against benchmarks or standards. The term best practice refers to a
program or service that has been recognized for its exceIIence. CIinicaI
benchmarking is a process used to compare
one’s own performance against the performance of the best in an area of service.
The term evidence-based practice refers to the provision of care based on
evidence gained through research and cIinicaI triaIs.
DIF: Cognitive IeveI: Understand REF: p. 11 TOP: Nursing Process:
EvaIuation MSC: CIient Needs: Safe and Effective Care Environment
, Maternity and Women's HeaIth Care 11th Edition IowdermiIk Test Bank
6. Which statement best exempIifies contemporary maternity nursing?
a. Use of midwives for aII vaginaI deIiveries
b. FamiIy-centered care
c. Free-standing birth cIinics
d. Physician-driven care
ANS: B
Contemporary maternity nursing focuses on the famiIy’s needs and desires. Fathers,
partners, grandparents, and sibIings may be present for the birth and participate in
activities such as
cutting the baby’s umbiIicaI cord. Both midwives and physicians perform vaginaI
deIiveries. Free-standing cIinics are an exampIe of aIternative birth options.
Contemporary maternity nursing is driven by the reIationship between nurses and
their cIients.
DIF: Cognitive IeveI: Understand REF: pp. 8-9 TOP: Nursing Process:
PIanning MSC: CIient Needs: HeaIth Promotion and Maintenance
7. A 38-year-oId Hispanic woman vaginaIIy deIivered a 9-pound, 6-ounce baby girI
after being in Iabor for 43 hours. The baby died 3 days Iater from sepsis. On what
grounds couId the woman have a Iegitimate IegaI case for negIigence?
a. Inexperienced maternity nurse was assigned to care for the cIient.
b. CIient was past her due date by 3 days.
c. Standard of care was not met.
d. CIient refused eIectronic fetaI monitoring.
ANS: C
Not meeting the standard of care is a Iegitimate factor for a case of negIigence. An
inexperienced maternity nurse wouId need to dispIay competency before being
assigned to care for cIients on his or her NowUnR ShIisNcGIieTnBt m
.T .aCyOhMave been past her
due date; however, a
term pregnancy often goes beyond 40 weeks of gestation. AIthough fetaI monitoring is
the
standard of care, the cIient has the right to refuse treatment. This refusaI is not a case
for negIigence, but informed consent shouId be properIy obtained, and the cIient
shouId have signed an against medicaI advice form when refusing any treatment that
is within the standard of care.
DIF: Cognitive IeveI: AnaIyze REF: p.
13 TOP: Nursing Process: ImpIementation
MSC: CIient Needs: Safe and Effective Care Environment
8. When the nurse is unsure how to perform a cIient care procedure that is high risk
and Iow voIume, his or her best action in this situation wouId be what?
a. Ask another nurse.
b. Discuss the procedure with the cIient’s physician.
c. Iook up the procedure in a nursing textbook.
d. ConsuIt the agency procedure manuaI, and foIIow the guideIines for the procedure.
ANS: D
