Maternity and Women's Health Care 13th Edition Lowdermilk Test
j0 j0 j0 j0 j0 j0 j0 j0
Maternityand j0 j0
Women'sHealth j0
Care13th j0 j0
Edition
j0 j0
LowdermilkTest j0
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test j0 j0 j0 j0 j0 j0 j0 j0
Chapter01:21st Century Maternity andWomen’s HealthNursing Lowdermilk:
j0 j0 j0 j0 j0 j0 j0 j0 j0
Maternity & Women’s Health Care, 12th Edition
j0 j0 j0 j0 j0 j0 j0
MULTIPLE CHOICE j0
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
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infant, which factor is the most important for the nurse to consider?
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a. African-Americanrace j0
b. Cigarette smoking j0
c. Poor nutritional status j0 j0
d. Limited maternal education j0 j0
ANS: A j 0
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
as likely as non-Hispanic white infants to be of LBW and to die in the first year of life.. Race is
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
most important. Additionally, nutritional status is a modifiable risk factor. Maternal
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
education is an important factor in potential infant mortality rates, but it is not the most
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
important. Additionally, maternal education is a modifiable risk factor.
j0 j0 j0 j0 j0 j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel: Understand j0 j0
TOP: Nursing Process: Assessment
j0 j0 j0
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
j inM
tenance, Antepartum Care
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2. A 23-year-old African-American woman is pregnant with her first child. Based on current
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
statistics for infant mortality, which intervention is most important for the nurse to include in
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
the client’s plan of care?
j0 j0 j0 j0 j0
a. Perform anutrition assessment. j0 j0 j0
b. Refer the woman to a social worker. j0 j0 j0 j0 j0 j0
c. Advise the woman to see an obstetrician, not a midwife. j0 j0 j0 j0 j0 j0 j0 j0 j0
d. Explain to the woman the importance of keeping her prenatal care appointments. j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
ANS: D j 0
Consistent prenatal care is the best method of preventing or controlling risk factors associatedj0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
with infant mortality. Nutritional status is an important modifiablerisk factor, but it is not the
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
most important action a nurse should take in this situation. The client may need assistance
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
from a social worker at some time during her pregnancy, but a referral to a social worker is not
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
the most important aspect the nurse should address at this time. If the woman has identifiable
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
high-risk problems, then her health care may need to be provided by a physician. However, it
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
cannot be assumed that all African-American women have high-risk issues. In addition,
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
advising the woman to see an obstetrician is not the most important aspect on which the nurse
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
should focus at this time, and it is not appropriate for a nurse to advise or manage the type of
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
care a client is to receive.
j0 j0 j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel: Understand j0 j0
TOP: Nursing Process: Planning
j0 j0 j0
, Maternity and Women's Health Care 13th Edition Lowdermilk Test j0 j0 j0 j0 j0 j0 j0 j0
MSC: Client Needs: Health Promotion and Maintenance
j 0 j0 j0 j0 j0 j0
3. The nurses working at a newly established birthing center have begun to compare their
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
performance in providing maternal-newborn care against clinical standards. This
j0 j0 j0 j0 j0 j0 j0 j0 j0
comparison process is most commonly known as what?
j0 j0 j0 j0 j0 j0 j0 j0
a. Best practices network j0 j0
b. Clinicalbenchmarking j0
c. Outcomes-orientedp racNtiU ceR S j0
d. Evidence-based practice j0
ANS: C j 0
Outcomes-oriented practice measures the effectiveness of the interventions and quality of j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
care against benchmarks or standards. The term best practice refers to a program or service that
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
has been recognized for its excellence. Clinical benchmarking is a process used to compare
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
one’s own performance against the performance of the best in an area of service. The term
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
evidence-based practice refers to the provision of care based on evidence gained through
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
research and clinical trials.
j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel:Understand j0 j0
TOP: Nursing Process: Evaluation
j0 j0 j0
MSC: Client Needs: Safe and Effective Care Environment
j 0 j0 j0 j0 j0 j0 j0
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
intervention is the most important for the nurse to implement?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
a. Use maternity jargon to enable the client to become familiar with these terms.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
b. Speak quickly and efficiently to expedite the visit. j0 j0 j0 j0 j0 j0 j0
c. Provide the client with handouts. j0 j0 j0 j0
d. Assess whether the client understands the discussion. j0 j0 j0 j0 j0 j0
ANS: D j 0
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
evaluating whether the client understands the discussion. Speaking slowly and clearly and
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
focusing on what is important will increase understanding. Most client education materials are
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
written at a level too high for the average adult and may not be useful for a client with limited
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
English proficiency.
j0 j0
PTS: 1 DIF: CognitiveLevel:Apply j0 j0
TOP: Nursing Process: Implementation
j0 j0 j0
MSC: Client Needs: Health Promotion and Maintenance
j 0 j0 j0 j0 j0 j0
5. Which statement best exemplifies contemporary maternity nursing?
j0 j0 j0 j0 j0 j0
a. Use of midwives for all vaginal deliveries
j0 j0 j0 j0 j0 j0
b. Family-centeredcare j0
c. Free-standingbirth clinics j0 j0
d. Physician-drivencare j0
ANS: B
j0 j 0
, Maternity and Women's Health Care 13th Edition Lowdermilk Test j0 j0 j0 j0 j0 j0 j0 j0
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
grandparents, and siblings may be present for the birth and participate in activities such as
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
Free-standing clinics are an example of alternative birth options. Contemporary maternity
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
nursing is driven by the relationship between nurses and their clients.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel: Understand j0 j0
TOP: Nursing Process: Planning
j0 j0 j0
MSC: Client Needs: Health Promotion and Maintenance
j 0 j0 j0 j0 j0 j0
6. A 38-year-old Hispanic woman vaginallydelivered a 9-pound, 6-ounce baby girl after being in
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
have a legitimate legal case for negligence?
j0 j0 j0 j0 j0 j0 j0
a. Inexperienced maternity nursewas assigned to care for the client. j0 j0 j0 j0 j0 j0 j0 j0 j0
b. Client was past her due date by 3 days. j0 j0 j0 j0 j0 j0 j0 j0
c. Standard of care was not met. j0 j0 j0 j0 j0
d. Client refused electronic fetal monitoring. j0 j0 j0 j0
ANS: C j 0
Not meeting the standard of care is a legitimate factor for a case of negligence. An
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
inexperienced maternity nurse would need to display competencybefore being assigned to care
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
for clients on his or her own. This client may have been past her due date; however, a term
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
of care, the client has the right to refuse treatment. This refusal is not a case for negligence, but
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
informed consent should be properly obtained, and the client should have signed an against
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
medical advice form when refusing any treatment that is within the standard of care.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel:Analyze j0 j0
TOP: Nursing Process: Implementation
j0 j0 j0
MSC: Client Needs: Safe and Effective Care Environment
j 0 j0 j0 j0 j0 j0 j0
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
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volume, his or her best action in this situation would be what?
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a. Ask another nurse. j0 j0
b. Discuss the procedure with the client’s physician. j0 j0 j0 j0 j0 j0
c. Look up the procedure in a nursing textbook. j0 j0 j0 j0 j0 j0 j0
d. First consult the agency procedure manual j0 j0 j0 j0 j0
ANS: D j 0
Following the agency’s policies and procedures manual is always best when seeking j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
information on correct client procedures. These policies should reflect the current standards of
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care and the individual state’s guidelines. Each nurse is responsible for his or her own
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
to follow the standards of care for safe client care delivery. Physicians are responsible for
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
their own client care activity. Nurses may follow safe orders from physicians, but they are
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also responsible for the activities that they, as nurses, are to carry out. Information provided in
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
a nursing textbook is basic information for general knowledge. Furthermore, the information in
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
a textbook may not reflect the current standard of care or the individual state or hospital
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
policies.
j0
j0 j0 j0 j0 j0 j0 j0 j0
Maternityand j0 j0
Women'sHealth j0
Care13th j0 j0
Edition
j0 j0
LowdermilkTest j0
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test j0 j0 j0 j0 j0 j0 j0 j0
Chapter01:21st Century Maternity andWomen’s HealthNursing Lowdermilk:
j0 j0 j0 j0 j0 j0 j0 j0 j0
Maternity & Women’s Health Care, 12th Edition
j0 j0 j0 j0 j0 j0 j0
MULTIPLE CHOICE j0
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
infant, which factor is the most important for the nurse to consider?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
a. African-Americanrace j0
b. Cigarette smoking j0
c. Poor nutritional status j0 j0
d. Limited maternal education j0 j0
ANS: A j 0
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
as likely as non-Hispanic white infants to be of LBW and to die in the first year of life.. Race is
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
most important. Additionally, nutritional status is a modifiable risk factor. Maternal
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
education is an important factor in potential infant mortality rates, but it is not the most
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
important. Additionally, maternal education is a modifiable risk factor.
j0 j0 j0 j0 j0 j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel: Understand j0 j0
TOP: Nursing Process: Assessment
j0 j0 j0
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
j inM
tenance, Antepartum Care
0 j 0 j 0 j 0 j 0 j 0
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
statistics for infant mortality, which intervention is most important for the nurse to include in
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
the client’s plan of care?
j0 j0 j0 j0 j0
a. Perform anutrition assessment. j0 j0 j0
b. Refer the woman to a social worker. j0 j0 j0 j0 j0 j0
c. Advise the woman to see an obstetrician, not a midwife. j0 j0 j0 j0 j0 j0 j0 j0 j0
d. Explain to the woman the importance of keeping her prenatal care appointments. j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
ANS: D j 0
Consistent prenatal care is the best method of preventing or controlling risk factors associatedj0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
with infant mortality. Nutritional status is an important modifiablerisk factor, but it is not the
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
most important action a nurse should take in this situation. The client may need assistance
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
from a social worker at some time during her pregnancy, but a referral to a social worker is not
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
the most important aspect the nurse should address at this time. If the woman has identifiable
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
high-risk problems, then her health care may need to be provided by a physician. However, it
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
cannot be assumed that all African-American women have high-risk issues. In addition,
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
advising the woman to see an obstetrician is not the most important aspect on which the nurse
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
should focus at this time, and it is not appropriate for a nurse to advise or manage the type of
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
care a client is to receive.
j0 j0 j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel: Understand j0 j0
TOP: Nursing Process: Planning
j0 j0 j0
, Maternity and Women's Health Care 13th Edition Lowdermilk Test j0 j0 j0 j0 j0 j0 j0 j0
MSC: Client Needs: Health Promotion and Maintenance
j 0 j0 j0 j0 j0 j0
3. The nurses working at a newly established birthing center have begun to compare their
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
performance in providing maternal-newborn care against clinical standards. This
j0 j0 j0 j0 j0 j0 j0 j0 j0
comparison process is most commonly known as what?
j0 j0 j0 j0 j0 j0 j0 j0
a. Best practices network j0 j0
b. Clinicalbenchmarking j0
c. Outcomes-orientedp racNtiU ceR S j0
d. Evidence-based practice j0
ANS: C j 0
Outcomes-oriented practice measures the effectiveness of the interventions and quality of j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
care against benchmarks or standards. The term best practice refers to a program or service that
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
has been recognized for its excellence. Clinical benchmarking is a process used to compare
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
one’s own performance against the performance of the best in an area of service. The term
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
evidence-based practice refers to the provision of care based on evidence gained through
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
research and clinical trials.
j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel:Understand j0 j0
TOP: Nursing Process: Evaluation
j0 j0 j0
MSC: Client Needs: Safe and Effective Care Environment
j 0 j0 j0 j0 j0 j0 j0
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
intervention is the most important for the nurse to implement?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
a. Use maternity jargon to enable the client to become familiar with these terms.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
b. Speak quickly and efficiently to expedite the visit. j0 j0 j0 j0 j0 j0 j0
c. Provide the client with handouts. j0 j0 j0 j0
d. Assess whether the client understands the discussion. j0 j0 j0 j0 j0 j0
ANS: D j 0
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
evaluating whether the client understands the discussion. Speaking slowly and clearly and
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
focusing on what is important will increase understanding. Most client education materials are
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
written at a level too high for the average adult and may not be useful for a client with limited
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
English proficiency.
j0 j0
PTS: 1 DIF: CognitiveLevel:Apply j0 j0
TOP: Nursing Process: Implementation
j0 j0 j0
MSC: Client Needs: Health Promotion and Maintenance
j 0 j0 j0 j0 j0 j0
5. Which statement best exemplifies contemporary maternity nursing?
j0 j0 j0 j0 j0 j0
a. Use of midwives for all vaginal deliveries
j0 j0 j0 j0 j0 j0
b. Family-centeredcare j0
c. Free-standingbirth clinics j0 j0
d. Physician-drivencare j0
ANS: B
j0 j 0
, Maternity and Women's Health Care 13th Edition Lowdermilk Test j0 j0 j0 j0 j0 j0 j0 j0
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
grandparents, and siblings may be present for the birth and participate in activities such as
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
Free-standing clinics are an example of alternative birth options. Contemporary maternity
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
nursing is driven by the relationship between nurses and their clients.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
PTS: 1 DIF: CognitiveLevel: Understand j0 j0
TOP: Nursing Process: Planning
j0 j0 j0
MSC: Client Needs: Health Promotion and Maintenance
j 0 j0 j0 j0 j0 j0
6. A 38-year-old Hispanic woman vaginallydelivered a 9-pound, 6-ounce baby girl after being in
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
have a legitimate legal case for negligence?
j0 j0 j0 j0 j0 j0 j0
a. Inexperienced maternity nursewas assigned to care for the client. j0 j0 j0 j0 j0 j0 j0 j0 j0
b. Client was past her due date by 3 days. j0 j0 j0 j0 j0 j0 j0 j0
c. Standard of care was not met. j0 j0 j0 j0 j0
d. Client refused electronic fetal monitoring. j0 j0 j0 j0
ANS: C j 0
Not meeting the standard of care is a legitimate factor for a case of negligence. An
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
inexperienced maternity nurse would need to display competencybefore being assigned to care
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
for clients on his or her own. This client may have been past her due date; however, a term
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard
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of care, the client has the right to refuse treatment. This refusal is not a case for negligence, but
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informed consent should be properly obtained, and the client should have signed an against
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medical advice form when refusing any treatment that is within the standard of care.
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PTS: 1 DIF: CognitiveLevel:Analyze j0 j0
TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high risk and low
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volume, his or her best action in this situation would be what?
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a. Ask another nurse. j0 j0
b. Discuss the procedure with the client’s physician. j0 j0 j0 j0 j0 j0
c. Look up the procedure in a nursing textbook. j0 j0 j0 j0 j0 j0 j0
d. First consult the agency procedure manual j0 j0 j0 j0 j0
ANS: D j 0
Following the agency’s policies and procedures manual is always best when seeking j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
information on correct client procedures. These policies should reflect the current standards of
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care and the individual state’s guidelines. Each nurse is responsible for his or her own
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practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
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to follow the standards of care for safe client care delivery. Physicians are responsible for
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their own client care activity. Nurses may follow safe orders from physicians, but they are
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also responsible for the activities that they, as nurses, are to carry out. Information provided in
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a nursing textbook is basic information for general knowledge. Furthermore, the information in
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a textbook may not reflect the current standard of care or the individual state or hospital
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policies.
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