Maternitymand mWomen'smHealthmCarem12thmEditionmLowdermilkmTest mBan
k
Chapter m01:m21stmCentury mMaternity mandmWomen’smHealthmNursing mLowdermi
lk:mMaternity m&mWomen’smHealthmCare,m12thmEdition
MULTIPLEmCHOICE
1. Inmevaluatingmthemlevelmof mampregnant mwoman’smriskmof mhavingmamlow-birth-
weight m(LBW)minfant,mwhichmfactormismthemmost mimportant mformthemnursemtomconsider?
a. African-Americanmrace
b. Cigarettemsmoking
c. Poormnutritionalmstatus
d. Limited mmaternalmeducation
ANS:m A
ThemriseminmthemoverallmLBWmratesmweremduemtomincreases minmLBWmbirthsmtomnon-
Hispanicmblackmwomenm(13.35%)mand mHispanicmwomenm(7.21%);mnon-
Hispanicmblackminfantsmaremalmost mtwicemasmlikelymasmnon-
Hispanicmwhiteminfantsmtombemof mLBWmand mtomdieminmthemfirst myearmof mlife..mRacemismamnonmo
difiablemriskmfactor.mCigarettemsmokingmismanmimportant mfactorminmpotentialminfant mmortalitymr
ates,mbut mit mismnot mthemmost mimportant.mAdditionally,msmokingmismammodifiablemriskmfactor.mP
oormnutritionmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmo
st mimportant.mAdditionally,mnutritionalmstatusmismammodifiablemriskmfactor.mMaternalmeducatio
nmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmost mimportant
.mAdditionally,mmaternalmeducationmismammodifiablemriskmfactor.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mAssessment
MSC:m Client mNeeds:mHealtN
hUPrRoS
mI ioG
otN anBd.MCaO
nmT inM
tenance,mAntepartummCare
2. Am23-year-old mAfrican-
Americanmwomanm ismpregnant mwithmhermfirst mchild.mBased monmcurrent mstatisticsmforminfant m
mortality,mwhichminterventionm ismmost mimportant mformthemnursemtomincludeminmthemclient’smpl
anmof mcare?
a. Performmamnutritionmassessment.
b. Refermthemwomanmtomamsocialmworker.
c. Advisemthemwomanmtomseemanmobstetrician,mnot mammidwife.
d. Explainmtomthemwomanmthemimportancemof mkeepingmhermprenatalmcaremappointments.
ANS:m D
Consistent mprenatalmcaremismthembest mmethod mof mpreventingmormcontrollingmriskmfactorsmassoci
ated mwithminfant mmortality.mNutritionalmstatusmismanmimportant mmodifiablemriskmfactor,mbut mit mi
smnot mthemmost mimportant mactionmamnursemshould mtakeminmthismsituation.mThemclient mmay mneed m
assistancemfrommamsocialmworkermat msomemtimemduringmhermpregnancy, mbut mamreferralmtomamsoc
ialmworkermismnot mthemmost mimportant maspect mthemnursemshould maddressmat mthismtime.mIf mthemw
omanmhasmidentifiablemhigh-
riskmproblems,mthenmhermhealthmcaremmaymneed mtombemprovided mbymamphysician. mHowever,mit m
cannot mbemassumed mthat mallmAfrican-Americanmwomenmhavemhigh-
riskmissues.mInmaddition,madvisingmthemwomanmtomseemanmobstetricianmismnot mthemmost mimporta
nt maspect monmwhichmthemnursemshould mfocusmat mthismtime,mand mit mismnot mappropriatemformamnurs
emtomadvisemormmanagemthemtypemof mcaremamclient mismtomreceive.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mPlanning
, Maternitymand mWomen'smHealthmCarem12thmEditionmLowdermilkmTest mBan
k
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
3. Duringmamprenatalmintakeminterview,mthemnursemisminmthemprocess mof mobtainingmanminiti
almassessment mof mam21-year-
old mHispanicmclient mwithmlimited mEnglishmproficiency.mWhichminterventionmismthemmo
st mimportant mformthemnursemtomimplement?
a. Usemmaternitymjargonmtomenablemthemclient mtombecomemfamiliarmwithmthesemterms.
b. Speakmquicklymand mefficientlymtomexpeditemthemvisit.
c. Providemthemclient mwithmhandouts.
d. Assessmwhethermthemclient munderstandsmthemdiscussion.
ANS:m D
Nursesmcontributemtomhealthmliteracymbymusingmsimple,mcommonmwords,mavoidingmjargon,m an
d mevaluatingmwhethermthemclient munderstandsmthemdiscussion.mSpeakingmslowlymand mclearlyma
nd mfocusingmonmwhat mismimportant mwillmincreasemunderstanding.mMost mclient meducationmmater
ialsmaremwrittenmat mamlevelmtoomhighmformthemaveragemadult mand mmaymnot mbemusefulmformamclien
t mwithmlimited mEnglishmproficiency.
PTS: 1 DIF:
CognitivemLevel:mApplymTOP:
NursingmProcess:mImplementation
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
4. Themnursesmworkingmat mamnewlymestablished mbirthingmcentermhavembegunmtomcomparemth
eirmperformanceminmprovidingmmaternal-
newbornmcaremagainst mclinicalmstandards.mThismcomparisonmprocessm ism most mcommonly
mknownmasmwhat?
a. Best mpracticesmnetwork
b. Clinicalmbenchmarking
c. Outcomes-oriented mpracNtiU ceRSING TB.C OM
d. Evidence-based mpractice
ANS:m C
Outcomes-
oriented mpracticemmeasuresmthemeffectivenessmof mtheminterventionsmand mqualitymof mcaremagain
st mbenchmarksmormstandards.mThemtermmbestmpracticemrefersmtomamprogrammormservicemthat mhas
mbeenmrecognized mformitsmexcellence.mClinicalmbenchmarking misma mprocessmused mtomcomparem
one’smownmperformancemagainst mthemperformancemof mthembest minmanmareamof mservice.m Themter
mmevidence-
basedmpracticemrefersmtomthemprovisionmof mcarembased monmevidencemgained mthroughmresearchm
and mclinicalmtrials.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mEvaluation
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
5. Whichmstatement mbest mexemplifiesmcontemporarymmaternitymnursing?
a. Usemof mmidwivesmformallmvaginalmdeliveries
b. Family-centered mcare
c. Free-standingmbirthmclinics
d. Physician-
drivenmcaremANS:m B
, Maternitymand mWomen'smHealthmCarem12thmEditionmLowdermilkmTest mBan
k
Contemporarymmaternitymnursingmfocusesmonmthemfamily’smneedsmand mdesires.mFathers,mpartn
ers,mgrandparents,mand msiblingsmmaymbempresent mformthembirthmand mparticipateminmactivitiesmsu
chmasmcuttingmthembaby’smumbilicalmcord.mBothmmidwivesmand mphysiciansmperformmvaginalmd
eliveries.mFree-
standingmclinicsmaremanmexamplemof malternativembirthmoptions.mContemporary mmaternitymnurs
ingmismdrivenmbymthemrelationshipmbetweenmnursesmand mtheirmclients.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mPlanning
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
6. Am38-year-old mHispanicmwomanmvaginallymdelivered mam9-pound,m6-
ouncembabymgirlmaftermbeingminmlabormform43mhours.mThembabymdied m3mdaysmlatermfrommsepsis.m
Onmwhat mgroundsmcould mthemwomanmhavemamlegitimatemlegalmcasemformnegligence?
a. Inexperienced mmaternitymnursemwasmassigned mtomcaremformthemclient.
b. Client mwasmpast mhermduemdatembym3mdays.
c. Standard mof mcaremwasmnot mmet.
d. Client mrefused melectronicmfetalmmonitoring.
ANS:m C
Not mmeetingmthemstandard mof mcaremismamlegitimatemfactormformamcasemof mnegligence.mAnminex
perienced mmaternitymnursemwould mneed mtomdisplaymcompetencymbeforembeingmassigned mtomc
aremformclientsmonmhismormhermown.mThismclient mmaymhavembeenmpast mhermduemdate;mhowever,
mamtermmpregnancymoftenmgoesmbeyond m40mweeksmof mgestation.mAlthoughmfetalmmonitoringmi
smthemstandard mof mcare,mthemclient mhasmthemright mtomrefusemtreatment.mThismrefusalmismnot mamc
asemformnegligence,mbut minformed mconsent mshould mbemproperlymobtained,mand mthemclient msh
ould mhavemsigned manmagainstmmedicalmadvicemformmwhenmrefusingmanymtreatment mthat mismwi
thinmthemstandard mof mcare. NURSINGTB.COM
PTS: 1 DIF:
CognitivemLevel:mAnalyzemTOP:
NursingmProcess:mImplementation
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
7. Whenmthemnursemismunsuremhow mtomperformmamclient mcaremproceduremthat mismhighmriskmand ml
owmvolume,mhismormhermbest mactionminmthismsituationmwould mbemwhat?
a. Askmanothermnurse.
b. Discussmthemproceduremwithmthemclient’smphysician.
c. Lookmupmthemprocedureminmamnursingmtextbook.
d. First mconsult mthemagencymproceduremmanual
ANS:m D
Followingmthemagency’smpoliciesmand mproceduresmmanualmis malwaysmbest mwhenmseekingm info
rmationmonmcorrect mclient mprocedures.mThesempoliciesmshould mreflect mthemcurrent mstandardsmo
f mcaremand mthemindividualmstate’smguidelines.mEachmnursemismresponsiblemformhismormhermownm
practice.mRelyingmonmanothermnursemmaymnot malwaysmbemamsafempractice.mEach mnursem ismoblig
ated mtomfollow mthemstandardsmof mcaremformsafemclient mcaremdelivery.mPhysiciansmaremresponsib
lemformtheirmownmclient mcaremactivity.mNursesmmaymfollow msafemordersmfrommphysicians,mbut mt
heymaremalsomresponsiblemformthemactivitiesmthat mthey,masmnurses,maremtomcarry mout.mInformatio
nmprovided minmamnursingmtextbookmismbasicminformationmformgeneralmknowledge.mFurthermore
,mtheminformationminmamtextbookmmaymnot mreflect mthemcurrent mstandard mof mcaremormthemindivid
ualmstatemormhospitalmpolicies.
, Maternitymand mWomen'smHealthmCarem12thmEditionmLowdermilkmTest mBan
k
PTS: 1 DIF: CognitivemLevel:mUnderstand
TOP: NursingmProcess:mImplementation MSC:m Client mNeeds:mPhysiologicmIntegrity
8. Amnursemcaringmformampregnant mclient mshould mbemawaremthat mthemU.S.mbirthmratemshowsmw
hat mtrend?
a. Birthsmtomunmarried mwomenmaremmoremlikelymtomhavemlessmfavorablemoutcomes.
b. Birthmratesmformwomenm40mtom44myearsmof magemaremdeclining.
c. Cigarettemsmokingmamongmpregnant mwomenmcontinuesmtomincrease.
d. Ratesmof mpregnancymand mabortionmamongmteenagersmaremlowerminmthemUnited mStat
esmthanminmanymothermindustrialized mcountry.
ANS:m A
LBWminfantsmand mpretermmbirthsmaremmoremlikelymbecausemof mthemlargemnumbermof mteenagers
minmthemunmarried mgroup.mBirthmratesmformwomenminmtheirmearlym40smcontinue mtomincrease.mFe
wermpregnant mwomenmsmoke.mTeenmpregnancymand mabortionmratesmaremhigherminmthemUnited m
Statesmthanminmanymothermindustrialmcountry.
PTS: 1 DIF: CognitivemLevel:mUnderstand
TOP: NursingmProcess:mAssessment MSC:m Client mNeeds:mPsychosocialmIntegrity
9. Amrecentlymgraduated mnursemismattemptingmtomunderstandmthemreasonmformincreasingmhealthmca
remspendingminmthemUnited mStates.mWhichminformationmgathered mfrommresearchmbest mexplain
smthemrationalemformthesemhighermcostsmcompared mwithmothermdeveloped mcountries?
a. Highermratemof mobesitymamongmpregnant mwomen
b. Limited maccessmtomtechnology
c. Increased musemof mhealthNcaUreRsS
erIviNceGs TalBon.gCwOitMhmlowermprices
d. Homogeneitymof mthempopulation
ANS:m A
Healthmcaremismonemof mthemfastest mgrowingmsectorsmof mthemU.S.meconomy.mCurrently,m17.5%m
of mthemgrossmdomesticmproduct mismspent monmhealthmcare.mHighermspendingminmthemUnited mState
s,masmcompared mwithm12mothermindustrialized mcountries,mismrelated mtomhighermpricesmand mreadi
lymaccessiblemtechnologymalongmwithmgreatermobesitymratesmamongmwomen. mMoremthanmone mt
hird mof mwomenminmthemUnited mStatesmaremobese.mInmthempopulationminmthemUnited mStates,m16
%maremuninsured mand mhavemlimited maccessmtomhealthmcare.mMaternalmmorbiditymand mmortality
maremdirectlymrelated mtomracialmdisparities.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
Teachingmand mLearning
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
10. Whichmstatement mbest mdescribesmmaternitymnursingmcaremthat mismbased monmknowledgemgain
ed mthroughmresearchmand mclinicalmtrials?
a. Maternitymnursingmcaremismderived mfrommthemNursingmInterventionmClassification.
b. Maternitymnursingmcaremismknownmasmevidence-based mpractice.
c. Maternitymnursingmcaremismat moddsmwithmthemCochranemSchoolmof mtraditionalmnursing.
d. Maternitymnursingmcaremismanmoutgrowthmof mtelemedicin
e.mANS:m B
k
Chapter m01:m21stmCentury mMaternity mandmWomen’smHealthmNursing mLowdermi
lk:mMaternity m&mWomen’smHealthmCare,m12thmEdition
MULTIPLEmCHOICE
1. Inmevaluatingmthemlevelmof mampregnant mwoman’smriskmof mhavingmamlow-birth-
weight m(LBW)minfant,mwhichmfactormismthemmost mimportant mformthemnursemtomconsider?
a. African-Americanmrace
b. Cigarettemsmoking
c. Poormnutritionalmstatus
d. Limited mmaternalmeducation
ANS:m A
ThemriseminmthemoverallmLBWmratesmweremduemtomincreases minmLBWmbirthsmtomnon-
Hispanicmblackmwomenm(13.35%)mand mHispanicmwomenm(7.21%);mnon-
Hispanicmblackminfantsmaremalmost mtwicemasmlikelymasmnon-
Hispanicmwhiteminfantsmtombemof mLBWmand mtomdieminmthemfirst myearmof mlife..mRacemismamnonmo
difiablemriskmfactor.mCigarettemsmokingmismanmimportant mfactorminmpotentialminfant mmortalitymr
ates,mbut mit mismnot mthemmost mimportant.mAdditionally,msmokingmismammodifiablemriskmfactor.mP
oormnutritionmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmo
st mimportant.mAdditionally,mnutritionalmstatusmismammodifiablemriskmfactor.mMaternalmeducatio
nmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmost mimportant
.mAdditionally,mmaternalmeducationmismammodifiablemriskmfactor.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mAssessment
MSC:m Client mNeeds:mHealtN
hUPrRoS
mI ioG
otN anBd.MCaO
nmT inM
tenance,mAntepartummCare
2. Am23-year-old mAfrican-
Americanmwomanm ismpregnant mwithmhermfirst mchild.mBased monmcurrent mstatisticsmforminfant m
mortality,mwhichminterventionm ismmost mimportant mformthemnursemtomincludeminmthemclient’smpl
anmof mcare?
a. Performmamnutritionmassessment.
b. Refermthemwomanmtomamsocialmworker.
c. Advisemthemwomanmtomseemanmobstetrician,mnot mammidwife.
d. Explainmtomthemwomanmthemimportancemof mkeepingmhermprenatalmcaremappointments.
ANS:m D
Consistent mprenatalmcaremismthembest mmethod mof mpreventingmormcontrollingmriskmfactorsmassoci
ated mwithminfant mmortality.mNutritionalmstatusmismanmimportant mmodifiablemriskmfactor,mbut mit mi
smnot mthemmost mimportant mactionmamnursemshould mtakeminmthismsituation.mThemclient mmay mneed m
assistancemfrommamsocialmworkermat msomemtimemduringmhermpregnancy, mbut mamreferralmtomamsoc
ialmworkermismnot mthemmost mimportant maspect mthemnursemshould maddressmat mthismtime.mIf mthemw
omanmhasmidentifiablemhigh-
riskmproblems,mthenmhermhealthmcaremmaymneed mtombemprovided mbymamphysician. mHowever,mit m
cannot mbemassumed mthat mallmAfrican-Americanmwomenmhavemhigh-
riskmissues.mInmaddition,madvisingmthemwomanmtomseemanmobstetricianmismnot mthemmost mimporta
nt maspect monmwhichmthemnursemshould mfocusmat mthismtime,mand mit mismnot mappropriatemformamnurs
emtomadvisemormmanagemthemtypemof mcaremamclient mismtomreceive.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mPlanning
, Maternitymand mWomen'smHealthmCarem12thmEditionmLowdermilkmTest mBan
k
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
3. Duringmamprenatalmintakeminterview,mthemnursemisminmthemprocess mof mobtainingmanminiti
almassessment mof mam21-year-
old mHispanicmclient mwithmlimited mEnglishmproficiency.mWhichminterventionmismthemmo
st mimportant mformthemnursemtomimplement?
a. Usemmaternitymjargonmtomenablemthemclient mtombecomemfamiliarmwithmthesemterms.
b. Speakmquicklymand mefficientlymtomexpeditemthemvisit.
c. Providemthemclient mwithmhandouts.
d. Assessmwhethermthemclient munderstandsmthemdiscussion.
ANS:m D
Nursesmcontributemtomhealthmliteracymbymusingmsimple,mcommonmwords,mavoidingmjargon,m an
d mevaluatingmwhethermthemclient munderstandsmthemdiscussion.mSpeakingmslowlymand mclearlyma
nd mfocusingmonmwhat mismimportant mwillmincreasemunderstanding.mMost mclient meducationmmater
ialsmaremwrittenmat mamlevelmtoomhighmformthemaveragemadult mand mmaymnot mbemusefulmformamclien
t mwithmlimited mEnglishmproficiency.
PTS: 1 DIF:
CognitivemLevel:mApplymTOP:
NursingmProcess:mImplementation
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
4. Themnursesmworkingmat mamnewlymestablished mbirthingmcentermhavembegunmtomcomparemth
eirmperformanceminmprovidingmmaternal-
newbornmcaremagainst mclinicalmstandards.mThismcomparisonmprocessm ism most mcommonly
mknownmasmwhat?
a. Best mpracticesmnetwork
b. Clinicalmbenchmarking
c. Outcomes-oriented mpracNtiU ceRSING TB.C OM
d. Evidence-based mpractice
ANS:m C
Outcomes-
oriented mpracticemmeasuresmthemeffectivenessmof mtheminterventionsmand mqualitymof mcaremagain
st mbenchmarksmormstandards.mThemtermmbestmpracticemrefersmtomamprogrammormservicemthat mhas
mbeenmrecognized mformitsmexcellence.mClinicalmbenchmarking misma mprocessmused mtomcomparem
one’smownmperformancemagainst mthemperformancemof mthembest minmanmareamof mservice.m Themter
mmevidence-
basedmpracticemrefersmtomthemprovisionmof mcarembased monmevidencemgained mthroughmresearchm
and mclinicalmtrials.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mEvaluation
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
5. Whichmstatement mbest mexemplifiesmcontemporarymmaternitymnursing?
a. Usemof mmidwivesmformallmvaginalmdeliveries
b. Family-centered mcare
c. Free-standingmbirthmclinics
d. Physician-
drivenmcaremANS:m B
, Maternitymand mWomen'smHealthmCarem12thmEditionmLowdermilkmTest mBan
k
Contemporarymmaternitymnursingmfocusesmonmthemfamily’smneedsmand mdesires.mFathers,mpartn
ers,mgrandparents,mand msiblingsmmaymbempresent mformthembirthmand mparticipateminmactivitiesmsu
chmasmcuttingmthembaby’smumbilicalmcord.mBothmmidwivesmand mphysiciansmperformmvaginalmd
eliveries.mFree-
standingmclinicsmaremanmexamplemof malternativembirthmoptions.mContemporary mmaternitymnurs
ingmismdrivenmbymthemrelationshipmbetweenmnursesmand mtheirmclients.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
NursingmProcess:mPlanning
MSC:m Client mNeeds:mHealthmPromotionmand mMaintenance
6. Am38-year-old mHispanicmwomanmvaginallymdelivered mam9-pound,m6-
ouncembabymgirlmaftermbeingminmlabormform43mhours.mThembabymdied m3mdaysmlatermfrommsepsis.m
Onmwhat mgroundsmcould mthemwomanmhavemamlegitimatemlegalmcasemformnegligence?
a. Inexperienced mmaternitymnursemwasmassigned mtomcaremformthemclient.
b. Client mwasmpast mhermduemdatembym3mdays.
c. Standard mof mcaremwasmnot mmet.
d. Client mrefused melectronicmfetalmmonitoring.
ANS:m C
Not mmeetingmthemstandard mof mcaremismamlegitimatemfactormformamcasemof mnegligence.mAnminex
perienced mmaternitymnursemwould mneed mtomdisplaymcompetencymbeforembeingmassigned mtomc
aremformclientsmonmhismormhermown.mThismclient mmaymhavembeenmpast mhermduemdate;mhowever,
mamtermmpregnancymoftenmgoesmbeyond m40mweeksmof mgestation.mAlthoughmfetalmmonitoringmi
smthemstandard mof mcare,mthemclient mhasmthemright mtomrefusemtreatment.mThismrefusalmismnot mamc
asemformnegligence,mbut minformed mconsent mshould mbemproperlymobtained,mand mthemclient msh
ould mhavemsigned manmagainstmmedicalmadvicemformmwhenmrefusingmanymtreatment mthat mismwi
thinmthemstandard mof mcare. NURSINGTB.COM
PTS: 1 DIF:
CognitivemLevel:mAnalyzemTOP:
NursingmProcess:mImplementation
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
7. Whenmthemnursemismunsuremhow mtomperformmamclient mcaremproceduremthat mismhighmriskmand ml
owmvolume,mhismormhermbest mactionminmthismsituationmwould mbemwhat?
a. Askmanothermnurse.
b. Discussmthemproceduremwithmthemclient’smphysician.
c. Lookmupmthemprocedureminmamnursingmtextbook.
d. First mconsult mthemagencymproceduremmanual
ANS:m D
Followingmthemagency’smpoliciesmand mproceduresmmanualmis malwaysmbest mwhenmseekingm info
rmationmonmcorrect mclient mprocedures.mThesempoliciesmshould mreflect mthemcurrent mstandardsmo
f mcaremand mthemindividualmstate’smguidelines.mEachmnursemismresponsiblemformhismormhermownm
practice.mRelyingmonmanothermnursemmaymnot malwaysmbemamsafempractice.mEach mnursem ismoblig
ated mtomfollow mthemstandardsmof mcaremformsafemclient mcaremdelivery.mPhysiciansmaremresponsib
lemformtheirmownmclient mcaremactivity.mNursesmmaymfollow msafemordersmfrommphysicians,mbut mt
heymaremalsomresponsiblemformthemactivitiesmthat mthey,masmnurses,maremtomcarry mout.mInformatio
nmprovided minmamnursingmtextbookmismbasicminformationmformgeneralmknowledge.mFurthermore
,mtheminformationminmamtextbookmmaymnot mreflect mthemcurrent mstandard mof mcaremormthemindivid
ualmstatemormhospitalmpolicies.
, Maternitymand mWomen'smHealthmCarem12thmEditionmLowdermilkmTest mBan
k
PTS: 1 DIF: CognitivemLevel:mUnderstand
TOP: NursingmProcess:mImplementation MSC:m Client mNeeds:mPhysiologicmIntegrity
8. Amnursemcaringmformampregnant mclient mshould mbemawaremthat mthemU.S.mbirthmratemshowsmw
hat mtrend?
a. Birthsmtomunmarried mwomenmaremmoremlikelymtomhavemlessmfavorablemoutcomes.
b. Birthmratesmformwomenm40mtom44myearsmof magemaremdeclining.
c. Cigarettemsmokingmamongmpregnant mwomenmcontinuesmtomincrease.
d. Ratesmof mpregnancymand mabortionmamongmteenagersmaremlowerminmthemUnited mStat
esmthanminmanymothermindustrialized mcountry.
ANS:m A
LBWminfantsmand mpretermmbirthsmaremmoremlikelymbecausemof mthemlargemnumbermof mteenagers
minmthemunmarried mgroup.mBirthmratesmformwomenminmtheirmearlym40smcontinue mtomincrease.mFe
wermpregnant mwomenmsmoke.mTeenmpregnancymand mabortionmratesmaremhigherminmthemUnited m
Statesmthanminmanymothermindustrialmcountry.
PTS: 1 DIF: CognitivemLevel:mUnderstand
TOP: NursingmProcess:mAssessment MSC:m Client mNeeds:mPsychosocialmIntegrity
9. Amrecentlymgraduated mnursemismattemptingmtomunderstandmthemreasonmformincreasingmhealthmca
remspendingminmthemUnited mStates.mWhichminformationmgathered mfrommresearchmbest mexplain
smthemrationalemformthesemhighermcostsmcompared mwithmothermdeveloped mcountries?
a. Highermratemof mobesitymamongmpregnant mwomen
b. Limited maccessmtomtechnology
c. Increased musemof mhealthNcaUreRsS
erIviNceGs TalBon.gCwOitMhmlowermprices
d. Homogeneitymof mthempopulation
ANS:m A
Healthmcaremismonemof mthemfastest mgrowingmsectorsmof mthemU.S.meconomy.mCurrently,m17.5%m
of mthemgrossmdomesticmproduct mismspent monmhealthmcare.mHighermspendingminmthemUnited mState
s,masmcompared mwithm12mothermindustrialized mcountries,mismrelated mtomhighermpricesmand mreadi
lymaccessiblemtechnologymalongmwithmgreatermobesitymratesmamongmwomen. mMoremthanmone mt
hird mof mwomenminmthemUnited mStatesmaremobese.mInmthempopulationminmthemUnited mStates,m16
%maremuninsured mand mhavemlimited maccessmtomhealthmcare.mMaternalmmorbiditymand mmortality
maremdirectlymrelated mtomracialmdisparities.
PTS: 1 DIF:
CognitivemLevel:mUnderstand mTOP:
Teachingmand mLearning
MSC:m Client mNeeds:mSafemand mEffectivemCaremEnvironment
10. Whichmstatement mbest mdescribesmmaternitymnursingmcaremthat mismbased monmknowledgemgain
ed mthroughmresearchmand mclinicalmtrials?
a. Maternitymnursingmcaremismderived mfrommthemNursingmInterventionmClassification.
b. Maternitymnursingmcaremismknownmasmevidence-based mpractice.
c. Maternitymnursingmcaremismat moddsmwithmthemCochranemSchoolmof mtraditionalmnursing.
d. Maternitymnursingmcaremismanmoutgrowthmof mtelemedicin
e.mANS:m B
