Maternity and Women's Health Care 13th Edition Lowdermilk Te
9% 9% 9% 9% 9% 9% 9% 9%
st
, Maternity and Women's Health Care 13th Edition Lowdermilk Te
9% 9% 9% 9% 9% 9% 9% 9%
st
Chapter 01: 21st Century Maternity and Women’s Health Nursin
9% 9% 9% 9% 9% 9% 9% 9%
gLowdermilk: Maternity & Women’s Health Care, 13th Edition
9% 9% 9% 9% 9% 9% 9% 9%
MULTIPLE CHOICE 9%
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
weight (LBW)infant, which factor is the most important for the nurse to consider?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
a. African-American race 9%
b. Cigarette smoking 9%
c. Poor nutritional status 9% 9%
d. Limited maternal education 9% 9%
ANS: A 9 %
The rise in the overall LBW rates were due to increases in LBW births to non-
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
9% 9% 9% 9% 9% 9% 9% 9%
Hispanic black infants are almost twice as likely as non-
9% 9% 9% 9% 9% 9% 9% 9% 9%
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmo
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
difiable risk factor. Cigarette smoking is an important factor inpotential infant mortality ra
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
tes, but it is not the most important. Additionally, smoking is a modifiable risk factor. P
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
oor nutrition is an important factor in potential infant mortality rates, but it is not the mo
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
st important. Additionally, nutritional status is a modifiable risk factor. Maternal educatio
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
n is an important factor in potential infant mortality rates, but it is not the most importan
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
t. Additionally, maternal education is a modifiable risk factor.
9% 9% 9% 9% 9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 9% 9% 9%
Nursing Process: Assessment 9% 9%
MSC: Client Needs: HealtN
hUPrRoS
mI
9%9%9% ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
9% 9% 9% 9%
2. A 23-year-old African-
9% 9%
American woman is pregnant with her first child. Based on currentstatistics for infant
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
mortality, which intervention is most important for the nurse to includein the client’s pl
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
an of care?
9% 9%
a. Perform a nutrition assessment. 9% 9% 9%
b. Refer the woman to a social worker. 9% 9% 9% 9% 9% 9%
c. Advise the woman to see an obstetrician, not a midwife.
9% 9% 9% 9% 9% 9% 9% 9% 9%
d. Explain to the woman the importance of keeping her prenatal care appointments.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ANS: D 9 %
Consistent prenatal care is the best method of preventing or controlling risk factors assoc
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
iated with infant mortality. Nutritional status is an important modifiable risk factor, butit is
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%not the most important action a nurse should take in this situation. The client may needa
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ssistance from a social worker at some time during her pregnancy, but a referral to a soc
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ialworker is not the most important aspect the nurse should address at this time. If the w
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
oman has identifiable high-
9% 9% 9%
risk problems, then her health care may need to be provided by a physician. However, it
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%cannot be assumed that all African-American women have high-
9% 9% 9% 9% 9% 9% 9% 9%
riskissues. In addition, advising the woman to see an obstetrician is not the most importa
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
nt aspect on which the nurse should focus at this time, and it is not appropriate for a nur
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
se to advise or manage the type of care a client is to receive.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 9% 9% 9%
Nursing Process: Planning 9% 9%
, Maternity and Women's Health Care 13th Edition Lowdermilk Te
9% 9% 9% 9% 9% 9% 9% 9%
st
MSC: Client Needs: Health Promotion and Maintenance
9% 9% 9% 9% 9% 9%
3. The nurses working at a newly established birthing center have begun to compare th
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
eirperformance in providing maternal-
9% 9% 9% 9%
newborn care against clinical standards. This comparison process is most commonl
9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
y known as what?
9% 9% 9%
a. Best practices network 9% 9%
b. Clinical benchmarking 9%
c. Outcomes-oriented pracNtiU
ceRS 9%
d. Evidence-based practice 9%
ANS: C 9 %
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care again
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
st benchmarks or standards. The term best practice refers to a program or servicethat has
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
been recognized for its excellence. Clinical benchmarking is a process used to compare o
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ne’s own performance against the performance of the best in an area of service. The ter
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
m evidence-
9%
based practice refers to the provision of care based on evidence gainedthrough research
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
and clinical trials.
9% 9%
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 9% 9% 9%
Nursing Process: Evaluation 9% 9%
MSC: Client Needs: Safe and Effective Care Environment
9% 9% 9% 9% 9% 9% 9%
4. During a prenatal intake interview, the nurse is in the process of obtaining an init
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ial assessment of a 21-year-
9% 9% 9% 9%
old Hispanic client with limited English proficiency. Whichintervention is the mos
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
t important for the nurse to implement?
9% 9% 9% 9% 9% 9%
a. Use maternity jargon to enable the client to become familiar with these terms.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
b. Speak quickly and efficiently to expedite the visit.
9% 9% 9% 9% 9% 9% 9%
c. Provide the client with handouts. 9% 9% 9% 9%
d. Assess whether the client understands the discussion.
9% 9% 9% 9% 9% 9%
ANS: D 9 %
Nurses contribute to health literacy by using simple, common words, avoiding jargon, a
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ndevaluating whether the client understands the discussion. Speaking slowly and clearl
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
y andfocusing on what is important will increase understanding. Most client education m
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
aterialsare written at a level too high for the average adult and may not be useful for a
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
client withlimited English proficiency.
9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: ApplyTOP: 9% 9% 9%
Nursing Process: Implementation 9% 9%
MSC: Client Needs: Health Promotion and Maintenance
9% 9% 9% 9% 9% 9%
5. Which statement best exemplifies contemporary maternity nursing?
9% 9% 9% 9% 9% 9%
a. Use of midwives for all vaginal deliveries
9% 9% 9% 9% 9% 9%
b. Family-centered care 9%
c. Free-standing birth clinics 9% 9%
d. Physician-
driven careANS: B 9% 9% 9 %
, Maternity and Women's Health Care 13th Edition Lowdermilk Te
9% 9% 9% 9% 9% 9% 9% 9%
st
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, part
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ners, grandparents, and siblings may be present for the birth and participate in activitiessu
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ch as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal d
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
eliveries. Free- 9%
standing clinics are an example of alternative birth options. Contemporarymaternity nursi
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ng is driven by the relationship between nurses and their clients.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 9% 9% 9%
Nursing Process: Planning 9% 9%
MSC: Client Needs: Health Promotion and Maintenance
9% 9% 9% 9% 9% 9%
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
9% 9% 9% 9% 9% 9% 9% 9%
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
On what grounds could the woman have a legitimate legal case for negligence?
% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
a. Inexperienced maternity nurse was assigned to care for the client. 9% 9% 9% 9% 9% 9% 9% 9% 9%
b. Client was past her due date by 3 days. 9% 9% 9% 9% 9% 9% 9% 9%
c. Standard of care was not met. 9% 9% 9% 9% 9%
d. Client refused electronic fetal monitoring. 9% 9% 9% 9%
ANS: C 9 %
Not meeting the standard of care is a legitimate factor for a case of negligence. An ine
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
xperienced maternity nurse would need to display competency before being assigned toc
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
are for clients on his or her own. This client may have been past her due date; however
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
, aterm pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring i
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
s thestandard of care, the client has the right to refuse treatment. This refusal is not a c
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ase for negligence, but informed consent should be properly obtained, and the client sh
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ould have signed an against medical advice form when refusing any treatment that is w
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ithin the standard of care.
9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: 9% 9% 9%
Nursing Process: Implementation 9% 9%
MSC: Client Needs: Safe and Effective Care Environment
9% 9% 9% 9% 9% 9% 9%
7. When the nurse is unsure how to perform a client care procedure that is high risk and l
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
owvolume, his or her best action in this situation would be what?
%
9 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
a. Ask another nurse. 9% 9%
b. Discuss the procedure with the client’s physician. 9% 9% 9% 9% 9% 9%
c. Look up the procedure in a nursing textbook.
9% 9% 9% 9% 9% 9% 9%
d. First consult the agency procedure manual
9% 9% 9% 9% 9%
ANS: D 9 %
Following the agency’s policies and procedures manual is always best when seeking info
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
rmation on correct client procedures. These policies should reflect the current standardsof
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%care and the individual state’s guidelines. Each nurse is responsible for his or her own p
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ractice. Relying on another nurse may not always be a safe practice. Each nurse is oblig
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ated to follow the standards of care for safe client care delivery. Physicians are responsib
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
le for their own client care activity. Nurses may follow safe orders from physicians, but
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
they are also responsible for the activities that they, as nurses, are to carry out. Informati
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
on provided in a nursing textbook is basic information for general knowledge.Furthermore
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
, the information in a textbook may not reflect the current standard of care or the individ
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ual state or hospital policies.
9% 9% 9% 9%
9% 9% 9% 9% 9% 9% 9% 9%
st
, Maternity and Women's Health Care 13th Edition Lowdermilk Te
9% 9% 9% 9% 9% 9% 9% 9%
st
Chapter 01: 21st Century Maternity and Women’s Health Nursin
9% 9% 9% 9% 9% 9% 9% 9%
gLowdermilk: Maternity & Women’s Health Care, 13th Edition
9% 9% 9% 9% 9% 9% 9% 9%
MULTIPLE CHOICE 9%
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
weight (LBW)infant, which factor is the most important for the nurse to consider?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
a. African-American race 9%
b. Cigarette smoking 9%
c. Poor nutritional status 9% 9%
d. Limited maternal education 9% 9%
ANS: A 9 %
The rise in the overall LBW rates were due to increases in LBW births to non-
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
9% 9% 9% 9% 9% 9% 9% 9%
Hispanic black infants are almost twice as likely as non-
9% 9% 9% 9% 9% 9% 9% 9% 9%
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmo
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
difiable risk factor. Cigarette smoking is an important factor inpotential infant mortality ra
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
tes, but it is not the most important. Additionally, smoking is a modifiable risk factor. P
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
oor nutrition is an important factor in potential infant mortality rates, but it is not the mo
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
st important. Additionally, nutritional status is a modifiable risk factor. Maternal educatio
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
n is an important factor in potential infant mortality rates, but it is not the most importan
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
t. Additionally, maternal education is a modifiable risk factor.
9% 9% 9% 9% 9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 9% 9% 9%
Nursing Process: Assessment 9% 9%
MSC: Client Needs: HealtN
hUPrRoS
mI
9%9%9% ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
9% 9% 9% 9%
2. A 23-year-old African-
9% 9%
American woman is pregnant with her first child. Based on currentstatistics for infant
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
mortality, which intervention is most important for the nurse to includein the client’s pl
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
an of care?
9% 9%
a. Perform a nutrition assessment. 9% 9% 9%
b. Refer the woman to a social worker. 9% 9% 9% 9% 9% 9%
c. Advise the woman to see an obstetrician, not a midwife.
9% 9% 9% 9% 9% 9% 9% 9% 9%
d. Explain to the woman the importance of keeping her prenatal care appointments.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ANS: D 9 %
Consistent prenatal care is the best method of preventing or controlling risk factors assoc
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
iated with infant mortality. Nutritional status is an important modifiable risk factor, butit is
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%not the most important action a nurse should take in this situation. The client may needa
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ssistance from a social worker at some time during her pregnancy, but a referral to a soc
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ialworker is not the most important aspect the nurse should address at this time. If the w
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
oman has identifiable high-
9% 9% 9%
risk problems, then her health care may need to be provided by a physician. However, it
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%cannot be assumed that all African-American women have high-
9% 9% 9% 9% 9% 9% 9% 9%
riskissues. In addition, advising the woman to see an obstetrician is not the most importa
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
nt aspect on which the nurse should focus at this time, and it is not appropriate for a nur
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
se to advise or manage the type of care a client is to receive.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 9% 9% 9%
Nursing Process: Planning 9% 9%
, Maternity and Women's Health Care 13th Edition Lowdermilk Te
9% 9% 9% 9% 9% 9% 9% 9%
st
MSC: Client Needs: Health Promotion and Maintenance
9% 9% 9% 9% 9% 9%
3. The nurses working at a newly established birthing center have begun to compare th
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
eirperformance in providing maternal-
9% 9% 9% 9%
newborn care against clinical standards. This comparison process is most commonl
9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
y known as what?
9% 9% 9%
a. Best practices network 9% 9%
b. Clinical benchmarking 9%
c. Outcomes-oriented pracNtiU
ceRS 9%
d. Evidence-based practice 9%
ANS: C 9 %
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care again
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
st benchmarks or standards. The term best practice refers to a program or servicethat has
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
been recognized for its excellence. Clinical benchmarking is a process used to compare o
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ne’s own performance against the performance of the best in an area of service. The ter
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
m evidence-
9%
based practice refers to the provision of care based on evidence gainedthrough research
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
and clinical trials.
9% 9%
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 9% 9% 9%
Nursing Process: Evaluation 9% 9%
MSC: Client Needs: Safe and Effective Care Environment
9% 9% 9% 9% 9% 9% 9%
4. During a prenatal intake interview, the nurse is in the process of obtaining an init
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ial assessment of a 21-year-
9% 9% 9% 9%
old Hispanic client with limited English proficiency. Whichintervention is the mos
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
t important for the nurse to implement?
9% 9% 9% 9% 9% 9%
a. Use maternity jargon to enable the client to become familiar with these terms.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
b. Speak quickly and efficiently to expedite the visit.
9% 9% 9% 9% 9% 9% 9%
c. Provide the client with handouts. 9% 9% 9% 9%
d. Assess whether the client understands the discussion.
9% 9% 9% 9% 9% 9%
ANS: D 9 %
Nurses contribute to health literacy by using simple, common words, avoiding jargon, a
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ndevaluating whether the client understands the discussion. Speaking slowly and clearl
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
y andfocusing on what is important will increase understanding. Most client education m
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
aterialsare written at a level too high for the average adult and may not be useful for a
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
client withlimited English proficiency.
9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: ApplyTOP: 9% 9% 9%
Nursing Process: Implementation 9% 9%
MSC: Client Needs: Health Promotion and Maintenance
9% 9% 9% 9% 9% 9%
5. Which statement best exemplifies contemporary maternity nursing?
9% 9% 9% 9% 9% 9%
a. Use of midwives for all vaginal deliveries
9% 9% 9% 9% 9% 9%
b. Family-centered care 9%
c. Free-standing birth clinics 9% 9%
d. Physician-
driven careANS: B 9% 9% 9 %
, Maternity and Women's Health Care 13th Edition Lowdermilk Te
9% 9% 9% 9% 9% 9% 9% 9%
st
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, part
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ners, grandparents, and siblings may be present for the birth and participate in activitiessu
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ch as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal d
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
eliveries. Free- 9%
standing clinics are an example of alternative birth options. Contemporarymaternity nursi
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ng is driven by the relationship between nurses and their clients.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: 9% 9% 9%
Nursing Process: Planning 9% 9%
MSC: Client Needs: Health Promotion and Maintenance
9% 9% 9% 9% 9% 9%
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
9% 9% 9% 9% 9% 9% 9% 9%
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis.
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
On what grounds could the woman have a legitimate legal case for negligence?
% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
a. Inexperienced maternity nurse was assigned to care for the client. 9% 9% 9% 9% 9% 9% 9% 9% 9%
b. Client was past her due date by 3 days. 9% 9% 9% 9% 9% 9% 9% 9%
c. Standard of care was not met. 9% 9% 9% 9% 9%
d. Client refused electronic fetal monitoring. 9% 9% 9% 9%
ANS: C 9 %
Not meeting the standard of care is a legitimate factor for a case of negligence. An ine
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
xperienced maternity nurse would need to display competency before being assigned toc
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
are for clients on his or her own. This client may have been past her due date; however
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
, aterm pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring i
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
s thestandard of care, the client has the right to refuse treatment. This refusal is not a c
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ase for negligence, but informed consent should be properly obtained, and the client sh
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ould have signed an against medical advice form when refusing any treatment that is w
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ithin the standard of care.
9% 9% 9% 9%
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: 9% 9% 9%
Nursing Process: Implementation 9% 9%
MSC: Client Needs: Safe and Effective Care Environment
9% 9% 9% 9% 9% 9% 9%
7. When the nurse is unsure how to perform a client care procedure that is high risk and l
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
owvolume, his or her best action in this situation would be what?
%
9 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
a. Ask another nurse. 9% 9%
b. Discuss the procedure with the client’s physician. 9% 9% 9% 9% 9% 9%
c. Look up the procedure in a nursing textbook.
9% 9% 9% 9% 9% 9% 9%
d. First consult the agency procedure manual
9% 9% 9% 9% 9%
ANS: D 9 %
Following the agency’s policies and procedures manual is always best when seeking info
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
rmation on correct client procedures. These policies should reflect the current standardsof
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%care and the individual state’s guidelines. Each nurse is responsible for his or her own p
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ractice. Relying on another nurse may not always be a safe practice. Each nurse is oblig
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ated to follow the standards of care for safe client care delivery. Physicians are responsib
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
le for their own client care activity. Nurses may follow safe orders from physicians, but
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
they are also responsible for the activities that they, as nurses, are to carry out. Informati
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
on provided in a nursing textbook is basic information for general knowledge.Furthermore
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
, the information in a textbook may not reflect the current standard of care or the individ
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ual state or hospital policies.
9% 9% 9% 9%
