j j j j jj
s Health Care 11th Edition.
j j j j
FULL TEST BANK!!!
j j
,Chapterj01:j21stjCenturyjMaternityjandjWomen’sjHealthjNursingjLowder
milk:jMaternityj&jWomen’sjHealthjCare,j11thjEdition
MULTIPLEjCHOICE
1. Injevaluatingjthejleveljofjajpregnantjwoman’sjriskjofjhavingjajlow-birth-
weightj(LBW)jinfant,jwhichjfactorjisjthejmostjimportantjforjthejnursejtojconsider?
a. African-Americanjrace
b. Cigarettejsmoking
c. Poorjnutritionaljstatus
d. Limitedjmaternaljeducation
ANS:j A
ForjAfrican-
Americanjbirths,jthejincidencejofjLBWjinfantsjisjtwicejthatjofjCaucasianjbirths.jRacejisjajnon-
modifiablejriskjfactor.jCigarettejsmokingjisjanjimportantjfactorjinjpotentialjinfantjmortalityjrate
s,jbutjitjisjnotjthejmostjimportant.jAdditionally,jsmokingjisjajmodifiablejriskjfactor.jPoorjnutriti
onjisjanjimportantjfactorjinjpotentialjinfantjmortalityjrates,jbutjitjisjnotjthejmostjimportant.jAddit
ionally,jnutritionaljstatusjisjajmodifiablejriskjfactor.jMaternaljeducationjisjanjimportantjfactorji
njpotentialjinfantjmortalityjrates,jbutjitjisjnotjthejmostjimportant.jAdditionally,jmaternaljeducati
onjisjajmodifiablejriskjfactor.
DIF: CognitivejLevel:jUnderstand
REF:jp.j6jTOP:j NursingjProcess:jAssessment
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance,jAntepartumjCare
2. Whatjisjthejprimaryjrolejofjpracticingjnursesjinjthejresearchjprocess?
a. DesigningjresearchjstudieNs j RjIjGjB.C
b. Collectingjdatajforjotherjresearchers
c. Identifyingjresearchablejproblems
d. Seekingjfundingjtojsupportjresearchjstudies
ANS:j C
Whenjproblemsjarejidentified,jresearchjcanjbejproperlyjconducted.jResearchjofjhealthjcarejissu
esjleadsjtojevidence-
basedjpracticejguidelines.jDesigningjresearchjstudiesjisjonlyjonejfactorjofjthejresearchjprocess.j
Datajcollectionjisjanotherjfactorjofjresearch.jFinancialjsupportjisjnecessaryjtojconductjresearch,j
butjitjisjnotjthejprimaryjrolejofjthejnursejinjthejresearchjprocess.
DIF: CognitivejLevel:jUnderstand REF:j p.j14
TOP:jNursingjProcess:jN/AjMSC:j ClientjNeeds:jSafejandjEffectivejCarejEnvironment
3. Aj23-year-oldjAfrican-
Americanjwomanjisjpregnantjwithjherjfirstjchild.jBasedjonjthejstatisticsjforjinfantjmortal
ity,jwhichjplanjisjmostjimportantjforjthejnursejtojimplement?
a. Performjajnutritionjassessment.
b. Referjthejwomanjtojajsocialjworker.
c. Advisejthejwomanjtojseejanjobstetrician,jnotjajmidwife.
d. Explainjtojthejwomanjthejimportancejofjkeepingjherjprenataljcarejappointments.
ANS:j D
Consistentjprenataljcarejisjthejbestjmethodjofjpreventingjorjcontrollingjriskjfactors
, associatedjwithjinfantjmortality.jNutritionaljstatusjisjanjimportantjmodifiablejriskjfactor,jbutjitji
sjnotjthejmostjimportantjactionjajnursejshouldjtakejinjthisjsituation.jThejclientjmayjneedjassista
ncejfromjajsocialjworkerjatjsomejtimejduringjherjpregnancy,jbutjajreferraljtojajsocialjworkerjisjn
otjthejmostjimportantjaspectjthejnursejshouldjaddressjatjthisjtime.jIfjthejwomanjhasjidentifiablej
high-
riskjproblems,jthenjherjhealthjcarejmayjneedjtojbejprovidedjbyjajphysician.jHowever,jitjcannotj
bejassumedjthatjalljAfrican-Americanjwomenjhavejhigh-
riskjissues.jInjaddition,jadvisingjthejwomanjtojseejanjobstetricianjisjnotjthejmostjimportantjaspec
tjonjwhichthejnursejshouldjfocusjatjthisjtime,jandjitjisjnotjappropriatejforjajnursejtojadvisejorjma
nagejthejtypejofjcarejajclientjisjtojreceive.
DIF: CognitivejLevel:jUnderstand REF:j p.j6
TOP:jNursingjProcess:jPlanningjMSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
4. Duringjajprenataljintakejinterview,jthejnursejisjinjthejprocessjofjobtainingjanjinitialjassessmentj
ofjaj21-year-
oldjHispanicjclientjwithjlimitedjEnglishjproficiency.jWhichjactionjisjthejmostjimportantjforjthej
nursejtojperform?
a. Usejmaternityjjargonjtojenablejthejclientjtojbecomejfamiliarjwithjthesejterms.
b. Speakjquicklyjandjefficientlyjtojexpeditejthejvisit.
c. Providejthejclientjwithjhandouts.
d. Assessjwhetherjthejclientjunderstandsjthejdiscussion.
ANS:j D
Nursesjcontributejtojhealthjliteracyjbyjusingjsimple,jcommonjwords,javoidingjjargon,jandjevalu
atingjwhetherjthejclientjunderstandsjthejdiscussion.jSpeakingjslowlyjandjclearlyjandjfocusingjo
njwhatjisjimportantjwilljincreasejunderstanding.jMostjclientjeducationjmaterialsjarejwrittenjatjajl
eveljtoojhighjforjthejaveragejadultjandjmayjnotjbejusefuljforjajclientjwithjlimitedjEnglishjproficie
ncy. NjRjIjGjB.
DIF: CognitivejLevel:jApply REF:j p.j5
TOP:jNursingjProcess:jEvaluationjMSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
5. Thejnursesjworkingjatjajnewlyjestablishedjbirthingjcenterjhavejbegunjtojcomparejtheirjperform
ancejinjprovidingjmaternal-
newbornjcarejagainstjclinicaljstandards.jThisjcomparisonjprocessjisjmostjcommonlyjknownjasj
what?
a. Bestjpracticesjnetwork
b. Clinicaljbenchmarking
c. Outcomes-orientedjpractice
d. Evidence-basedjpractice
ANS:j C
Outcomes-
orientedjpracticejmeasuresjthejeffectivenessjofjthejinterventionsjandjqualityjofjcarejagainstjbench
marksjorjstandards.jThejtermjbestjpracticejrefersjtojajprogramjorjservicejthatjhasjbeenjrecognize
djforjitsjexcellence.jClinicaljbenchmarkingjisjajprocessjusedjtojcomparejone’sjownjperformance
jagainstjthejperformancejofjthejbestjinjanjareajofjservice.jThejtermjevidence-
basedjpracticejrefersjtojthejprovisionjofjcarejbasedjonjevidencejgainedjthroughjresearchjandjcli
nicaljtrials.
DIF: CognitivejLevel:jUnderstand REF:j p.j11
TOP:jNursingjProcess:jEvaluationjMSC:j ClientjNeeds:jSafejandjEffectivejCarejEnvironment
6. Whichjstatementjbestjexemplifiesjcontemporaryjmaternityjnursing?
a. Usejofjmidwivesjforjalljvaginaljdeliveries
, b. Family-centeredj care