ss ss ss ss ss ss ss ss ss
,Chapter ss1: s s 21st s s Century ssMaternity ssand s s Women’s s s Health ss Nursing
MULTIPLE s s CHOICE
1. In ssevaluating ssthe sslevel ssof ssa sspregnant sswomans ssrisk ssof sshaving ssa sslow-birth-weight
(LBW) ssinfant, which ssfactor ssis ssthe ssmost ssimportant ssfor ssthe ssnurse ssto ssconsider?
ss q
a. African-American ssrace
b. Cigarette sssmoking
c. Poor s s nutritional s s status
d. Limited ssmaternal ss education
ANS: s s A
For ssAfrican-American ssbirths, ssthe ssincidence ssof ssLBW ssinfants ssis sstwice ssthat ssof ssCaucasian
births. ssRace ssis ssa ssnonmodifiable ssrisk ssfactor. ssCigarette sssmoking ssis ssan ssimportant ssfactor ssin
ss
potential
ss s s infant ssmortality ssrates, ssbut ssit ssis ssnot ssthe ssmost ssimportant. ssAdditionally,
smoking ssis ssa ssmodifiable ssrisk s s factor.Poor ssnutrition ssis ssan ssimportant ssfactor ssin sspotential
ss
infant ssmortality ssrates, ssbut ssit ssis ssnot ssthe ssmost ssimportant. ssAdditionally, ssnutritional ssstatus ssis
ss
a ssmodifiable ssrisk ssfactor. ssMaternal sseducation ssis ssan ssimportant ssfactor ssin sspotential ssinfant
ss
mortality ssrates, ssbut ssit ssis ssnot ssthe ssmost ssimportant. ssAdditionally, ssmaternal sseducation ssis ssa
ss
modifiable ssrisk ssfactor.
ss
DIF: s s Cognitive s s Level: s s Understand s s REF: s s IM:
TOP: s s Nursing ssProcess: s s Assessment
MSC: ssClient ss Needs: s s Health ss Promotion ssand s s Maintenance, s s Antepartum s s Care
2. What ssis s s the ss primary ssrole s s of sspracticing ssnurses s s in s s the s s research s s process?
a. Designing ssresearch s s studies
b. Collecting ssdata s s for ssother ss researchers
c. Identifying ssresearchable ssproblems
, d. Seeking ssfunding ssto s s support s s research s s studies
ANS: s s C
When ssproblems ssare ssidentified, ssresearch sscan ssbe ssproperly ssconducted. ssResearch ssof sshealth
care ssissues ssleads ssto ssevidence-based sspractice ssguidelines. ssDesigning ssresearch ssstudies ssis
ss
only ssone ssfactorof ssthe ssresearch ssprocess. ssData sscollection ssis ssanother ssfactor ssof ssresearch.
ss
Financial sssupport s s is ssnecessary ssto ssconduct ssresearch, ssbut ssit ssis ssnot ssthe ssprimary ssrole ssof
ss
the ssnurse ssin ssthe ssresearch ssprocess.
ss
DIF: ssCognitive ssLevel: ssUnderstand ssREF: ssim: ss14 ssTOP: ssNursing ssProcess:
ss N/A MSC: ssClient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
3. A ss23-year-old ssAfrican-American sswoman ssis sspregnant sswith ssher ssfirst sschild. ssBased
ss on ssthe statistics ssfor ssinfant ssmortality, sswhich ssplan ssis ssmost ssimportant ssfor ssthe ssnurse
q
ss to ssimplement?
a. Perform s s a ssnutrition ss assessment.
b. Refer s s the sswoman s s to s s a s s social s s worker.
c. Advise ssthe s s woman s s to s s see s s an s s obstetrician, s s not s s a s s midwife.
d. Explain ss to s s the ss woman ss the ssimportance s s of ss keeping ss her s s prenatal s s care s s appointments.
ANS: ss D
Consistent ssprenatal sscare ssis ssthe ssbest ssmethod ssof sspreventing ssor sscontrolling ssrisk ssfactors
ss associated sswith ssinfant ssmortality. ssNutritional ssstatus ssis ssan ssimportant ssmodifiable ssrisk ssfactor,
ss but ssit ssis ssnot ssthe ssmost s s important s s action s s a ssnurse ssshould s s take ssin s s this sssituation. s s The
ss client s s may ssneed s s assistance ssfrom s s asocial s s worker s s at s s some s s time s s during s s her
ss pregnancy, s s but s s a s s referral s s to s s a s s social s s worker s s is ssnot ssthe ssmost important ssaspect ssthe
q
ss nurse ssshould ssaddress ssat ssthis sstime. ssIf ssthe sswoman sshas ssidentifiable sshigh-risk ssproblems, ssthen
ss her sshealth sscare ssmay ssneed ssto ssbe ssprovided ssby ssa ssphysician. ssHowever, ssit sscannot ssbe ssassumed
ss that ssall ssAfrican-American sswomen sshave sshigh-risk ssissues. ssIn ssaddition, ssadvising ssthe sswoman
ss to sssee ssan ssobstetrician ssis ssnot ssthe ssmost ssimportant ssaspect sson sswhich ssthe s s nurse s s should
ss focus s s at this s s time, s s and s s it s s is s s not s s appropriate s s for s s a s s nurse s s to s s advise s s or s s manage ssthe
ss type ssof sscare ssa ssclient ssis ssto ssreceive.
DIF: s s Cognitive s s Level: s s Understand s s REF: s s IM: s s TOP: s s Nursing ssProcess: s s Planning
, MSC: ssClient s s Needs: ss Health s s Promotion ss and ss Maintenance
4. During ssa ssprenatal ssintake ssinterview, ssthe ssnurse ssis ssin ssthe ssprocess ssof ssobtaining ssan ssinitial
assessment ssof ssa ss21-year-old ssHispanic ssclient sswith sslimited ssEnglish ssproficiency. ssWhich
ss
action ssis ssthemost ssimportant ssfor ssthe ssnurse ssto ssperform?
ss
a. Use ssmaternity ssjargon s s to s s enable s s the ss client s s to s s become s s familiar s s with s s these ssterms.
b. Speak s s quickly ssand s s efficiently ssto s s expedite s s the s s visit.
c. Provide ssthe s s client ss with s s handouts.
d. Assess s s whether ssthe ssclient s s understands s s the ss discussion.
ANS: ss D
Nurses sscontribute ssto sshealth ssliteracy ssby ssusing sssimple, sscommon sswords, ssavoiding ssjargon,
and ssevaluating sswhether ssthe ssclient ssunderstands ssthe ssdiscussion. ssSpeaking ssslowly ssand
ss
clearly ssand ssfocusing sson sswhat ssis ssimportant sswill ssincrease ssunderstanding. ssMost ssclient
ss
education ssmaterials ssarewritten ssat ssa sslevel sstoo sshigh ssfor ssthe ssaverage ssadult ssand ssmay ssnot
ss
be ssuseful ssfor ssa ssclient sswith sslimited English ssproficiency.
ss q
DIF: ssCognitive ssLevel: ssApply ssREF: ssim: ss5 ssTOP: ssNursing ssProcess:
Evaluation MSC: ssClient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
ss q
5. The ssnurses ssworking ssat ssa ssnewly ssestablished ssbirthing sscenter sshave ssbegun ssto sscompare
ss their ssperformance ssin ssproviding ssmaternal-newborn sscare ssagainst ssclinical ssstandards. ssThis
ss comparison process ssis ssmost sscommonly ssknown ssas sswhat?
q
a. Best sspractices ssnetwork
b. Clinical ssbenchmarking
c. Outcomes-oriented sspractice
d. Evidence-based
practice ANS: ssC
ss q