Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z! z! z! z! z! z!
TEST BANK FOR Maternity & Women’s Health Care 12t z! z! z! z! z! z! z! z!z!
h Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z!z!
Chapter 1: 21st Century Maternity and Women’s Health Nursing
z! z! z! z! z! z! z! z!
MULTIPLE CHOICE z!
1. In evaluating the level of a pregnant woman risk of having a low-birth-
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weight (LBW) infant, which factor is the most important for the nurse to consider?
z! z! z! z! z! z! z! z! z! z! z! z! z!
a. African-American race z!
b. Cigarette smoking z!
c. Poor nutritional status z! z!
d. Limited maternal education z! z!
SELECTED ANSWER: A z! z!
For African-
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American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonm
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odifiable risk factor. Cigarette smoking is an important factor in potential infant mortality rates,
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition i
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
s an important factor in potential infant mortality rates, but it is not the most important. Addition
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ally, nutritional status is a modifiable risk factor. Maternal education is an
z! z! z! z! z! z! z! z! z! z! z!
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z! z! z! z! z! z!
important factor in potential infant mortality rates, but it is not the most important. Additionally,
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
maternal education is a modifiable risk factor.
z! z! z! z! z! z!
DIF: Cognitive Level: Understand REF: IM:
z! z! z! z! z!
TOPIC: Nursing Process: Assessment
z! z! z!
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
z! z! z! z! z! z! z! z!
2. What is the primary role of practicing nurses in the research process?
z! z! z! z! z! z! z! z! z! z! z!
a. Designing research studies z! z!
b. Collecting data for other researchersz! z! z! z!
c. Identifying researchable problems z! z!
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z! z! z! z! z! z!
d. Seeking funding to support research studies z! z! z! z! z!
SELECTED ANSWER: C z! z!
When problems are identified, research can be properly conducted. Research of health care issu
z! z! z! z! z! z! z! z! z! z! z! z! z!
es leads to evidence-
z! z! z!
based practice guidelines. Designing research studies is only one factor of the research process.
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
Data collection is another factor of research. Financial support is necessary to conduct research,
z! z! z! z! z! z! z! z! z! z! z! z! z! z
! but it is not the primary role of the nurse in the research process.
z! z! z! z! z! z! z! z! z! z! z! z! z!
DIF: Cognitive Level: Understand REF: im: 14 TOPIC: Nursing Process: N/AM
z! z! z! z! z! z! z! z! z! z!
SC: Client Needs: Safe and Effective Care Environment
z! z! z! z! z! z! z!
3. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant morta
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lity, which plan is most important for the nurse to implement?
z! z! z! z! z! z! z! z! z! z!
a. Perform a nutrition assessment. z! z! z!
b. Refer the woman to a social worker. z! z! z! z! z! z!
c. Advise the woman to see an obstetrician, not a midwife.
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d. Explain to the woman the importance of keeping her prenatal care appointments.
z! z! z! z! z! z! z! z! z! z! z!
SELECTED ANSWER: D z! z!
Consistent prenatal care is the best method of preventing or controlling risk factors associated wi
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
th infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z
!important action a nurse should take in this situation. The client may need assistance from a socia
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
l worker at some time during her pregnancy, but a referral to a social worker is not the most imp
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ortant aspect the nurse should address at this time. If the woman has identifiable high-
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risk problems, then her health care may need to be provided by a physician. However, it cannot
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
be assumed that all African-American women have high-
z! z! z! z! z! z! z!
risk issues. In addition, advising the woman to see an obstetrician is not the most important aspe
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ct on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
manage the type of care a client is to receive.
z! z! z! z! z! z! z! z! z!
DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Planning
z! z! z! z! z! z! z! z! z!
, Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z! z! z! z! z! z!
MSC: Client Needs: Health Promotion and Maintenance
z! z! z! z! z! z!
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessme
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
nt of a 21-year-
z! z! z!
old Hispanic client with limited English proficiency. Which action is the most important for the n
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
urse to perform?z! z!
a. Use maternity jargon to enable the client to become familiar with these terms.
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b. Speak quickly and efficiently to expedite the visit.
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c. Provide the client with handouts. z! z! z! z!
d. Assess whether the client understands the discussion.
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SELECTED ANSWER: D z! z!
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evalu
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ating whether the client understands the discussion. Speaking slowly and clearly and focusing on
z! z! z! z! z! z! z! z! z! z! z! z! z!
what is important will increase understanding. Most client education materials are written at a le
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vel too high for the average adult and may not be useful for a client with limited English proficie
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ncy.
DIF: Cognitive Level: Apply REF: im: 5 TOPIC: Nursing Process: Evaluation
z! z! z! z! z! z! z! z! z! z!
MSC: Client Needs: Health Promotion and Maintenance
z! z! z! z! z! z!
5. The nurses working at a newly established birthing center have begun to compare their pe
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
rformance in providing maternal- z! z! z!
newborn care against clinical standards. This comparison process is most commonly known
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as what?
z!
a. Best practices network z! z!
b. Clinical benchmarking z!
c. Outcomes-oriented practice z!
d. Evidence-
based practice SELECTED
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ANSWER: C z!
z! z! z! z! z! z! z! z! z! z! z!
TEST BANK FOR Maternity & Women’s Health Care 12t z! z! z! z! z! z! z! z!z!
h Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z!z!
Chapter 1: 21st Century Maternity and Women’s Health Nursing
z! z! z! z! z! z! z! z!
MULTIPLE CHOICE z!
1. In evaluating the level of a pregnant woman risk of having a low-birth-
z! z! z! z! z! z! z! z! z! z! z! z!
weight (LBW) infant, which factor is the most important for the nurse to consider?
z! z! z! z! z! z! z! z! z! z! z! z! z!
a. African-American race z!
b. Cigarette smoking z!
c. Poor nutritional status z! z!
d. Limited maternal education z! z!
SELECTED ANSWER: A z! z!
For African-
z!
American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonm
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
odifiable risk factor. Cigarette smoking is an important factor in potential infant mortality rates,
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition i
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
s an important factor in potential infant mortality rates, but it is not the most important. Addition
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ally, nutritional status is a modifiable risk factor. Maternal education is an
z! z! z! z! z! z! z! z! z! z! z!
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z! z! z! z! z! z!
important factor in potential infant mortality rates, but it is not the most important. Additionally,
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
maternal education is a modifiable risk factor.
z! z! z! z! z! z!
DIF: Cognitive Level: Understand REF: IM:
z! z! z! z! z!
TOPIC: Nursing Process: Assessment
z! z! z!
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
z! z! z! z! z! z! z! z!
2. What is the primary role of practicing nurses in the research process?
z! z! z! z! z! z! z! z! z! z! z!
a. Designing research studies z! z!
b. Collecting data for other researchersz! z! z! z!
c. Identifying researchable problems z! z!
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z! z! z! z! z! z!
d. Seeking funding to support research studies z! z! z! z! z!
SELECTED ANSWER: C z! z!
When problems are identified, research can be properly conducted. Research of health care issu
z! z! z! z! z! z! z! z! z! z! z! z! z!
es leads to evidence-
z! z! z!
based practice guidelines. Designing research studies is only one factor of the research process.
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
Data collection is another factor of research. Financial support is necessary to conduct research,
z! z! z! z! z! z! z! z! z! z! z! z! z! z
! but it is not the primary role of the nurse in the research process.
z! z! z! z! z! z! z! z! z! z! z! z! z!
DIF: Cognitive Level: Understand REF: im: 14 TOPIC: Nursing Process: N/AM
z! z! z! z! z! z! z! z! z! z!
SC: Client Needs: Safe and Effective Care Environment
z! z! z! z! z! z! z!
3. A 23-year-old African-
z! z!
American woman is pregnant with her first child. Based on the statistics for infant morta
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
lity, which plan is most important for the nurse to implement?
z! z! z! z! z! z! z! z! z! z!
a. Perform a nutrition assessment. z! z! z!
b. Refer the woman to a social worker. z! z! z! z! z! z!
c. Advise the woman to see an obstetrician, not a midwife.
z! z! z! z! z! z! z! z! z!
d. Explain to the woman the importance of keeping her prenatal care appointments.
z! z! z! z! z! z! z! z! z! z! z!
SELECTED ANSWER: D z! z!
Consistent prenatal care is the best method of preventing or controlling risk factors associated wi
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
th infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z
!important action a nurse should take in this situation. The client may need assistance from a socia
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
l worker at some time during her pregnancy, but a referral to a social worker is not the most imp
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ortant aspect the nurse should address at this time. If the woman has identifiable high-
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
risk problems, then her health care may need to be provided by a physician. However, it cannot
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
be assumed that all African-American women have high-
z! z! z! z! z! z! z!
risk issues. In addition, advising the woman to see an obstetrician is not the most important aspe
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ct on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
manage the type of care a client is to receive.
z! z! z! z! z! z! z! z! z!
DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Planning
z! z! z! z! z! z! z! z! z!
, Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
z! z! z! z! z! z! z! z! z! z! z!
MSC: Client Needs: Health Promotion and Maintenance
z! z! z! z! z! z!
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessme
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
nt of a 21-year-
z! z! z!
old Hispanic client with limited English proficiency. Which action is the most important for the n
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
urse to perform?z! z!
a. Use maternity jargon to enable the client to become familiar with these terms.
z! z! z! z! z! z! z! z! z! z! z! z!
b. Speak quickly and efficiently to expedite the visit.
z! z! z! z! z! z! z!
c. Provide the client with handouts. z! z! z! z!
d. Assess whether the client understands the discussion.
z! z! z! z! z! z!
SELECTED ANSWER: D z! z!
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evalu
z! z! z! z! z! z! z! z! z! z! z! z! z!
ating whether the client understands the discussion. Speaking slowly and clearly and focusing on
z! z! z! z! z! z! z! z! z! z! z! z! z!
what is important will increase understanding. Most client education materials are written at a le
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
vel too high for the average adult and may not be useful for a client with limited English proficie
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ncy.
DIF: Cognitive Level: Apply REF: im: 5 TOPIC: Nursing Process: Evaluation
z! z! z! z! z! z! z! z! z! z!
MSC: Client Needs: Health Promotion and Maintenance
z! z! z! z! z! z!
5. The nurses working at a newly established birthing center have begun to compare their pe
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
rformance in providing maternal- z! z! z!
newborn care against clinical standards. This comparison process is most commonly known
z! z! z! z! z! z! z! z! z! z! z! z!
as what?
z!
a. Best practices network z! z!
b. Clinical benchmarking z!
c. Outcomes-oriented practice z!
d. Evidence-
based practice SELECTED
z! z! z!
ANSWER: C z!
