Maternityand Women's Health Carei13thiEdition LowdermilkiTest
u uu u uu
Women'sHealth i
a i uu uu uu
Care13thEditi i i
on uu
LowdermilkTest i uu u u
Bank
, Maternityand Women's Health Carei13thiEdition LowdermilkiTest
u uu u uu
Chapter01:21stCenturyMaternityand Women’sHealthNursing Lowdermilk: u i u
Maternity& Women’s Health Care, 12th Edition
uu u uu uu u u
MULTIPLECHOICE
1. In evaluatingitheilevel ofa pregnant woman’s risk of havingialow-birth-
u u u
weight (LBW) infant, which factor is the most important for the nurseito consider?
uu uu uu
a. African-Americanrace
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: A uu
The riseiinitheioverall LBW rates were dueito increases iniLBW births to non- uu uu uu uu
Hispanicblackwomen(13.35%) and Hispanicwomen(7.21%); non-
uu uu uu uu
Hispanic black infants areialmost twice as likelyasinon-
uu uu u uu u
Hispanic white infants to beiof LBW and to dieiin the first yearoflife..Raceisanonmodifiableris
uu uu uu uu u
kfactor. Cigaretteismokingisan important factorin potential infant mortalityrates, but it is not th
uu uu u u uu uu u
eimostiimportant. Additionally, smoking isia modifiable risk factor. Poor nutrition is aniimporta
uu u uu u uu u
ntifactor in potential infantimortalityrates, butiit is not the mostiimportant. Additionally, nutritio
uu u u uu u uu uu
nal status is a modifiable riskifactor. Maternal education is an important factor in potential infant
uu uu uu u uu uu u
mortalityrates,ibut it is not the most important. Additionally, maternal education isia modifiable
uu uu u uu uu uu
risk factor.
uu u
PTS: 1 DIF:
CognitiveLevel:Understand TOP: u
Nursing Process: Assessment u uu
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
uu uu uu uu
2. A 23-year-old African-
u uu
Americaniwoman is pregnant with her first child. Based onicurrent statisticsifor infant mortalit u
y, which intervention isimost important forthe nurseito includeiin the client’s plan of care?
uu uu u
a. Performianutrition assessment.
b. Refertheiwoman toiasocial worker.
c. Advisethewomanitosee aniobstetrician, notiamidwife. u uu
d. Explaintothe womanitheimportanceofkeepingher prenatal care appointments.
ANS: D uu
Consistent prenatal careiis the best method ofpreventingor controllingirisk factors associatedw
ithinfantmortality. Nutritionalstatusiisian importantmodifiableirisk factor,but it is not themost i
uu u u
mportantiaction a nurseishould take in this situation. Theiclientimayneediassistance fromiasocia
uu u
liworker at some timeiduringher pregnancy, but aireferral to a socialiworker is not the most impor
uu uu uu uu u
tant aspectithe nurse should address at this time. If the womanihas identifiable high-
uu uu uu uu uu uu
riskiproblems, theniher health care mayneed to be provided bya physician. However, it cannot b
uu u uu uu u
eiassumed that all African-American women have high-
uu uu
riskiissues. Iniaddition, advisingitheiwoman to see aniobstetrician is not the most important aspec
uu uu u uu uu
tion which the nurse shouldifocus at this time,iandiitiis notiappropriateifor ainurse to advise or man
uu uu uu u uu
age the type of care a clientiis to receive.
uu
PTS: 1 DIF:
CognitiveLevel:Understand
TOP:Nursing Process: Planning
uu u u uu
, Maternityand Women's Health Carei13thiEdition LowdermilkiTest
u uu u uu
MSC: ClientiNeeds: Health Promotionand Maintenance
uu uu u uu
3. Thenurses workingiat a newlyestablishedbirthingcenterhavebegunto comparetheir perf
u
ormanceiin providingimaternal-
uu
newborn careiagainst clinical standards. This comparisoniprocess is most commonlykno
uu uu uu
wn as what?
uu u uu
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-orientedpracNtiUceR S
d. Evidence-basedpractice
ANS: C uu
Outcomes-
oriented practice measures the effectiveness of theiinterventionsiand qualityof careiagainstbenc
uu
hmarksiorstandards. Theterm bestpracticereferstoaprogram orservice thatihas been recogniz
uu u u
edifor its excellence. Clinical benchmarking isia processiused to compareione’s own performanc
uu u uu uu uu
eiagainst the performance of theibest in an area of service. The term evidence-
uu uu uu u uu uu
based practice refersito theiprovision of care based on evidence gained through research and clin
u uu uu uu
ical trials.
uu uu
PTS: 1 DIF:
CognitiveLevel:Understand TOP: uu
Nursing Process: Evaluation u uu
MSC: ClientiNeeds: Safeand EffectiveiCare Environment
uu u u u
4. Duringa prenatal intake interview, theinurse is in the process of obtainingian initial asse uu uu uu uu
ssmentiofa21-year-
uu
oldHispanicclientwithlimited Englishproficiency. Whichinterventionisthemost uu uu
importantforthenursetoimplement?
uu u
a. Usematernityjargon to enableitheclient tobecomeifamiliarwith these terms.
b. Speakiquicklyand efficientlyto expediteithe visit.
u
c. Provideitheclient withhandouts.
d. Assesswhethertheclientunderstandsthediscussion.
ANS: D uu
Nursesicontributeito health literacybyusingisimple,common words, avoidingjargon, and eval u uu u
uatingwhether the client understands the discussion.Speakingslowlyand clearlyandifocusin
uu u
gon whatiisimportantwillincreaseiunderstanding. Mostclient educationimaterials areiwritten
uu u uu
at ailevel too high for theaverage adult and maynotibe useful for a client with limited Englishipr
uu uu uu uu u
oficiency.
uu
PTS: 1 DIF:
CognitiveLevel:Apply TOP: u
Nursing Process: Implementation uu uu
MSC: ClientNeeds: Health Promotionand Maintenance
uu u uu u uu
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useof midwives forall vaginalideliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-
uu drivencareiANS:
uu B
, Maternityand Women's Health Carei13thiEdition LowdermilkiTest
u uu u uu
Contemporarymaternity nursingfocuses on the family’sineeds and desires. Fathers, partners, gr uu uu uu uu u
andparents, andisiblings maybeipresent forthebirthandparticipateiniactivities such as cuttingit
uu u u uu uu
heibaby’s umbilical cord. Both midwives and physicians perform vaginalideliveries. Free-
uu uu uu uu
standing clinicsiareian exampleiof alternative birth options. Contemporary maternity nursing isi
uu uu u
drivenbytherelationship betweennursesandtheirclients.
uu uu
PTS: 1 DIF:
CognitiveLevel:Understand TOP: u
Nursing Process: Planning u uu
MSC: ClientNeeds: Health Promotionand Maintenance
uu u uu u uu
6. A38-year-old Hispanicwomanvaginallydeliveredia9-pound,6-
u u
ouncebabygirlafterbeinginlaborfor 43 hours. Thebabydied 3 dayslaterfrom sepsis. On uu uu uu uu uu uu uu
whatgrounds could the woman have a legitimate legal caseifor negligence?
uu u
a. Inexperienced maternitynurseiwas assigned to careiforthe client.
b. Client wasipast herdueidateiby3 days. uu uu
c. Standardofcarewasnotmet.
d. Clientrefusedelectronicfetalmonitoring.
ANS: C uu
Not meetingithe standard of care isia legitimate factor for a case of negligence. An inexperienced uu uu
maternitynursewouldneed todisplaycompetencybeforebeingiassigned to care for clients on h
uu
i s or her own. Thisiclientimayhave been past her due date; however, a termipregnancy oftenigoesi
uu u u u uu
beyondi40 weeks of gestation. Although fetal monitoringiistheistandardiof care, theiclientihas th
uu u u uu uu
eirightito refuse treatment. Thisirefusal is not aicaseifor negligence, but informed consentishould
uu uu uu u uu u uu
beiproperly obtained, and the client should have signed an against medical advice formiwhen ref
uu u uu u u
usingianytreatment that isiwithin the standard of care.
uu uu uu u
PTS: 1 DIF:
CognitiveLevel:AnalyzeiTOP:
Nursing Process: Implementation uu uu
MSC: ClientiNeeds: Safeand EffectiveiCareEnvironment
uu u u u
7. Whenthenurseisunsure how toiperform aclient care procedurethat isihigh risk and low volu uu
me, his or her best action in thisisituation wouldibe what?
uu u uu uu uu
a. Askianothernurse.
b. Discussitheiprocedure withtheclient’s physician.
c. Lookiup the procedure in a nursingtextbook.
d. Firstconsulttheagencyproceduremanual
ANS: D uu
Followingitheiagency’sipoliciesiand procedures manual isialways best when seekinginformatio uu
nonicorrect client procedures. Theseipolicies shouldreflect thecurrent standards of careiand the
uu u uu
individual state’s guidelines. Each nurseiis responsible for his or her own practice. Relyingion an
uu uu u uu u uu
other nurse maynot always beia safe practice. Eachinurse is obligated to follow the standardsiof c
uu uu u
are for safe client careidelivery. Physicians are responsible for their own client care activity. Nur
uu uu uu
ses mayfollow safeiorders fromiphysicians, butitheyareialso responsible for theiactivities that th
uu uu uu uu uu u
ey, as nurses, are to carryout. Informationprovided inianursingtextbookisbasiciinformationifor
uu uu uu uu u
generalknowledge. Furthermore, the information inia textbook maynotireflectitheicurrent stand
uu u u
ard of care or the individual stateior hospital policies.
uu
u uu u uu
Women'sHealth i
a i uu uu uu
Care13thEditi i i
on uu
LowdermilkTest i uu u u
Bank
, Maternityand Women's Health Carei13thiEdition LowdermilkiTest
u uu u uu
Chapter01:21stCenturyMaternityand Women’sHealthNursing Lowdermilk: u i u
Maternity& Women’s Health Care, 12th Edition
uu u uu uu u u
MULTIPLECHOICE
1. In evaluatingitheilevel ofa pregnant woman’s risk of havingialow-birth-
u u u
weight (LBW) infant, which factor is the most important for the nurseito consider?
uu uu uu
a. African-Americanrace
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: A uu
The riseiinitheioverall LBW rates were dueito increases iniLBW births to non- uu uu uu uu
Hispanicblackwomen(13.35%) and Hispanicwomen(7.21%); non-
uu uu uu uu
Hispanic black infants areialmost twice as likelyasinon-
uu uu u uu u
Hispanic white infants to beiof LBW and to dieiin the first yearoflife..Raceisanonmodifiableris
uu uu uu uu u
kfactor. Cigaretteismokingisan important factorin potential infant mortalityrates, but it is not th
uu uu u u uu uu u
eimostiimportant. Additionally, smoking isia modifiable risk factor. Poor nutrition is aniimporta
uu u uu u uu u
ntifactor in potential infantimortalityrates, butiit is not the mostiimportant. Additionally, nutritio
uu u u uu u uu uu
nal status is a modifiable riskifactor. Maternal education is an important factor in potential infant
uu uu uu u uu uu u
mortalityrates,ibut it is not the most important. Additionally, maternal education isia modifiable
uu uu u uu uu uu
risk factor.
uu u
PTS: 1 DIF:
CognitiveLevel:Understand TOP: u
Nursing Process: Assessment u uu
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
uu uu uu uu
2. A 23-year-old African-
u uu
Americaniwoman is pregnant with her first child. Based onicurrent statisticsifor infant mortalit u
y, which intervention isimost important forthe nurseito includeiin the client’s plan of care?
uu uu u
a. Performianutrition assessment.
b. Refertheiwoman toiasocial worker.
c. Advisethewomanitosee aniobstetrician, notiamidwife. u uu
d. Explaintothe womanitheimportanceofkeepingher prenatal care appointments.
ANS: D uu
Consistent prenatal careiis the best method ofpreventingor controllingirisk factors associatedw
ithinfantmortality. Nutritionalstatusiisian importantmodifiableirisk factor,but it is not themost i
uu u u
mportantiaction a nurseishould take in this situation. Theiclientimayneediassistance fromiasocia
uu u
liworker at some timeiduringher pregnancy, but aireferral to a socialiworker is not the most impor
uu uu uu uu u
tant aspectithe nurse should address at this time. If the womanihas identifiable high-
uu uu uu uu uu uu
riskiproblems, theniher health care mayneed to be provided bya physician. However, it cannot b
uu u uu uu u
eiassumed that all African-American women have high-
uu uu
riskiissues. Iniaddition, advisingitheiwoman to see aniobstetrician is not the most important aspec
uu uu u uu uu
tion which the nurse shouldifocus at this time,iandiitiis notiappropriateifor ainurse to advise or man
uu uu uu u uu
age the type of care a clientiis to receive.
uu
PTS: 1 DIF:
CognitiveLevel:Understand
TOP:Nursing Process: Planning
uu u u uu
, Maternityand Women's Health Carei13thiEdition LowdermilkiTest
u uu u uu
MSC: ClientiNeeds: Health Promotionand Maintenance
uu uu u uu
3. Thenurses workingiat a newlyestablishedbirthingcenterhavebegunto comparetheir perf
u
ormanceiin providingimaternal-
uu
newborn careiagainst clinical standards. This comparisoniprocess is most commonlykno
uu uu uu
wn as what?
uu u uu
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-orientedpracNtiUceR S
d. Evidence-basedpractice
ANS: C uu
Outcomes-
oriented practice measures the effectiveness of theiinterventionsiand qualityof careiagainstbenc
uu
hmarksiorstandards. Theterm bestpracticereferstoaprogram orservice thatihas been recogniz
uu u u
edifor its excellence. Clinical benchmarking isia processiused to compareione’s own performanc
uu u uu uu uu
eiagainst the performance of theibest in an area of service. The term evidence-
uu uu uu u uu uu
based practice refersito theiprovision of care based on evidence gained through research and clin
u uu uu uu
ical trials.
uu uu
PTS: 1 DIF:
CognitiveLevel:Understand TOP: uu
Nursing Process: Evaluation u uu
MSC: ClientiNeeds: Safeand EffectiveiCare Environment
uu u u u
4. Duringa prenatal intake interview, theinurse is in the process of obtainingian initial asse uu uu uu uu
ssmentiofa21-year-
uu
oldHispanicclientwithlimited Englishproficiency. Whichinterventionisthemost uu uu
importantforthenursetoimplement?
uu u
a. Usematernityjargon to enableitheclient tobecomeifamiliarwith these terms.
b. Speakiquicklyand efficientlyto expediteithe visit.
u
c. Provideitheclient withhandouts.
d. Assesswhethertheclientunderstandsthediscussion.
ANS: D uu
Nursesicontributeito health literacybyusingisimple,common words, avoidingjargon, and eval u uu u
uatingwhether the client understands the discussion.Speakingslowlyand clearlyandifocusin
uu u
gon whatiisimportantwillincreaseiunderstanding. Mostclient educationimaterials areiwritten
uu u uu
at ailevel too high for theaverage adult and maynotibe useful for a client with limited Englishipr
uu uu uu uu u
oficiency.
uu
PTS: 1 DIF:
CognitiveLevel:Apply TOP: u
Nursing Process: Implementation uu uu
MSC: ClientNeeds: Health Promotionand Maintenance
uu u uu u uu
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useof midwives forall vaginalideliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-
uu drivencareiANS:
uu B
, Maternityand Women's Health Carei13thiEdition LowdermilkiTest
u uu u uu
Contemporarymaternity nursingfocuses on the family’sineeds and desires. Fathers, partners, gr uu uu uu uu u
andparents, andisiblings maybeipresent forthebirthandparticipateiniactivities such as cuttingit
uu u u uu uu
heibaby’s umbilical cord. Both midwives and physicians perform vaginalideliveries. Free-
uu uu uu uu
standing clinicsiareian exampleiof alternative birth options. Contemporary maternity nursing isi
uu uu u
drivenbytherelationship betweennursesandtheirclients.
uu uu
PTS: 1 DIF:
CognitiveLevel:Understand TOP: u
Nursing Process: Planning u uu
MSC: ClientNeeds: Health Promotionand Maintenance
uu u uu u uu
6. A38-year-old Hispanicwomanvaginallydeliveredia9-pound,6-
u u
ouncebabygirlafterbeinginlaborfor 43 hours. Thebabydied 3 dayslaterfrom sepsis. On uu uu uu uu uu uu uu
whatgrounds could the woman have a legitimate legal caseifor negligence?
uu u
a. Inexperienced maternitynurseiwas assigned to careiforthe client.
b. Client wasipast herdueidateiby3 days. uu uu
c. Standardofcarewasnotmet.
d. Clientrefusedelectronicfetalmonitoring.
ANS: C uu
Not meetingithe standard of care isia legitimate factor for a case of negligence. An inexperienced uu uu
maternitynursewouldneed todisplaycompetencybeforebeingiassigned to care for clients on h
uu
i s or her own. Thisiclientimayhave been past her due date; however, a termipregnancy oftenigoesi
uu u u u uu
beyondi40 weeks of gestation. Although fetal monitoringiistheistandardiof care, theiclientihas th
uu u u uu uu
eirightito refuse treatment. Thisirefusal is not aicaseifor negligence, but informed consentishould
uu uu uu u uu u uu
beiproperly obtained, and the client should have signed an against medical advice formiwhen ref
uu u uu u u
usingianytreatment that isiwithin the standard of care.
uu uu uu u
PTS: 1 DIF:
CognitiveLevel:AnalyzeiTOP:
Nursing Process: Implementation uu uu
MSC: ClientiNeeds: Safeand EffectiveiCareEnvironment
uu u u u
7. Whenthenurseisunsure how toiperform aclient care procedurethat isihigh risk and low volu uu
me, his or her best action in thisisituation wouldibe what?
uu u uu uu uu
a. Askianothernurse.
b. Discussitheiprocedure withtheclient’s physician.
c. Lookiup the procedure in a nursingtextbook.
d. Firstconsulttheagencyproceduremanual
ANS: D uu
Followingitheiagency’sipoliciesiand procedures manual isialways best when seekinginformatio uu
nonicorrect client procedures. Theseipolicies shouldreflect thecurrent standards of careiand the
uu u uu
individual state’s guidelines. Each nurseiis responsible for his or her own practice. Relyingion an
uu uu u uu u uu
other nurse maynot always beia safe practice. Eachinurse is obligated to follow the standardsiof c
uu uu u
are for safe client careidelivery. Physicians are responsible for their own client care activity. Nur
uu uu uu
ses mayfollow safeiorders fromiphysicians, butitheyareialso responsible for theiactivities that th
uu uu uu uu uu u
ey, as nurses, are to carryout. Informationprovided inianursingtextbookisbasiciinformationifor
uu uu uu uu u
generalknowledge. Furthermore, the information inia textbook maynotireflectitheicurrent stand
uu u u
ard of care or the individual stateior hospital policies.
uu
