9 9 9 9 9 9
N LOWDERMILK 9
TEST BANK{CHAPTER 1 TO 36 WELL EXPLAINEDANS
9 9 9 9 9 9 9
WERS}
Chapter901:921st9Century9Maternity9and9Women’s9Health9Nursing9L
owdermilk:9Maternity9&9Women’s9Health9Care,911th9Edition
MULTIPLE9CHOICE
1. In9 evaluating9the9 level9 of9 a9 pregnant9 woman’s9 risk9 of9 having9a9 low-birth-
weight9 (LBW)9 infant,9which9factor9is9the9most9important9for9the9nurse9to9consider?9a.9African
-American9race
b. Cigarette9smoking
c. Poor9nutritional9status
d. Limited9maternal9education
ANS:9A
For9African-
American9births,9the9incidence9of9LBW9infants9is9twice9that9of9Caucasian9births.9Race9is9a9n
onmodifiable9risk9factor.9Cigarette9smoking9is9an9important9factor9in9potential9infant9mortali
ty9rates,9but9it9is9not9the9most9important.9Additionally,9smoking9is9a9modifiable9risk9factor.9P
oor9nutrition9is9an9important9factor9in9potential9infant9mortality9rates,9but9it9is9not9the9most9i
mportant.9Additionally,9nutritional9status9is9a9modifiable9risk9factor.9Maternal9education9is9a
n9important9factor9in9potential9infant9mortality9rates,9but9it9is9not9the9most9important.9Additi
onally,9maternal9education9is9a9modifiable9risk9factor.
DIF:9Cognitive9Level:9Understand
REF:9p.9
69TOP:9Nursing9Process:9Assessment
MSC:9Client9Needs:9Health9Promotion9and9Maintenance,9Antepartum9Care
2. What9is9the9primary9role9of9practicing9nurses9in9the9research9process?
a. Designing9research9studies
b. Collecting9data9for9other9researchers
c. Identifying9researchable9problems
d. Seeking9funding9to9support9research9studies
ANS:9C
When9problems9are9identified,9research9can9be9properly9conducted.9Research9of9health9care
,9issues9leads9to9evidence-
based9practice9guidelines.9Designing9research9studies9is9only9one9factor9of9the9research9proc
ess.9Data9collection9is9another9factor9of9research.9Financial9support
, is9necessary9to9conduct9research,9but9it9is9not9the9primary9role9of9the9nurse9in9the9resear
ch9process.
DIF:9Cognitive9Level:9Understand9REF:9 p.9149TOP:9Nursing9Process:9N/A9MSC:9Client9Need
s:9Safe9and9Effective9Care9Environment
3. A923-year-old9African-
American9woman9is9pregnant9with9her9first9child.9Based9on9the9statistics9for9infant9m
ortality,9which9plan9is9most9important9for9the9nurse9to9implement?
a. Perform9a9nutrition9assessment.
b. Refer9the9woman9to9a9social9worker.
c. Advise9the9woman9to9see9an9obstetrician,9not9a9midwife.
d. Explain9to9the9woman9the9importance9of9keeping9her9prenatal9care9appointments.
ANS:9D
, Consistent9prenatal9care9is9the9best9method9of9preventing9or9controlling9risk9factors9associate
d9with9infant9mortality.9Nutritional9status9is9an9important9modifiable9risk9factor,9but9it9is9not9
the9most9important9action9a9nurse9should9take9in9this9situation.9The9client9may9need9assistanc
e9from9a9social9worker9at9some9time9during9her9pregnancy,9but9a9referral9to9a9social9worker9i
s9not9the9most9important9aspect9the9nurse9should9address9at9this9time.9If9the9woman9has9iden
tifiable9high-
risk9problems,9then9her9health9care9may9need9to9be9provided9by9a9physician.9However,9it9can
not9be9assumed9that9all9African-American9women9have9high-
risk9issues.9In9addition,9advising9the9woman9to9see9an9obstetrician9is9not9the9most9important9
aspect9on9which9the9nurse9should9focus9at9this9time,9and9it9is9not9appropriate9for9a9nurse9to9a
dvise9or9manage9the9type9of9care9a9client9is9to9receive.
DIF:9Cognitive9Level:9Understand9REF:9 p.969TOP:9Nursing9Process:9Planning9MSC:9Client9Needs:9He
alth9Promotion9and9Maintenance
4. During9a9prenatal9intake9interview,9the9nurse9is9in9the9process9of9obtaining9an9initial9assess
ment9of9a921-year-
old9Hispanic9client9with9limited9English9proficiency.9Which9action9is9the9most9important9for9
the9nurse9to9perform?
a. Use9maternity9jargon9to9enable9the9client9to9become9familiar9with9these9terms.
b. Speak9quickly9and9efficiently9to9expedite9the9visit.
c. Provide9the9client9with9handouts.
d. Assess9whether9the9client9understands9the9discussion.
ANS:9D
Nurses9contribute9to9health9literacy9by9using9simple,9common9words,9avoiding9jargon,9and9e
valuating9whether9the9client9understands9the9discussion.9Speaking9slowly9and9clearly9and9foc
using9on9what9is9important9will9increase9understanding.9Most9client9education9materials9are9w
ritten9at9a9level9too9high9for9the9average9adult9and9may9not9be9useful9for9a9client9with9limited9
English9proficiency.
DIF:9Cognitive9Level:9Apply REF:999p.95
TOP:9Nursing9Process:9Evaluation9MSC:9Client9Needs:9H
ealth9Promotion9and9Maintenance
5. The9nurses9working9at9a9newly9established9birthing9center9have9begun9to9compare9their9perf
ormance9in9providing9maternal-
newborn9care9against9clinical9standards.9This9comparison9process9is9most9commonly9known
9as9what?9 a.9Best9practices9network
b. Clinical9benchmarking
c. Outcomes-oriented9practice
d. Evidence-based9practice
ANS:9C
Outcomes-
oriented9practice9measures9the9effectiveness9of9the9interventions9and9quality9of9care9against9b
enchmarks9or9standards.9The9term9best9practice9refers9to9a9program9or9service9that9has9been9
recognized9for9its9excellence.9Clinical9benchmarking9is9a9process9used9to9compare9one’s9own
9performance9against9the9performance9of9the9best9in9an9area9of9service.9The9term9evidence-
based9practice9refers9to9the9provision9of9care9based9on9evidence9gained9through9research9and
9clinical9trials.