TEST BANK c
FOR MATERNITY AND WOMEN'SHEALTHC
c c c c
ARE 13TH EDITION LOWDERMILK
c c c
, MaternitycAndcWomen'ScHealthcCarec13thcEditioncLowdermilkcTestcChapt
bAnk
er 01: 21st Century Maternity And Women’s Health Nursing Lowdermilk: Mate
c c c c c c c c c
rnity & Women’s Health Care, 12th Edition
c c c c c c
MultiplecChoice
1. IncEvaluatingcThecLevelcOfcAcPregnantcWoman’scRiskcOfcHavingcAcLow-Birth-
cWeight c(Lbw)Infant,cWhichcFactorcIscThecMostcImportantc ForcThecNursecTocConsider?
a. African-AmericancRace
b. CigarettecSmoking
c. PoorcNutritionalcStatus
d. LimitedcMaternalcEducation
ANSWER:c A
ThecRisecIncThecOverallcLbwcRatescWerecDuecTocIncreasescIncLbwcBirthscTocNon-
cHispaniccBlackcWomenc(13.35%)cAndcHispaniccWomenc(7.21%);cNon-
HispaniccBlackcInfantscArecAlmostcTwicecAscLikelycAscNon-
HispaniccWhitecInfantscTocBecOfcLbwcAndcTocDiecIncThecFirstcYearcOfcLife..cRacecIscAcNon
modifiablecRiskcFactor.cCigarettecSmokingcIscAncImportantcFactorcInPotentialcInfantcMortalit
ycRates,cButcItcIscNotcThecMostcImportant.cAdditionally,cSmokingcIscAcModifiablecRiskcFacto
r.cPoorcNutritioncIscAncImportantcFactorcIncPotentialcInfantcMortalitycRates,cButcItcIscNotcThec
MostcImportant.
Additionally,cNutritionalcStatuscIscAcModifiablecRiskcFactor.cMaternalcEducationcIscAncI
mportantcFactorcIncPotentialcInfantcMortalitycRates,cButcItcIscNotcThecMostcImportant.cAd
ditionally,cMaternalcEducationcIscAcModifiablecRiskcFactor.
Pts:cccccc1
Dif:c CognitivecLevel:cUnderstandcTo
p:c NursingcProcess:cAssessment
Msc:c Clientc Needs:c Healnance,c Antepartumc Care
2. Ac23-Year-OldcAfrican-
AmericancWomancIscPregnantcWithcHercFirstcChild.cBasedcOncCurrentStatisticscForcInfantc
Mortality,cWhichcInterventioncIscMostcImportantcForcThecNursecTocIncludeIncThecClient’scPl
ancOfcCare?
a. PerformcAcNutritioncAssessment.
b. RefercThecWomancTocAcSocialcWorker.
c. AdvisecThecWomancTocSeecAncObstetrician,cNotcAcMidwife.
d. ExplaincTocThecWomancThecImportancecOfcKeepingcHercPrenatalcCarecAppointments.
ANSWER:c D
ConsistentcPrenatalcCarecIscThecBestcMethodcOfcPreventingcOrcControllingcRiskcFactorscAsso
ciatedcWithcInfantcMortality.cNutritionalcStatuscIscAncImportantcModifiablecRiskcFactor,cButI
tcIscNotcThecMostcImportantcActioncAcNursecShouldcTakecIncThiscSituation.cThecClientcMayc
NeedcAssistancecFromcAcSocialcWorkercAtcSomecTimecDuringcHercPregnancy,cButcAcReferra
lcTocAcSocialWorkercIscNotcThecMostcImportantcAspectcThecNursecShouldcAddresscAtcThiscT
ime.cIfcThecWomancHascIdentifiablecHigh-
RiskcProblems,cThencHercHealthcCarecMaycNeedcTocBecProvidedcBycAcPhysician.cHowever,cI
tcCannotcBecAssumedcThatcAllcAfrican-AmericancWomencHavecHigh-
RiskIssues.cIncAddition,cAdvisingcThecWomancTocSeecAncObstetriciancIscNotcThecMostcImpo
rtantcAspectcOncWhichcThecNursecShouldcFocuscAtcThiscTime,cAndcItcIscNotcAppropriatecForc
AcNursecTocAdvisecOrcManagecThecTypecOfcCarecAcClientc IscTocReceive.
Pts:cccccc1
Dif:c CognitivecLevel:cUnderstandcTo
,p:c NursingcProcess:cPlanning
, MaternitycandcWomen'scHealthcCarec13thcEditioncLowdermilkcTest
Msc:c ClientcNeeds:cHealthcPromotioncAndcMaintenance
3. ThecNursescWorkingcAtcAcNewlycEstablishedcBirthingcCentercHavecBeguncTocCom
parecTheirPerformancecIncProvidingcMaternal-
NewborncCarecAgainstcClinicalcStandards.cThiscComparisoncProcesscIscMostcComm
onlycKnowncAscWhat?
a. BestcPracticescNetwork
b. ClinicalcBenchmarking
c. Outcomes-OrientedcPracntiu
cers
d. Evidence-BasedcPractice
ANSWER:c C
Outcomes-
OrientedcPracticecMeasurescThecEffectivenesscOfcThecInterventionscAndcQualitycOfcCarecAga
instcBenchmarkscOrcStandards.cThecTermcBestcPracticecReferscTocAcProgramcOrcServiceThat
cHascBeencRecognizedcForcItscExcellence.cClinical cBenchmarkingc IscAcProcesscUsedcTocCom
parecOne’scOwncPerformancecAgainstcThecPerformancecOfcThecBestcIncAncAreacOfcService.c
ThecTermcEvidence-
BasedcPracticecReferscTocThecProvisioncOfcCarecBasedcOncEvidencecGainedcThroughcResear
chcAndcClinicalcTrials.
Pts: 1 Dif:
CognitivecLevel:cUnderstandcTop:
NursingcProcess:cEvaluation
Msc:c ClientcNeeds:cSafecAndcEffectivecCarecEnvironment
4. DuringcAcPrenatalcIntakecInterview,cThecNursecIscIncThecProcesscOfcObtainingcAncIni
tialcAssessmentcOfcAc21-Year-
OldcHispaniccClientcWithcLimitedcEnglishcProficiency.cWhichcInterventioncIscThecM
ostcImportantcForcThecNursecTocImplement?
a. UsecMaternitycJargoncTocEnablecThecClientcTocBecomecFamiliarcWithcThesecTerms.
b. SpeakcQuicklycAndcEfficientlycTocExpeditecThecVisit.
c. ProvidecThecClientcWithcHandouts.
d. AssesscWhethercThecClientcUnderstandscThecDiscussion.
ANSWER:c D
NursescContributecTocHealthcLiteracycBycUsingcSimple,cCommoncWords,cAvoidingcJargon
,cAndEvaluatingcWhethercThecClientcUnderstandscThecDiscussion.cSpeakingcSlowlycAndcCle
arlycAndFocusingcOncWhatcIscImportantcWillcIncreasecUnderstanding.cMostcClientcEducation
cMaterialsArecWrittencAtcAcLevelcToocHighcForcThecAveragecAdultcAndcMaycNotcBecUsefu
lcForcAcClientcWithLimitedcEnglishcProficiency.
Pts: 1 Dif:
CognitivecLevel:cApplycTop:
NursingcProcess:c Implementation
Msc:c ClientcNeeds:cHealthcPromotioncAndcMaintenance
5. WhichcStatementcBestcExemplifiescContemporarycMaternitycNursing?
a. UsecOfcMidwivescForcAllcVaginalcDeliveries
b. Family-CenteredcCare
c. Free-StandingcBirthcClinics
d. Physician-
DrivencCareANSWE