NUR300WIMaternity j j
andWomensHealthC j j j
are12thEditionLowdj j j
ermilkTestBank(1 j j j
Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
j j j j j j j j j
Chapterj1:j21stjCenturyjMaternityjandjWomen’sjHealthjNursing
MULTIPLEjCHOICE
1. Injevaluatingjthejleveljofjajpregnantjwomansjriskjofjhavingjajlow-birth-
weightj(LBW)jinfant,jwhichjfactorjisjthejmostjimportantjforjthejnursejtojconsider?
a. African-Americanjrace
b. Cigarettejsmoking
c. Poorjnutritionaljstatus
d. Limitedjmaternaljeducationj
ANS:jA
, NURj300WIMaternityjandjWomensjHealthjCarej12thjEditionjLowdermilkjTestjBankj(1
ForjAfrican-
Americanjbirths,jthejincidencejofjLBWjinfantsjisjtwicejthatjofjCaucasianjbirths.jRacejisjajnonmodifia
blejriskjfactor.jCigarettejsmokingjisjanjimportantjfactorjinjpotentialjinfantjmortalityjrates,jbutjitjisjnotjt
hejmostjimportant.jAdditionally,jsmokingjisjajmodifiablejriskjfactor.jPoorjnutritionjisjanjimportantjfac
torjinjpotentialjinfantjmortalityjrates,jbutjitjisjnotjthejmostjimportant.jAdditionally,jnutritionaljstatusjis
ajmodifiablejriskjfactor.jMaternaljeducationjisjanjimportantjfactorjinjpotentialjinfantjmortalityjrates,jb
j
utjitjisjnotjthejmostjimportant.jAdditionally,jmaternaljeducationjisjajmodifiablejriskjfactor.
DIF:jCognitivejLevel:jUnderstandjREF:jIM:
TOP:jNursingjProcess:jAssessment
MSC:jClientjNeeds:jHealthjPromotionjandjMaintenance,jAntepartumjCare
2. Whatjisjthejprimaryjrolejofjpracticingjnursesjinjthejresearchjprocess?
a. Designingjresearchjstudies
b. Collectingjdatajforjotherjresearchers
c. Identifyingjresearchablejproblems
, NURj300WIMaternityjandjWomensjHealthjCarej12thjEditionjLowdermilkjTestjBankj(1
d. Seekingjfundingjtojsupportjresearchjstudies
ANS:jC
Whenjproblemsjarejidentified,jresearchjcanjbejproperlyjconducted.jResearchjofjhealthjcarejissuesjle
adsjtojevidence-
basedjpracticejguidelines.jDesigningjresearchjstudiesjisjonlyjonejfactorjofjthejresearchjprocess.jData
collectionjisjanotherjfactorjofjresearch.jFinancialjsupportjisjnecessaryjtojconductjresearch,jbutjitjisjn
j
otjthejprimaryjrolejofjthejnursejinjthejresearchjprocess.
DIF:jCognitivejLevel:jUnderstandjREF:jim:j14jTOP:jNursingjProcess:jN/AjM
SC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment
3. Aj23-year-oldjAfrican-
Americanjwomanjisjpregnantjwithjherjfirstjchild.jBasedjonjthejstatisticsjforjinfantjmortality,j
whichjplanjisjmostjimportantjforjthejnursejtojimplement?
a. Performjajnutritionjassessment.
b. Referjthejwomanjtojajsocialjworker.
c. Advisejthejwomanjtojseejanjobstetrician,jnotjajmidwife.
d. Explainjtojthejwomanjthejimportancejofjkeepingjherjprenataljcarejappointments.
ANS:jD
Consistentjprenataljcarejisjthejbestjmethodjofjpreventingjorjcontrollingjriskjfactorsjassociatedjwithjin
fantjmortality.jNutritionaljstatusjisjanjimportantjmodifiablejriskjfactor,jbutjitjisjnotjthejmostjimportant
actionjajnursejshouldjtakejinjthisjsituation.jThejclientjmayjneedjassistancejfromjajsocialjworkerjatjsom
j
ejtimejduringjherjpregnancy,jbutjajreferraljtojajsocialjworkerjisjnotjthejmostjimportantjaspectjthejnursej
shouldjaddressjatjthisjtime.jIfjthejwomanjhasjidentifiablejhigh-
riskjproblems,jthenjherjhealthjcarejmayjneedjtojbejprovidedjbyjajphysician.jHowever,jitjcannotjbejass
umedjthatjalljAfrican-Americanjwomenjhavejhigh-
riskjissues.jInjaddition,jadvisingjthejwomanjtojseejanjobstetricianjisjnotjthejmostjimportantjaspectjonj
whichjthejnursejshouldjfocusjatjthisjtime,jandjitjisjnotjappropriatejforjajnursejtojadvisejorjmanagejthejty
pejofjcarejajclientjisjtojreceive.
DIF:jCognitivejLevel:jUnderstandjREF:jIM:jTOP:jNursingjProcess:jPlanning
, NURj300WIMaternityjandjWomensjHealthjCarej12thjEditionjLowdermilkjTestjBankj(1
MSC:jClientjNeeds:jHealthjPromotionjandjMaintenance
4. Duringjajprenataljintakejinterview,jthejnursejisjinjthejprocessjofjobtainingjanjinitialjassessmentjofjaj
21-year-
oldjHispanicjclientjwithjlimitedjEnglishjproficiency.jWhichjactionjisjthejmostjimportantjforjthejnursej
tojperform?
a. Usejmaternityjjargonjtojenablejthejclientjtojbecomejfamiliarjwithjthesejterms.
b. Speakjquicklyjandjefficientlyjtojexpeditejthejvisit.
c. Providejthejclientjwithjhandouts.
d. Assessjwhetherjthejclientjunderstandsjthejdiscussion.
ANS:jD
Nursesjcontributejtojhealthjliteracyjbyjusingjsimple,jcommonjwords,javoidingjjargon,jandjevaluat
ingjwhetherjthejclientjunderstandsjthejdiscussion.jSpeakingjslowlyjandjclearlyjandjfocusingjonjwh
atjisjimportantjwilljincreasejunderstanding.jMostjclientjeducationjmaterialsjarejwrittenjatjajleveljto
ojhighjforjthejaveragejadultjandjmayjnotjbejusefuljforjajclientjwithjlimitedjEnglishjproficiency.
DIF:jCognitivejLevel:jApplyjREF:jim:j5jTOP:jNursingjProcess:jEvaluationjM
SC:jClientjNeeds:jHealthjPromotionjandjMaintenance
5. Thejnursesjworkingjatjajnewlyjestablishedjbirthingjcenterjhavejbegunjtojcomparejtheirjperfor
mancejinjprovidingjmaternal-
newbornjcarejagainstjclinicaljstandards.jThisjcomparisonjprocessjisjmostjcommonlyjknownjasjw
hat?
a. Bestjpracticesjnetwork
b. Clinicaljbenchmarking
c. Outcomes-orientedjpractice
d. Evidence-
basedjpracticejANS:jC