Maternity and women s health care 11th edition lowdermilk test bank

, MaternitybandbWomen'sbHealthbCareb11thbEditionbLowdermilkbTestbBank


Chapter 01: 21st Century Maternity and Women’s Health NursingLowder
b b b b b b b b b

milk: Maternity & Women’s Health Care, 11th Edition
b b b b b b b




MULTIPLEbCHOICE

1. Inbevaluatingbtheblevelbofbabpregnantbwoman’sbriskbofbhavingbablow-birth-
weightb(LBW)binfant,bwhichbfactorbisbthebmostbimportantbforbthebnursebtobconsider?
a. African-Americanbrace
b. Cigarettebsmoking
c. Poorbnutritionalbstatus
d. Limitedbmaternalbeducation
ANS:b A
ForbAfrican-
Americanbbirths,bthebincidencebofbLBWbinfantsbisbtwicebthatbofbCaucasianbbirths.bRacebisbabnon
modifiablebriskbfactor.bCigarettebsmokingbisbanbimportantbfactorbinbpotentialbinfantbmortalitybrat
es,bbutbitbisbnotbthebmostbimportant.bAdditionally,bsmokingbisbabmodifiablebriskbfactor.bPoorbnutr
itionbisbanbimportantbfactorbinbpotentialbinfantbmortalitybrates,bbutbitbisbnotbthebmostbimportant.bA
dditionally,bnutritionalbstatusbisbabmodifiablebriskbfactor.bMaternalbeducationbisbanbimportantbfac
torbinbpotentialbinfantbmortalitybrates,bbutbitbisbnotbthebmostbimportant.bAdditionally,bmaternalbed
ucationbisbabmodifiablebriskbfactor.

DIF: CognitivebLevel:bUnderstand
REF:bp.b6bTOP:b NursingbProcess:bAssessment
MSC:b ClientbNeeds:bHealthbPromotionbandbMaintenance,bAntepartumbCare

2. Whatbisbthebprimarybrolebofbpracticingbnursesbin the researchbprocess?
a. DesigningbresearchbstudiesN URbSbNIbTG B.C OM
b. Collectingbdatabforbotherbresearchers
c. Identifyingbresearchablebproblems
d. Seekingbfundingbtobsupportbresearchbstudies
ANS:b C
Whenbproblemsbarebidentified,bresearchbcanbbebproperlybconducted.bResearchbofbhealthbcarebis
suesbleadsbtobevidence-
basedbpracticebguidelines.bDesigningbresearchbstudiesbisbonlybonebfactorbofbthebresearchbproces
s.bDatabcollectionbisbanotherbfactorbofbresearch.bFinancialbsupportbisbnecessarybtobconductbresear
ch,bbutbitbisbnotbthebprimarybrolebofbthebnursebinbthebresearchbprocess.

DIF: CognitivebLevel:bUnderstand REF:bbbp.b14
TOP:b NursingbProcess:bN/AbMSC:b ClientbNeeds:bSafebandbEffectivebCarebEnvironment

3. Ab23-year-oldbAfrican-
Americanbwomanbisbpregnantbwithbherbfirstbchild.bBasedbonbthebstatisticsbforbinfantbmorta
lity,bwhichbplanbisbmostbimportantbforbthebnursebtobimplement?
a. Performbabnutritionbassessment.
b. Referbthebwomanbtobabsocialbworker.
c. Advisebthebwomanbtobseebanbobstetrician,bnotbabmidwife.
d. Explainbtobthebwomanbthebimportancebofbkeepingbherbprenatalbcarebappointments.
ANS:b D




NURSINGTB.COM

, MaternitybandbWomen'sbHealthbCareb11thbEditionbLowdermilkbTestbBank

Consistentbprenatalbcarebisbthebbestbmethodbofbpreventingborbcontrollingbriskbfactorsbassociatedb
withbinfantbmortality.bNutritionalbstatusbisbanbimportantbmodifiablebriskbfactor,bbutbitbisbnotbthebm
ostbimportantbactionbabnursebshouldbtakebinbthisbsituation.bThebclientbmaybneedbassistancebfromba
bsocialbworkerbatbsomebtimebduringbherbpregnancy, bbutbabreferral btobabsocialbworkerbisbnotbthebmo

stbimportantbaspectbthebnursebshouldbaddressbatbthisbtime.bIfbthebwomanbhasbidentifiablebhigh-
riskbproblems,bthenbherbhealthbcarebmaybneedbtobbebprovidedbbybabphysician.bHowever,bitbcannot
bbebassumedbthatball bAfrican-Americanbwomenbhavebhigh-

riskbissues.bInbaddition,badvisingbthebwomanbtobseebanbobstetricianbisbnotbthebmostbimportantbasp
ectbonbwhichbthebnursebshouldbfocusbatbthisbtime,bandbitbisbnotbappropriatebforbabnursebtobadvisebor
bmanagebthebtypebofbcarebabclient bisbtobreceive.




DIF: CognitivebLevel:bUnderstand REF:bbbp.b6
TOP:b NursingbProcess:bPlanningbMSC:b ClientbNeeds:bHealthbPromotionbandbMaintenance

4. Duringbabprenatalbintakebinterview,bthebnursebisbinbthebprocessbofbobtainingbanbinitialbassessmen
tbofbab21-year-
oldbHispanicbclientbwithblimitedbEnglishbproficiency.bWhichbactionbisbthebmostbimportantbforbthe
bnursebtobperform?

a. Usebmaternitybjargonbtobenablebthebclientbtobbecomebfamiliarbwithbthesebterms.
b. Speakbquicklybandbefficientlybtobexpeditebthebvisit.
c. Providebthebclientbwithbhandouts.
d. Assessbwhetherbthebclientbunderstandsbthebdiscussion.
ANS:b D
Nursesbcontributebtobhealthbliteracybbybusingbsimple,bcommonbwords,bavoidingbjargon,bandbeval
uatingbwhetherbthebclientbunderstandsbthebdiscussion.bSpeakingbslowlybandbclearlybandbfocusingb
onbwhatbisbimportantbwillbincreasebunderstanding.bMostbclientbeducationbmaterialsbarebwrittenbatb
ablevelbtoobhighbforNtheRaveIragG
ebadB
ul.
tbC
andM
maybnotbbebusefulbforbabclientbwithblimited
Englishbproficiency. UbSbNbT O
DIF: CognitivebLevel:bApply REF:bbbp.b5
TOP:b NursingbProcess:bEvaluationbMSC:b ClientbNeeds:bHealthbPromotionbandbMaintenance

5. Thebnursesbworkingbatbabnewlybestablishedbbirthingbcenterbhavebbegunbtobcomparebtheirbperfor
mancebinbprovidingbmaternal-
newbornbcarebagainstbclinicalbstandards.bThisbcomparisonbprocessbisbmostbcommonlybknownbas
bwhat?

a. Bestbpracticesbnetwork
b. Clinicalbbenchmarking
c. Outcomes-orientedbpractice
d. Evidence-basedbpractice
ANS:b C
Outcomes-
orientedbpracticebmeasuresbthebeffectivenessbofbthebinterventionsbandbqualitybofbcarebagainstbben
chmarksborbstandards.bThebtermbbestbpracticebrefersbtobabprogramborbservicebthatbhasbbeenbrecog
nizedbforbitsbexcellence.bClinicalbbenchmarkingbisbabprocessbusedbtobcomparebone’sbownbperfor
mancebagainstbthebperformancebofbthebbestbinbanbareabofbservice.bThebtermbevidence-
basedbpracticebrefersbtobthebprovisionbofbcarebbasedbonbevidencebgainedbthroughbresearchbandbcli
nicalbtrials.

DIF: CognitivebLevel:bUnderstand REF:bbbp.b11
TOP:b NursingbProcess:bEvaluationbMSC:b ClientbNeeds:bSafebandbEffectivebCarebEnvironment



NURSINGTB.COM

, MaternitybandbWomen'sbHealthbCareb11thbEditionbLowdermilkbTestbBank

6. Whichbstatementbbestbexemplifiesbcontemporarybmaternitybnursing?
a. Usebofbmidwivesbforballbvaginalbdeliveries
b. Family-centeredbcare
c. Free-standingbbirthbclinics
d. Physician-drivenbcare
ANS:b B
Contemporarybmaternitybnursingbfocusesbonbthebfamily’sbneedsbandbdesires.bFathers,bpartners,bg
randparents,bandbsiblingsbmaybbebpresentbforbthebbirthbandbparticipatebinbactivitiesbsuchbasbcutti
ngbthebbaby’sbumbilicalbcord.bBothbmidwivesbandbphysiciansbperformbvaginalbdeliveries.bFree-
standingbclinicsbarebanbexamplebofbalternativebbirthboptions.bContemporarybmaternitybnursingbi
sbdrivenbbybthebrelationshipbbetweenbnursesbandbtheirbclients.

DIF: CognitivebLevel:bUnderstand REF:bbbpp.b8-9
TOP:b NursingbProcess:bPlanningbMSC:b ClientbNeeds:bHealthbPromotionbandbMaintenance

7. Ab38-year-oldbHispanicbwomanbvaginallybdeliveredbab9-pound,b6-
ouncebbabybgirlbafterbbeingbinblaborbforb43bhours.bThebbabybdiedb3bdaysblaterbfrombsepsis.bOnbw
hatbgroundsbcouldbthebwomanbhavebablegitimateblegalbcasebforbnegligence?
a. Inexperiencedbmaternitybnursebwasbassignedbtobcarebforbthebclient.
b. Clientbwasbpastbherbduebdatebbyb3bdays.
c. Standardbofbcarebwasbnotbmet.
d. Clientbrefusedbelectronicbfetalbmonitoring.
ANS:b C
Notbmeetingbthebstandardbofbcarebisbablegitimatebfactorbforbabcasebofbnegligence.bAnbinexperi
encedbmaternitybnursebwouldbneedbtobdisplaybcompetencybbeforebbeingbassignedbtobcarebforbc
lientsbonbhisborbherbN
owUnR ShIisNcGlieTnBtbm
.bT .CayOhM
avebbeenbpastbherbduebdate;bhowever,ba
termbpregnancyboftenbgoesbbeyondb40bweeksbofbgestation.bAlthoughbfetalbmonitoringbisbthe
standardbofbcare,bthebclientbhasbthebrightbtobrefusebtreatment.bThisbrefusalbisbnotbabcasebforbneglige
nce,bbutbinformedbconsentbshouldbbebproperlybobtained,bandbthebclientbshouldbhavebsignedbanbag
ainstbmedicalbadvicebformbwhenbrefusingbanybtreatmentbthatbisbwithinbthebstandardbofbcare.

DIF: CognitivebLevel:bAnalyze
REF:bp.b13bTOP:b NursingbProcess:bImplementatio
n
MSC:b ClientbNeeds:bSafebandbEffectivebCarebEnvironment

8. Whenbthebnursebisbunsurebhowbtobperformbabclientbcarebprocedurebthatbisbhighbriskbandblowbv
olume,bhisborbherbbestbactionbinbthisbsituationbwouldbbebwhat?
a. Askbanotherbnurse.
b. Discussbthebprocedurebwithbthebclient’sbphysician.
c. Lookbupbthebprocedurebinbabnursingbtextbook.
d. Consultbthebagencybprocedurebmanual,bandbfollowbthebguidelinesbforbthebprocedure.
ANS:b D




NURSINGTB.COM