t
TEST BANK N
FOR MATERNITY AND WOMEN'SHEALTH
N N N N
CARE 13TH EDITION LOWDERMILK
N N N
, MaternityNAndNWomen'SNHealthNCareN13thNEditionNLowdermilkNTestNCh
bAnk
apter 01: 21st Century Maternity And Women’s Health Nursing Lowdermilk:
N N N N N N N N N
Maternity & Women’s Health Care, 12th Edition
N N N N N N
MultipleNChoice
1. InNEvaluatingNTheNLevelNOfNANPregnantNWoman’sNRiskNOfNHavingNANLow-Birth-
NWeightN(Lbw)Infant,NWhichNFactorNIsNTheNMostNImportantNForNTheNNurseNToNConsid
er?
a. African-AmericanNRace
b. CigaretteNSmoking
c. PoorNNutritionalNStatus
d. LimitedNMaternalNEducation
ANSWER:N A
TheNRiseNInNTheNOverallNLbwNRatesNWereNDueNToNIncreasesNInNLbwNBirthsNToNNon-
NHispanicNBlackNWomenN(13.35%)NAndNHispanicNWomenN(7.21%);NNon-
HispanicNBlackNInfantsNAreNAlmostNTwiceNAsNLikelyNAsNNon-
HispanicNWhiteNInfantsNToNBeNOfNLbwNAndNToNDieNInNTheNFirstNYearNOfNLife..NRaceNIsNAN
NonmodifiableNRiskNFactor.NCigaretteNSmokingNIsNAnNImportantNFactorNInPotentialNInfantN
MortalityNRates,NButNItNIsNNotNTheNMostNImportant.NAdditionally,NSmokingNIsNANModifiabl
eNRiskNFactor.NPoorNNutritionNIsNAnNImportantNFactorNInNPotentialNInfantNMortalityNRates,N
ButNItNIsNNotNTheNMostNImportant.
Additionally,NNutritionalNStatusNIsNANModifiableNRiskNFactor.NMaternalNEducationNIsN
AnNImportantNFactorNInNPotentialNInfantNMortalityNRates,NButNItNIsNNotNTheNMostNImpo
rtant.NAdditionally,NMaternalNEducationNIsNANModifiableNRiskNFactor.
Pts:NNNNNN1
Dif:N CognitiveNLevel:NUnderstandNT
op:N NursingNProcess:NAssessment
Msc:N ClientN Needs:N Healnance,N AntepartumN Care
2. AN23-Year-OldNAfrican-
AmericanNWomanNIsNPregnantNWithNHerNFirstNChild.NBasedNOnNCurrentStatisticsNForNInfa
ntNMortality,NWhichNInterventionNIsNMostNImportantNForNTheNNurseNToNIncludeInNTheNClien
t’sNPlanNOfNCare?
a. PerformNANNutritionNAssessment.
b. ReferNTheNWomanNToNANSocialNWorker.
c. AdviseNTheNWomanNToNSeeNAnNObstetrician,NNotNANMidwife.
d. ExplainNToNTheNWomanNTheNImportanceNOfNKeepingNHerNPrenatalNCareNAppointments.
ANSWER:N D
ConsistentNPrenatalNCareNIsNTheNBestNMethodNOfNPreventingNOrNControllingNRiskNFactorsN
AssociatedNWithNInfantNMortality.NNutritionalNStatusNIsNAnNImportantNModifiableNRiskNFact
or,NButItNIsNNotNTheNMostNImportantNActionNANNurseNShouldNTakeNInNThisNSituation.NTheN
ClientNMayNNeedNAssistanceNFromNANSocialNWorkerNAtNSomeNTimeNDuringNHerNPregnanc
y,NButNANReferralNToNANSocialWorkerNIsNNotNTheNMostNImportantNAspectNTheNNurseNShou
ldNAddressNAtNThisNTime.NIfNTheNWomanNHasNIdentifiableNHigh-
RiskNProblems,NThenNHerNHealthNCareNMayNNeedNToNBeNProvidedNByNANPhysician.NHowe
ver,NItNCannotNBeNAssumedNThatNAllNAfrican-AmericanNWomenNHaveNHigh-
RiskIssues.NInNAddition,NAdvisingNTheNWomanNToNSeeNAnNObstetricianNIsNNotNTheNMostNI
mportantNAspectNOnNWhichNTheNNurseNShouldNFocusNAtNThisNTime,NAndNItNIsNNotNApprop
riateNForNANNurseNToNAdviseNOrNManageNTheNTypeNOfNCareNANClientN IsNToNReceive.
Pts:NNNNNN1
, Dif:N CognitiveNLevel:NUnderstandNT
op:N NursingNProcess:NPlanning
, MaternityNandNWomen'sNHealthNCareN13thNEditionNLowdermilkNTes
t
Msc:N ClientNNeeds:NHealthNPromotionNAndNMaintenance
3. TheNNursesNWorkingNAtNANNewlyNEstablishedNBirthingNCenterNHaveNBegunNToNC
ompareNTheirPerformanceNInNProvidingNMaternal-
NewbornNCareNAgainstNClinicalNStandards.NThisNComparisonNProcessNIsNMostNCom
monlyNKnownNAsNWhat?
a. BestNPracticesNNetwork
b. ClinicalNBenchmarking
c. Outcomes-OrientedNPracntiu
cers
d. Evidence-BasedNPractice
ANSWER:N C
Outcomes-
OrientedNPracticeNMeasuresNTheNEffectivenessNOfNTheNInterventionsNAndNQualityNOfNCareN
AgainstNBenchmarksNOrNStandards.NTheNTermNBestNPracticeNRefersNToNANProgramNOrNSer
viceThatNHasNBeenNRecognizedNForNItsNExcellence.NClinicalNBenchmarkingNIsNANProcessN
UsedNToNCompareNOne’sNOwnNPerformanceNAgainstNTheNPerformanceNOfNTheNBestNInNAnN
AreaNOfNService.NTheNTermNEvidence-
BasedNPracticeNRefersNToNTheNProvisionNOfNCareNBasedNOnNEvidenceNGainedNThroughNRe
searchNAndNClinicalNTrials.
Pts: 1 Dif:
CognitiveNLevel:NUnderstandNTop:
NursingNProcess:NEvaluation
Msc:N ClientNNeeds:NSafeNAndNEffectiveNCareNEnvironment
4. DuringNANPrenatalNIntakeNInterview,NTheNNurseNIsNInNTheNProcessNOfNObtainingNA
nNInitialNAssessmentNOfNAN21-Year-
OldNHispanicNClientNWithNLimitedNEnglishNProficiency.NWhichNInterventionNIsNThe
NMostNImportantNForNTheNNurseNToN Implement?
a. UseNMaternityNJargonNToNEnableNTheNClientNToNBecomeNFamiliarNWithNTheseNTerms.
b. SpeakNQuicklyNAndNEfficientlyNToNExpediteNTheNVisit.
c. ProvideNTheNClientNWithNHandouts.
d. AssessNWhetherNTheNClientNUnderstandsNTheNDiscussion.
ANSWER:N D
NursesNContributeNToNHealthNLiteracyNByNUsingNSimple,NCommonNWords,NAvoidingNJar
gon,NAndEvaluatingNWhetherNTheNClientNUnderstandsNTheNDiscussion.NSpeakingNSlowlyNA
ndNClearlyNAndFocusingNOnNWhatNIsNImportantNWillNIncreaseNUnderstanding.NMostNClientN
EducationNMaterialsAreNWrittenNAtNANLevelNTooNHighNForNTheNAverageNAdultNAndNMay
NNotNBeNUsefulNForNANClientN WithLimitedNEnglishNProficiency.
Pts: 1 Dif:
CognitiveNLevel:NApplyNTop:
NursingNProcess:N Implementation
Msc:N ClientNNeeds:NHealthNPromotionNAndNMaintenance
5. WhichNStatementNBestNExemplifiesNContemporaryNMaternityNNursing?
a. UseNOfNMidwivesNForNAllNVaginalNDeliveries
b. Family-CenteredNCare
c. Free-StandingNBirthNClinics
d. Physician-
DrivenNCareANSWE