t
TESTBANK
FORDMATERNITYDANDDWOMEN'SDHEALT
HCARED13THDEDITIONDL0WDERMILK
, MaternityDAndDWomen'SDHealthDCareD13thDEditionDLowdermilkDTestDCha
bAnk
pter 0 1 : 2 1 s t Century Maternity And Women’s Health Nursing Lowdermilk:
D D D D D D D D D
Maternity & Women’s Health Care, 12th Edition
D D D D D D
MultipleDChoice
1. InDEvaluatingDTheDLevelDOfDADPregnantDWoman’sDRiskDOfDHavingDADLow-Birth-
DWeightD(Lbw)Infant,DWhichDFactorDIsDTheDMostDImportantDForDTheDNurseDToDConside
r?
a. African-AmericanD Race
b. CigaretteDSmoking
c. PoorDNutritionalDStatus
d. LimitedDMaternalDEducation
ANSWER:D A
TheDRiseDInDTheDOverallDLbwDRatesDWereDDueDToDIncreasesDInDLbwDBirthsDToDNon-
DHispanicDBlackDWomenD(13.35%)DAndDHispanicDWomenD(7.21%);DNon-
HispanicDBlackDInfantsDAreDAlmostDTwiceDAsDLikelyDAsDNon-
HispanicDWhiteDInfantsDToDBeDOfDLbwDAndDToDDieDInDTheDFirstDYearDOfDLife..DRaceDIsDAD
NonmodifiableDRiskDFactor.DCigaretteDSmokingDIsDAnDImportantDFactorDInPotentialDInfantD
MortalityDRates,DButDItDIsDNotDTheDMostDImportant.DAdditionally,DSmokingDIsDADModifiabl
eDRiskDFactor.DPoorDNutritionDIsDAnDImportantDFactorDInDPotentialDInfantDMortalityDRates,D
ButDItDIsDNotDTheDMostDImportant.
Additionally,DNutritionalDStatusDIsDADModifiableDRiskDFactor.DMaternalDEducationDIsDA
nDImportantDFactorDInDPotentialDInfantDMortalityDRates,DButDItDIsDNotDTheDMostDImport
ant.DAdditionally,DMaternalDEducationDIsDADModifiableDRiskDFactor.
Pts:D D 1
Dif:D CognitiveDLevel:DUnderstandD
Top:D D NursingDProcess:DAssessment
Msc:D ClientDNeeds:DHealnance,DAntepartumDCare
2. AD23-Year-OldDAfrican-
AmericanDWomanDIsDPregnantDWithDHerDFirstDChild.DBasedDOnDCurrentStatisticsDForDInfa
ntDMortality,DWhichDInterventionDIsDMostDImportantDForDTheDNurseDToDIncludeInDTheDClie
nt’sDPlanDOfDCare?
a. PerformDADNutritionDAssessment.
b. ReferDTheDWomanDToDADSocialDWorker.
c. AdviseDTheDWomanDToDSeeDAnDObstetrician,DNotDADMidwife.
d. ExplainDToDTheDWomanDTheDImportanceDOfDKeepingDHerDPrenatalDCareDAppointments.
ANSWER:D D
ConsistentDPrenatalDCareDIsDTheDBestDMethodDOfDPreventingDOrDControllingDRiskDFactorsD
AssociatedDWithDInfantDMortality.DNutritionalDStatusDIsDAnDImportantDModifiableDRiskDFac
tor,DButItDIsDNotDTheDMostDImportantDActionDADNurseDShouldDTakeDInDThisDSituation.DTheD
ClientDMayDNeedDAssistanceDFromDADSocialDWorkerDAtDSomeDTimeDDuringDHerDPregnanc
y,DButDADReferralDToDADSocialWorkerDIsDNotDTheDMostDImportantDAspectDTheDNurseDShou
ldDAddressDAtDThisDTime.DIfDTheDWomanDHasDIdentifiableDHigh-
RiskDProblems,DThenDHerDHealthDCareDMayDNeedDToDBeDProvidedDByDADPhysician.DHowe
ver,DItDCannotDBeDAssumedDThatDAllDAfrican-AmericanDWomenDHaveDHigh-
RiskIssues.DInDAddition,DAdvisingDTheDWomanDToDSeeDAnDObstetricianDIsDNotDTheDMostDI
mportantDAspectDOnDWhichDTheDNurseDShouldDFocusDAtDThisDTime,DAndDItDIsDNotDApprop
riateDForDADNurseDToDAdviseDOrDManageDTheDTypeDOfDCareDADClientDIsDToDReceive.
Pts:D D 1
, Dif:D CognitiveDLevel:DUnderstandD
Top:D D NursingDProcess:DPlanning
, MaternityDandDWomen'sDHealthDCareD13thDEditionDLowdermilkDTes
t
Msc:D ClientDNeeds:DHealthDPromotionDAndDMaintenance
3. TheDNursesDWorkingDAtDADNewlyDEstablishedDBirthingDCenterDHaveDBegunDToDC
ompareDTheirPerformanceDInDProvidingDMaternal-
NewbornDCareDAgainstDClinicalDStandards.DThisDComparisonDProcessDIsDMostDCo
mmonlyDKnownDAsDWhat?
a. BestDPracticesDNetwork
b. ClinicalDBenchmarking
c. Outcomes-OrientedD Pracnt iu
cer s
d. Evidence-BasedD Practice
ANSWER:D C
Outcomes-
OrientedDPracticeDMeasuresDTheDEffectivenessDOfDTheDInterventionsDAndDQualityDOfDCareD
AgainstDBenchmarksDOrDStandards.DTheDTermDBestDPracticeDRefersDToDADProgramDOrDSer
viceThatDHasDBeenDRecognizedDForDItsDExcellence.DClinicalDBenchmarkingDIsDADProcessD
UsedDToDCompareDOne’sDOwnDPerformanceDAgainstDTheDPerformanceDOfDTheDBestDInDAnD
AreaDOfDService.DTheDTermDEvidence-
BasedDPracticeDRefersDToDTheDProvisionDOfDCareDBasedDOnDEvidenceDGainedDThroughDRe
searchDAndDClinicalDTrials.
Pts: 1 Dif:
CognitiveDLevel:DUnderstandDTop:
NursingDProcess:DEvaluation
Msc:D ClientDNeeds:DSafeDAndDEffectiveDCareDEnvironment
4. DuringDADPrenatalDIntakeDInterview,DTheDNurseDIsDInDTheDProcessDOfDObtainingDA
nDInitialDAssessmentDOfDAD21-Year-
OldDHispanicDClientDWithDLimitedDEnglishDProficiency.DWhichDInterventionDIsDThe
DMostDImportantDForDTheDNurseDToDImplement?
a. UseDMaternityDJargonDToDEnableDTheDClientDToDBecomeDFamiliarDWithDTheseDTerms.
b. SpeakDQuicklyDAndDEfficientlyDToDExpediteDTheDVisit.
c. ProvideDTheDClientDWithDHandouts.
d. AssessDWhetherDTheDClientDUnderstandsDTheDDiscussion.
ANSWER:D D
NursesDContributeDToDHealthDLiteracyDByDUsingDSimple,DCommonDWords,DAvoidingDJar
gon,DAndEvaluatingDWhetherDTheDClientDUnderstandsDTheDDiscussion.DSpeakingDSlowlyD
AndDClearlyDAndFocusingDOnDWhatDIsDImportantDWillDIncreaseDUnderstanding.DMostDClie
ntDEducationDMaterialsAreDWrittenDAtDADLevelDTooDHighDForDTheDAverageDAdultDAndD
MayDNotDBeDUsefulDForDADClientDWithLimitedDEnglishDProficiency.
Pts: 1 Dif:
CognitiveDLevel:DApplyDTop:
NursingDProcess:DImplementation
Msc:D ClientDNeeds:DHealthDPromotionDAndDMaintenance
5. WhichDStatementDBestDExemplifiesDContemporaryDMaternityDNursing?
a. UseDOfDMidwivesDForDAllDVaginalDDeliveries
b. Family-CenteredDCare
c. Free-StandingDBirthDClinics
d. Physician-
DrivenDCareANSWE