st
TEST BANK m
FOR MATERNITY AND WOMEN'SHEALTH
m m m m
CARE 13TH EDITION LOWDERMILK
m m m
, MaternitymAndmWomen'SmHealthmCarem13thmEditionmLowdermilkmTestmCh
bAnk
apter 01: 21st Century Maternity And Women’s Health Nursing Lowdermilk:
m m m m m m m m
mMaternity & Women’s Health Care, 12th Edition
m m m m m m
MultiplemChoice
1. InmEvaluatingmThemLevelmOfmAmPregnantmWoman’smRiskmOfmHavingmAmLow-Birth-
mWeightm (Lbw)Infant,mWhichmFactormIsmThemMostmImportantm FormThemNursemTomConsid
er?
a. African-AmericanmRace
b. CigarettemSmoking
c. PoormNutritionalmStatus
d. LimitedmMaternalmEducation
ANSWER:m A
ThemRisemInmThemOverallmLbwmRatesmWeremDuemTomIncreasesmInmLbwmBirthsmTomNon-
mHispanicmBlackmWomenm(13.35%)mAndmHispanicmWomenm(7.21%);mNon-
HispanicmBlackmInfantsmAremAlmostmTwicemAsmLikelymAsmNon-
HispanicmWhitemInfantsmTomBemOfmLbwmAndmTomDiemInmThemFirstmYearmOfmLife..mRacemIsm
AmNonmodifiablemRiskmFactor.mCigarettemSmokingmIsmAnmImportantmFactormInPotentialmInfa
ntmMortalitymRates,mButmItmIsmNotmThemMostmImportant.mAdditionally,mSmokingmIsmAmModifi
ablemRiskmFactor.mPoormNutritionmIsmAnmImportantmFactormInmPotentialmInfantmMortalitymRat
es,mButmItmIsmNotmThemMostmImportant.
Additionally,mNutritionalmStatusmIsmAmModifiablemRiskmFactor.mMaternalmEducationmIsm
AnmImportantmFactormInmPotentialmInfantmMortalitymRates,mButmItmIsmNotmThemMostmImp
ortant.mAdditionally,mMaternalmEducationmIsmAmModifiablemRiskmFactor.
Pts:mmmmmm1
Dif:m CognitivemLevel:mUnderstandmT
op:m NursingmProcess:mAssessment
Msc:m Clientm Needs:m Healnance,m Antepartumm Care
2. Am23-Year-OldmAfrican-
AmericanmWomanmIsmPregnantmWithmHermFirstmChild.mBasedmOnmCurrentStatisticsmFormInf
antmMortality,mWhichmInterventionmIsmMostmImportantmFormThemNursemTomIncludeInmThemCli
ent’smPlanmOfmCare?
a. PerformmAmNutritionmAssessment.
b. RefermThemWomanmTomAmSocialmWorker.
c. AdvisemThemWomanmTomSeemAnmObstetrician,mNotmAmMidwife.
d. ExplainmTomThemWomanmThemImportancemOfmKeepingmHermPrenatalmCaremAppointments.
ANSWER:m D
ConsistentmPrenatalmCaremIsmThemBestmMethodmOfmPreventingmOrmControllingmRiskmFactorsm
AssociatedmWithmInfantmMortality.mNutritionalmStatusmIsmAnmImportantmModifiablemRiskmFac
tor,mButItmIsmNotmThemMostmImportantmActionmAmNursemShouldmTakemInmThismSituation.mThe
mClientmMaymNeedmAssistancemFrommAmSocialmWorkermAtmSomemTimemDuringmHermPregnan
cy,mButmAmReferralmTomAmSocialWorkermIsmNotmThemMostmImportantmAspectmThemNursemSh
ouldmAddressmAtmThismTime.mIfmThemWomanmHasmIdentifiablemHigh-
RiskmProblems,mThenmHermHealthmCaremMaymNeedmTomBemProvidedmBymAmPhysician.mHowe
ver,mItmCannotmBemAssumedmThatmAllmAfrican-AmericanmWomenmHavemHigh-
RiskIssues.mInmAddition,mAdvisingmThemWomanmTomSeemAnmObstetricianmIsmNotmThemMostmI
mportantmAspectmOnmWhichmThemNursemShouldmFocusmAtmThismTime,mAndmItmIsmNotmAppro
priatemFormAmNursemTomAdvisemOrmManagemThemTypemOfmCaremAmClientm IsmTomReceive.
Pts:mmmmmm1
, Dif:m CognitivemLevel:mUnderstandmT
op:m NursingmProcess:mPlanning
, MaternitymandmWomen'smHealthmCarem13thmEditionmLowdermilkmTe
st
Msc:m ClientmNeeds:mHealthmPromotionmAndmMaintenance
3. ThemNursesmWorkingmAtmAmNewlymEstablishedmBirthingmCentermHavemBegunmTomC
omparemTheirPerformancemInmProvidingmMaternal-
NewbornmCaremAgainstmClinicalmStandards.mThismComparisonmProcessmIsmMostmCo
mmonlymKnownmAsmWhat?
a. BestmPracticesmNetwork
b. ClinicalmBenchmarking
c. Outcomes-OrientedmPracntiu
cers
d. Evidence-BasedmPractice
ANSWER:m C
Outcomes-
OrientedmPracticemMeasuresmThemEffectivenessmOfmThemInterventionsmAndmQualitymOfmCarem
AgainstmBenchmarksmOrmStandards.mThemTermmBestmPracticemRefersmTomAmProgrammOrmSer
viceThatmHasmBeenmRecognizedmFormItsmExcellence.mClinicalmBenchmarkingmIsmAmProcessm
UsedmTomComparemOne’smOwnmPerformancemAgainstmThemPerformancemOfmThemBestmInmAn
mAreamOfmService.mThemTermmEvidence-
BasedmPracticemRefersmTomThemProvisionmOfmCaremBasedmOnmEvidencemGainedmThroughmR
esearchmAndmClinicalmTrials.
Pts: 1 Dif:
CognitivemLevel:mUnderstandmTop:
NursingmProcess:mEvaluation
Msc:m ClientmNeeds:mSafemAndmEffectivemCaremEnvironment
4. DuringmAmPrenatalmIntakemInterview,mThemNursemIsmInmThemProcessmOfmObtainingmA
nmInitialmAssessmentmOfmAm21-Year-
OldmHispanicmClientmWithmLimitedmEnglishmProficiency.mWhichmInterventionmIsmTh
emMostmImportantmFormThemNursemTomImplement?
a. UsemMaternitymJargonmTomEnablemThemClientmTomBecomemFamiliarmWithmThesemTerms.
b. SpeakmQuicklymAndmEfficientlymTomExpeditemThemVisit.
c. ProvidemThemClientmWithmHandouts.
d. AssessmWhethermThemClientmUnderstandsmThemDiscussion.
ANSWER:m D
NursesmContributemTomHealthmLiteracymBymUsingmSimple,mCommonmWords,mAvoidingmJar
gon,mAndEvaluatingmWhethermThemClientmUnderstandsmThemDiscussion.mSpeakingmSlowlym
AndmClearlymAndFocusingmOnmWhatmIsmImportantmWillmIncreasemUnderstanding.mMostmClie
ntmEducationmMaterialsAremWrittenmAtmAmLevelmToomHighmFormThemAveragemAdultmAndm
MaymNotmBemUsefulmFormAmClientmWithLimitedmEnglishmProficiency.
Pts: 1 Dif:
CognitivemLevel:mApplymTop:
NursingmProcess:m Implementation
Msc:m ClientmNeeds:mHealthmPromotionmAndmMaintenance
5. WhichmStatementm BestmExemplifiesmContemporarymMaternitymNursing?
a. UsemOfmMidwivesmFormAllmVaginalmDeliveries
b. Family-CenteredmCare
c. Free-StandingmBirthmClinics
d. Physician-
DrivenmCareANSWE