Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
q q q q q q q q q
Chapterq1:q21stqCenturyqMaternityqandqWomen’sqHealthqNursing
MULTIPLEqCHOICE
1. Inqevaluatingqtheqlevelqofqaqpregnantqwomansqriskqofqhavingqaqlow-birth-
weightq(LBW)qinfant,qwhichqfactorqisqtheqmostqimportantqforqtheqnurseqtoqconsider?
a. African-Americanqrace
b. Cigaretteqsmoking
c. Poorqnutritionalqstatus
d. Limitedqmaternalqeducation
ANS:qA
ForqAfrican-
Americanqbirths,qtheqincidenceqofqLBWqinfantsqisqtwiceqthatqofqCaucasianqbirths.qRaceqisqaqnonmod
ifiableqriskqfactor.qCigaretteqsmokingqisqanqimportantqfactorqinqpotentialqinfantqmortalityqrates,qbutqit
isqnotqtheqmostqimportant.qAdditionally,qsmokingqisqaqmodifiableqriskqfactor.qPoorqnutritionqisqanqim
q
portantqfactorqinqpotentialqinfantqmortalityqrates,qbutqitqisqnotqtheqmostqimportant.qAdditionally,qnutr
itionalqstatusqisqaqmodifiableqriskqfactor.qMaternalqeducationqisqanqimportantqfactorqinqpotentialqinfa
ntqmortalityqrates,qbutqitqisqnotqtheqmostqimportant.qAdditionally,qmaternalqeducationqisqaqmodifiable
q riskqfactor.
DIF:qCognitiveqLevel:qUnderstandqREF:qIM:
TOP:qNursingqProcess:qAssessment
MSC:qClientqNeeds:qHealthqPromotionqandqMaintenance,qAntepartumqCare
2. Whatqisqtheqprimaryqroleqofqpracticingqnursesqinqtheqresearchqprocess?
a. Designingqresearchqstudies
b. Collectingqdataqforqotherqresearchers
c. Identifyingqresearchableqproblems
, d. Seekingqfundingqtoqsupportqresearchqstudies
ANS:qC
Whenqproblemsqareqidentified,qresearchqcanqbeqproperlyqconducted.qResearchqofqhealthqcareqissues
leadsqtoqevidence-
q
basedqpracticeqguidelines.qDesigningqresearchqstudiesqisqonlyqoneqfactorqofqtheqresearchqprocess.qD
ataqcollectionqisqanotherqfactorqofqresearch.qFinancialqsupportqisqnecessaryqtoqconductqresearch,qbut
q itqisqnotqtheqprimaryqroleqofqtheqnurseqinqtheqresearchqprocess.
DIF:qCognitiveqLevel:qUnderstandqREF:qim:q14qTOP:qNursingqProcess:qN/AqMSC:
q ClientqNeeds:qSafeqandqEffectiveqCareqEnvironment
3. Aq23-year-oldqAfrican-
Americanqwomanqisqpregnantqwithqherqfirstqchild.qBasedqonqtheqstatisticsqforqinfantqmortali
ty,qwhichqplanqisqmostqimportantqforqtheqnurseqtoqimplement?
a. Performqaqnutritionqassessment.
b. Referqtheqwomanqtoqaqsocialqworker.
c. Adviseqtheqwomanqtoqseeqanqobstetrician,qnotqaqmidwife.
d. Explainqtoqtheqwomanqtheqimportanceqofqkeepingqherqprenatalqcareqappointments.
ANS:qD
Consistentqprenatalqcareqisqtheqbestqmethodqofqpreventingqorqcontrollingqriskqfactorsqassociatedqwit
hqinfantqmortality.qNutritionalqstatusqisqanqimportantqmodifiableqriskqfactor,qbutqitqisqnotqtheqmostqim
portantqactionqaqnurseqshouldqtakeqinqthisqsituation.qTheqclientqmayqneedqassistanceqfromqaqsocialqwo
rkerqatqsomeqtimeqduringqherqpregnancy,qbutqaqreferralqtoqaqsocialqworkerqisqnotqtheqmostqimportantqa
spectqtheqnurseqshouldqaddressqatqthisqtime.qIfqtheqwomanqhasqidentifiableqhigh-
riskqproblems,qthenqherqhealthqcareqmayqneedqtoqbeqprovidedqbyqaqphysician.qHowever,qitqcannotqbeq
assumedqthatqallqAfrican-Americanqwomenqhaveqhigh-
riskqissues.qInqaddition,qadvisingqtheqwomanqtoqseeqanqobstetricianqisqnotqtheqmostqimportantqaspectq
onqwhichqtheqnurseqshouldqfocusqatqthisqtime,qandqitqisqnotqappropriateqforqaqnurseqtoqadviseqorqmana
geqtheqtypeqofqcareqaqclientqisqtoqreceive.
DIF:qCognitiveqLevel:qUnderstandqREF:qIM:qTOP:qNursingqProcess:qPlanning
,MSC:qClientqNeeds:qHealthqPromotionqandqMaintenance
4. Duringqaqprenatalqintakeqinterview,qtheqnurseqisqinqtheqprocessqofqobtainingqanqinitialqassessmentq
ofqaq21-year-
oldqHispanicqclientqwithqlimitedqEnglishqproficiency.qWhichqactionqisqtheqmostqimportantqforqtheqnu
rseqtoqperform?
a. Useqmaternityqjargonqtoqenableqtheqclientqtoqbecomeqfamiliarqwithqtheseqterms.
b. Speakqquicklyqandqefficientlyqtoqexpediteqtheqvisit.
c. Provideqtheqclientqwithqhandouts.
d. Assessqwhetherqtheqclientqunderstandsqtheqdiscussion.
ANS:qD
Nursesqcontributeqtoqhealthqliteracyqbyqusingqsimple,qcommonqwords,qavoidingqjargon,qandqevaluat
ingqwhetherqtheqclientqunderstandsqtheqdiscussion.qSpeakingqslowlyqandqclearlyqandqfocusingqonqwh
atqisqimportantqwillqincreasequnderstanding.qMostqclientqeducationqmaterialsqareqwrittenqatqaqlevelqto
oqhighqforqtheqaverageqadultqandqmayqnotqbequsefulqforqaqclientqwithqlimitedqEnglishqproficiency.
DIF:qCognitiveqLevel:qApplyqREF:qim:q5qTOP:qNursingqProcess:qEvaluationqMSC:
q ClientqNeeds:qHealthqPromotionqandqMaintenance
5. Theqnursesqworkingqatqaqnewlyqestablishedqbirthingqcenterqhaveqbegunqtoqcompareqtheirqperf
ormanceqinqprovidingqmaternal-
newbornqcareqagainstqclinicalqstandards.qThisqcomparisonqprocessqisqmostqcommonlyqknownqa
sqwhat?
a. Bestqpracticesqnetwork
b. Clinicalqbenchmarking
c. Outcomes-orientedqpractice
d. Evidence-
basedqpracticeqANS:qC
, Outcomes-
orientedqpracticeqmeasuresqtheqeffectivenessqofqtheqinterventionsqandqqualityqofqcareqagainstqbench
marksqorqstandards.qTheqtermqbestqpracticeqrefersqtoqaqprogramqorqserviceqthatqhasqbeenqrecognizedq
forqitsqexcellence.qClinicalqbenchmarkingqisqaqprocessqusedqtoqcompareqonesqownqperformanceqagai
nstqtheqperformanceqofqtheqbestqinqanqareaqofqservice.qTheqtermqevidence-
basedqpracticeqrefersqtoqtheqprovisionqofqcareqbasedqonqevidenceqgainedqthroughqresearchqandqclinic
alqtrials.
DIF:qCognitiveqLevel:qUnderstandqREF:qim:q11qTOP:qNursingqProcess:qEvaluationqMS
C:qClientqNeeds:qSafeqandqEffectiveqCareqEnvironment
6. Whichqstatementqbestqexemplifiesqcontemporaryqmaternityqnursing?
a. Useqofqmidwivesqforqallqvaginalqdeliveries
b. Family-centeredqcare
c. Free-standingqbirthqclinics
d. Physician-drivenqcare
ANS:qB
Contemporaryqmaternityqnursingqfocusesqonqtheqfamilysqneedsqandqdesires.qFathers,qpartners,q
grandparents,qandqsiblingsqmayqbeqpresentqforqtheqbirthqandqparticipateqinqactivitiesqsuchqasqcut
tingqtheqbabysqumbilicalqcord.qBothqmidwivesqandqphysiciansqperformqvaginalqdeliveries.qFre
e-
standingqclinicsqareqanqexampleqofqalternativeqbirthqoptions.qContemporaryqmaternityqnursingq
isqdrivenqbyqtheqrelationshipqbetweenqnursesqandqtheirqclients.
DIF:qCognitiveqLevel:qUnderstandqREF:qpp.q8-
9qTOP:qNursingqProcess:qPlanningqMSC:qClientqNeeds:qHealthqPromotionqandqMa
intenance
7. Aq38-year-oldqHispanicqwomanqvaginallyqdeliveredqaq9-pound,q6-
ounceqbabyqgirlqafterqbeingqinqlaborqforq43qhours.qTheqbabyqdiedq3qdaysqlaterqfromqsepsis.qOnqwhatqg
roundsqcouldqtheqwomanqhaveqaqlegitimateqlegalqcaseqforqnegligence?
a. Inexperiencedqmaternityqnurseqwasqassignedqtoqcareqforqtheqclient.
q q q q q q q q q
Chapterq1:q21stqCenturyqMaternityqandqWomen’sqHealthqNursing
MULTIPLEqCHOICE
1. Inqevaluatingqtheqlevelqofqaqpregnantqwomansqriskqofqhavingqaqlow-birth-
weightq(LBW)qinfant,qwhichqfactorqisqtheqmostqimportantqforqtheqnurseqtoqconsider?
a. African-Americanqrace
b. Cigaretteqsmoking
c. Poorqnutritionalqstatus
d. Limitedqmaternalqeducation
ANS:qA
ForqAfrican-
Americanqbirths,qtheqincidenceqofqLBWqinfantsqisqtwiceqthatqofqCaucasianqbirths.qRaceqisqaqnonmod
ifiableqriskqfactor.qCigaretteqsmokingqisqanqimportantqfactorqinqpotentialqinfantqmortalityqrates,qbutqit
isqnotqtheqmostqimportant.qAdditionally,qsmokingqisqaqmodifiableqriskqfactor.qPoorqnutritionqisqanqim
q
portantqfactorqinqpotentialqinfantqmortalityqrates,qbutqitqisqnotqtheqmostqimportant.qAdditionally,qnutr
itionalqstatusqisqaqmodifiableqriskqfactor.qMaternalqeducationqisqanqimportantqfactorqinqpotentialqinfa
ntqmortalityqrates,qbutqitqisqnotqtheqmostqimportant.qAdditionally,qmaternalqeducationqisqaqmodifiable
q riskqfactor.
DIF:qCognitiveqLevel:qUnderstandqREF:qIM:
TOP:qNursingqProcess:qAssessment
MSC:qClientqNeeds:qHealthqPromotionqandqMaintenance,qAntepartumqCare
2. Whatqisqtheqprimaryqroleqofqpracticingqnursesqinqtheqresearchqprocess?
a. Designingqresearchqstudies
b. Collectingqdataqforqotherqresearchers
c. Identifyingqresearchableqproblems
, d. Seekingqfundingqtoqsupportqresearchqstudies
ANS:qC
Whenqproblemsqareqidentified,qresearchqcanqbeqproperlyqconducted.qResearchqofqhealthqcareqissues
leadsqtoqevidence-
q
basedqpracticeqguidelines.qDesigningqresearchqstudiesqisqonlyqoneqfactorqofqtheqresearchqprocess.qD
ataqcollectionqisqanotherqfactorqofqresearch.qFinancialqsupportqisqnecessaryqtoqconductqresearch,qbut
q itqisqnotqtheqprimaryqroleqofqtheqnurseqinqtheqresearchqprocess.
DIF:qCognitiveqLevel:qUnderstandqREF:qim:q14qTOP:qNursingqProcess:qN/AqMSC:
q ClientqNeeds:qSafeqandqEffectiveqCareqEnvironment
3. Aq23-year-oldqAfrican-
Americanqwomanqisqpregnantqwithqherqfirstqchild.qBasedqonqtheqstatisticsqforqinfantqmortali
ty,qwhichqplanqisqmostqimportantqforqtheqnurseqtoqimplement?
a. Performqaqnutritionqassessment.
b. Referqtheqwomanqtoqaqsocialqworker.
c. Adviseqtheqwomanqtoqseeqanqobstetrician,qnotqaqmidwife.
d. Explainqtoqtheqwomanqtheqimportanceqofqkeepingqherqprenatalqcareqappointments.
ANS:qD
Consistentqprenatalqcareqisqtheqbestqmethodqofqpreventingqorqcontrollingqriskqfactorsqassociatedqwit
hqinfantqmortality.qNutritionalqstatusqisqanqimportantqmodifiableqriskqfactor,qbutqitqisqnotqtheqmostqim
portantqactionqaqnurseqshouldqtakeqinqthisqsituation.qTheqclientqmayqneedqassistanceqfromqaqsocialqwo
rkerqatqsomeqtimeqduringqherqpregnancy,qbutqaqreferralqtoqaqsocialqworkerqisqnotqtheqmostqimportantqa
spectqtheqnurseqshouldqaddressqatqthisqtime.qIfqtheqwomanqhasqidentifiableqhigh-
riskqproblems,qthenqherqhealthqcareqmayqneedqtoqbeqprovidedqbyqaqphysician.qHowever,qitqcannotqbeq
assumedqthatqallqAfrican-Americanqwomenqhaveqhigh-
riskqissues.qInqaddition,qadvisingqtheqwomanqtoqseeqanqobstetricianqisqnotqtheqmostqimportantqaspectq
onqwhichqtheqnurseqshouldqfocusqatqthisqtime,qandqitqisqnotqappropriateqforqaqnurseqtoqadviseqorqmana
geqtheqtypeqofqcareqaqclientqisqtoqreceive.
DIF:qCognitiveqLevel:qUnderstandqREF:qIM:qTOP:qNursingqProcess:qPlanning
,MSC:qClientqNeeds:qHealthqPromotionqandqMaintenance
4. Duringqaqprenatalqintakeqinterview,qtheqnurseqisqinqtheqprocessqofqobtainingqanqinitialqassessmentq
ofqaq21-year-
oldqHispanicqclientqwithqlimitedqEnglishqproficiency.qWhichqactionqisqtheqmostqimportantqforqtheqnu
rseqtoqperform?
a. Useqmaternityqjargonqtoqenableqtheqclientqtoqbecomeqfamiliarqwithqtheseqterms.
b. Speakqquicklyqandqefficientlyqtoqexpediteqtheqvisit.
c. Provideqtheqclientqwithqhandouts.
d. Assessqwhetherqtheqclientqunderstandsqtheqdiscussion.
ANS:qD
Nursesqcontributeqtoqhealthqliteracyqbyqusingqsimple,qcommonqwords,qavoidingqjargon,qandqevaluat
ingqwhetherqtheqclientqunderstandsqtheqdiscussion.qSpeakingqslowlyqandqclearlyqandqfocusingqonqwh
atqisqimportantqwillqincreasequnderstanding.qMostqclientqeducationqmaterialsqareqwrittenqatqaqlevelqto
oqhighqforqtheqaverageqadultqandqmayqnotqbequsefulqforqaqclientqwithqlimitedqEnglishqproficiency.
DIF:qCognitiveqLevel:qApplyqREF:qim:q5qTOP:qNursingqProcess:qEvaluationqMSC:
q ClientqNeeds:qHealthqPromotionqandqMaintenance
5. Theqnursesqworkingqatqaqnewlyqestablishedqbirthingqcenterqhaveqbegunqtoqcompareqtheirqperf
ormanceqinqprovidingqmaternal-
newbornqcareqagainstqclinicalqstandards.qThisqcomparisonqprocessqisqmostqcommonlyqknownqa
sqwhat?
a. Bestqpracticesqnetwork
b. Clinicalqbenchmarking
c. Outcomes-orientedqpractice
d. Evidence-
basedqpracticeqANS:qC
, Outcomes-
orientedqpracticeqmeasuresqtheqeffectivenessqofqtheqinterventionsqandqqualityqofqcareqagainstqbench
marksqorqstandards.qTheqtermqbestqpracticeqrefersqtoqaqprogramqorqserviceqthatqhasqbeenqrecognizedq
forqitsqexcellence.qClinicalqbenchmarkingqisqaqprocessqusedqtoqcompareqonesqownqperformanceqagai
nstqtheqperformanceqofqtheqbestqinqanqareaqofqservice.qTheqtermqevidence-
basedqpracticeqrefersqtoqtheqprovisionqofqcareqbasedqonqevidenceqgainedqthroughqresearchqandqclinic
alqtrials.
DIF:qCognitiveqLevel:qUnderstandqREF:qim:q11qTOP:qNursingqProcess:qEvaluationqMS
C:qClientqNeeds:qSafeqandqEffectiveqCareqEnvironment
6. Whichqstatementqbestqexemplifiesqcontemporaryqmaternityqnursing?
a. Useqofqmidwivesqforqallqvaginalqdeliveries
b. Family-centeredqcare
c. Free-standingqbirthqclinics
d. Physician-drivenqcare
ANS:qB
Contemporaryqmaternityqnursingqfocusesqonqtheqfamilysqneedsqandqdesires.qFathers,qpartners,q
grandparents,qandqsiblingsqmayqbeqpresentqforqtheqbirthqandqparticipateqinqactivitiesqsuchqasqcut
tingqtheqbabysqumbilicalqcord.qBothqmidwivesqandqphysiciansqperformqvaginalqdeliveries.qFre
e-
standingqclinicsqareqanqexampleqofqalternativeqbirthqoptions.qContemporaryqmaternityqnursingq
isqdrivenqbyqtheqrelationshipqbetweenqnursesqandqtheirqclients.
DIF:qCognitiveqLevel:qUnderstandqREF:qpp.q8-
9qTOP:qNursingqProcess:qPlanningqMSC:qClientqNeeds:qHealthqPromotionqandqMa
intenance
7. Aq38-year-oldqHispanicqwomanqvaginallyqdeliveredqaq9-pound,q6-
ounceqbabyqgirlqafterqbeingqinqlaborqforq43qhours.qTheqbabyqdiedq3qdaysqlaterqfromqsepsis.qOnqwhatqg
roundsqcouldqtheqwomanqhaveqaqlegitimateqlegalqcaseqforqnegligence?
a. Inexperiencedqmaternityqnurseqwasqassignedqtoqcareqforqtheqclient.
