TEST BANK h
FOR MATERNITY AND WOMEN'SHEALTH
h h h h
CARE 13TH EDITION LOWDERMILK
h h h
, MaternityhAndhWomen'ShHealthhCareh13thhEditionhLowdermilkhTesthCha
bAnk
pter 01: 21st Century Maternity And Women’s Health Nursing Lowdermilk: M
h h h h h h h h h
aternity & Women’s Health Care, 12th Edition
h h h h h h
MultiplehChoice
1. InhEvaluatinghThehLevelhOfhAhPregnanthWoman’shRiskhOfhHavinghAhLow-Birth-
hWeighth (Lbw)Infant,hWhichhFactorhIshThehMosthImportanth ForhThehNursehTohConsider?
a. African-AmericanhRace
b. CigarettehSmoking
c. PoorhNutritionalhStatus
d. LimitedhMaternalhEducation
ANSWER:h A
ThehRisehInhThehOverallhLbwhRateshWerehDuehTohIncreaseshInhLbwhBirthshTohNon-
hHispanichBlackhWomenh(13.35%)hAndhHispanichWomenh(7.21%);hNon-
HispanichBlackhInfantshArehAlmosthTwicehAshLikelyhAshNon-
HispanichWhitehInfantshTohBehOfhLbwhAndhTohDiehInhThehFirsthYearhOfhLife..hRacehIshAhNon
modifiablehRiskhFactor.hCigarettehSmokinghIshAnhImportanthFactorhInPotentialhInfanthMortali
tyhRates,hButhIthIshNothThehMosthImportant.hAdditionally,hSmokinghIshAhModifiablehRiskhFact
or.hPoorhNutritionhIshAnhImportanth FactorhInhPotentialhInfanth MortalityhRates,hButhIthIshNothT
hehMosthImportant.
Additionally,hNutritionalhStatushIshAhModifiablehRiskhFactor.hMaternalhEducationhIshAnhI
mportanthFactorhInhPotentialhInfanthMortalityhRates,hButhIthIshNothThehMosthImportant.hA
dditionally,hMaternalhEducationhIshAhModifiablehRiskhFactor.
Pts:hhhhhh1
Dif:h CognitivehLevel:hUnderstandhTo
p:h NursinghProcess:hAssessment
Msc:h Clienth Needs:h Healnance,h Antepartumh Care
2. Ah23-Year-OldhAfrican-
AmericanhWomanhIshPregnanthWithhHerhFirsthChild.hBasedhOnhCurrentStatisticshForhInfanth
Mortality,hWhichhInterventionhIshMosthImportanthForhThehNursehTohIncludeInhThehClient’shPl
anhOfhCare?
a. PerformhAhNutritionhAssessment.
b. ReferhThehWomanhTohAhSocialhWorker.
c. AdvisehThehWomanhTohSeehAnhObstetrician,hNothAhMidwife.
d. ExplainhTohThehWomanhThehImportancehOfhKeepinghHerhPrenatalhCarehAppointments.
ANSWER:h D
ConsistenthPrenatalhCarehIshThehBesthMethodhOfhPreventinghOrhControllinghRiskhFactorshAss
ociatedhWithhInfanthMortality.hNutritionalhStatushIshAnhImportanthModifiablehRiskhFactor,hBu
tIthIshNothThehMosthImportanthActionhAhNursehShouldhTakehInhThishSituation.hThehClienthMa
yhNeedhAssistancehFromhAhSocialhWorkerhAthSomehTimehDuringhHerhPregnancy,hButhAhRefe
rralhTohAhSocialWorkerhIshNothThehMosthImportanthAspecthThehNursehShouldhAddresshAthTh
ishTime.hIfhThehWomanhHashIdentifiablehHigh-
RiskhProblems,hThenhHerhHealthhCarehMayhNeedhTohBehProvidedhByhAhPhysician.hHowever,h
IthCannothBehAssumedhThathAllhAfrican-AmericanhWomenhHavehHigh-
RiskIssues.hInhAddition,hAdvisinghThehWomanhTohSeehAnhObstetricianhIshNothThehMosthImpo
rtanthAspecthOnhWhichhThehNursehShouldhFocushAthThishTime,hAndhIthIshNothAppropriatehFo
rhAhNursehTohAdvisehOrhManagehThehTypehOfhCarehAhClienth IshTohReceive.
Pts:hhhhhh1
Dif:h CognitivehLevel:hUnderstandhTo
,p:h NursinghProcess:hPlanning
, MaternityhandhWomen'shHealthhCareh13thhEditionhLowdermilkhTest
Msc:h ClienthNeeds:hHealthhPromotionhAndhMaintenance
3. ThehNurseshWorkinghAthAhNewlyhEstablishedhBirthinghCenterhHavehBegunhTohCom
parehTheirPerformancehInhProvidinghMaternal-
NewbornhCarehAgainsthClinicalhStandards.hThishComparisonhProcesshIshMosthComm
onlyhKnownhAshWhat?
a. BesthPracticeshNetwork
b. ClinicalhBenchmarking
c. Outcomes-OrientedhPracntiu
cers
d. Evidence-BasedhPractice
ANSWER:h C
Outcomes-
OrientedhPracticehMeasureshThehEffectivenesshOfhThehInterventionshAndhQualityhOfhCarehAg
ainsthBenchmarkshOrhStandards.hThehTermhBesthPracticehRefershTohAhProgramhOrhServiceTh
athHashBeenhRecognizedhForhItshExcellence.hClinicalhBenchmarkinghIshAhProcesshUsedhTohC
omparehOne’shOwnhPerformancehAgainsthThehPerformancehOfhThehBesthInhAnhAreahOfhServi
ce.hThehTermhEvidence-
BasedhPracticehRefershTohThehProvisionhOfhCarehBasedhOnhEvidencehGainedhThroughhResea
rchhAndhClinicalhTrials.
Pts: 1 Dif:
CognitivehLevel:hUnderstandhTop:
NursinghProcess:hEvaluation
Msc:h ClienthNeeds:hSafehAndhEffectivehCarehEnvironment
4. DuringhAhPrenatalhIntakehInterview,hThehNursehIshInhThehProcesshOfhObtaininghAnhIn
itialhAssessmenthOfhAh21-Year-
OldhHispanichClienthWithhLimitedhEnglishhProficiency.hWhichhInterventionhIshThehM
osthImportanthForhThehNursehTohImplement?
a. UsehMaternityhJargonhTohEnablehThehClienthTohBecomehFamiliarhWithhThesehTerms.
b. SpeakhQuicklyhAndhEfficientlyhTohExpeditehThehVisit.
c. ProvidehThehClienthWithhHandouts.
d. AssesshWhetherhThehClienthUnderstandshThehDiscussion.
ANSWER:h D
NurseshContributehTohHealthhLiteracyhByhUsinghSimple,hCommonhWords,hAvoidinghJargo
n,hAndEvaluatinghWhetherhThehClienthUnderstandshThehDiscussion.hSpeakinghSlowlyhAndhC
learlyhAndFocusinghOnhWhathIshImportanthWillhIncreasehUnderstanding.hMosthClienthEducati
onhMaterialsArehWrittenhAthAhLevelhToohHighhForhThehAveragehAdulthAndhMayhNothBehU
sefulhForhAhClienth WithLimitedhEnglishhProficiency.
Pts: 1 Dif:
CognitivehLevel:hApplyhTop:
NursinghProcess:h Implementation
Msc:h ClienthNeeds:hHealthhPromotionhAndhMaintenance
5. WhichhStatementh BesthExemplifieshContemporaryhMaternityhNursing?
a. UsehOfhMidwiveshForhAllhVaginalhDeliveries
b. Family-CenteredhCare
c. Free-StandinghBirthhClinics
d. Physician-
DrivenhCareANSWE