m m m m m m m m
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED ANSW
m m m m m m m
ERS}
Chapter m01:m21stmCentury mMaternity mandmWomen’smHealthmNursing mLow
dermilk:mMaternity m&mWomen’smHealthmCare,m11thmEdition
MULTIPLEmCHOICE
1. Inmevaluatingmthemlevelmof mampregnant mwoman’smriskmof mhavingmamlow-birth-
weight m(LBW)minfant,mwhichmfactormismthemmost mimportant mformthemnursemtomconsider?
a. African-Americanmrace
b. Cigarettemsmoking
c. Poormnutritionalmstatus
d. Limited mmaternalmeducation
ANS:m A
FormAfrican-
Americanmbirths,mthemincidencemof mLBWminfantsmismtwicemthat mof mCaucasianmbirths.mRacemismam
nonmodifiablemriskmfactor.mCigarettemsmokingmismanmimportant mfactorminmpotentialminfant mmort
alitymrates,mbut mit mismnot mthemmost mimportant.mAdditionally,msmokingmismammodifiablemriskmfact
or.mPoormnutritionmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthem
most mimportant.mAdditionally,mnutritionalmstatusmismammodifiablemriskmfactor.mMaternalmeducati
onmismanmimportant mfactorminmpotentialminfant mmortalitymrates,mbut mit mismnot mthemmost mimportant
.mAdditionally,mmaternalmeducationmismammodifiablemriskmfactor.
DIF: CognitivemLevel:mUnderstand
REF:mp.m6 mTOP:m NursingmProcess:mAssessmen
t
MSC:m ClientmNeeds:mHealth mPromotion mand mMaintenance,mAntepartum mCare
2. What mismthemprimarymrolemof mpracticingmnursesminmthemresearchmprocess?
a. Designingmresearchmstudies
b. Collectingmdatamformothermresearchers
c. Identifyingmresearchablemproblems
d. Seekingmfundingmtomsupport mresearchmstudie
s
ANS:m C
Whenmproblemsmaremidentified,mresearchmcanmbemproperlymconducted.mResearchmof mhealthmcare
missuesmleadsmtomevidence-
based mpracticemguidelines.mDesigningmresearchmstudiesmismonlymonemfactormof mthemresearchmpro
cess.mDatamcollectionmismanothermfactormof mresearch.mFinancial msupport mismnecessarymtomconduct
mresearch,mbut mit mismnot mthemprimarymrolemof mthemnurseminmthemresearchmprocess.
DIF: CognitivemLevel:mUnderstand REF:m p.m14
TOP:m NursingmProcess:mN/AmMSC:m ClientmNeeds:mSafemand mEffectivemCaremEnvironm
,Maternity & Women’s Health Care 12th Edition Lowdermilk
m m m m m m m m
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED ANSW
m m m m m m m
ERS}
ent
3. A m23-year-old mAfrican-
Americanmwomanmismpregnant mwithmhermfirst mchild.mBased monmthemstatisticsmforminfant m
mortality,mwhichmplanmismmost mimportant mformthemnursemtomimplement?
,Maternity & Women’s Health Care 12th Edition Lowdermilk
m m m m m m m m
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED ANSW
m m m m m m m
ERS}
a. Performmamnutritionmassessment.
b. Refermthemwomanmtomamsocialmworker.
c. Advisemthemwomanmtomseemanmobstetrician,mnot mammidwife.
d. Explainmtomthemwomanmthemimportancemof mkeepingmhermprenatalmcaremappointment
s.
ANS:m D
, Maternity & Women’s Health Care 12th Edition Lowdermilk
m m m m m m m m
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED ANSW
m m m m m m m
ERS}
Consistent mprenatalmcaremismthembest mmethod mof mpreventingmormcontrollingmrisk mfactorsmassociat
ed mwithminfant mmortality.mNutritionalmstatusmismanmimportant mmodifiablemriskmfactor,mbut mit mismn
ot mthemmost mimportant mactionmamnursemshould mtakeminmthismsituation.mThemclient mmaymneed massi
stancemfrommamsocialmworkermat msomemtimemduringmhermpregnancy, mbut mamreferralmtomamsocialmw
orkermismnot mthemmost mimportant maspect mthemnursemshould maddressmat mthismtime.mIf mthemwomanm
hasmidentifiablemhigh-
riskmproblems,mthenmhermhealthmcaremmaymneed mtombemprovided mbymamphysician.mHowever,mit mc
annot mbemassumed mthat mallmAfrican-Americanmwomenmhavemhigh-
riskmissues.mInmaddition,madvisingmthemwomanmtomseemanmobstetricianmismnot mthemmost mimportant
maspect monmwhichmthemnursemshould mfocusmat mthismtime,mand mit mismnot mappropriatemformamnursemt
omadvisemormmanagemthemtypemof mcaremamclient mismtomreceive.
DIF: CognitivemLevel:mUnderstand REF:m p.m6
TOP:m NursingmProcess:mPlanningmMSC:m ClientmNeeds:mHealthmPromotionmand mMaintenanc
e
4. Duringmamprenatalmintakeminterview,mthemnursemisminmthemprocess mof mobtainingmanminitial massess
ment mof mam21-year-
old mHispanicmclient mwithmlimited mEnglishmproficiency.mWhichmactionmismthemmost m important mfo
rmthemnursemtomperform?
a. Usemmaternitymjargonmtomenablemthemclient mtombecomemfamiliarmwithmthesemterm
s.
b. Speakmquicklymand mefficientlymtomexpeditemthemvisit.
c. Providemthemclient mwithmhandouts.
d. Assessmwhethermthemclient munderstandsmthemdiscussion.
ANS:m D
Nursesmcontributemtomhealthmliteracymbymusingmsimple,mcommonmwords,mavoidingmjargon, mand m
evaluatingmwhethermthemclient munderstandsmthemdiscussion.mSpeakingmslowlymand mclearlymand mf
ocusingmonmwhat mismimportant mwillmincreasemunderstanding.mMost mclient meducationmmaterialsmar
emwrittenmat mamlevelmtoomhighmformthemaveragemadult mand mmaymnot mbemusefulmformamclient mwithmli
mited mEnglishmproficiency.
DIF: CognitivemLevel:mApply REF:m p.m5
TOP:m NursingmProcess:mEvaluationmMSC:m ClientmNeeds:mHealthmPromotion mandmMaintenanc
e
5. Themnursesmworkingmat mamnewlymestablished mbirthingmcentermhavembegunmtomcomparemtheirmpe
rformanceminmprovidingmmaternal-
newbornmcaremagainst mclinicalmstandards.mThismcomparisonmprocess mism most mcommonlymknow
nmasmwhat?
a. Best mpracticesmnetwork
b. Clinicalmbenchmarking
c. Outcomes-oriented mpractice
d. Evidence-based mpractice
ANS:m C
Outcomes-
oriented mpracticemmeasuresmthemeffectivenessmof mtheminterventionsmand mqualitymof mcaremagainst m
benchmarksmormstandards.mThemtermmbestmpracticemrefersmtomamprogrammor mservicemthat mhasmbee