Test bank for maternity and women s health care 13th edition

MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilknTest




Maternity and W n n




omen's HealthC n n




are 13th Edition
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Lowdermilk Test n




Bank

, MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilknTest

Chapter 01: 21st Century Maternity and Women’s Health NursingLowdermilk:
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Maternity & Women’s Health Care, 12th Edition
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MULTIPLEnCHOICE

1. Innevaluatingnthenlevelnofnanpregnantnwoman’snrisknofnhavingnanlow-birth-
weightn(LBW)ninfant,nwhichnfactornisnthenmostnimportantnfornthennursentonconsider?
a. African-Americannrace
b. Cigarettensmoking
c. Poornnutritionalnstatus
d. Limitednmaternalneducation
ANS:n A
ThenriseninnthenoverallnLBWnratesnwerenduentonincreasesninnLBWnbirthsntonnon-
Hispanicnblacknwomenn(13.35%)nandnHispanicnwomenn(7.21%);nnon-
Hispanicnblackninfantsnarenalmostntwicenasnlikelynasnnon-
HispanicnwhiteninfantsntonbenofnLBWnandntondieninnthenfirstnyearnofnlife..nRacenisnannonmodifia
blenrisknfactor.nCigarettensmokingnisnannimportantnfactorninnpotentialninfantnmortalitynrates,nbutn
itnisnnotnthenmostnimportant.nAdditionally,nsmokingnisnanmodifiablenrisknfactor.nPoornnutritionn
isnannimportantnfactorninnpotentialninfantnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAddi
tionally,nnutritionalnstatusnisnanmodifiablenrisknfactor.nMaternalneducationnisnannimportantnfact
orninnpotentialninfantnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nmaternalne
ducationnisnanmodifiablenrisknfactor.

PTS: 1 DIF:
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nAssessment
MSC:nn ClientnNeeds:nHealtN
hUPR mI
roS ioG
otN nTanBd.MCaO
inM
tenance,nAntepartumnCare
2. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonncurrentnstatisticsnforninfantnmort
ality,nwhichninterventionnisnmostnimportantnfornthennursentonincludeninnthenclient’snplannofncar
e?
a. Performnannutritionnassessment.
b. Refernthenwomanntonansocialnworker.
c. Advisenthenwomanntonseenannobstetrician,nnotnanmidwife.
d. Explainntonthenwomannthenimportancenofnkeepingnhernprenatalncarenappointments.
ANS:n D
Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsnassociated
nwithninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfactor,nbutnitnisnnotnthen

mostnimportantnactionnannursenshouldntakeninnthisnsituation.nThenclientnmaynneednassistancenfro
mnansocialnworkernatnsomentimenduringnhernpregnancy,nbutnanreferralntonansocialnworkernisnnotnth
enmostnimportantnaspectnthennursenshouldnaddressnatnthisntime.nIfnthenwomannhasnidentifiablenhi
gh-
risknproblems,nthennhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowever,nitncann
otnbenassumednthatnallnAfrican-Americannwomennhavenhigh-
risknissues.nInnaddition,nadvisingnthenwomanntonseenannobstetriciannisnnotnthenmostnimportantnas
pectnonnwhichnthennursenshouldnfocusnatnthisntime,nandnitnisnnotnappropriatenfornannursentonadvis
enornmanagenthentypenofncarenanclientnisntonreceive.

PTS: 1 DIF:
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nPlanning

, MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilknTest

MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance

3. Thennursesnworkingnatnannewlynestablishednbirthingncenternhavenbegunntoncomparentheirnp
erformanceninnprovidingnmaternal-
newbornncarenagainstnclinicalnstandards.nThisncomparisonnprocessnisnmostncommonlynkn
ownnasnwhat?
a. Bestnpracticesnnetwork
b. Clinicalnbenchmarking
c. Outcomes-orientednpracNtiUceRS
d. Evidence-basednpractice
ANS:n C
Outcomes-
orientednpracticenmeasuresntheneffectivenessnofntheninterventionsnandnqualitynofncarenagainstnb
enchmarksnornstandards.nThentermnbestnpracticenrefersntonanprogramnornservicenthatnhasnbeennre
cognizednfornitsnexcellence.nClinicalnbenchmarkingnisnanprocessnusedntoncomparenone’snownnp
erformancenagainstnthenperformancenofnthenbestninnannareanofnservice.nThentermnevidence-
basednpracticenrefersntonthenprovisionnofncarenbasednonnevidencengainednthroughnresearchnandn
clinicalntrials.

PTS: 1 DIF:
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nEvaluation
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment

4. Duringnanprenatalnintakeninterview,nthennursenisninnthenprocessnofnobtainingnanninitialna
ssessmentnofnan21-year-
oldnHispanicnclientnwithnlimitednEnglishnproficiency.nWhichninterventionnisnthenmostni
mportantnfornthennursentonimplement?
a. Usenmaternitynjargonntonenablenthenclientntonbecomenfamiliarnwithnthesenterms.
b. Speaknquicklynandnefficientlyntonexpeditenthenvisit.
c. Providenthenclientnwithnhandouts.
d. Assessnwhethernthenclientnunderstandsnthendiscussion.
ANS:n D
Nursesncontributentonhealthnliteracynbynusingnsimple,ncommonnwords,navoidingnjargon,nandne
valuatingnwhethernthenclientnunderstandsnthendiscussion.nSpeakingnslowlynandnclearlynandnfo
cusingnonnwhatnisnimportantnwillnincreasenunderstanding.nMostnclientneducationnmaterialsnare
nwrittennatnanlevelntoonhighnfornthenaveragenadultnandnmaynnotnbenusefulnfornanclientnwithnlimit

ednEnglishnproficiency.

PTS: 1 DIF:
CognitivenLevel:nApplynTOP:
NursingnProcess:n Implementation
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance


5. Whichnstatementnbestnexemplifiesncontemporarynmaternitynnursing?
a. Usenofnmidwivesnfornallnvaginalndeliveries
b. Family-centeredncare
c. Free-standingnbirthnclinics
d. Physician-
drivenncarenANS:n B

, MaternitynandnWomen'snHealthnCaren13thnEditionnLowdermilknTest

Contemporarynmaternitynnursingnfocusesnonnthenfamily’snneedsnandndesires.nFathers,npartners
,ngrandparents,nandnsiblingsnmaynbenpresentnfornthenbirthnandnparticipateninnactivitiesnsuchnasncu
ttingnthenbaby’snumbilicalncord.nBothnmidwivesnandnphysiciansnperformnvaginalndeliveries.nFr
ee-
standingnclinicsnarenannexamplenofnalternativenbirthnoptions.nContemporarynmaternitynnursing
nisndrivennbynthenrelationshipnbetweennnursesnandntheirnclients.




PTS: 1 DIF:
CognitivenLevel:nUnderstandnTOP:
NursingnProcess:nPlanning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance

6. An38-year-oldnHispanicnwomannvaginallyndeliverednan9-pound,n6-
ouncenbabyngirlnafternbeingninnlabornforn43nhours.nThenbabyndiedn3ndaysnlaternfromnsepsis.nOnnw
hatngroundsncouldnthenwomannhavenanlegitimatenlegalncasenfornnegligence?
a. Inexperiencednmaternitynnursenwasnassignedntoncarenfornthenclient.
b. Clientnwasnpastnhernduendatenbyn3ndays.
c. Standardnofncarenwasnnotnmet.
d. Clientnrefusednelectronicnfetalnmonitoring.
ANS:n C
Notnmeetingnthenstandardnofncarenisnanlegitimatenfactornfornancasenofnnegligence.nAnninexperi
encednmaternitynnursenwouldnneedntondisplayncompetencynbeforenbeingnassignedntoncarenfornc
lientsnonnhisnornhernown.nThisnclientnmaynhavenbeennpastnhernduendate;nhowever,nantermnpregn
ancynoftenngoesnbeyondn40nweeksnofngestation.nAlthoughnfetalnmonitoringnisnthenstandardnofn
care,nthenclientnhasnthenrightntonrefusentreatment.nThisnrefusalnisnnotnancasenfornnegligence,nbut
ninformednconsentnshouldnbenproperlynobtained,nandnthenclientnshouldnhavensignednannagains

tnmedicalnadvicenformnwhennrefusingnanyntreatmentnthatnisnwithinnthenstandardnofncare.
PTS: 1 DIF:
CognitivenLevel:nAnalyzenTOP:
NursingnProcess:n Implementation
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment

7. Whennthennursenisnunsurenhowntonperformnanclientncarenprocedurenthatnisnhighnrisknandnlownv
olume,nhisnornhernbestnactionninnthisnsituationnwouldnbenwhat?
a. Asknanothernnurse.
b. Discussnthenprocedurenwithnthenclient’snphysician.
c. Looknupnthenprocedureninnannursingntextbook.
d. Firstnconsultnthenagencynprocedurenmanual
ANS:n D
Followingnthenagency’snpoliciesnandnproceduresnmanualnisnalwaysnbestnwhennseekingninforma
tionnonncorrectnclientnprocedures.nThesenpoliciesnshouldnreflectnthencurrentnstandardsnofncarena
ndnthenindividualnstate’snguidelines.nEachnnursenisnresponsiblenfornhisnornhernownnpractice.nRel
yingnonnanothernnursenmaynnotnalwaysnbenansafenpractice.nEachnnursenisnobligatedntonfollownth
enstandardsnofncarenfornsafenclientncarendelivery.nPhysiciansnarenresponsiblenforntheirnownnclie
ntncarenactivity.nNursesnmaynfollownsafenordersnfromnphysicians,nbutntheynarenalsonresponsible
nfornthenactivitiesnthatnthey,nasnnurses,narentoncarrynout.nInformationnprovidedninnannursingntextb

ooknisnbasicninformationnforngeneralnknowledge.nFurthermore,ntheninformationninnantextbookn
maynnotnreflectnthencurrentnstandardnofncarenornthenindividualnstatenornhospitalnpolicies.