Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
n n n n n n n n n
Chaptern1:n21stnCenturynMaternitynandnWomen’snHealthnNursing
MULTIPLEnCHOICE
1. Innevaluatingnthenlevelnofnanpregnantnwomansnrisknofnhavingnanlow-birth-
weightn(LBW)ninfant,nwhichnfactornisnthenmostnimportantnfornthennursentonconsider?
a. African-Americannrace
b. Cigarettensmoking
c. Poornnutritionalnstatus
d. Limitednmaternalneducation
ANS:nA
FornAfrican-
Americannbirths,nthenincidencenofnLBWninfantsnisntwicenthatnofnCaucasiannbirths.nRacenisnannonmod
ifiablenrisknfactor.nCigarettensmokingnisnannimportantnfactorninnpotentialninfantnmortalitynrates,nbutnit
n isnnotnthenmostnimportant.nAdditionally,nsmokingnisnanmodifiablenrisknfactor.nPoornnutritionnisnannim
portantnfactorninnpotentialninfantnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nnutr
itionalnstatusnisnanmodifiablenrisknfactor.nMaternalneducationnisnannimportantnfactorninnpotentialninfa
ntnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nmaternalneducationnisnanmodifiable
n risknfactor.
DIF:nCognitivenLevel:nUnderstandnREF:nIM:
TOP:nNursingnProcess:nAssessment
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance,nAntepartumnCare
2. Whatnisnthenprimarynrolenofnpracticingnnursesninnthenresearchnprocess?
a. Designingnresearchnstudies
b. Collectingndatanfornothernresearchers
c. Identifyingnresearchablenproblems
,d. Seekingnfundingntonsupportnresearchnstudies
ANS:nC
Whennproblemsnarenidentified,nresearchncannbenproperlynconducted.nResearchnofnhealthncarenissue
snleadsntonevidence-
basednpracticenguidelines.nDesigningnresearchnstudiesnisnonlynonenfactornofnthenresearchnprocess.nD
atancollectionnisnanothernfactornofnresearch.nFinancialnsupportnisnnecessaryntonconductnresearch,nbu
tnitnisnnotnthenprimarynrolenofnthennurseninnthenresearchnprocess.
DIF:nCognitivenLevel:nUnderstandnREF:nim:n14nTOP:nNursingnProcess:nN/An
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
3. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonnthenstatisticsnforninfantnmortalit
y,nwhichnplannisnmostnimportantnfornthennursentonimplement?
a. Performnannutritionnassessment.
b. Refernthenwomanntonansocialnworker.
c. Advisenthenwomanntonseenannobstetrician,nnotnanmidwife.
d. Explainntonthenwomannthenimportancenofnkeepingnhernprenatalncarenappointments.
ANS:nD
Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsnassociatednwit
hninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfactor,nbutnitnisnnotnthenmostnim
portantnactionnannursenshouldntakeninnthisnsituation.nThenclientnmaynneednassistancenfromnansocialnwo
rkernatnsomentimenduringnhernpregnancy,nbutnanreferralntonansocialnworkernisnnotnthenmostnimportantna
spectnthennursenshouldnaddressnatnthisntime.nIfnthenwomannhasnidentifiablenhigh-
risknproblems,nthennhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowever,nitncannotnben
assumednthatnallnAfrican-Americannwomennhavenhigh-
risknissues.nInnaddition,nadvisingnthenwomanntonseenannobstetriciannisnnotnthenmostnimportantnaspectn
onnwhichnthennursenshouldnfocusnatnthisntime,nandnitnisnnotnappropriatenfornannursentonadvisenornmana
genthentypenofncarenanclientnisntonreceive.
DIF:nCognitivenLevel:nUnderstandnREF:nIM:nTOP:nNursingnProcess:nPlanning
,MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
4. Duringnanprenatalnintakeninterview,nthennursenisninnthenprocessnofnobtainingnanninitialnassessmentn
ofnan21-year-
oldnHispanicnclientnwithnlimitednEnglishnproficiency.nWhichnactionnisnthenmostnimportantnfornthennu
rsentonperform?
a. Usenmaternitynjargonntonenablenthenclientntonbecomenfamiliarnwithnthesenterms.
b. Speaknquicklynandnefficientlyntonexpeditenthenvisit.
c. Providenthenclientnwithnhandouts.
d. Assessnwhethernthenclientnunderstandsnthendiscussion.
ANS:nD
Nursesncontributentonhealthnliteracynbynusingnsimple,ncommonnwords,navoidingnjargon,nandneval
uatingnwhethernthenclientnunderstandsnthendiscussion.nSpeakingnslowlynandnclearlynandnfocusingn
onnwhatnisnimportantnwillnincreasenunderstanding.nMostnclientneducationnmaterialsnarenwrittennatn
anlevelntoonhighnfornthenaveragenadultnandnmaynnotnbenusefulnfornanclientnwithnlimitednEnglishnprof
iciency.
DIF:nCognitivenLevel:nApplynREF:nim:n5nTOP:nNursingnProcess:nEvaluationn
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
5. Thennursesnworkingnatnannewlynestablishednbirthingncenternhavenbegunntoncomparentheirnperf
ormanceninnprovidingnmaternal-
newbornncarenagainstnclinicalnstandards.nThisncomparisonnprocessnisnmostncommonlynknownnas
n what?
a. Bestnpracticesnnetwork
b. Clinicalnbenchmarking
c. Outcomes-orientednpractice
d. Evidence-
basednpracticenANS:nC
, Outcomes-
orientednpracticenmeasuresntheneffectivenessnofntheninterventionsnandnqualitynofncarenagainstnbench
marksnornstandards.nThentermnbestnpracticenrefersntonanprogramnornservicenthatnhasnbeennrecognizedn
fornitsnexcellence.nClinicalnbenchmarkingnisnanprocessnusedntoncomparenonesnownnperformancenagai
nstnthenperformancenofnthenbestninnannareanofnservice.nThentermnevidence-
basednpracticenrefersntonthenprovisionnofncarenbasednonnevidencengainednthroughnresearchnandnclinic
alntrials.
DIF:nCognitivenLevel:nUnderstandnREF:nim:n11nTOP:nNursingnProcess:nEvaluationn
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
6. Whichnstatementnbestnexemplifiesncontemporarynmaternitynnursing?
a. Usenofnmidwivesnfornallnvaginalndeliveries
b. Family-centeredncare
c. Free-standingnbirthnclinics
d. Physician-drivenncare
ANS:nB
Contemporarynmaternitynnursingnfocusesnonnthenfamilysnneedsnandndesires.nFathers,npartners,ng
randparents,nandnsiblingsnmaynbenpresentnfornthenbirthnandnparticipateninnactivitiesnsuchnasncutti
ngnthenbabysnumbilicalncord.nBothnmidwivesnandnphysiciansnperformnvaginalndeliveries.nFree-
standingnclinicsnarenannexamplenofnalternativenbirthnoptions.nContemporarynmaternitynnursingn
isndrivennbynthenrelationshipnbetweennnursesnandntheirnclients.
DIF:nCognitivenLevel:nUnderstandnREF:npp.n8-
9nTOP:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nHealthnPromotionnandnMai
ntenance
7. An38-year-oldnHispanicnwomannvaginallyndeliverednan9-pound,n6-
ouncenbabyngirlnafternbeingninnlabornforn43nhours.nThenbabyndiedn3ndaysnlaternfromnsepsis.nOnnwhatng
roundsncouldnthenwomannhavenanlegitimatenlegalncasenfornnegligence?
a. Inexperiencednmaternitynnursenwasnassignedntoncarenfornthenclient.
n n n n n n n n n
Chaptern1:n21stnCenturynMaternitynandnWomen’snHealthnNursing
MULTIPLEnCHOICE
1. Innevaluatingnthenlevelnofnanpregnantnwomansnrisknofnhavingnanlow-birth-
weightn(LBW)ninfant,nwhichnfactornisnthenmostnimportantnfornthennursentonconsider?
a. African-Americannrace
b. Cigarettensmoking
c. Poornnutritionalnstatus
d. Limitednmaternalneducation
ANS:nA
FornAfrican-
Americannbirths,nthenincidencenofnLBWninfantsnisntwicenthatnofnCaucasiannbirths.nRacenisnannonmod
ifiablenrisknfactor.nCigarettensmokingnisnannimportantnfactorninnpotentialninfantnmortalitynrates,nbutnit
n isnnotnthenmostnimportant.nAdditionally,nsmokingnisnanmodifiablenrisknfactor.nPoornnutritionnisnannim
portantnfactorninnpotentialninfantnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nnutr
itionalnstatusnisnanmodifiablenrisknfactor.nMaternalneducationnisnannimportantnfactorninnpotentialninfa
ntnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nAdditionally,nmaternalneducationnisnanmodifiable
n risknfactor.
DIF:nCognitivenLevel:nUnderstandnREF:nIM:
TOP:nNursingnProcess:nAssessment
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance,nAntepartumnCare
2. Whatnisnthenprimarynrolenofnpracticingnnursesninnthenresearchnprocess?
a. Designingnresearchnstudies
b. Collectingndatanfornothernresearchers
c. Identifyingnresearchablenproblems
,d. Seekingnfundingntonsupportnresearchnstudies
ANS:nC
Whennproblemsnarenidentified,nresearchncannbenproperlynconducted.nResearchnofnhealthncarenissue
snleadsntonevidence-
basednpracticenguidelines.nDesigningnresearchnstudiesnisnonlynonenfactornofnthenresearchnprocess.nD
atancollectionnisnanothernfactornofnresearch.nFinancialnsupportnisnnecessaryntonconductnresearch,nbu
tnitnisnnotnthenprimarynrolenofnthennurseninnthenresearchnprocess.
DIF:nCognitivenLevel:nUnderstandnREF:nim:n14nTOP:nNursingnProcess:nN/An
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
3. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonnthenstatisticsnforninfantnmortalit
y,nwhichnplannisnmostnimportantnfornthennursentonimplement?
a. Performnannutritionnassessment.
b. Refernthenwomanntonansocialnworker.
c. Advisenthenwomanntonseenannobstetrician,nnotnanmidwife.
d. Explainntonthenwomannthenimportancenofnkeepingnhernprenatalncarenappointments.
ANS:nD
Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsnassociatednwit
hninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfactor,nbutnitnisnnotnthenmostnim
portantnactionnannursenshouldntakeninnthisnsituation.nThenclientnmaynneednassistancenfromnansocialnwo
rkernatnsomentimenduringnhernpregnancy,nbutnanreferralntonansocialnworkernisnnotnthenmostnimportantna
spectnthennursenshouldnaddressnatnthisntime.nIfnthenwomannhasnidentifiablenhigh-
risknproblems,nthennhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowever,nitncannotnben
assumednthatnallnAfrican-Americannwomennhavenhigh-
risknissues.nInnaddition,nadvisingnthenwomanntonseenannobstetriciannisnnotnthenmostnimportantnaspectn
onnwhichnthennursenshouldnfocusnatnthisntime,nandnitnisnnotnappropriatenfornannursentonadvisenornmana
genthentypenofncarenanclientnisntonreceive.
DIF:nCognitivenLevel:nUnderstandnREF:nIM:nTOP:nNursingnProcess:nPlanning
,MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
4. Duringnanprenatalnintakeninterview,nthennursenisninnthenprocessnofnobtainingnanninitialnassessmentn
ofnan21-year-
oldnHispanicnclientnwithnlimitednEnglishnproficiency.nWhichnactionnisnthenmostnimportantnfornthennu
rsentonperform?
a. Usenmaternitynjargonntonenablenthenclientntonbecomenfamiliarnwithnthesenterms.
b. Speaknquicklynandnefficientlyntonexpeditenthenvisit.
c. Providenthenclientnwithnhandouts.
d. Assessnwhethernthenclientnunderstandsnthendiscussion.
ANS:nD
Nursesncontributentonhealthnliteracynbynusingnsimple,ncommonnwords,navoidingnjargon,nandneval
uatingnwhethernthenclientnunderstandsnthendiscussion.nSpeakingnslowlynandnclearlynandnfocusingn
onnwhatnisnimportantnwillnincreasenunderstanding.nMostnclientneducationnmaterialsnarenwrittennatn
anlevelntoonhighnfornthenaveragenadultnandnmaynnotnbenusefulnfornanclientnwithnlimitednEnglishnprof
iciency.
DIF:nCognitivenLevel:nApplynREF:nim:n5nTOP:nNursingnProcess:nEvaluationn
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
5. Thennursesnworkingnatnannewlynestablishednbirthingncenternhavenbegunntoncomparentheirnperf
ormanceninnprovidingnmaternal-
newbornncarenagainstnclinicalnstandards.nThisncomparisonnprocessnisnmostncommonlynknownnas
n what?
a. Bestnpracticesnnetwork
b. Clinicalnbenchmarking
c. Outcomes-orientednpractice
d. Evidence-
basednpracticenANS:nC
, Outcomes-
orientednpracticenmeasuresntheneffectivenessnofntheninterventionsnandnqualitynofncarenagainstnbench
marksnornstandards.nThentermnbestnpracticenrefersntonanprogramnornservicenthatnhasnbeennrecognizedn
fornitsnexcellence.nClinicalnbenchmarkingnisnanprocessnusedntoncomparenonesnownnperformancenagai
nstnthenperformancenofnthenbestninnannareanofnservice.nThentermnevidence-
basednpracticenrefersntonthenprovisionnofncarenbasednonnevidencengainednthroughnresearchnandnclinic
alntrials.
DIF:nCognitivenLevel:nUnderstandnREF:nim:n11nTOP:nNursingnProcess:nEvaluationn
MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
6. Whichnstatementnbestnexemplifiesncontemporarynmaternitynnursing?
a. Usenofnmidwivesnfornallnvaginalndeliveries
b. Family-centeredncare
c. Free-standingnbirthnclinics
d. Physician-drivenncare
ANS:nB
Contemporarynmaternitynnursingnfocusesnonnthenfamilysnneedsnandndesires.nFathers,npartners,ng
randparents,nandnsiblingsnmaynbenpresentnfornthenbirthnandnparticipateninnactivitiesnsuchnasncutti
ngnthenbabysnumbilicalncord.nBothnmidwivesnandnphysiciansnperformnvaginalndeliveries.nFree-
standingnclinicsnarenannexamplenofnalternativenbirthnoptions.nContemporarynmaternitynnursingn
isndrivennbynthenrelationshipnbetweennnursesnandntheirnclients.
DIF:nCognitivenLevel:nUnderstandnREF:npp.n8-
9nTOP:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nHealthnPromotionnandnMai
ntenance
7. An38-year-oldnHispanicnwomannvaginallyndeliverednan9-pound,n6-
ouncenbabyngirlnafternbeingninnlabornforn43nhours.nThenbabyndiedn3ndaysnlaternfromnsepsis.nOnnwhatng
roundsncouldnthenwomannhavenanlegitimatenlegalncasenfornnegligence?
a. Inexperiencednmaternitynnursenwasnassignedntoncarenfornthenclient.
