Maternity and Womens Health Care 11th Edition Lowdermilk Test Bank

, MaternityvandvWomen'svHealthvCarev11thvEditionvLowdermilkvTestvBank


Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowder
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milk: Maternity & Women’s Health Care, 11th Edition
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MULTIPLEvCHOICE

1. Invevaluatingvthevlevelvofvavpregnantvwoman’svriskvofvhavingvavlow-birth-
weightv(LBW)vinfant,vwhichvfactorvisvthevmostvimportantvforvthevnursevtovconsider?
a. African-Americanvrace
b. Cigarettevsmoking
c. Poorvnutritionalvstatus
d. Limitedvmaternalveducation

ANS:v A
ForvAfrican-
Americanvbirths,vthevincidencevofvLBWvinfantsvisvtwicevthatvofvCaucasianvbirths.vRacevisvavnon
modifiablevriskvfactor.vCigarettevsmokingvisvanvimportantvfactorvinvpotentialvinfantvmortalityvrat
es,vbutvitvisvnotvthevmostvimportant.vAdditionally,vsmokingvisvavmodifiablevriskvfactor.vPoorvnutr
itionvisvanvimportantvfactorvinvpotentialvinfantvmortalityvrates,vbutvitvisvnotvthevmostvimportant.vA
dditionally,vnutritionalvstatusvisvavmodifiablevriskvfactor.vMaternalveducationvisvanvimportantvfac
torvinvpotentialvinfantvmortalityvrates,vbutvitvisvnotvthevmostvimportant.vAdditionally,vmaternalved
ucationvisvavmodifiablevriskvfactor.

DIF: CognitivevLevel:vUnderstand
REF:v p.v6vTOP:v NursingvProcess:vAssessment
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance,vAntepartumvCare

2. Whatv isv thev primaryv rolev ofv p ract icin g v nu rs e s v in the researchv process?
a. DesigningvresearchvN R UvI
studies SvNG vT
B .C OM
b. Collectingvdatavforvothervresearchers
c. Identifyingvresearchablevproblems
d. Seekingvfundingvtovsupportvresearchvstudies

ANS:v C
Whenvproblemsvarevidentified,vresearchvcanvbevproperlyvconducted.vResearchvofvhealthvcareviss
uesvleadsvtovevidence-
basedvpracticevguidelines.vDesigningvresearchvstudiesvisvonlyvonevfactorvofvthevresearchvprocess.
vDatavcollectionvisvanothervfactorvofvresearch.vFinancialvsupportvisvnecessaryvtovconductvresearc

h,vbutvitvisvnotvthevprimaryvrolevofvthevnursevinvthevresearchvprocess.

DIF: CognitivevLevel:vUnderstand REF:v p.v14
TOP:v NursingvProcess:vN/AvMSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvironment

3. Av23-year-oldvAfrican-
Americanvwomanvisvpregnantvwithvhervfirstvchild.vBasedvonvthevstatisticsvforvinfantvmorta
lity,vwhichvplanvisvmostvimportantvforvthevnursevtovimplement?
a. Performvavnutritionvassessment.
b. Refervthevwomanvtovavsocialvworker.
c. Advisevthevwomanvtovseevanvobstetrician,vnotvavmidwife.
d. Explainvtovthevwomanvthevimportancevofvkeepingvhervprenatalvcarevappointments.

ANS:v D




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Consistentvprenatalvcarevisvthevbestvmethodvofvpreventingvorvcontrollingvriskvfactorsvassociatedv
withvinfantvmortality.vNutritionalvstatusvisvanvimportantvmodifiablevriskvfactor,vbutvitvisvnotvthev
mostvimportantvactionvavnursevshouldvtakevinvthisvsituation.vThevclientvmayvneedvassistancevfro
mvavsocialvworkervatvsomevtimevduringvhervpregnancy,vbutvavreferralvtovavsocialvworkervisvnotvthe
vmostvimportantvaspectvthevnursevshouldvaddressvatvthisvtime.vIfvthevwomanvhasvidentifiablevhigh

-
riskvproblems,vthenvhervhealthvcarevmayvneedvtovbevprovidedvbyvavphysician.vHowever,vitvcannot
vbevassumedvthatvallvAfrican-Americanvwomenvhavevhigh-

riskvissues.vInvaddition,vadvisingvthevwomanvtovseevanvobstetricianvisvnotvthevmostvimportantvasp
ectvonvwhichvthevnursevshouldvfocusvatvthisvtime,vandvitvisvnotvappropriatevforvavnursevtovadvisevo
rvmanagevthevtypevofvcarevavclientvisvtovreceive.

DIF: CognitivevLevel:vUnderstand REF:v p.v6
TOP:v NursingvProcess:vPlanningvMSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance

4. Duringvavprenatalvintakevinterview,vthevnursevisvinvthevprocessvofvobtainingvanvinitialvassessmen
tvofvav21-year-
oldvHispanicvclientvwithvlimitedvEnglishvproficiency.vWhichvactionvisvthevmostvimportantvforvth
evnursevtovperform?
a. Usevmaternityvjargonvtovenablevthevclientvtovbecomevfamiliarvwithvthesevterms.
b. Speakvquicklyvandvefficientlyvtovexpeditevthevvisit.
c. Providevthevclientvwithvhandouts.
d. Assessvwhethervthevclientvunderstandsvthevdiscussion.

ANS:v D
Nursesvcontributevtovhealthvliteracyvbyvusingvsimple,vcommonvwords,vavoidingvjargon,vandveval
uatingvwhethervthevclientvunderstandsvthevdiscussion.vSpeakingvslowlyvandvclearlyvandvfocusingv
onvwhatvisvimportantvwillvincreasevunderstanding.vMostvclientveducationvmaterialsvarevwrittenvatva
vlevelvtoovhighvf o r t h e av e r ag e vadultv a n d m a y vnotvbevusefulvforvavclientvwithvlimited
N R I G B.C M
Englishvproficiency. UvSvNvT O
DIF: CognitivevLevel:vApply REF:v p.v5
TOP:v NursingvProcess:vEvaluationvMSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance

5. Thevnursesvworkingvatvavnewlyvestablishedvbirthingvcentervhavevbegunvtovcomparevtheirvperfor
mancevinvprovidingvmaternal-
newbornvcarevagainstvclinicalvstandards.vThisvcomparisonvprocessvisvmostvcommonlyvknownva
svwhat?
a. Bestvpracticesvnetwork
b. Clinicalvbenchmarking
c. Outcomes-orientedvpractice
d. Evidence-basedvpractice
ANS:v C
Outcomes-
orientedvpracticevmeasuresvtheveffectivenessvofvthevinterventionsvandvqualityvofvcarevagainstvben
chmarksvorvstandards.vThevtermvbestvpracticevrefersvtovavprogramvorvservicevthatvhasvbeenvrecog
nizedvforvitsvexcellence.vClinicalvbenchmarkingvisvavprocessvusedvtovcompare
one’svownvperformancevagainstvthevperformancevofvthevbestvinvanvareavofvservice.vThevtermve
vidence-
basedvpracticevrefersvtovthevprovisionvofvcarevbasedvonvevidencevgainedvthroughvresearchvan
dvclinicalvtrials.

DIF: CognitivevLevel:vUnderstand REF:v p.v11
TOP:v NursingvProcess:vEvaluationvMSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvironment
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6. Whichvstatementvbestvexemplifiesvcontemporaryvmaternityvnursing?
a. Usevofvmidwivesvforvallvvaginalvdeliveries
b. Family-centeredvcare
c. Free-standingvbirthvclinics
d. Physician-drivenvcare

ANS:v B
Contemporaryvmaternityvnursingvfocusesvonvthevfamily’svneedsvandvdesires.vFathers,vpartners,vgr
andparents,vandvsiblingsvmayvbevpresentvforvthevbirthvandvparticipatevinvactivitiesvsuchvas
cuttingvthevbaby’svumbilicalvcord.vBothvmidwivesvandvphysiciansvperformvvaginalvdeliveries.v
Free-
standingvclinicsvarevanvexamplevofvalternativevbirthvoptions.vContemporaryvmaternityvnursingv
isvdrivenvbyvthevrelationshipvbetweenvnursesvandvtheirvclients.

DIF: CognitivevLevel:vUnderstand REF:v pp.v8-9
TOP:v NursingvProcess:vPlanningvMSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance

7. Av38-year-oldvHispanicvwomanvvaginallyvdeliveredvav9-pound,v6-
ouncevbabyvgirlvaftervbeingvinvlaborvforv43vhours.vThevbabyvdiedv3vdaysvlatervfromvsepsis.vOnv
whatvgroundsvcouldvthevwomanvhavevavlegitimatevlegalvcasevforvnegligence?
a. Inexperiencedvmaternityvnursevwasvassignedvtovcarevforvthevclient.
b. Clientvwasvpastvhervduevdatevbyv3vdays.
c. Standardvofvcarevwasvnotvmet.
d. Clientvrefusedvelectronicvfetalvmonitoring.
ANS:v C
Notvmeetingvthevstandardvofvcarevisvavlegitimatevfactorvforvavcasevofvnegligence.vAnvinexperienc
edvmaternityvnursevwouldvneedvtovdisplayvcompetencyvbeforevbeingvassignedvtovcarevforvclientsv
onvhisvorvhervN
owUnR ShIisNcGlieTnBtvm
.vT .CayOhM
avevbeenvpastvhervduevdate;vhowever,va
termvpregnancyvoftenvgoesvbeyondv40vweeksvofvgestation.vAlthoughvfetalvmonitoringvisvthe
standardvofvcare,vthevclientvhasvthevrightvtovrefusevtreatment.vThisvrefusalvisvnotvavcasevforvnegligen
ce,vbutvinformedvconsentvshouldvbevproperlyvobtained,vandvthevclientvshouldvhavevsignedvanvagain
stvmedicalvadvicevformvwhenvrefusingvanyvtreatmentvthatvisvwithinvthevstandardvofvcare.

DIF: CognitivevLevel:vAnalyze
REF:v p.v13vTOP:v NursingvProcess:vImplementat
ion
MSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvironment

8. Whenvthevnursevisvunsurevhowvtovperformvavclientvcarevprocedurevthatvisvhighvriskvandvlowvv
olume,vhisvorvhervbestvactionvinvthisvsituationvwouldvbevwhat?
a. Askvanothervnurse.
b. Discussvthevprocedurevwithvthevclient’svphysician.
c. Lookvupvthevprocedurevinvavnursingvtextbook.
d. Consultvthevagencyvprocedurevmanual,vandvfollowvthevguidelinesvforvthevprocedure.
ANS:v D




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