Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank (1).
h h h h h h h h h h
Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
h h h h h h h h h
Chapterh1:h21sthCenturyhMaternityhandhWomen’shHealthhNursing
MULTIPLEhCHOICE
1. Inhevaluatinghthehlevelhofhahpregnanthwomanshriskhofhhavinghahlow-birth-
weighth(LBW)hinfant,hwhichhfactorhishthehmosthimportanthforhthehnursehtohconsider?
a. African-Americanhrace
b. Cigarettehsmoking
c. Poorhnutritionalhstatus
d. Limitedhmaternalheducation
ANS:hA
ForhAfrican-
Americanhbirths,hthehincidencehofhLBWhinfantshishtwicehthathofhCaucasianhbirths.hRacehishahnonmod
ifiablehriskhfactor.hCigarettehsmokinghishanhimportanthfactorhinhpotentialhinfanthmortalityhrates,hbuthit
h ishnoththehmosthimportant.hAdditionally,hsmokinghishahmodifiablehriskhfactor.hPoorhnutritionhishanhim
portanthfactorhinhpotentialhinfanthmortalityhrates,hbuthithishnoththehmosthimportant.hAdditionally,hnutr
itionalhstatushishahmodifiablehriskhfactor.hMaternalheducationhishanhimportanthfactorhinhpotentialhinfa
nthmortalityhrates,hbuthithishnoththehmosthimportant.hAdditionally,hmaternalheducationhishahmodifiable
h riskhfactor.
DIF:hCognitivehLevel:hUnderstandhREF:hIM:
TOP:hNursinghProcess:hAssessment
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance,hAntepartumhCare
2. Whathishthehprimaryhrolehofhpracticinghnurseshinhthehresearchhprocess?
a. Designinghresearchhstudies
b. Collectinghdatahforhotherhresearchers
c. Identifyinghresearchablehproblems
,Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank (1).
h h h h h h h h h h
d. Seekinghfundinghtohsupporthresearchhstudies
ANS:hC
Whenhproblemsharehidentified,hresearchhcanhbehproperlyhconducted.hResearchhofhhealthhcarehissue
shleadshtohevidence-
basedhpracticehguidelines.hDesigninghresearchhstudieshishonlyhonehfactorhofhthehresearchhprocess.hD
atahcollectionhishanotherhfactorhofhresearch.hFinancialhsupporthishnecessaryhtohconducthresearch,hbu
thithishnoththehprimaryhrolehofhthehnursehinhthehresearchhprocess.
DIF:hCognitivehLevel:hUnderstandhREF:him:h14hTOP:hNursinghProcess:hN/Ah
MSC:hClienthNeeds:hSafehandhEffectivehCarehEnvironment
3. Ah23-year-oldhAfrican-
Americanhwomanhishpregnanthwithhherhfirsthchild.hBasedhonhthehstatisticshforhinfanthmortalit
y,hwhichhplanhishmosthimportanthforhthehnursehtohimplement?
a. Performhahnutritionhassessment.
b. Referhthehwomanhtohahsocialhworker.
c. Advisehthehwomanhtohseehanhobstetrician,hnothahmidwife.
d. Explainhtohthehwomanhthehimportancehofhkeepinghherhprenatalhcarehappointments.
ANS:hD
Consistenthprenatalhcarehishthehbesthmethodhofhpreventinghorhcontrollinghriskhfactorshassociatedhwit
hhinfanthmortality.hNutritionalhstatushishanhimportanthmodifiablehriskhfactor,hbuthithishnoththehmosthim
portanthactionhahnursehshouldhtakehinhthishsituation.hThehclienthmayhneedhassistancehfromhahsocialhwo
rkerhathsomehtimehduringhherhpregnancy,hbuthahreferralhtohahsocialhworkerhishnoththehmosthimportantha
specththehnursehshouldhaddresshaththishtime.hIfhthehwomanhhashidentifiablehhigh-
riskhproblems,hthenhherhhealthhcarehmayhneedhtohbehprovidedhbyhahphysician.hHowever,hithcannothbeh
assumedhthathallhAfrican-Americanhwomenhhavehhigh-
riskhissues.hInhaddition,hadvisinghthehwomanhtohseehanhobstetricianhishnoththehmosthimportanthaspecth
onhwhichhthehnursehshouldhfocushaththishtime,handhithishnothappropriatehforhahnursehtohadvisehorhmana
gehthehtypehofhcarehahclienthishtohreceive.
,Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank (1).
h h h h h h h h h h
DIF:hCognitivehLevel:hUnderstandhREF:hIM:hTOP:hNursinghProcess:hPlanning
, Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank (1).
h h h h h h h h h h
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance
4. Duringhahprenatalhintakehinterview,hthehnursehishinhthehprocesshofhobtaininghanhinitialhassessmenth
ofhah21-year-
oldhHispanichclienthwithhlimitedhEnglishhproficiency.hWhichhactionhishthehmosthimportanthforhthehnu
rsehtohperform?
a. Usehmaternityhjargonhtohenablehthehclienthtohbecomehfamiliarhwithhthesehterms.
b. Speakhquicklyhandhefficientlyhtohexpeditehthehvisit.
c. Providehthehclienthwithhhandouts.
d. Assesshwhetherhthehclienthunderstandshthehdiscussion.
ANS:hD
Nurseshcontributehtohhealthhliteracyhbyhusinghsimple,hcommonhwords,havoidinghjargon,handheval
uatinghwhetherhthehclienthunderstandshthehdiscussion.hSpeakinghslowlyhandhclearlyhandhfocusingh
onhwhathishimportanthwillhincreasehunderstanding.hMosthclientheducationhmaterialsharehwrittenhath
ahlevelhtoohhighhforhthehaveragehadulthandhmayhnothbehusefulhforhahclienthwithhlimitedhEnglishhprof
iciency.
DIF:hCognitivehLevel:hApplyhREF:him:h5hTOP:hNursinghProcess:hEvaluationh
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance
5. Thehnurseshworkinghathahnewlyhestablishedhbirthinghcenterhhavehbegunhtohcomparehtheirhperf
ormancehinhprovidinghmaternal-
newbornhcarehagainsthclinicalhstandards.hThishcomparisonhprocesshishmosthcommonlyhknownhas
h what?
a. Besthpracticeshnetwork
b. Clinicalhbenchmarking
c. Outcomes-orientedhpractice
d. Evidence-
basedhpracticehANS:hC
h h h h h h h h h h
Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
h h h h h h h h h
Chapterh1:h21sthCenturyhMaternityhandhWomen’shHealthhNursing
MULTIPLEhCHOICE
1. Inhevaluatinghthehlevelhofhahpregnanthwomanshriskhofhhavinghahlow-birth-
weighth(LBW)hinfant,hwhichhfactorhishthehmosthimportanthforhthehnursehtohconsider?
a. African-Americanhrace
b. Cigarettehsmoking
c. Poorhnutritionalhstatus
d. Limitedhmaternalheducation
ANS:hA
ForhAfrican-
Americanhbirths,hthehincidencehofhLBWhinfantshishtwicehthathofhCaucasianhbirths.hRacehishahnonmod
ifiablehriskhfactor.hCigarettehsmokinghishanhimportanthfactorhinhpotentialhinfanthmortalityhrates,hbuthit
h ishnoththehmosthimportant.hAdditionally,hsmokinghishahmodifiablehriskhfactor.hPoorhnutritionhishanhim
portanthfactorhinhpotentialhinfanthmortalityhrates,hbuthithishnoththehmosthimportant.hAdditionally,hnutr
itionalhstatushishahmodifiablehriskhfactor.hMaternalheducationhishanhimportanthfactorhinhpotentialhinfa
nthmortalityhrates,hbuthithishnoththehmosthimportant.hAdditionally,hmaternalheducationhishahmodifiable
h riskhfactor.
DIF:hCognitivehLevel:hUnderstandhREF:hIM:
TOP:hNursinghProcess:hAssessment
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance,hAntepartumhCare
2. Whathishthehprimaryhrolehofhpracticinghnurseshinhthehresearchhprocess?
a. Designinghresearchhstudies
b. Collectinghdatahforhotherhresearchers
c. Identifyinghresearchablehproblems
,Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank (1).
h h h h h h h h h h
d. Seekinghfundinghtohsupporthresearchhstudies
ANS:hC
Whenhproblemsharehidentified,hresearchhcanhbehproperlyhconducted.hResearchhofhhealthhcarehissue
shleadshtohevidence-
basedhpracticehguidelines.hDesigninghresearchhstudieshishonlyhonehfactorhofhthehresearchhprocess.hD
atahcollectionhishanotherhfactorhofhresearch.hFinancialhsupporthishnecessaryhtohconducthresearch,hbu
thithishnoththehprimaryhrolehofhthehnursehinhthehresearchhprocess.
DIF:hCognitivehLevel:hUnderstandhREF:him:h14hTOP:hNursinghProcess:hN/Ah
MSC:hClienthNeeds:hSafehandhEffectivehCarehEnvironment
3. Ah23-year-oldhAfrican-
Americanhwomanhishpregnanthwithhherhfirsthchild.hBasedhonhthehstatisticshforhinfanthmortalit
y,hwhichhplanhishmosthimportanthforhthehnursehtohimplement?
a. Performhahnutritionhassessment.
b. Referhthehwomanhtohahsocialhworker.
c. Advisehthehwomanhtohseehanhobstetrician,hnothahmidwife.
d. Explainhtohthehwomanhthehimportancehofhkeepinghherhprenatalhcarehappointments.
ANS:hD
Consistenthprenatalhcarehishthehbesthmethodhofhpreventinghorhcontrollinghriskhfactorshassociatedhwit
hhinfanthmortality.hNutritionalhstatushishanhimportanthmodifiablehriskhfactor,hbuthithishnoththehmosthim
portanthactionhahnursehshouldhtakehinhthishsituation.hThehclienthmayhneedhassistancehfromhahsocialhwo
rkerhathsomehtimehduringhherhpregnancy,hbuthahreferralhtohahsocialhworkerhishnoththehmosthimportantha
specththehnursehshouldhaddresshaththishtime.hIfhthehwomanhhashidentifiablehhigh-
riskhproblems,hthenhherhhealthhcarehmayhneedhtohbehprovidedhbyhahphysician.hHowever,hithcannothbeh
assumedhthathallhAfrican-Americanhwomenhhavehhigh-
riskhissues.hInhaddition,hadvisinghthehwomanhtohseehanhobstetricianhishnoththehmosthimportanthaspecth
onhwhichhthehnursehshouldhfocushaththishtime,handhithishnothappropriatehforhahnursehtohadvisehorhmana
gehthehtypehofhcarehahclienthishtohreceive.
,Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank (1).
h h h h h h h h h h
DIF:hCognitivehLevel:hUnderstandhREF:hIM:hTOP:hNursinghProcess:hPlanning
, Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank (1).
h h h h h h h h h h
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance
4. Duringhahprenatalhintakehinterview,hthehnursehishinhthehprocesshofhobtaininghanhinitialhassessmenth
ofhah21-year-
oldhHispanichclienthwithhlimitedhEnglishhproficiency.hWhichhactionhishthehmosthimportanthforhthehnu
rsehtohperform?
a. Usehmaternityhjargonhtohenablehthehclienthtohbecomehfamiliarhwithhthesehterms.
b. Speakhquicklyhandhefficientlyhtohexpeditehthehvisit.
c. Providehthehclienthwithhhandouts.
d. Assesshwhetherhthehclienthunderstandshthehdiscussion.
ANS:hD
Nurseshcontributehtohhealthhliteracyhbyhusinghsimple,hcommonhwords,havoidinghjargon,handheval
uatinghwhetherhthehclienthunderstandshthehdiscussion.hSpeakinghslowlyhandhclearlyhandhfocusingh
onhwhathishimportanthwillhincreasehunderstanding.hMosthclientheducationhmaterialsharehwrittenhath
ahlevelhtoohhighhforhthehaveragehadulthandhmayhnothbehusefulhforhahclienthwithhlimitedhEnglishhprof
iciency.
DIF:hCognitivehLevel:hApplyhREF:him:h5hTOP:hNursinghProcess:hEvaluationh
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenance
5. Thehnurseshworkinghathahnewlyhestablishedhbirthinghcenterhhavehbegunhtohcomparehtheirhperf
ormancehinhprovidinghmaternal-
newbornhcarehagainsthclinicalhstandards.hThishcomparisonhprocesshishmosthcommonlyhknownhas
h what?
a. Besthpracticeshnetwork
b. Clinicalhbenchmarking
c. Outcomes-orientedhpractice
d. Evidence-
basedhpracticehANS:hC
