, MaternitygandgWomen'sgHealthgCareg11thgEditiongLowdermilkgTestgBan
k
Chapterg01:g21stgCenturygMaternitygandgWomen’sgHealthgNursinggLowd
ermilk:gMaternityg&gWomen’sgHealthgCare,g11thgEdition
MULTIPLEgCHOICE
1. Ingevaluatinggtheglevelgofgagpregnantgwoman’sgriskgofghavinggaglow-birth-
weightg(LBW)ginfant,gwhichgfactorgisgthegmostgimportantgforgthegnursegtogconsider?
a. African-Americangrace
b. Cigarettegsmoking
c. Poorgnutritionalgstatus
d. Limitedgmaternalgeducation
ANS:g A
ForgAfrican-
Americangbirths,gthegincidencegofgLBWginfantsgisgtwicegthatgofgCaucasiangbirths.gRacegisgagn
onmodifiablegriskgfactor.gCigarettegsmokinggisgangimportantgfactorgingpotentialginfantgmortali
tygrates,gbutgitgisgnotgthegmostgimportant.gAdditionally,gsmokinggisgagmodifiablegriskgfactor.gP
oorgnutritiongisgangimportantgfactorgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgi
mportant.gAdditionally,gnutritionalgstatusgisgagmodifiablegriskgfactor.gMaternalgeducationgisga
ngimportantgfactorgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgimportant.gAdditi
onally,gmaternalgeducationgisgagmodifiablegriskgfactor.
DIF: CognitivegLevel:gUnderstand
REF:g p.g6gTOP:g NursinggProcess:gAssessmen
t
MSC:g ClientgNeeds:gHealthgPromotiongandgMaintenance,gAntepartumgCare
2. Whatg isg theg primaryg roleg ofg p ract icin g g nu rs e s g in the researchg process?
a. Designinggresearchgstudies N RUgS IgNgG T B .CO M
b. Collectinggdatagforgothergresearchers
c. Identifyinggresearchablegproblems
d. Seekinggfundinggtogsupportgresearchgstudies
ANS:g C
Whengproblemsgaregidentified,gresearchgcangbegproperlygconducted.gResearchgofghealthgcaregi
ssuesgleadsgtogevidence-
basedgpracticegguidelines.gDesigninggresearchgstudiesgisgonlygonegfactorgofgthegresearchgproc
ess.gDatagcollectiongisganothergfactorgofgresearch.gFinancialgsupportgisgnecessarygtogconductgr
esearch,gbutgitgisgnotgthegprimarygrolegofgthegnursegingthegresearchgprocess.
DIF: CognitivegLevel:gUnderstand REF:g p.g14
TOP:g NursinggProcess:gN/AgMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironme
nt
3. Ag23-year-oldgAfrican-
Americangwomangisgpregnantgwithghergfirstgchild.gBasedgongthegstatisticsgforginfantgm
ortality,gwhichgplangisgmostgimportantgforgthegnursegtogimplement?
a. Performgagnutritiongassessment.
b. Refergthegwomangtogagsocialgworker.
c. Advisegthegwomangtogseegangobstetrician,gnotgagmidwife.
d. Explaingtogthegwomangthegimportancegofgkeepingghergprenatalgcaregappointments.
ANS:g D
NURSINGTB.COM
, MaternitygandgWomen'sgHealthgCareg11thgEditiongLowdermilkgTestgBan
k
Consistentgprenatalgcaregisgthegbestgmethodgofgpreventinggorgcontrollinggriskgfactorsgassociate
dgwithginfantgmortality.gNutritionalgstatusgisgangimportantgmodifiablegriskgfactor,gbutgitgisgnotg
thegmostgimportantgactiongagnursegshouldgtakegingthisgsituation.gThegclientgmaygneedgassistan
cegfromgagsocialgworkergatgsomegtimegduringghergpregnancy,gbutgagreferralgtogagsocialgworker
gisgnotgthegmostgimportantgaspectgthegnursegshouldgaddressgatgthisgtime.gIfgthegwomanghasgide
ntifiableghigh-
riskgproblems,gthengherghealthgcaregmaygneedgtogbegprovidedgbygagphysician.gHowever,gitgca
nnotgbegassumedgthatgallgAfrican-Americangwomenghaveghigh-
riskgissues.gIngaddition,gadvisinggthegwomangtogseegangobstetriciangisgnotgthegmostgimportantg
aspectgongwhichgthegnursegshouldgfocusgatgthisgtime,gandgitgisgnotgappropriategforgagnursegtoga
dvisegorgmanagegthegtypegofgcaregagclientgisgtogreceive.
DIF: CognitivegLevel:gUnderstand REF:g p.g6
TOP:g NursinggProcess:gPlanninggMSC:g ClientgNeeds:gHealthgPromotiongandgMaintenance
4. Duringgagprenatalgintakeginterview,gthegnursegisgingthegprocessgofgobtainingganginitialgassess
mentgofgag21-year-
oldgHispanicgclientgwithglimitedgEnglishgproficiency.gWhichgactiongisgthegmostgimportantgfor
gthegnursegtogperform?
a. Usegmaternitygjargongtogenablegthegclientgtogbecomegfamiliargwithgthesegterms.
b. Speakgquicklygandgefficientlygtogexpeditegthegvisit.
c. Providegthegclientgwithghandouts.
d. Assessgwhethergthegclientgunderstandsgthegdiscussion.
ANS:g D
Nursesgcontributegtoghealthgliteracygbygusinggsimple,gcommongwords,gavoidinggjargon,gandge
valuatinggwhethergthegclientgunderstandsgthegdiscussion.gSpeakinggslowlygandgclearlygandgfoc
usinggongwhatgisgimportantgwillgincreasegunderstanding.gMostgclientgeducationgmaterialsgaregw
rittengatgaglevelgtooghighgf o rNt h eRav eIr agG
e gadB
ul.
tgC
a n d Mm a y gnotgbegusefulgforgagclientgwithglimited
Englishgproficiency. UgSgNgT O
DIF: CognitivegLevel:gApply REF:g p.g5
TOP:g NursinggProcess:gEvaluationgMSC:g ClientgNeeds:gHealthgPromotiongandgMaintenance
5. Thegnursesgworkinggatgagnewlygestablishedgbirthinggcenterghavegbegungtogcomparegtheirgperf
ormancegingprovidinggmaternal-
newborngcaregagainstgclinicalgstandards.gThisgcomparisongprocessgisgmostgcommonlygknown
gasgwhat?
a. Bestgpracticesgnetwork
b. Clinicalgbenchmarking
c. Outcomes-orientedgpractice
d. Evidence-basedgpractice
ANS:g C
Outcomes-
orientedgpracticegmeasuresgthegeffectivenessgofgtheginterventionsgandgqualitygofgcaregagainstgb
enchmarksgorgstandards.gThegtermgbestgpracticegrefersgtogagprogramgorgservicegthatghasgbeeng
recognizedgforgitsgexcellence.gClinicalgbenchmarkinggisgagprocessgusedgtogcompare
one’sgowngperformancegagainstgthegperformancegofgthegbestgingangareagofgservice.gThegter
mgevidence-
basedgpracticegrefersgtogthegprovisiongofgcaregbasedgongevidenceggainedgthroughgresearch
gandgclinicalgtrials.
DIF: CognitivegLevel:gUnderstand REF:g p.g11
TOP:g NursinggProcess:gEvaluationgMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironme
NURSINGTB.COM
, MaternitygandgWomen'sgHealthgCareg11thgEditiongLowdermilkgTestgBan
k
nt
NURSINGTB.COM
k
Chapterg01:g21stgCenturygMaternitygandgWomen’sgHealthgNursinggLowd
ermilk:gMaternityg&gWomen’sgHealthgCare,g11thgEdition
MULTIPLEgCHOICE
1. Ingevaluatinggtheglevelgofgagpregnantgwoman’sgriskgofghavinggaglow-birth-
weightg(LBW)ginfant,gwhichgfactorgisgthegmostgimportantgforgthegnursegtogconsider?
a. African-Americangrace
b. Cigarettegsmoking
c. Poorgnutritionalgstatus
d. Limitedgmaternalgeducation
ANS:g A
ForgAfrican-
Americangbirths,gthegincidencegofgLBWginfantsgisgtwicegthatgofgCaucasiangbirths.gRacegisgagn
onmodifiablegriskgfactor.gCigarettegsmokinggisgangimportantgfactorgingpotentialginfantgmortali
tygrates,gbutgitgisgnotgthegmostgimportant.gAdditionally,gsmokinggisgagmodifiablegriskgfactor.gP
oorgnutritiongisgangimportantgfactorgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgi
mportant.gAdditionally,gnutritionalgstatusgisgagmodifiablegriskgfactor.gMaternalgeducationgisga
ngimportantgfactorgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgimportant.gAdditi
onally,gmaternalgeducationgisgagmodifiablegriskgfactor.
DIF: CognitivegLevel:gUnderstand
REF:g p.g6gTOP:g NursinggProcess:gAssessmen
t
MSC:g ClientgNeeds:gHealthgPromotiongandgMaintenance,gAntepartumgCare
2. Whatg isg theg primaryg roleg ofg p ract icin g g nu rs e s g in the researchg process?
a. Designinggresearchgstudies N RUgS IgNgG T B .CO M
b. Collectinggdatagforgothergresearchers
c. Identifyinggresearchablegproblems
d. Seekinggfundinggtogsupportgresearchgstudies
ANS:g C
Whengproblemsgaregidentified,gresearchgcangbegproperlygconducted.gResearchgofghealthgcaregi
ssuesgleadsgtogevidence-
basedgpracticegguidelines.gDesigninggresearchgstudiesgisgonlygonegfactorgofgthegresearchgproc
ess.gDatagcollectiongisganothergfactorgofgresearch.gFinancialgsupportgisgnecessarygtogconductgr
esearch,gbutgitgisgnotgthegprimarygrolegofgthegnursegingthegresearchgprocess.
DIF: CognitivegLevel:gUnderstand REF:g p.g14
TOP:g NursinggProcess:gN/AgMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironme
nt
3. Ag23-year-oldgAfrican-
Americangwomangisgpregnantgwithghergfirstgchild.gBasedgongthegstatisticsgforginfantgm
ortality,gwhichgplangisgmostgimportantgforgthegnursegtogimplement?
a. Performgagnutritiongassessment.
b. Refergthegwomangtogagsocialgworker.
c. Advisegthegwomangtogseegangobstetrician,gnotgagmidwife.
d. Explaingtogthegwomangthegimportancegofgkeepingghergprenatalgcaregappointments.
ANS:g D
NURSINGTB.COM
, MaternitygandgWomen'sgHealthgCareg11thgEditiongLowdermilkgTestgBan
k
Consistentgprenatalgcaregisgthegbestgmethodgofgpreventinggorgcontrollinggriskgfactorsgassociate
dgwithginfantgmortality.gNutritionalgstatusgisgangimportantgmodifiablegriskgfactor,gbutgitgisgnotg
thegmostgimportantgactiongagnursegshouldgtakegingthisgsituation.gThegclientgmaygneedgassistan
cegfromgagsocialgworkergatgsomegtimegduringghergpregnancy,gbutgagreferralgtogagsocialgworker
gisgnotgthegmostgimportantgaspectgthegnursegshouldgaddressgatgthisgtime.gIfgthegwomanghasgide
ntifiableghigh-
riskgproblems,gthengherghealthgcaregmaygneedgtogbegprovidedgbygagphysician.gHowever,gitgca
nnotgbegassumedgthatgallgAfrican-Americangwomenghaveghigh-
riskgissues.gIngaddition,gadvisinggthegwomangtogseegangobstetriciangisgnotgthegmostgimportantg
aspectgongwhichgthegnursegshouldgfocusgatgthisgtime,gandgitgisgnotgappropriategforgagnursegtoga
dvisegorgmanagegthegtypegofgcaregagclientgisgtogreceive.
DIF: CognitivegLevel:gUnderstand REF:g p.g6
TOP:g NursinggProcess:gPlanninggMSC:g ClientgNeeds:gHealthgPromotiongandgMaintenance
4. Duringgagprenatalgintakeginterview,gthegnursegisgingthegprocessgofgobtainingganginitialgassess
mentgofgag21-year-
oldgHispanicgclientgwithglimitedgEnglishgproficiency.gWhichgactiongisgthegmostgimportantgfor
gthegnursegtogperform?
a. Usegmaternitygjargongtogenablegthegclientgtogbecomegfamiliargwithgthesegterms.
b. Speakgquicklygandgefficientlygtogexpeditegthegvisit.
c. Providegthegclientgwithghandouts.
d. Assessgwhethergthegclientgunderstandsgthegdiscussion.
ANS:g D
Nursesgcontributegtoghealthgliteracygbygusinggsimple,gcommongwords,gavoidinggjargon,gandge
valuatinggwhethergthegclientgunderstandsgthegdiscussion.gSpeakinggslowlygandgclearlygandgfoc
usinggongwhatgisgimportantgwillgincreasegunderstanding.gMostgclientgeducationgmaterialsgaregw
rittengatgaglevelgtooghighgf o rNt h eRav eIr agG
e gadB
ul.
tgC
a n d Mm a y gnotgbegusefulgforgagclientgwithglimited
Englishgproficiency. UgSgNgT O
DIF: CognitivegLevel:gApply REF:g p.g5
TOP:g NursinggProcess:gEvaluationgMSC:g ClientgNeeds:gHealthgPromotiongandgMaintenance
5. Thegnursesgworkinggatgagnewlygestablishedgbirthinggcenterghavegbegungtogcomparegtheirgperf
ormancegingprovidinggmaternal-
newborngcaregagainstgclinicalgstandards.gThisgcomparisongprocessgisgmostgcommonlygknown
gasgwhat?
a. Bestgpracticesgnetwork
b. Clinicalgbenchmarking
c. Outcomes-orientedgpractice
d. Evidence-basedgpractice
ANS:g C
Outcomes-
orientedgpracticegmeasuresgthegeffectivenessgofgtheginterventionsgandgqualitygofgcaregagainstgb
enchmarksgorgstandards.gThegtermgbestgpracticegrefersgtogagprogramgorgservicegthatghasgbeeng
recognizedgforgitsgexcellence.gClinicalgbenchmarkinggisgagprocessgusedgtogcompare
one’sgowngperformancegagainstgthegperformancegofgthegbestgingangareagofgservice.gThegter
mgevidence-
basedgpracticegrefersgtogthegprovisiongofgcaregbasedgongevidenceggainedgthroughgresearch
gandgclinicalgtrials.
DIF: CognitivegLevel:gUnderstand REF:g p.g11
TOP:g NursinggProcess:gEvaluationgMSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironme
NURSINGTB.COM
, MaternitygandgWomen'sgHealthgCareg11thgEditiongLowdermilkgTestgBan
k
nt
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