1
Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
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FULLTESTBANK t t
100%
t
TEST BANK FOR Maternity & Women’s Health Care, 11th Edition
t t t t t t t t t
t BY Lowdermilk UPDATED NEW ORIGINAL PDF
t t t t t
Chapter 01: 21st Century Maternity and Women’s Health Nursing
t t t t t t t t
, 2
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
t t t t t t t
MULTIPLE CHOICE
t
,Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
t t t t t t t
1. In evaluating the level of a pregnant woman‘s risk of having a low-birth-weight (LBW) infant,
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which factor is the most important for the nurse to consider?
t t t t t t t t t t t
a. African-American race t
b. Cigarette smoking t
c. Poor nutritional status t t
d. Limited maternal education t t
CORRECT ANSWER: t
A t
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
t t t t t t t t t t t t t
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
t t t t t t t t t t t t t t t
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
t t t t t t t t t t t t t t t
factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
t t t t t t t t t t t t t t t t t
most important. Additionally, nutritional status is a modifiable risk factor. Maternal education
t t t t t t t t t t t t
is an important factor in potential infant mortality rates, but it is not the most important.
t t t t t t t t t t t t t t t t
Additionally, maternal education is a modifiable risk factor.
t t t t t t t t
DIF: Cognitive Level: Understand REF: p. 6 t t t t
TOP: Nursing Process: Assessment
t t t t
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
t t t t t t t t
2. What is the primary role of practicing nurses in the research process?
t t t t t t t t t t t
a. Designing research studies t t
b. Collecting data for other researchers t t t t
c. Identifying researchable problems t t
d. Seeking funding to support research studies t t t t t
CORRECT ANSWER: t
C t
When problems are identified, research can be properly conducted. Research of health care
t t t t t t t t t t t t
issues leads to evidence-based practice guidelines. Designing research studies is only one
t t t t t t t t t t t t
factor of the research process. Data collection is another factor of research. Financial support is
t t t t t t t t t t t t t t t
necessary to conduct research, but it is not the primary role of the nurse in the research process.
t t t t t t t t t t t t t t t t t t
DIF: Cognitive Level: Understand REF: p. 14 t t t t TOP: Nursing Process: N/A t t t
MSC: Client Needs: Safe and Effective Care Environment
t t t t t t t t
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
t t t t t t t t t t t t
statistics for infant mortality, which plan is most important for the nurse to implement?
t t t t t t t t t t t t t t
a. Perform a nutrition assessment. t t t
b. Refer the woman to a social worker. t t t t t t
c. Advise the woman to see an obstetrician, not a midwife. t t t t t t t t t
d. Explain to the woman the importance of keeping her prenatal care appointments.
t t t t t t t t t t t
CORRECT ANSWER: t
D t
, Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
t t t t t t t
Consistent prenatal care is the best method of preventing or controlling risk factors associated
t t t t t t t t t t t t t
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
t t t t t t t t t t t t t t t t
most important action a nurse should take in this situation. The client may need assistance from
t t t t t t t t t t t t t t t t
a social worker at some time during her pregnancy, but a referral to a social worker is not the
t t t t t t t t t t t t t t t t t t t
most important aspect the nurse should address at this time. If the woman has identifiable high-
t t t t t t t t t t t t t t t t
risk problems, then her health care may need to be provided by a physician. However, it cannot
t t t t t t t t t t t t t t t t
be assumed that all African-American women have high-risk issues. In addition, advising the
t t t t t t t t t t t t t
woman to see an obstetrician is not the most important aspect on which the nurse should focus at
t t t t t t t t t t t t t t t t t t
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
t t t t t t t t t t t t t t t t t t t t t t
receive.
t
DIF: Cognitive Level: Understand REF: p. 6 t t t t TOP: Nursing Process: Planning t t t
MSC: Client Needs: Health Promotion and Maintenance
t t t t t t t
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment
t t t t t t t t t t t t t t t
of a 21-year-old Hispanic client with limited English proficiency. Which action is the most
t t t t t t t t t t t t t t
important for the nurse to perform?
t t t t t t
a. Use maternityjargon to enable the client to become familiar with these terms.
t t t t t t t t t t t t
b. Speak quickly and efficientlyto expedite the visit. t t t t t t t
c. Provide the client with handouts. t t t t
d. Assess whether the client understands the discussion. t t t t t t
CORRECT ANSWER: D t t
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
t t t t t t t t t t t t
evaluating whether the client understands the discussion. Speaking slowly and clearly and
t t t t t t t t t t t t
focusing on what is important will increase understanding. Most client education materials are
t t t t t t t t t t t t t
written at a level too high for the average adult and may not be useful for a client with limited
t t t t t t t t t t t t t t t t t t t t
English proficiency.
t t
DIF: Cognitive Level: Apply REF: p. 5 t t t t TOP: Nursing Process: Evaluation t t t
MSC: Client Needs: Health Promotion and Maintenance
t t t t t t t
5. The nurses working at a newly established birthing center have begun to compare their
t t t t t t t t t t t t t
performance in providing maternal-newborn care against clinical standards. This comparison
t t t t t t t t t t
process is most commonly known as what?
t t t t t t t
a. Best practices network t t
b. Clinical benchmarking t
c. Outcomes-oriented practice t
d. Evidence-based practice t
CORRECT ANSWER: C t t
Outcomes-oriented practice measures the effectiveness of the interventions and qualityof care t t t t t t t t t t t
against benchmarks or standards. The term best practice refers to a program or service that has
t t t t t t t t t t t t t t t t
been recognized for its excellence. Clinical benchmarking is a process used to compare one‘s
t t t t t t t t t t t t t t
own performance against the performance of the best in an area of service. The term evidence-
t t t t t t t t t t t t t t t t
based practice refers to the provision of care based on evidence gained through research and
t t t t t t t t t t t t t t
clinical trials.
t t
DIF: Cognitive Level: Understand REF: p. 11 t t t t TOP: Nursing Process: Evaluation t t t
MSC: Client Needs: Safe and Effective Care Environment
t t t t t t t t
Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
t t t t t t t
FULLTESTBANK t t
100%
t
TEST BANK FOR Maternity & Women’s Health Care, 11th Edition
t t t t t t t t t
t BY Lowdermilk UPDATED NEW ORIGINAL PDF
t t t t t
Chapter 01: 21st Century Maternity and Women’s Health Nursing
t t t t t t t t
, 2
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
t t t t t t t
MULTIPLE CHOICE
t
,Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
t t t t t t t
1. In evaluating the level of a pregnant woman‘s risk of having a low-birth-weight (LBW) infant,
t t t t t t t t t t t t t t
which factor is the most important for the nurse to consider?
t t t t t t t t t t t
a. African-American race t
b. Cigarette smoking t
c. Poor nutritional status t t
d. Limited maternal education t t
CORRECT ANSWER: t
A t
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
t t t t t t t t t t t t t
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
t t t t t t t t t t t t t t t
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
t t t t t t t t t t t t t t t
factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
t t t t t t t t t t t t t t t t t
most important. Additionally, nutritional status is a modifiable risk factor. Maternal education
t t t t t t t t t t t t
is an important factor in potential infant mortality rates, but it is not the most important.
t t t t t t t t t t t t t t t t
Additionally, maternal education is a modifiable risk factor.
t t t t t t t t
DIF: Cognitive Level: Understand REF: p. 6 t t t t
TOP: Nursing Process: Assessment
t t t t
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
t t t t t t t t
2. What is the primary role of practicing nurses in the research process?
t t t t t t t t t t t
a. Designing research studies t t
b. Collecting data for other researchers t t t t
c. Identifying researchable problems t t
d. Seeking funding to support research studies t t t t t
CORRECT ANSWER: t
C t
When problems are identified, research can be properly conducted. Research of health care
t t t t t t t t t t t t
issues leads to evidence-based practice guidelines. Designing research studies is only one
t t t t t t t t t t t t
factor of the research process. Data collection is another factor of research. Financial support is
t t t t t t t t t t t t t t t
necessary to conduct research, but it is not the primary role of the nurse in the research process.
t t t t t t t t t t t t t t t t t t
DIF: Cognitive Level: Understand REF: p. 14 t t t t TOP: Nursing Process: N/A t t t
MSC: Client Needs: Safe and Effective Care Environment
t t t t t t t t
3. A 23-year-old African-American woman is pregnant with her first child. Based on the
t t t t t t t t t t t t
statistics for infant mortality, which plan is most important for the nurse to implement?
t t t t t t t t t t t t t t
a. Perform a nutrition assessment. t t t
b. Refer the woman to a social worker. t t t t t t
c. Advise the woman to see an obstetrician, not a midwife. t t t t t t t t t
d. Explain to the woman the importance of keeping her prenatal care appointments.
t t t t t t t t t t t
CORRECT ANSWER: t
D t
, Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
t t t t t t t
Consistent prenatal care is the best method of preventing or controlling risk factors associated
t t t t t t t t t t t t t
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
t t t t t t t t t t t t t t t t
most important action a nurse should take in this situation. The client may need assistance from
t t t t t t t t t t t t t t t t
a social worker at some time during her pregnancy, but a referral to a social worker is not the
t t t t t t t t t t t t t t t t t t t
most important aspect the nurse should address at this time. If the woman has identifiable high-
t t t t t t t t t t t t t t t t
risk problems, then her health care may need to be provided by a physician. However, it cannot
t t t t t t t t t t t t t t t t
be assumed that all African-American women have high-risk issues. In addition, advising the
t t t t t t t t t t t t t
woman to see an obstetrician is not the most important aspect on which the nurse should focus at
t t t t t t t t t t t t t t t t t t
this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
t t t t t t t t t t t t t t t t t t t t t t
receive.
t
DIF: Cognitive Level: Understand REF: p. 6 t t t t TOP: Nursing Process: Planning t t t
MSC: Client Needs: Health Promotion and Maintenance
t t t t t t t
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment
t t t t t t t t t t t t t t t
of a 21-year-old Hispanic client with limited English proficiency. Which action is the most
t t t t t t t t t t t t t t
important for the nurse to perform?
t t t t t t
a. Use maternityjargon to enable the client to become familiar with these terms.
t t t t t t t t t t t t
b. Speak quickly and efficientlyto expedite the visit. t t t t t t t
c. Provide the client with handouts. t t t t
d. Assess whether the client understands the discussion. t t t t t t
CORRECT ANSWER: D t t
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
t t t t t t t t t t t t
evaluating whether the client understands the discussion. Speaking slowly and clearly and
t t t t t t t t t t t t
focusing on what is important will increase understanding. Most client education materials are
t t t t t t t t t t t t t
written at a level too high for the average adult and may not be useful for a client with limited
t t t t t t t t t t t t t t t t t t t t
English proficiency.
t t
DIF: Cognitive Level: Apply REF: p. 5 t t t t TOP: Nursing Process: Evaluation t t t
MSC: Client Needs: Health Promotion and Maintenance
t t t t t t t
5. The nurses working at a newly established birthing center have begun to compare their
t t t t t t t t t t t t t
performance in providing maternal-newborn care against clinical standards. This comparison
t t t t t t t t t t
process is most commonly known as what?
t t t t t t t
a. Best practices network t t
b. Clinical benchmarking t
c. Outcomes-oriented practice t
d. Evidence-based practice t
CORRECT ANSWER: C t t
Outcomes-oriented practice measures the effectiveness of the interventions and qualityof care t t t t t t t t t t t
against benchmarks or standards. The term best practice refers to a program or service that has
t t t t t t t t t t t t t t t t
been recognized for its excellence. Clinical benchmarking is a process used to compare one‘s
t t t t t t t t t t t t t t
own performance against the performance of the best in an area of service. The term evidence-
t t t t t t t t t t t t t t t t
based practice refers to the provision of care based on evidence gained through research and
t t t t t t t t t t t t t t
clinical trials.
t t
DIF: Cognitive Level: Understand REF: p. 11 t t t t TOP: Nursing Process: Evaluation t t t
MSC: Client Needs: Safe and Effective Care Environment
t t t t t t t t
