Test Bank for Maternity and Women-s Health Care, 20th Edition by Lowdermilk, 9780323810180.pdf

MaternityhandhWomen'shHealthhCareh12thhEditionhLowdermilkhTesthBankh


Chapter 01: 21st Century Mater h h h h




nity and Women’s Health Nursin
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g Lowdermilk: Maternity & Wo
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men’s Health Care, 12th Edition
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h

MULTIPLEhCHOICEh
h

1.hInhevaluatinghthehlevelhofhahpregnanthwoman’shriskhofhhavinghahlow-birth-
weighth(LBW)hinfant,hwhichhfactorhishthehmosthimportanthforhthehnursehtohconsider?ha.hAf
rican-Americanhraceh
b. Cigarettehsmokingh
c. Poorhnutritionalhstatush
d. Limitedhmaternalheducationh
ANS:hAh
ThehrisehinhthehoverallhLBWhrateshwerehduehtohincreaseshinhLBWhbirthshtohnon-
Hispanichblackhwomenh(13.35%)handhHispanichwomenh(7.21%);hnon-
Hispanichblackhinfantsharehalmosthtwicehashlikelyhashnon-
HispanichwhitehinfantshtohbehofhLBWhandhtohdiehinhthehfirsthyearhofhlife..hRacehishahnonmodifiab
lehriskhfactor.hCigarettehsmokinghishanhimportanthfactorhinhpotentialhinfanthmortalityhrates,hbuthi
thishnoththehmosthimportant.hAdditionally,hsmokinghishahmodifiablehriskhfactor.hPoorhnutritionhish
anhimportanthfactorhinhpotentialhinfanthmortalityhrates,hbuthithishnoththehmosthimportant.hAdditio
nally,hnutritionalhstatushishahmodifiablehriskhfactor.hMaternalheducationhishanhimportanthfactorhi
nhpotentialhinfanthmortalityhrates,hbuthithishnoththehmosthimportant.hAdditionally,hmaternalheduc
ationhishahmodifiablehriskhfactor.h
h

PTS:h 1h DIF:h CognitivehLevel:hUnderstandh
TOP:hNursinghProcess:hAssessmenth

MSC:hhClienthNeeds:hHealtNhUPrRoSmIotNioGnhTanBd.MCaOinMtenance,hAntepartu
mhCareh
2.hAh23-year-oldhAfrican-
Americanhwomanhishpregnanthwithhherhfirsthchild.hBasedhonhcurrenthstatisticshforhinfanthmortali
ty,hwhichhinterventionhishmosthimportanthforhthehnursehtohincludehinhthehclient’shplanhofhcare?h
a. Performhahnutritionhassessment.h
b. Referhthehwomanhtohahsocialhworker.h
c. Advisehthehwomanhtohseehanhobstetrician,hnothahmidwife.h
d. Explainhtohthehwomanhthehimportancehofhkeepinghherhprenatalhcarehappointments.h




h PRIMEXAM.COMh

, MaternityhandhWomen'shHealthhCareh12thhEditionhLowdermilkhTesthBankh
ANS:hDh
Consistenthprenatalhcarehishthehbesthmethodhofhpreventinghorhcontrollinghriskhfactorshassociated
hwithhinfanthmortality.hNutritionalhstatushishanhimportanthmodifiablehriskhfactor,hbuthithishnoththe

hmosthimportanthactionhahnursehshouldhtakehinhthishsituation.hThehclienthmayhneedhassistancehfro

mhahsocialhworkerhathsomehtimehduringhherhpregnancy,hbuthahreferralhtohahsocialhworkerhishnothth
ehmosthimportanthaspecththehnursehshouldhaddresshaththishtime.hIfhthehwomanhhashidentifiablehhi
gh-
riskhproblems,hthenhherhhealthhcarehmayhneedhtohbehprovidedhbyhahphysician.hHowever,hithcann
othbehassumedhthathallhAfrican-Americanhwomenhhavehhigh-
riskhissues.hInhaddition,hadvisinghthehwomanhtohseehanhobstetricianhishnoththehmosthimportanthas
pecthonhwhichhthehnursehshouldhfocushaththishtime,handhithishnothappropriatehforhahnursehtohadvis
ehorhmanagehthehtypehofhcarehahclienthishtohreceive.h
h

PTS:h 1h DIF:h CognitivehLevel:hUnderstandh
TOP:hNursinghProcess:hPlanningh
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenanceh
h

3. Duringhahprenatalhintakehinterview,hthehnursehishinhthehprocesshofhobtaininghanhinitialhassess
menthofhah21-year-
oldhHispanichclienthwithhlimitedhEnglishhproficiency.hWhichhinterventionhishthehmosthimpor
tanthforhthehnursehtohimplement?h
a. Usehmaternityhjargonhtohenablehthehclienthtohbecomehfamiliarhwithhthesehterms.h
b. Speakhquicklyhandhefficientlyhtohexpeditehthehvisit.h
c. Providehthehclienthwithhhandouts.h
d. Assesshwhetherhthehclienthunderstandshthehdiscussion.h
ANS:hDh
Nurseshcontributehtohhealthhliteracyhbyhusinghsimple,hcommonhwords,havoidinghjargon,handhev
aluatinghwhetherhthehclienthunderstandshthehdiscussion.hSpeakinghslowlyhandhclearlyhandhfocus
inghonhwhathishimportanthwillhincreasehunderstanding.hMosthclientheducationhmaterialsharehwrit
tenhathahlevelhtoohhighhforhthehaveragehadulthandhmayhnothbehusefulhforhahclienthwithhlimitedhEng
lishhproficiency.h
h

PTS:h 1h DIF:h CognitivehLevel:hApplyh
TOP:hNursinghProcess:hImplementationh
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenanceh
h

4. Thehnurseshworkinghathahnewlyhestablishedhbirthinghcenterhhavehbegunhtohcomparehtheirhper
formancehinhprovidinghmaternal-
newbornhcarehagainsthclinicalhstandards.hThishcomparisonhprocesshishmosthcommonlyhknow
nhashwhat?ha.hBesthpracticeshnetworkh
b. Clinicalhbenchmarkingh
c. OutEvidencecomes-based-

orientedhhpracticepracNtihUceR ShI NhG ThB. COhM h
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d.




h PRIMEXAM.COMh

, MaternityhandhWomen'shHealthhCareh12thhEditionhLowdermilkhTesthBankh
ANS:hCh
Outcomes-
orientedhpracticehmeasureshtheheffectivenesshofhthehinterventionshandhqualityhofhcarehagainsthb
enchmarkshorhstandards.hThehtermhbesthpracticehrefershtohahprogramhorhservicehthathhashbeenhre
cognizedhforhitshexcellence.hClinicalhbenchmarkinghishahprocesshusedhtohcomparehone’shownhpe
rformancehagainsththehperformancehofhthehbesthinhanhareahofhservice.hThehtermhevidence-
basedhpracticehrefershtohthehprovisionhofhcarehbasedhonhevidencehgainedhthroughhresearchhandh
clinicalhtrials.h
h

PTS:h 1h DIF:h CognitivehLevel:hUnderstandh
TOP:hNursinghProcess:hEvaluationh
MSC:hClienthNeeds:hSafehandhEffectivehCarehEnvironmenth
h

5. Whichhstatementhbesthexemplifieshcontemporaryhmaternityhnursing?h
a. Usehofhmidwiveshforhallhvaginalhdeliveriesh
b. Family-centeredhcareh
c. Free-standinghbirthhclinicsh
d. Physician-drivenhcareh
ANS:hBh
Contemporaryhmaternityhnursinghfocuseshonhthehfamily’shneedshandhdesires.hFathers,hpartners,
hgrandparents,handhsiblingshmayhbehpresenthforhthehbirthhandhparticipatehinhactivitieshsuchhashcu

ttinghthehbaby’shumbilicalhcord.hBothhmidwiveshandhphysicianshperformhvaginalhdeliveries.hFr
ee-
standinghclinicsharehanhexamplehofhalternativehbirthhoptions.hContemporaryhmaternityhnursingh
ishdrivenhbyhthehrelationshiphbetweenhnurseshandhtheirhclients.h
h

PTS:h 1h DIF:h CognitivehLevel:hUnderstandh
TOP:hNursinghProcess:hPlanningh
MSC:hClienthNeeds:hHealthhPromotionhandhMaintenanceh
h

6. Ah38-year-oldhHispanichwomanhvaginallyhdeliveredhah9-pound,h6-
ouncehbabyhgirlhafterhbeinghinhlaborhforh43hhours.hThehbabyhdiedh3hdayshlaterhfromhsepsis.hOnhw
hathgroundshcouldhthehwomanhhavehahlegitimatehlegalhcasehforhnegligence?h
a. Inexperiencedhmaternityhnursehwashassignedhtohcarehforhthehclient.h
b. Clienthwashpasthherhduehdatehbyh3hdays.h
c. Standardhofhcarehwashnothmet.h
d. Clienthrefusedhelectronichfetalhmonitoring.h
ANS:hCh
Nothmeetinghthehstandardhofhcarehishahlegitimatehfactorhforhahcasehofhnegligence.hAnhinexperien
cedhmaternityhnursehwouldhneedhtohdisplayhcompetencyhbeforehbeinghassignedhtohcarehforhclien
tshonhhishorhherhown.hThishclienthmayhhavehbeenhpasthherhduehdate;hhowever,hahtermhpregnancyh
oftenhgoeshbeyondh40hweekshofhgestation.hAlthoughhfetalhmonitoringhishthehstandardhofhcare,hth
ehclienthhashthehrighthtohrefusehtreatment.hThishrefusalhishnothahcasehforhnegligence,hbuthinforme
dhconsenthshouldhbehproperlyhobtained,handhthehclienthshouldhhavehsignedhanhagainsthmedicalha
dvicehformhwhenhrefusinghanyhtreatmenththathishwithinhthehstandardhofhcare.h
NURSINGTB.COM h




h PRIMEXAM.COMh

, MaternityhandhWomen'shHealthhCareh12thhEditionhLowdermilkhTesthBankh
PTS:h 1h DIF:h CognitivehLevel:hAnalyzeh
TOP:hNursinghProcess:hImplementationh
MSC:hClienthNeeds:hSafehandhEffectivehCarehEnvironmenth
h

7.hWhenhthehnursehishunsurehhowhtohperformhahclienthcarehprocedurehthathishhighhriskhandhlowhv
olume,hhishorhherhbesthactionhinhthishsituationhwouldhbehwhat?ha.hAskhanotherhnurse.h
b. Discusshthehprocedurehwithhthehclient’shphysician.h
c. Lookhuphthehprocedurehinhahnursinghtextbook.h
d. Firsthconsulththehagencyhprocedurehmanualh
ANS:hDh
Followinghthehagency’shpolicieshandhprocedureshmanualhishalwayshbesthwhenhseekinghinformat
ionhonhcorrecthclienthprocedures.hThesehpolicieshshouldhreflecththehcurrenthstandardshofhcarehan
dhthehindividualhstate’shguidelines.hEachhnursehishresponsiblehforhhishorhherhownhpractice.hRelyi
nghonhanotherhnursehmayhnothalwayshbehahsafehpractice.hEachhnursehishobligatedhtohfollowhthehst
andardshofhcarehforhsafehclienthcarehdelivery.hPhysiciansharehresponsiblehforhtheirhownhclienthca
rehactivity.hNurseshmayhfollowhsafehordershfromhphysicians,hbuththeyharehalsohresponsiblehforht
hehactivitieshthaththey,hashnurses,harehtohcarryhout.hInformationhprovidedhinhahnursinghtextbookhi
shbasichinformationhforhgeneralhknowledge.hFurthermore,hthehinformationhinhahtextbookhmayhn
othreflecththehcurrenthstandardhofhcarehorhthehindividualhstatehorhhospitalhpolicies.h
h


PTS:h 1h DIF:h CognitivehLevel:hUnderstandh
TOP:hNursinghProcess:hImplementationh MSC:hClienthNeeds:hPhysiologichIntegrityh
h

8. AhnursehcaringhforhahpregnanthclienthshouldhbehawarehthaththehU.S.hbirthhratehshowshwhathtrend
?h
a. Birthshtohunmarriedhwomenharehmorehlikelyhtohhavehlesshfavorablehoutcomes.h
b. Birthhrateshforhwomenh40htoh44hyearshofhageharehdeclining.h
c. Cigarettehsmokinghamonghpregnanthwomenhcontinueshtohincrease.h
d. RateshofhpregnancyhandhabortionhamonghteenagersharehlowerhinhthehUnitedhStateshthanhinha
nyhotherhindustrializedhcountry.h
ANS:hAh
LBWhinfantshandhpretermhbirthsharehmorehlikelyhbecausehofhthehlargehnumberhofhteenagershinht
hehunmarriedhgroup.hBirthhrateshforhwomenhinhtheirhearlyh40shcontinuehtohincrease.hFewerhpreg
nanthwomenhsmoke.hTeenhpregnancyhandhabortionhratesharehhigherhinhthehUnitedhStateshthanhinh
anyhotherhindustrialhcountry.h
h

PTS:h 1h DIF:h CognitivehLevel:hUnderstandh
TOP:hNursinghProcess:hAssessmenth MSC:hClienthNeeds:hPsychosocialhIntegrityh
h

9. Ahrecentlyhgraduatedhnursehishattemptinghtohunderstandhthehreasonhforhincreasinghhealthhcarehs
pendinghinhthehUnitedhStates.hWhichhinformationhgatheredhfromhresearchhbesthexplainshthehrat
ionalehforhthesehhigherhcostshcomparedhwithhotherhdevelopedhcountries?ha.hHigherhratehofhobes
ityhamonghpregnanthwomenh
b. Limitedhaccesshtohtechnologyh

c. IncreasedhusehofhhealthNcaUreR sSerI viNcGe sThaBl o.ngCwOi Mthhlowerhpricesh
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d. Homogeneityhofhthehpopulationh




h PRIMEXAM.COMh