Maternity and Women's Health Care 13th Edition Lowdermilk
vvv vvv vvv vvv vvv vvv vvv
Test
vvv
Maternity and vvv vvv
Women's Health vvv
Care13thEdit v v
ion vvv
Lowdermilk Test vvv
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk
vvv vvv vvv vvv vvv vvv vvv
Test
vvv
Chapter 01: 21st Century Maternity and Women’s Health Nursing
vvv vvv vvv vvv vvv vvv vvv vvv
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
vvv vvv vvv vvv vvv vvv vvv vvv
MULTIPLE CHOICE vvv
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
weight (LBW) infant, which factor is the most important for the nurse to
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
consider?
vvv
a. African-American race vvv
b. Cigarette smoking vvv
c. Poor nutritional status vvv vvv
d. Limited maternal education vvv vvv
ANS: A v v v
The rise in the overall LBW rates were due to increases in LBW births to non-
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
Hispanic black women (13.35%) and Hispanic women (7.21%); non-Hispanic black
vvv vvv vvv vvv vvv vvv vvv vvv vvv
infants are almost twice as likely as non-Hispanic white infants to be of LBW
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
and to die in the first year of life.. Race is a nonmodifiable risk factor. Cigarette
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
smoking is an important factor in potential infant mortality rates, but it is not the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
most important. Additionally, smoking is a modifiable risk factor. Poor nutrition
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
is an important factor in potential infant mortality rates, but it is not the most
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
important. Additionally, nutritional status is a modifiable risk factor. Maternal
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
education is an important factor in potential infant mortality rates, but it is not
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
the most important. Additionally, maternal education is a modifiable risk factor.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Understand TOP: Nursing Process: Assessment
vvv vvv vvv vvv
MSC: Client Needs: HealtN
v v hUPrRoS
mI
v ioG
otN nTanBd.M
CaOinMtenance,
v v v v v v v v v v v v Antepartum v v v Care
2. A 23-year-old African-American woman is pregnant with her first child. Based
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
on current statistics for infant mortality, which intervention is most important for
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
the nurse to include in the client’s plan of care?
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
a. Perform a nutrition assessment. vvv vvv vvv
b. Refer the woman to a social worker. vvv vvv vvv vvv vvv vvv
c. Advise the woman to see an obstetrician, not a midwife.
vvv vvv vvv vvv vvv vvv vvv vvv vvv
d. Explain to the woman the importance of keeping her prenatal care appointments.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
ANS: D v v v
Consistent prenatal care is the best method of preventing or controlling risk
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
factors associated with infant mortality. Nutritional status is an important modifiable
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
risk factor, but it is not the most important action a nurse should take in this
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
situation. The client may need assistance from a social worker at some time
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
during her pregnancy, but a referral to a social worker is not the most
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
important aspect the nurse should address at this time. If the woman has
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
identifiable high-risk problems, then her health care may need to be provided by
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
a physician. However, it cannot be assumed that all African-American women
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
have high-risk issues. In addition, advising the woman to see an obstetrician is
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
not the most important aspect on which the nurse should focus at this time,
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
and it is not appropriate for a nurse to advise or manage the type of care a
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
client is to receive.
vvv vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Understand TOP:
vvv vvv Nursing Process: Planning vvv vvv
, Maternity and Women's Health Care 13th Edition Lowdermilk
vvv vvv vvv vvv vvv vvv vvv
Test
vvv
MSC: Client Needs: Health Promotion and Maintenance
vvv vvv vvv vvv vvv vvv
3. The nurses working at a newly established birthing center have begun to
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
compare their performance in providing maternal-newborn care against
vvv vvv vvv vvv vvv vvv vvv vvv
clinical standards. This comparison process is most commonly known as
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
what?
vvv
a. Best practices network vvv vvv
b. Clinical benchmarking vvv
c. Outcomes-oriented pracNtiUceR S vvv
d. Evidence-based practice vvv
ANS: C v v v
Outcomes-oriented practice measures the effectiveness of the interventions and
vvv vvv vvv vvv vvv vvv vvv vvv
quality of care against benchmarks or standards. The term best practice refers to a
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
program or service that has been recognized for its excellence. Clinical
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
benchmarking is a process used to compare one’s own performance against the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
performance of the best in an area of service. The term evidence-based practice
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
refers to the provision of care based on evidence gained through research and
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
clinical trials.
vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Understand TOP: Nursing Process: Evaluation
vvv vvv vvv vvv
MSC: Client Needs: Safe and Effective Care Environment
vvv vvv vvv vvv vvv vvv vvv
4. During a prenatal intake interview, the nurse is in the process of obtaining
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
an initial assessment of a 21-year-old Hispanic client with limited English
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
proficiency. Which intervention is the most important for the nurse to
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
implement?
vvv
a. Use maternity jargon to enable the client to become familiar with these terms.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
b. Speak quickly and efficiently to expedite the visit.
vvv vvv vvv vvv vvv vvv vvv
c. Provide the client with handouts. vvv vvv vvv vvv
d. Assess whether the client understands the discussion.
vvv vvv vvv vvv vvv vvv
ANS: D v v v
Nurses contribute to health literacy by using simple, common words, avoiding
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
jargon, and evaluating whether the client understands the discussion. Speaking
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
slowly and clearly and focusing on what is important will increase understanding.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
Most client education materials are written at a level too high for the average
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
adult and may not be useful for a client with limited English proficiency.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Apply TOP:
vvv Nursing Process:
vvv vvv
Implementation
vvv
MSC: Client Needs: Health Promotion and Maintenance
vvv vvv vvv vvv vvv vvv
5. Which statement best exemplifies contemporary maternity nursing?
vvv vvv vvv vvv vvv vvv
a. Use of midwives for all vaginal deliveries
vvv vvv vvv vvv vvv vvv
b. Family-centered care vvv
c. Free-standing birth clinics vvv vvv
d. Physician-driven
care ANS:
vvv vvv v v v B
, Maternity and Women's Health Care 13th Edition Lowdermilk
vvv vvv vvv vvv vvv vvv vvv
Test
vvv
Contemporary maternity nursing focuses on the family’s needs and desires.
vvv vvv vvv vvv vvv vvv vvv vvv vvv
Fathers, partners, grandparents, and siblings may be present for the birth and
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
participate in activities such as cutting the baby’s umbilical cord. Both midwives
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
and physicians perform vaginal deliveries. Free-standing clinics are an example of
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
alternative birth options. Contemporary maternity nursing is driven by the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
relationship between nurses and their clients.
vvv vvv vvv vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Understand TOP: Nursing Process: Planning
vvv vvv vvv vvv
MSC: Client Needs: Health Promotion and Maintenance
vvv vvv vvv vvv vvv vvv
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
after being in labor for 43 hours. The baby died 3 days later from sepsis. On
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
what grounds could the woman have a legitimate legal case for negligence?
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
a. Inexperienced maternity nurse was assigned to care for the client. vvv vvv vvv vvv vvv vvv vvv vvv vvv
b. Client was past her due date by 3 days.
vvv vvv vvv vvv vvv vvv vvv vvv
c. Standard of care was not met. vvv vvv vvv vvv vvv
d. Client refused electronic fetal monitoring.
vvv vvv vvv vvv
ANS: C v v v
Not meeting the standard of care is a legitimate factor for a case of negligence.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
An inexperienced maternity nurse would need to display competency before being
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
assigned to care for clients on his or her own. This client may have been past
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
her due date; however, a term pregnancy often goes beyond 40 weeks of
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
gestation. Although fetal monitoring is the standard of care, the client has the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
right to refuse treatment. This refusal is not a case for negligence, but informed
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
consent should be properly obtained, and the client should have signed an
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
against medical advice form when refusing any treatment that is within the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
standard of care.
vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Analyze TOP:
vvv Nursing Process: vvv vvv
Implementation
vvv
MSC: Client Needs: Safe and Effective Care Environment
vvv vvv vvv vvv vvv vvv vvv
7. When the nurse is unsure how to perform a client care procedure that is high
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
risk and low volume, his or her best action in this situation would be what?
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
a. Ask another nurse. vvv vvv
b. Discuss the procedure with the client’s physician.
vvv vvv vvv vvv vvv vvv
c. Look up the procedure in a nursing textbook.
vvv vvv vvv vvv vvv vvv vvv
d. First consult the agency procedure manual
vvv vvv vvv vvv vvv
ANS: D v v v
Following the agency’s policies and procedures manual is always best when
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
seeking information on correct client procedures. These policies should reflect the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
current standards of care and the individual state’s guidelines. Each nurse is
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
responsible for his or her own practice. Relying on another nurse may not
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
always be a safe practice. Each nurse is obligated to follow the standards of
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
care for safe client care delivery. Physicians are responsible for their own client
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
care activity. Nurses may follow safe orders from physicians, but they are also
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
responsible for the activities that they, as nurses, are to carry out. Information
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
provided in a nursing textbook is basic information for general knowledge.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
Furthermore, the information in a textbook may not reflect the current standard
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
of care or the individual state or hospital policies.
vvv vvv vvv vvv vvv vvv vvv vvv vvv
vvv vvv vvv vvv vvv vvv vvv
Test
vvv
Maternity and vvv vvv
Women's Health vvv
Care13thEdit v v
ion vvv
Lowdermilk Test vvv
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk
vvv vvv vvv vvv vvv vvv vvv
Test
vvv
Chapter 01: 21st Century Maternity and Women’s Health Nursing
vvv vvv vvv vvv vvv vvv vvv vvv
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
vvv vvv vvv vvv vvv vvv vvv vvv
MULTIPLE CHOICE vvv
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
weight (LBW) infant, which factor is the most important for the nurse to
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
consider?
vvv
a. African-American race vvv
b. Cigarette smoking vvv
c. Poor nutritional status vvv vvv
d. Limited maternal education vvv vvv
ANS: A v v v
The rise in the overall LBW rates were due to increases in LBW births to non-
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
Hispanic black women (13.35%) and Hispanic women (7.21%); non-Hispanic black
vvv vvv vvv vvv vvv vvv vvv vvv vvv
infants are almost twice as likely as non-Hispanic white infants to be of LBW
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
and to die in the first year of life.. Race is a nonmodifiable risk factor. Cigarette
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
smoking is an important factor in potential infant mortality rates, but it is not the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
most important. Additionally, smoking is a modifiable risk factor. Poor nutrition
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
is an important factor in potential infant mortality rates, but it is not the most
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
important. Additionally, nutritional status is a modifiable risk factor. Maternal
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
education is an important factor in potential infant mortality rates, but it is not
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
the most important. Additionally, maternal education is a modifiable risk factor.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Understand TOP: Nursing Process: Assessment
vvv vvv vvv vvv
MSC: Client Needs: HealtN
v v hUPrRoS
mI
v ioG
otN nTanBd.M
CaOinMtenance,
v v v v v v v v v v v v Antepartum v v v Care
2. A 23-year-old African-American woman is pregnant with her first child. Based
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
on current statistics for infant mortality, which intervention is most important for
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
the nurse to include in the client’s plan of care?
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
a. Perform a nutrition assessment. vvv vvv vvv
b. Refer the woman to a social worker. vvv vvv vvv vvv vvv vvv
c. Advise the woman to see an obstetrician, not a midwife.
vvv vvv vvv vvv vvv vvv vvv vvv vvv
d. Explain to the woman the importance of keeping her prenatal care appointments.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
ANS: D v v v
Consistent prenatal care is the best method of preventing or controlling risk
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
factors associated with infant mortality. Nutritional status is an important modifiable
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
risk factor, but it is not the most important action a nurse should take in this
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
situation. The client may need assistance from a social worker at some time
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
during her pregnancy, but a referral to a social worker is not the most
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
important aspect the nurse should address at this time. If the woman has
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
identifiable high-risk problems, then her health care may need to be provided by
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
a physician. However, it cannot be assumed that all African-American women
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
have high-risk issues. In addition, advising the woman to see an obstetrician is
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
not the most important aspect on which the nurse should focus at this time,
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
and it is not appropriate for a nurse to advise or manage the type of care a
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
client is to receive.
vvv vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Understand TOP:
vvv vvv Nursing Process: Planning vvv vvv
, Maternity and Women's Health Care 13th Edition Lowdermilk
vvv vvv vvv vvv vvv vvv vvv
Test
vvv
MSC: Client Needs: Health Promotion and Maintenance
vvv vvv vvv vvv vvv vvv
3. The nurses working at a newly established birthing center have begun to
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
compare their performance in providing maternal-newborn care against
vvv vvv vvv vvv vvv vvv vvv vvv
clinical standards. This comparison process is most commonly known as
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
what?
vvv
a. Best practices network vvv vvv
b. Clinical benchmarking vvv
c. Outcomes-oriented pracNtiUceR S vvv
d. Evidence-based practice vvv
ANS: C v v v
Outcomes-oriented practice measures the effectiveness of the interventions and
vvv vvv vvv vvv vvv vvv vvv vvv
quality of care against benchmarks or standards. The term best practice refers to a
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
program or service that has been recognized for its excellence. Clinical
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
benchmarking is a process used to compare one’s own performance against the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
performance of the best in an area of service. The term evidence-based practice
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
refers to the provision of care based on evidence gained through research and
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
clinical trials.
vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Understand TOP: Nursing Process: Evaluation
vvv vvv vvv vvv
MSC: Client Needs: Safe and Effective Care Environment
vvv vvv vvv vvv vvv vvv vvv
4. During a prenatal intake interview, the nurse is in the process of obtaining
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
an initial assessment of a 21-year-old Hispanic client with limited English
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
proficiency. Which intervention is the most important for the nurse to
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
implement?
vvv
a. Use maternity jargon to enable the client to become familiar with these terms.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
b. Speak quickly and efficiently to expedite the visit.
vvv vvv vvv vvv vvv vvv vvv
c. Provide the client with handouts. vvv vvv vvv vvv
d. Assess whether the client understands the discussion.
vvv vvv vvv vvv vvv vvv
ANS: D v v v
Nurses contribute to health literacy by using simple, common words, avoiding
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
jargon, and evaluating whether the client understands the discussion. Speaking
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
slowly and clearly and focusing on what is important will increase understanding.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
Most client education materials are written at a level too high for the average
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
adult and may not be useful for a client with limited English proficiency.
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Apply TOP:
vvv Nursing Process:
vvv vvv
Implementation
vvv
MSC: Client Needs: Health Promotion and Maintenance
vvv vvv vvv vvv vvv vvv
5. Which statement best exemplifies contemporary maternity nursing?
vvv vvv vvv vvv vvv vvv
a. Use of midwives for all vaginal deliveries
vvv vvv vvv vvv vvv vvv
b. Family-centered care vvv
c. Free-standing birth clinics vvv vvv
d. Physician-driven
care ANS:
vvv vvv v v v B
, Maternity and Women's Health Care 13th Edition Lowdermilk
vvv vvv vvv vvv vvv vvv vvv
Test
vvv
Contemporary maternity nursing focuses on the family’s needs and desires.
vvv vvv vvv vvv vvv vvv vvv vvv vvv
Fathers, partners, grandparents, and siblings may be present for the birth and
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
participate in activities such as cutting the baby’s umbilical cord. Both midwives
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
and physicians perform vaginal deliveries. Free-standing clinics are an example of
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
alternative birth options. Contemporary maternity nursing is driven by the
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
relationship between nurses and their clients.
vvv vvv vvv vvv vvv vvv
PTS: 1 DIF: Cognitive Level: vvv
Understand TOP: Nursing Process: Planning
vvv vvv vvv vvv
MSC: Client Needs: Health Promotion and Maintenance
vvv vvv vvv vvv vvv vvv
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
after being in labor for 43 hours. The baby died 3 days later from sepsis. On
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
what grounds could the woman have a legitimate legal case for negligence?
vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv vvv
a. Inexperienced maternity nurse was assigned to care for the client. vvv vvv vvv vvv vvv vvv vvv vvv vvv
b. Client was past her due date by 3 days.
vvv vvv vvv vvv vvv vvv vvv vvv
c. Standard of care was not met. vvv vvv vvv vvv vvv
d. Client refused electronic fetal monitoring.
vvv vvv vvv vvv
ANS: C v v v
Not meeting the standard of care is a legitimate factor for a case of negligence.
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An inexperienced maternity nurse would need to display competency before being
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assigned to care for clients on his or her own. This client may have been past
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her due date; however, a term pregnancy often goes beyond 40 weeks of
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gestation. Although fetal monitoring is the standard of care, the client has the
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right to refuse treatment. This refusal is not a case for negligence, but informed
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consent should be properly obtained, and the client should have signed an
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against medical advice form when refusing any treatment that is within the
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standard of care.
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PTS: 1 DIF: Cognitive Level: vvv
Analyze TOP:
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Implementation
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MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high
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risk and low volume, his or her best action in this situation would be what?
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a. Ask another nurse. vvv vvv
b. Discuss the procedure with the client’s physician.
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c. Look up the procedure in a nursing textbook.
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d. First consult the agency procedure manual
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ANS: D v v v
Following the agency’s policies and procedures manual is always best when
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seeking information on correct client procedures. These policies should reflect the
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current standards of care and the individual state’s guidelines. Each nurse is
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responsible for his or her own practice. Relying on another nurse may not
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always be a safe practice. Each nurse is obligated to follow the standards of
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care for safe client care delivery. Physicians are responsible for their own client
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care activity. Nurses may follow safe orders from physicians, but they are also
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responsible for the activities that they, as nurses, are to carry out. Information
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provided in a nursing textbook is basic information for general knowledge.
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Furthermore, the information in a textbook may not reflect the current standard
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of care or the individual state or hospital policies.
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