MaternityandWomen'sHealthCare13thEditionLowdermilkTest
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Chapter01:21stCenturyMaternity andWomen’sHealthNursingLowdermilk: Maternity&Women’s
,f a a ,f
HealthCare,12thEdition ,f
MULTIPLECHOICE
1. Inevaluatingthelevelofapregnantwoman’sriskofhavingalow-birth-
,f ,f ,f ,f ,f ,f ,f ,f
aweight( LBW)infant,whichfactoristhemostimportantforthenursetoconsider?
,f ,f ,f ,f ,f ,f
a. African-Americanrace
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: A
TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-
,f ,f ,f ,f ,f
Hispanicblackwomena(13.35%)aandaHispanicawomena(7.21%);anon-
Hispanicablackainfantsaareaalmostatwiceaaslikelyas non- ,f ,f
HispanicwhiteinfantstobeofLBWandtodieinthefirstyearoflife..
,f ,f ,f ,f ,f
Raceisanonmodifiableriskfactor.Cigarettesmokingisanimportantfactorinpotentialainfantmorta ,f ,f ,f ,f
lityrates,abutaitaisanotatheamostaimportant.aAdditionally,asmokingaisaaamodifiableariskafactor.Poor
nutritionisanimportantfactorinpotentialinfantmortalityrates,butitisnottheamostaimportant.aAd
,f ,f ,f ,f ,f
ditionally,anutritionalastatusaisaaamodifiableariskafactor.aMaternalaeducationaisaanaimportantafactora
inapotentialainfantamortalityarates,abutaitaisanotatheamostaimportant.Additionally,maternaleducatio
nisamodifiableriskfactor.
,f ,f ,f
PTS: 1 DIF:
CognitiveLevel:UnderstandTOP:aNursingProcess: ,f ,f
Assessment
MSC: Clienta Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartuma Care
2. Aa23-year-oldaAfrican-
Americanawomanaisapregnantawithaherafirstachild.aBasedaonacurrentstatisticsforinfantmortalit ,f ,f
y,whichintervention ismostimportantforthenursetoincludeaintheclient’splanofcare? ,f ,f ,f
a. Performanutritionassessment. ,f ,f
b. Referthewomantoasocialworker. ,f ,f ,f ,f
c. Advisethewomantoseeanobstetrician,notamidwife. ,f ,f ,f
d. Explaintothewomantheimportanceofkeepingherprenatalcareappointments. ,f
ANS: D
Consistentaprenatalacareaisatheabestamethodaofapreventingaoracontrollingariskafactorsaassociated
withinfantamortality.aNutritionalastatusisanaimportantmodifiableriskfactor,butaitisanotatheamo
staimportantaactionaaanurseashouldatakeainathisasituation.aTheaclientamayaneedaassistancefromaso ,f
cialworkeratsometimeduringherpregnancy,butareferraltoasocialaworkerisnotthemostimporta ,f ,f ,f ,f ,f
ntaspectthenurseshouldaddressatthistime.Ifthewomanahasaidentifiableahigh-
,f ,f ,f ,f ,f
riskaproblems,athenaherahealthacareamayaneedatoabeaprovidedabya a physician.However,itcannot
beassumedthatallAfrican-American womenhavehigh- ,f ,f
a risk i ssues.aInaaddition,aadvisingatheawomanatoaseeaanaobstetricianaisanotatheamostaimportantaas
,f
pectaonawhichatheanurseashouldafocusaatathisatime,aandaitaisanotaappropriateaforaaanurseatoadviseor
managethetypeofcareaclientistoreceive. ,f ,f
PTS: 1 DIF:
CognitiveLevel:UnderstandTOP:aNursingProcess: ,f ,f
Planning
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
MSC:a ClientNeeds:HealthPromotionandMaintenance ,f ,f
3. Thenurses workingataanewlyestablishedbirthingcenterhavebeguntoacomparethe
,f ,f ,f
irperformanceainaprovidingamaternal-
newbornacareaagainstaclinicalastandards.aThisacomparisonprocessis mostcommo ,f ,f ,f
nlyknownaswhat?
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-orientedp racNtiUceR S
d. Evidence-basedpractice
ANS: C
Outcomes-
orientedapracticeameasuresatheaeffectivenessaofatheainterventionsaandaqualityofacareagainstabe
nchmarksaorastandards.aThetermabestpracticeareferstoaprogramaorserviceathathasbeenarecogn
izedforaitsaexcellence.aClinicalabenchmarkingaisaaaprocessausedatoacompareone’saownaperform
anceaagainstatheaperformanceaofatheabestainaanaareaaofaservice.aTheatermaevidence-
basedapracticearefersatoatheaprovisionaofacareabasedaonaevidenceagainedathrougharesearchandclini ,f
caltrials.
,f
PTS: 1 DIF:
CognitiveLevel:UnderstandaTOP:aNursingProcess: ,f
Evaluation
MSC:a ClientNeeds:SafeandEffectiveCareEnvironment
,f ,f ,f
4. Duringaaaprenatalaintakeainterview,atheanurseaisainatheaprocessaofaobtainingaanainitialaas
sessmentaofaaa21-year-
oldaHispanicaclientawithalimitedaEnglishaproficiency.aWhichinterventionisthemostimp ,f
ortantforthenursetoimplement?
,f ,f
a. Usematernityjargontoenabletheclienttobecomefamiliarwiththeseterms.
,f ,f
b. Speakquicklyandefficientlytoexpeditethevisit.
,f ,f
c. Providetheclientwithhandouts. ,f ,f
d. Assesswhethertheclientunderstandsthediscussion.
ANS: D
Nursesacontributeatoahealthaliteracyabyausingasimple,acommonawords,aavoidingajargon,aande
valuatingawhetheratheaclientaunderstandsatheadiscussion.aSpeakingaslowlyaandaclearlyaandafo
cusingaonawhataisaimportantawillaincreaseaunderstanding.aMostaclientaeducationmaterials area ,f
writtenaataaalevelatooahighaforatheaaverageaadultaandamayanotabeausefulaforaaaclientawithlimitedE ,f
nglishproficiency.
PTS: 1 DIF:
CognitiveLevel:ApplyaTOP:aNursingProcess: ,f
Implementation
MSC:a ClientNeeds:HealthPromotionandMaintenance ,f ,f
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
,f ,f
a. Useofmidwivesforallvaginaldeliveries
,f ,f
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-
drivencareaANS:a B
il
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Contemporarymaternitynursingfocusesonthefamily’sneedsanddesires.Fathers,apartners,grandp ,f ,f ,f
arents,aandasiblingsamaybeapresentafortheabirthandaparticipateainactivitiesasuchaasacuttingthebaby ,f
’sumbilicalcord.Bothmidwives andphysiciansperform vaginaldeliveries.
,f ,f ,f ,f ,f ,f
Free-
standingaclinicsaareaanaexampleaofaalternativeabirthaoptions.aContemporaryamaternityanursingisdrivenbyth ,f ,f ,f
erelationshipbetweennursesandtheirclients. ,f ,f
PTS: 1 DIF:
CognitiveLevel:UnderstandTOP:aNursingProcess: ,f ,f
Planning
MSC:a ClientNeeds:HealthPromotionandMaintenance ,f ,f
6. A38-year-oldHispanicwomanvaginallydelivereda9-pound,6- ,f ,f ,f ,f
ouncebabygirlafterbeingainlaborafora43ahours.aTheababyadieda3adaysalaterafromasepsis.aOna ,f
whatagroundsacouldatheawomanhavealegitimatelegalcasefornegligence? ,f ,f
a. Inexperiencedmaternitynursewas assignedtocarefortheclient. ,f ,f ,f
b. Clientwaspastherduedateby3days.,f ,f
c. Standardofcarewasnotmet. ,f ,f ,f
d. Clientrefusedelectronicfetalmonitoring. ,f ,f
ANS: C
Notmeetingtheastandardaofacareaisaaalegitimateafactoraforaaacaseaofanegligence.aAnainexp
eriencedmaternitynurseawouldneedatoadisplaycompetencybeforeabeingaassignedatocare
forclientsonhisorherown.Thisclientmayhavebeenpastherduedate;however,aatermpregn
,f ,f ,f ,f ,f ,f
ancyoftengoesbeyond40weeksofgestation.Althoughfetalmonitoringistheastandardofca
,f ,f ,f ,f ,f ,f
re,theclienthastherighttorefusetreatment.Thisrefusalisnotacaseforanegligence,butinfor
,f ,f ,f ,f ,f ,f
medconsentshouldbeproperlyobtained,andtheclientashouldhavesignedaanaagainstmedi
,f ,f ,f ,f ,f
caladviceaformawhenarefusingaanyatreatmentathataisawithinatheastandardofcare. ,f
PTS: 1 DIF:
CognitiveLevel:AnalyzeaTOP:aNursingProcess ,f
:Implementation
MSC:a ClientNeeds:SafeandEffectiveCareEnvironment ,f ,f ,f
7. Whenthenurseisunsurehowtoperformaclient careprocedurethatishigha
,f ,f ,f ,f ,f ,f ,f
riskandlowvolume,hisorherbestactioninthissituationwouldbewhat?
,f ,f ,f ,f ,f ,f ,f ,f
a. Askanothernurse. ,f
b. Discusstheprocedurewiththeclient’sphysician.
,f ,f ,f
c. Lookuptheprocedureinanursingtextbook.
,f ,f ,f ,f ,f
d. Firstconsulttheagencyproceduremanual ,f
ANS: D
Following theaagency’sapoliciesaandaproceduresamanualaisaalwaysabestawhenaseekingainformati
,f
ononcorrectclientprocedures.Thesepoliciesshouldreflectthecurrentstandardsofcareaandtheaindi
,f ,f ,f ,f ,f ,f ,f
vidualastate’saguidelines.aEachanurseaisaresponsibleaforahisaoraheraownapractice.Relyingonanoth
ernursemaynotalwaysbeasafepractice.Eachnurseisobligatedatoafollowatheastandardsaofacareafo
,f ,f ,f ,f ,f
rasafeaclientacareadelivery.aPhysiciansaarearesponsibleaforatheiraownaclientacareaactivity.aNursesa
mayfollowasafeaordersafromaphysicians,abutatheyaareaalsoaresponsibleaforatheaactivitiesathatathey
,aasanurses,aareatoacarryout.aInformationaprovidedinaanursingtextbookisbasicainformationforge
neralaknowledge.aFurthermore,
theainformationaina
aatextbookamaynotareflectatheacurrentastandardaofacareaoratheaindividualastateorhospitalpolicies. ,f
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Chapter01:21stCenturyMaternity andWomen’sHealthNursingLowdermilk: Maternity&Women’s
,f a a ,f
HealthCare,12thEdition ,f
MULTIPLECHOICE
1. Inevaluatingthelevelofapregnantwoman’sriskofhavingalow-birth-
,f ,f ,f ,f ,f ,f ,f ,f
aweight( LBW)infant,whichfactoristhemostimportantforthenursetoconsider?
,f ,f ,f ,f ,f ,f
a. African-Americanrace
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: A
TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-
,f ,f ,f ,f ,f
Hispanicblackwomena(13.35%)aandaHispanicawomena(7.21%);anon-
Hispanicablackainfantsaareaalmostatwiceaaslikelyas non- ,f ,f
HispanicwhiteinfantstobeofLBWandtodieinthefirstyearoflife..
,f ,f ,f ,f ,f
Raceisanonmodifiableriskfactor.Cigarettesmokingisanimportantfactorinpotentialainfantmorta ,f ,f ,f ,f
lityrates,abutaitaisanotatheamostaimportant.aAdditionally,asmokingaisaaamodifiableariskafactor.Poor
nutritionisanimportantfactorinpotentialinfantmortalityrates,butitisnottheamostaimportant.aAd
,f ,f ,f ,f ,f
ditionally,anutritionalastatusaisaaamodifiableariskafactor.aMaternalaeducationaisaanaimportantafactora
inapotentialainfantamortalityarates,abutaitaisanotatheamostaimportant.Additionally,maternaleducatio
nisamodifiableriskfactor.
,f ,f ,f
PTS: 1 DIF:
CognitiveLevel:UnderstandTOP:aNursingProcess: ,f ,f
Assessment
MSC: Clienta Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartuma Care
2. Aa23-year-oldaAfrican-
Americanawomanaisapregnantawithaherafirstachild.aBasedaonacurrentstatisticsforinfantmortalit ,f ,f
y,whichintervention ismostimportantforthenursetoincludeaintheclient’splanofcare? ,f ,f ,f
a. Performanutritionassessment. ,f ,f
b. Referthewomantoasocialworker. ,f ,f ,f ,f
c. Advisethewomantoseeanobstetrician,notamidwife. ,f ,f ,f
d. Explaintothewomantheimportanceofkeepingherprenatalcareappointments. ,f
ANS: D
Consistentaprenatalacareaisatheabestamethodaofapreventingaoracontrollingariskafactorsaassociated
withinfantamortality.aNutritionalastatusisanaimportantmodifiableriskfactor,butaitisanotatheamo
staimportantaactionaaanurseashouldatakeainathisasituation.aTheaclientamayaneedaassistancefromaso ,f
cialworkeratsometimeduringherpregnancy,butareferraltoasocialaworkerisnotthemostimporta ,f ,f ,f ,f ,f
ntaspectthenurseshouldaddressatthistime.Ifthewomanahasaidentifiableahigh-
,f ,f ,f ,f ,f
riskaproblems,athenaherahealthacareamayaneedatoabeaprovidedabya a physician.However,itcannot
beassumedthatallAfrican-American womenhavehigh- ,f ,f
a risk i ssues.aInaaddition,aadvisingatheawomanatoaseeaanaobstetricianaisanotatheamostaimportantaas
,f
pectaonawhichatheanurseashouldafocusaatathisatime,aandaitaisanotaappropriateaforaaanurseatoadviseor
managethetypeofcareaclientistoreceive. ,f ,f
PTS: 1 DIF:
CognitiveLevel:UnderstandTOP:aNursingProcess: ,f ,f
Planning
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
MSC:a ClientNeeds:HealthPromotionandMaintenance ,f ,f
3. Thenurses workingataanewlyestablishedbirthingcenterhavebeguntoacomparethe
,f ,f ,f
irperformanceainaprovidingamaternal-
newbornacareaagainstaclinicalastandards.aThisacomparisonprocessis mostcommo ,f ,f ,f
nlyknownaswhat?
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-orientedp racNtiUceR S
d. Evidence-basedpractice
ANS: C
Outcomes-
orientedapracticeameasuresatheaeffectivenessaofatheainterventionsaandaqualityofacareagainstabe
nchmarksaorastandards.aThetermabestpracticeareferstoaprogramaorserviceathathasbeenarecogn
izedforaitsaexcellence.aClinicalabenchmarkingaisaaaprocessausedatoacompareone’saownaperform
anceaagainstatheaperformanceaofatheabestainaanaareaaofaservice.aTheatermaevidence-
basedapracticearefersatoatheaprovisionaofacareabasedaonaevidenceagainedathrougharesearchandclini ,f
caltrials.
,f
PTS: 1 DIF:
CognitiveLevel:UnderstandaTOP:aNursingProcess: ,f
Evaluation
MSC:a ClientNeeds:SafeandEffectiveCareEnvironment
,f ,f ,f
4. Duringaaaprenatalaintakeainterview,atheanurseaisainatheaprocessaofaobtainingaanainitialaas
sessmentaofaaa21-year-
oldaHispanicaclientawithalimitedaEnglishaproficiency.aWhichinterventionisthemostimp ,f
ortantforthenursetoimplement?
,f ,f
a. Usematernityjargontoenabletheclienttobecomefamiliarwiththeseterms.
,f ,f
b. Speakquicklyandefficientlytoexpeditethevisit.
,f ,f
c. Providetheclientwithhandouts. ,f ,f
d. Assesswhethertheclientunderstandsthediscussion.
ANS: D
Nursesacontributeatoahealthaliteracyabyausingasimple,acommonawords,aavoidingajargon,aande
valuatingawhetheratheaclientaunderstandsatheadiscussion.aSpeakingaslowlyaandaclearlyaandafo
cusingaonawhataisaimportantawillaincreaseaunderstanding.aMostaclientaeducationmaterials area ,f
writtenaataaalevelatooahighaforatheaaverageaadultaandamayanotabeausefulaforaaaclientawithlimitedE ,f
nglishproficiency.
PTS: 1 DIF:
CognitiveLevel:ApplyaTOP:aNursingProcess: ,f
Implementation
MSC:a ClientNeeds:HealthPromotionandMaintenance ,f ,f
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
,f ,f
a. Useofmidwivesforallvaginaldeliveries
,f ,f
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-
drivencareaANS:a B
il
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Contemporarymaternitynursingfocusesonthefamily’sneedsanddesires.Fathers,apartners,grandp ,f ,f ,f
arents,aandasiblingsamaybeapresentafortheabirthandaparticipateainactivitiesasuchaasacuttingthebaby ,f
’sumbilicalcord.Bothmidwives andphysiciansperform vaginaldeliveries.
,f ,f ,f ,f ,f ,f
Free-
standingaclinicsaareaanaexampleaofaalternativeabirthaoptions.aContemporaryamaternityanursingisdrivenbyth ,f ,f ,f
erelationshipbetweennursesandtheirclients. ,f ,f
PTS: 1 DIF:
CognitiveLevel:UnderstandTOP:aNursingProcess: ,f ,f
Planning
MSC:a ClientNeeds:HealthPromotionandMaintenance ,f ,f
6. A38-year-oldHispanicwomanvaginallydelivereda9-pound,6- ,f ,f ,f ,f
ouncebabygirlafterbeingainlaborafora43ahours.aTheababyadieda3adaysalaterafromasepsis.aOna ,f
whatagroundsacouldatheawomanhavealegitimatelegalcasefornegligence? ,f ,f
a. Inexperiencedmaternitynursewas assignedtocarefortheclient. ,f ,f ,f
b. Clientwaspastherduedateby3days.,f ,f
c. Standardofcarewasnotmet. ,f ,f ,f
d. Clientrefusedelectronicfetalmonitoring. ,f ,f
ANS: C
Notmeetingtheastandardaofacareaisaaalegitimateafactoraforaaacaseaofanegligence.aAnainexp
eriencedmaternitynurseawouldneedatoadisplaycompetencybeforeabeingaassignedatocare
forclientsonhisorherown.Thisclientmayhavebeenpastherduedate;however,aatermpregn
,f ,f ,f ,f ,f ,f
ancyoftengoesbeyond40weeksofgestation.Althoughfetalmonitoringistheastandardofca
,f ,f ,f ,f ,f ,f
re,theclienthastherighttorefusetreatment.Thisrefusalisnotacaseforanegligence,butinfor
,f ,f ,f ,f ,f ,f
medconsentshouldbeproperlyobtained,andtheclientashouldhavesignedaanaagainstmedi
,f ,f ,f ,f ,f
caladviceaformawhenarefusingaanyatreatmentathataisawithinatheastandardofcare. ,f
PTS: 1 DIF:
CognitiveLevel:AnalyzeaTOP:aNursingProcess ,f
:Implementation
MSC:a ClientNeeds:SafeandEffectiveCareEnvironment ,f ,f ,f
7. Whenthenurseisunsurehowtoperformaclient careprocedurethatishigha
,f ,f ,f ,f ,f ,f ,f
riskandlowvolume,hisorherbestactioninthissituationwouldbewhat?
,f ,f ,f ,f ,f ,f ,f ,f
a. Askanothernurse. ,f
b. Discusstheprocedurewiththeclient’sphysician.
,f ,f ,f
c. Lookuptheprocedureinanursingtextbook.
,f ,f ,f ,f ,f
d. Firstconsulttheagencyproceduremanual ,f
ANS: D
Following theaagency’sapoliciesaandaproceduresamanualaisaalwaysabestawhenaseekingainformati
,f
ononcorrectclientprocedures.Thesepoliciesshouldreflectthecurrentstandardsofcareaandtheaindi
,f ,f ,f ,f ,f ,f ,f
vidualastate’saguidelines.aEachanurseaisaresponsibleaforahisaoraheraownapractice.Relyingonanoth
ernursemaynotalwaysbeasafepractice.Eachnurseisobligatedatoafollowatheastandardsaofacareafo
,f ,f ,f ,f ,f
rasafeaclientacareadelivery.aPhysiciansaarearesponsibleaforatheiraownaclientacareaactivity.aNursesa
mayfollowasafeaordersafromaphysicians,abutatheyaareaalsoaresponsibleaforatheaactivitiesathatathey
,aasanurses,aareatoacarryout.aInformationaprovidedinaanursingtextbookisbasicainformationforge
neralaknowledge.aFurthermore,
theainformationaina
aatextbookamaynotareflectatheacurrentastandardaofacareaoratheaindividualastateorhospitalpolicies. ,f
