Test Bank for Maternal & Child Health Nursing 9th Edition | Silbert-Flagg | Nursing Exam Prep

MaternityYandYWomen'sYHealthYCareY13thYEditionYLowdermilkYTes
t

, MaternityYandYWomen'sYHealthYCareY13thYEditionYLowdermilkYTes
t
Chapter 01: 21st Century Maternity and Women’s Health Nursin
Y Y Y Y Y Y Y Y

g Lowdermilk: Maternity & Women’s Health Care, 13th Edition
Y Y Y Y Y Y Y Y




MULTIPLEYCHOICE

1. InYevaluatingYtheYlevelYofYaYpregnantYwoman’sYriskYofYhavingYaYlow-birth-
weightY(LBW)Yinfant,YwhichYfactorYisYtheYmostYimportantYforYtheYnurseYtoYconsider?
a. African-AmericanYrace
b. CigaretteYsmoking
c. PoorYnutritionalYstatus
d. LimitedYmaternalYeducation
ANS:Y A
TheYriseYinYtheYoverallYLBWYratesYwereYdueYtoYincreasesYinYLBWYbirthsYtoYnon-
HispanicYblackYwomenY(13.35%)YandYHispanicYwomenY(7.21%);Ynon-
HispanicYblackYinfantsYareYalmostYtwiceYasYlikelyYasYnon-
HispanicYwhiteYinfantsYtoYbeYofYLBWYandYtoYdieYinYtheYfirstYyearYofYlife..YRaceYisYaYnonmod
ifiableYriskYfactor.YCigaretteYsmokingYisYanYimportantYfactorYinYpotentialYinfantYmortalityYrat
es,YbutYitYisYnotYtheYmostYimportant.YAdditionally,YsmokingYisYaYmodifiableYriskYfactor.YPoo
rYnutritionYisYanYimportantYfactorYinYpotentialYinfantYmortalityYrates,YbutYitYisYnotYtheYmostYi
mportant.YAdditionally,YnutritionalYstatusYisYaYmodifiableYriskYfactor.YMaternalYeducationYis
YanYimportantYfactorYinYpotentialYinfantYmortalityYrates,YbutYitYisYnotYtheYmostYimportant.YAd

ditionally,YmaternalYeducationYisYaYmodifiableYriskYfactor.

PTS: 1 DIF:
CognitiveYLevel:YUnderstandYTOP:
NursingYProcess:YAssessment
MSC:YYYClientYNeeds:Y HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,YAntepartumYCare
2. AY23-year-oldYAfrican-
AmericanYwomanYisYpregnantYwithYherYfirstYchild.YBasedYonYcurrentYstatisticsYforYinfantYm
ortality,YwhichYinterventionYisYmostYimportantYforYtheYnurseYtoYincludeYinYtheYclient’sYplanY
ofYcare?
a. PerformYaYnutritionYassessment.
b. ReferYtheYwomanYtoYaYsocialYworker.
c. AdviseYtheYwomanYtoYseeYanYobstetrician,YnotYaYmidwife.
d. ExplainYtoYtheYwomanYtheYimportanceYofYkeepingYherYprenatalYcareYappointments.
ANS:Y D
ConsistentYprenatalYcareYisYtheYbestYmethodYofYpreventingYorYcontrollingYriskYfactorsYassoci
atedYwithYinfantYmortality.YNutritionalYstatusYisYanYimportantYmodifiableYriskYfactor,YbutYitYisY
notYtheYmostYimportantYactionYaYnurseYshouldYtakeYinYthisYsituation.YTheYclientYmayYneedYas
sistanceYfromYaYsocialYworkerYatYsomeYtimeYduringYherYpregnancy,YbutYaYreferralYtoYaYsocialY
workerYisYnotYtheYmostYimportantYaspectYtheYnurseYshouldYaddressYatYthisYtime.YIfYtheYwoma
nYhasYidentifiableYhigh-
riskYproblems,YthenYherYhealthYcareYmayYneedYtoYbeYprovidedYbyYaYphysician.YHowever,YitYc
annotYbeYassumedYthatYallYAfrican-AmericanYwomenYhaveYhigh-
riskYissues.YInYaddition,YadvisingYtheYwomanYtoYseeYanYobstetricianYisYnotYtheYmostYimportan
tYaspectYonYwhichYtheYnurseYshouldYfocusYatYthisYtime,YandYitYisYnotYappropriateYforYaYnurseY
toYadviseYorYmanageYtheYtypeYofYcareYaYclientY isYtoYreceive.

PTS: 1 DIF:
CognitiveYLevel:YUnderstandYTOP:
NursingYProcess:YPlanning

, MaternityYandYWomen'sYHealthYCareY13thYEditionYLowdermilkYTes
t
MSC:Y ClientYNeeds:YHealthYPromotionYandYMaintenance

3. TheYnursesYworkingYatYaYnewlyYestablishedYbirthingYcenterYhaveYbegunYtoYcompareYthe
irYperformanceYinYprovidingYmaternal-
newbornYcareYagainstYclinicalYstandards.YThisYcomparisonYprocessYisYmostY commonlyY
knownYasYwhat?
a. BestYpracticesYnetwork
b. ClinicalYbenchmarking
c. Outcomes-orientedYpracNtiU
ceRS
d. Evidence-basedYpractice
ANS:Y C
Outcomes-
orientedYpracticeYmeasuresYtheYeffectivenessYofYtheYinterventionsYandYqualityYofYcareYagains
tYbenchmarksYorYstandards.YTheYtermYbestYpracticeYrefersYtoYaYprogramYorYserviceYthatYhasYbe
enYrecognizedYforYitsYexcellence.YClinicalYbenchmarkingYisYaYprocessYusedYtoYcompareYone’
sYownYperformanceYagainstYtheYperformanceYofYtheYbestYinYanYareaYofYservice.YTheYtermYevi
dence-
basedYpracticeYrefersYtoYtheYprovisionYofYcareYbasedYonYevidenceYgainedYthroughYresearchYa
ndYclinicalYtrials.

PTS: 1 DIF:
CognitiveYLevel:YUnderstandYTOP:
NursingYProcess:YEvaluation
MSC:Y ClientYNeeds:YSafeYandYEffectiveYCareYEnvironment

4. DuringYaYprenatalYintakeYinterview,YtheYnurseYisYinYtheYprocessYofYobtainingYanYiniti
alYassessmentYofYaY21-year-
oldYHispanicYclientYwithYlimitedYEnglishYproficiency.YWhichYinterventionYisYtheYmos
tYimportantYforYtheYnurseYtoYimplement?
a. UseYmaternityYjargonYtoYenableYtheYclientYtoYbecomeYfamiliarYwithYtheseYterms.
b. SpeakYquicklyYandYefficientlyYtoYexpediteYtheYvisit.
c. ProvideYtheYclientYwithYhandouts.
d. AssessYwhetherYtheYclientYunderstandsYtheYdiscussion.
ANS:Y D
NursesYcontributeYtoYhealthYliteracyYbyYusingYsimple,YcommonYwords,YavoidingYjargon,Ya
ndYevaluatingYwhetherYtheYclientYunderstandsYtheYdiscussion.YSpeakingYslowlyYandYclearly
YandYfocusingYonYwhatYisYimportantYwillYincreaseYunderstanding.YMostYclientYeducationYma
terialsYareYwrittenYatYaYlevelYtooYhighYforYtheYaverageYadultYandYmayYnotYbeYusefulYforYaYcli
entYwithYlimitedYEnglishYproficiency.

PTS: 1 DIF:
CognitiveYLevel:YApplyYTOP:
NursingYProcess:Y Implementation
MSC:Y ClientYNeeds:YHealthYPromotionYandYMaintenance


5. WhichYstatementYbestYexemplifiesYcontemporaryYmaternityYnursing?
a. UseYofYmidwivesYforYallYvaginalYdeliveries
b. Family-centeredYcare
c. Free-standingYbirthYclinics
d. Physician-
drivenYcareYANS:Y B

, MaternityYandYWomen'sYHealthYCareY13thYEditionYLowdermilkYTes
t
ContemporaryYmaternityYnursingYfocusesYonYtheYfamily’sYneedsYandYdesires.YFathers,Ypartn
ers,Ygrandparents,YandYsiblingsYmayYbeYpresentYforYtheYbirthYandYparticipateYinYactivitiesYsuc
hYasYcuttingYtheYbaby’sYumbilicalYcord.YBothYmidwivesYandYphysiciansYperformYvaginalYdel
iveries.YFree-
standingYclinicsYareYanYexampleYofYalternativeYbirthYoptions.YContemporaryYmaternityYnursi
ngYisYdrivenYbyYtheYrelationshipYbetweenYnursesYandYtheirYclients.

PTS: 1 DIF:
CognitiveYLevel:YUnderstandYTOP:
NursingYProcess:YPlanning
MSC:Y ClientYNeeds:YHealthYPromotionYandYMaintenance

6. AY38-year-oldYHispanicYwomanYvaginallyYdeliveredYaY9-pound,Y6-
ounceYbabyYgirlYafterYbeingYinYlaborYforY43Yhours.YTheYbabyYdiedY3YdaysYlaterYfromYsepsis.Y
OnYwhatYgroundsYcouldYtheYwomanYhaveYaYlegitimateYlegalYcaseYforYnegligence?
a. InexperiencedYmaternityYnurseYwasYassignedYtoYcareYforYtheYclient.
b. ClientYwasYpastYherYdueYdateYbyY3Ydays.
c. StandardYofYcareYwasYnotYmet.
d. ClientYrefusedYelectronicYfetalYmonitoring.
ANS:Y C
NotYmeetingYtheYstandardYofYcareYisYaYlegitimateYfactorYforYaYcaseYofYnegligence.YAnYinex
periencedYmaternityYnurseYwouldYneedYtoYdisplayYcompetencyYbeforeYbeingYassignedYtoYcar
eYforYclientsYonYhisYorYherYown.YThisYclientYmayYhaveYbeenYpastYherYdueYdate;Yhowever,YaYt
ermYpregnancyYoftenYgoesYbeyondY40YweeksYofYgestation.YAlthoughYfetalYmonitoringYisYth
eYstandardYofYcare,YtheYclientYhasYtheYrightYtoYrefuseYtreatment.YThisYrefusalYisYnotYaYcaseYf
orYnegligence,YbutYinformedYconsentYshouldYbeYproperlyYobtained,YandYtheYclientYshouldYh
aveYsignedYanYagainstYmedicalYadviceYformYwhenYrefusingYanyYtreatmentYthatYisYwithinYth
eYstandardYofYcare.
PTS: 1 DIF:
CognitiveYLevel:YAnalyzeYTOP:
NursingYProcess:Y Implementation
MSC:Y ClientYNeeds:YSafeYandYEffectiveYCareYEnvironment

7. WhenYtheYnurseYisYunsureYhowYtoYperformYaYclientYcareYprocedureYthatYisYhighYriskYandYl
owYvolume,YhisYorYherYbestYactionYinYthisYsituationYwouldYbeYwhat?
a. AskYanotherYnurse.
b. DiscussYtheYprocedureYwithYtheYclient’sYphysician.
c. LookYupYtheYprocedureYinYaYnursingYtextbook.
d. FirstYconsultYtheYagencyYprocedureYmanual
ANS:Y D
FollowingYtheYagency’sYpoliciesYandYproceduresYmanualYisYalwaysYbestYwhenYseekingYinfor
mationYonYcorrectYclientYprocedures.YTheseYpoliciesYshouldYreflectYtheYcurrentYstandardsYofY
careYandYtheYindividualYstate’sYguidelines.YEachYnurseYisYresponsibleYforYhisYorYherYownYpra
ctice.YRelyingYonYanotherYnurseYmayYnotYalwaysYbeYaYsafeYpractice.YEachYnurseYisYobligated
YtoYfollowYtheYstandardsYofYcareYforYsafeYclientYcareYdelivery.YPhysiciansYareYresponsibleYfo

rYtheirYownYclientYcareYactivity.YNursesYmayYfollowYsafeYordersYfromYphysicians,YbutYtheyYa
reYalsoYresponsibleYforYtheYactivitiesYthatYthey,YasYnurses,YareYtoYcarryYout.YInformationYprov
idedYinYaYnursingYtextbookYisYbasicYinformationYforYgeneralYknowledge.YFurthermore,YtheYinf
ormationYinYaYtextbookYmayYnotYreflectYtheYcurrentYstandardYofYcareYorYtheYindividualYstateY
orYhospitalYpolicies.