MaternityandWomen'sHealthCare13thEditionLowdermilkTest
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Chapter01:21stCenturyMaternityandWomen’sHealthNursingLowdermilk: b
b s
b Maternity& bWomen’sHealthCare,13thEdition
MULTIPLECHOICE
1. Inevaluatingthelevelofapregnantwoman’srisk bofhaving a low-birth-weight
s b
b(LBW) binfant, bwhich bfactor bis bthemost bimportantforthenursetoconsider?
a. African-American brace
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: b b A
TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-Hispanicblack s
bwomen b(13.35%)andHispanicwomen (7.21%);non-Hispanicblackinfantsarealmosttwice
s s s
bas likelyas bnon-HispanicwhiteinfantstobeofLBWandtodieinthefirstyearoflife..Raceisa
s s s s b s
nonmodifiable briskfactor.Cigarettesmoking bisanimportant factorinpotential binfantmortality
b s
b rates,butitisnotthemostimportant.Additionally,smokingisamodifiableriskfactor.Poor
s s s
b nutritionisanimportantfactorinpotentialinfantmortalityrates,butitisnotthemost bimportant.
s s s
bAdditionally,nutritionalstatusisamodifiablerisk factor.Maternaleducationisan bimportant
s
bfactorinpotentialinfantmortalityrates,butitisnotthemostimportant.Additionally, bmaternal
s
beducation bis bamodifiableriskfactor.
PTS: 1 DIF: CognitiveLevel:Understand
bTOP: NursingProcess: bAssessment
MSC: Client bNeeds: b HealtN
hUPrRoS
mI ioG
o tN n bTa nBd.MCaOi nMt e n a n c e , bAntepartum bCare
2. A b23-year-old bAfrican-American bwoman bis bpregnant bwith bher bfirst bchild. bBased
bon bcurrent bstatisticsforinfant bmortality, bwhichintervention bis bmost bimportantforthe
bnurse bto binclude bin bthe bclient’splanofcare? s
a. Perform anutritionassessment.
b
b. Referthewomantoa socialworker.
b
c. Advisethewomantoseeanobstetrician,notamidwife.
s
d. Explaintothewoman btheimportanceofkeeping herprenatalcareappointments.
ANS: b b D
Consistentprenatalcareisthebestmethodofpreventingorcontrollingriskfactorsassociated
s s s
b withinfant mortality.Nutritionalstatusisanimportantmodifiableriskfactor,but bitisnotthe s
b most bimportant bactionanurseshould btakeinthissituation. bTheclient
bmayneedassistancefroma bsocialworker bat bsometimeduring bherpregnancy, bbut
bareferraltoasocial bworker bis bnotthemost
bimportantaspectthenurseshouldaddressatthistime.Ifthewomanhasidentifiablehigh-risk
s s
b problems,thenherhealthcaremayneedtobeprovidedbyaphysician.However,itcannotbe
s s s s s s s s
bassumedthatallAfrican-Americanwomenhavehigh-riskissues. bIn baddition, badvisingthe
bwomantoseeanobstetricianisnotthemostimportantaspectonwhichthenurseshouldfocusat
s s s
bthis btime, banditisnotappropriatefora nursetoadviseormanagethetypeofcareaclientisto
s
breceive.
PTS: 1 DIF: CognitiveLevel:Understand
bTOP: NursingProcess: bPlanning
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
MSC: b Client bNeeds: bHealthPromotionand bMaintenance
3. Thenursesworkingatanewlyestablishedbirthingcenterhavebegunto bcomparetheir
bperformanceinprovidingmaternal-newborncareagainst bclinical bstandards.
bThis bcomparison bprocess bismost bcommonlyknown bas bwhat?
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-oriented bp br babcNt iUc beR b
S
d. Evidence-based bpractice
ANS: b C
Outcomes-orientedpracticemeasurestheeffectivenessoftheinterventionsandqualityofcare
bagainstbenchmarksorstandards.Thetermbestpracticerefersto baprogram orservicethathas bbeen
b b
brecognizedforitsexcellence.Clinicalbenchmarkingisaprocessusedtocompareone’s
s s s
bownperformanceagainstthe performance ofthebestinanarea ofservice. bThe termevidence-
s s s s s
bbasedpractice brefers bto btheprovisionofcarebased bonevidence bgainedthrough bresearch
band bclinicaltrials.
PTS: 1 DIF: CognitiveLevel:Understand
bTOP: NursingProcess: bEvaluation
MSC: bClientNeeds:SafeandEffectiveCareEnvironment
s
4. During ba bprenatal bintake binterview, bthe bnurse bis bin bthe bprocess bof
bobtaining ban binitial bassessment bof ba b21-year-old bHispanic bclient bwith
blimited bEnglish bproficiency. bWhich
binterventionisthemostimportant forthenursetoimplement?
s s
a. Usematernityjargontoenabletheclienttobecomefamiliarwiththeseterms.
b. Speak bquicklyandefficientlytoexpeditethe bvisit.
c. Providetheclient b withhandouts.
b
d. Assesswhethertheclient b understandsthediscussion.
ANS: b b D
Nurses bcontribute bto bhealth bliteracy bby busing bsimple, bcommon bwords, bavoiding
bjargon, band bevaluating bwhether bthe bclient bunderstands bthe bdiscussion. bSpeaking
bslowly band bclearly band bfocusingonwhat bisimportantwillincreaseunderstanding.
bMostclient beducationmaterials bare bwritten bat ba blevel btoo bhigh bfor bthe baverage
badult band bmay bnot bbe buseful bfor ba bclient bwith blimited bEnglishproficiency.
PTS: 1 DIF: CognitiveLevel:Apply
bTOP: NursingProcess: bImplementation
MSC: b Client bNeeds: bHealthPromotionand bMaintenance
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useofmidwivesforallvaginaldeliveries
b. Family-centeredcare
c. Free-standingbirthclinics
ANS:
bB
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
d. Physician-drivencare
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
Chapter01:21stCenturyMaternityandWomen’sHealthNursingLowdermilk: b
b s
b Maternity& bWomen’sHealthCare,13thEdition
MULTIPLECHOICE
1. Inevaluatingthelevelofapregnantwoman’srisk bofhaving a low-birth-weight
s b
b(LBW) binfant, bwhich bfactor bis bthemost bimportantforthenursetoconsider?
a. African-American brace
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: b b A
TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-Hispanicblack s
bwomen b(13.35%)andHispanicwomen (7.21%);non-Hispanicblackinfantsarealmosttwice
s s s
bas likelyas bnon-HispanicwhiteinfantstobeofLBWandtodieinthefirstyearoflife..Raceisa
s s s s b s
nonmodifiable briskfactor.Cigarettesmoking bisanimportant factorinpotential binfantmortality
b s
b rates,butitisnotthemostimportant.Additionally,smokingisamodifiableriskfactor.Poor
s s s
b nutritionisanimportantfactorinpotentialinfantmortalityrates,butitisnotthemost bimportant.
s s s
bAdditionally,nutritionalstatusisamodifiablerisk factor.Maternaleducationisan bimportant
s
bfactorinpotentialinfantmortalityrates,butitisnotthemostimportant.Additionally, bmaternal
s
beducation bis bamodifiableriskfactor.
PTS: 1 DIF: CognitiveLevel:Understand
bTOP: NursingProcess: bAssessment
MSC: Client bNeeds: b HealtN
hUPrRoS
mI ioG
o tN n bTa nBd.MCaOi nMt e n a n c e , bAntepartum bCare
2. A b23-year-old bAfrican-American bwoman bis bpregnant bwith bher bfirst bchild. bBased
bon bcurrent bstatisticsforinfant bmortality, bwhichintervention bis bmost bimportantforthe
bnurse bto binclude bin bthe bclient’splanofcare? s
a. Perform anutritionassessment.
b
b. Referthewomantoa socialworker.
b
c. Advisethewomantoseeanobstetrician,notamidwife.
s
d. Explaintothewoman btheimportanceofkeeping herprenatalcareappointments.
ANS: b b D
Consistentprenatalcareisthebestmethodofpreventingorcontrollingriskfactorsassociated
s s s
b withinfant mortality.Nutritionalstatusisanimportantmodifiableriskfactor,but bitisnotthe s
b most bimportant bactionanurseshould btakeinthissituation. bTheclient
bmayneedassistancefroma bsocialworker bat bsometimeduring bherpregnancy, bbut
bareferraltoasocial bworker bis bnotthemost
bimportantaspectthenurseshouldaddressatthistime.Ifthewomanhasidentifiablehigh-risk
s s
b problems,thenherhealthcaremayneedtobeprovidedbyaphysician.However,itcannotbe
s s s s s s s s
bassumedthatallAfrican-Americanwomenhavehigh-riskissues. bIn baddition, badvisingthe
bwomantoseeanobstetricianisnotthemostimportantaspectonwhichthenurseshouldfocusat
s s s
bthis btime, banditisnotappropriatefora nursetoadviseormanagethetypeofcareaclientisto
s
breceive.
PTS: 1 DIF: CognitiveLevel:Understand
bTOP: NursingProcess: bPlanning
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
MSC: b Client bNeeds: bHealthPromotionand bMaintenance
3. Thenursesworkingatanewlyestablishedbirthingcenterhavebegunto bcomparetheir
bperformanceinprovidingmaternal-newborncareagainst bclinical bstandards.
bThis bcomparison bprocess bismost bcommonlyknown bas bwhat?
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-oriented bp br babcNt iUc beR b
S
d. Evidence-based bpractice
ANS: b C
Outcomes-orientedpracticemeasurestheeffectivenessoftheinterventionsandqualityofcare
bagainstbenchmarksorstandards.Thetermbestpracticerefersto baprogram orservicethathas bbeen
b b
brecognizedforitsexcellence.Clinicalbenchmarkingisaprocessusedtocompareone’s
s s s
bownperformanceagainstthe performance ofthebestinanarea ofservice. bThe termevidence-
s s s s s
bbasedpractice brefers bto btheprovisionofcarebased bonevidence bgainedthrough bresearch
band bclinicaltrials.
PTS: 1 DIF: CognitiveLevel:Understand
bTOP: NursingProcess: bEvaluation
MSC: bClientNeeds:SafeandEffectiveCareEnvironment
s
4. During ba bprenatal bintake binterview, bthe bnurse bis bin bthe bprocess bof
bobtaining ban binitial bassessment bof ba b21-year-old bHispanic bclient bwith
blimited bEnglish bproficiency. bWhich
binterventionisthemostimportant forthenursetoimplement?
s s
a. Usematernityjargontoenabletheclienttobecomefamiliarwiththeseterms.
b. Speak bquicklyandefficientlytoexpeditethe bvisit.
c. Providetheclient b withhandouts.
b
d. Assesswhethertheclient b understandsthediscussion.
ANS: b b D
Nurses bcontribute bto bhealth bliteracy bby busing bsimple, bcommon bwords, bavoiding
bjargon, band bevaluating bwhether bthe bclient bunderstands bthe bdiscussion. bSpeaking
bslowly band bclearly band bfocusingonwhat bisimportantwillincreaseunderstanding.
bMostclient beducationmaterials bare bwritten bat ba blevel btoo bhigh bfor bthe baverage
badult band bmay bnot bbe buseful bfor ba bclient bwith blimited bEnglishproficiency.
PTS: 1 DIF: CognitiveLevel:Apply
bTOP: NursingProcess: bImplementation
MSC: b Client bNeeds: bHealthPromotionand bMaintenance
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useofmidwivesforallvaginaldeliveries
b. Family-centeredcare
c. Free-standingbirthclinics
ANS:
bB
, MaternityandWomen'sHealthCare13thEditionLowdermilkTest
d. Physician-drivencare
