Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank ISBN: 9780323556293

MaternityandWomen'sHealthCare13thEditionLowdermilkTest

, MaternityandWomen'sHealthCare13thEditionLowdermilkTest

Chapter01:21stCenturyMaternityandWomen’sHealthNursingLowdermilk: b s x




xMaternity&Women’sHealthCare,13thEdition x




MULTIPLECHOICE

1. Inevaluatingthelevelofapregnantwoman’sriskofhavinga low-birth-weight(LBW) s x b x




infant,whichfactoristhemost importantforthenursetoconsider?
x x x x x x




a. African-Americanrace x




b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternaleducation
ANS: A x x




TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-Hispanicblackwomen s x




(13.35%)andHispanicwomen (7.21%);non-Hispanic blackinfantsarealmosttwiceas likelyas
x s s s x s



non-HispanicwhiteinfantstobeofLBWandtodieinthefirstyearoflife..Raceisa
x s s s b s



nonmodifiableriskfactor.Cigarettesmokingisanimportant factorinpotentialinfantmortality
x x b s x




rates,butitisnotthemostimportant.Additionally,smokingisamodifiableriskfactor.Poor
x s s s



nutritionisanimportantfactorinpotentialinfantmortalityrates,butitisnotthemostimportant.
x s s s x




Additionally,nutritionalstatusisamodifiablerisk factor.Maternaleducationisanimportant
x s x




factorinpotentialinfantmortalityrates,butitisnotthemostimportant.Additionally,maternal
x s x




educationisamodifiableriskfactor.
x x x




PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Assessment
x x




MSC: Client Needs: HealtN
hUPrRoS
mI ioG
o tN nTa nBd.MCaOi nMt e n a n c e , AntepartumCare
x x x x x




2. A 23-year-old African-American woman is pregnant with her first child. Based on current
x x x x x x x x x x x x




statisticsforinfant mortality, whichintervention is most importantforthe nurse to include in the
x x x x x x x x x x x




client’splanofcare?
x s



a. Perform anutritionassessment. b




b. Referthewomantoa socialworker. b




c. Advisethewomantoseeanobstetrician,notamidwife. s



d. Explaintothewomantheimportanceofkeeping herprenatalcareappointments. x




ANS: D x x




Consistentprenatalcareisthebestmethodofpreventingorcontrollingriskfactorsassociated s s s



withinfant mortality.Nutritionalstatusisanimportantmodifiableriskfactor,butitisnotthe most
x s x x




important actionanurseshouldtakeinthissituation.Theclient mayneedassistancefroma
x x x x x




socialworkeratsometimeduringherpregnancy,butareferraltoasocialworkerisnotthemost
x x x x x x x x x




importantaspectthenurseshouldaddressatthistime.Ifthewomanhasidentifiablehigh-risk
x s s



problems,thenherhealthcaremayneedtobeprovidedbyaphysician.However,itcannotbe
x s s s s s s s s



assumedthatallAfrican-Americanwomenhavehigh-riskissues.Inaddition,advisingthe
x x x x




womantoseeanobstetricianisnotthemostimportantaspectonwhichthenurseshouldfocusatthis
x s s s x




time,anditisnotappropriatefora nursetoadviseormanagethetypeofcareaclientisto receive.
x x s x




PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Planning
x x

, MaternityandWomen'sHealthCare13thEditionLowdermilkTest

MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x




3. Thenursesworkingatanewlyestablishedbirthingcenterhavebegunto comparetheir x




performanceinprovidingmaternal-newborncareagainst clinical standards. This
x x x x




comparison process ismostcommonlyknownaswhat?
x x x x x x




a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-oriented pracNt iUc eRS x x x x x
x




d. Evidence-based practice x




ANS: C x




Outcomes-orientedpracticemeasurestheeffectivenessoftheinterventionsandqualityofcare
againstbenchmarksorstandards.Thetermbestpracticereferstoaprogram orservicethathasbeen
x x b b x




recognizedforitsexcellence.Clinicalbenchmarkingisaprocessusedtocompareone’s
x s s s



ownperformanceagainstthe performance ofthebestinanarea ofservice.The termevidence-
x s s s s x s



basedpracticerefers to theprovisionofcarebased onevidencegainedthrough research and
x x x x x x x x




clinicaltrials.
x




PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Evaluation
x x




MSC:ClientNeeds:SafeandEffectiveCareEnvironment
x s




4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
x x x x x x x x x x x x x x




assessment of a 21-year-old Hispanic client with limited English proficiency. Which
x x x x x x x x x x x




interventionisthemostimportant forthenursetoimplement?
x s s



a. Usematernityjargontoenabletheclienttobecomefamiliarwiththeseterms.
b. Speak quicklyandefficientlytoexpeditethe visit.
x x




c. Providetheclient withhandouts. b x




d. Assesswhethertheclient understandsthediscussion. x




ANS: D x x




Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
x x x x x x x x x x x x




evaluating whether the client understands the discussion. Speaking slowly and clearly and
x x x x x x x x x x x x




focusingonwhat isimportantwillincreaseunderstanding. Mostclient educationmaterials are
x x x x x




written at a level too high for the average adult and may not be useful for a client with limited
x x x x x x x x x x x x x x x x x x x x




Englishproficiency.
x




PTS: 1 DIF: CognitiveLevel:Apply
TOP: NursingProcess:Implementation
x x




MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x




5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useofmidwivesforallvaginaldeliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-drivencare
ANS: B x

, MaternityandWomen'sHealthCare13thEditionLowdermilkTest

Contemporarymaternitynursingfocusesonthefamily’sneedsanddesires.Fathers,partners, s



grandparents,andsiblingsmaybepresentforthebirthandparticipateinactivitiessuchascutting
x x x x x




thebaby’sumbilicalcord.Bothmidwivesandphysiciansperformvaginaldeliveries.Free-
x s



standingclinicsareanexampleofalternativebirthoptions.Contemporarymaternitynursingis
x s s



drivenbytherelationshipbetweennursesandtheirclients.
x




PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess:Planning
x x




MSC: ClientNeeds:HealthPromotionandMaintenance
x x x x




6. A38-year-old Hispanicwoman vaginallydelivered a9-pound, 6-ouncebabygirlafterbeing in labor for
x x b b x x x x




43 hours. The baby died 3 dayslater fromsepsis. On what grounds could the woman have a
x x x x x x x x x x x x x x x x




legitimatelegalcasefornegligence?
x




a. Inexperiencedmaternitynursewasassignedtocarefortheclient.
b. Clientwaspastherduedateby3days. x




c. Standardofcarewasnotmet. x




d. Clientrefused electronicfetalmonitoring. b




ANS: C x




Notmeetingthestandardofcareisalegitimatefactorforacaseofnegligence.An
s s s x




inexperiencedmaternitynursewouldneedtodisplaycompetencybeforebeingassignedtocare
x x x




forclientsonhisorherown.Thisclientmayhavebeenpastherduedate;however,aterm
x x x x




pregnancyoftengoesbeyond40weeksofgestation.Althoughfetalmonitoringisthestandardofcare,
x x x




theclienthastherighttorefusetreatment.Thisrefusalisnotacasefornegligence,butinformedconsent
x s s s s x




shouldbeproperlyobtained,and theclientshouldhavesigned an againstmedicaladviceformwhen
x s s s x




refusinganytreatmentthatiswithinthestandardofcare.
x s




PTS: 1 DIF: CognitiveLevel:Analyze
TOP: NursingProcess:Implementation
x x




MSC:ClientNeeds:SafeandEffectiveCareEnvironment
x s




7. Whenthenurseisunsurehowto performa clientcareprocedurethatishighriskandlow x b b




volume,hisorherbestactioninthissituationwouldbewhat?
x x x




a. Askanothernurse. x




b. Discusstheprocedurewiththeclient’sphysician.
c. Lookuptheprocedureina nursingtextbook. x x




d. Firstconsulttheagencyproceduremanual
s x




ANS: D x x




Followingtheagency’spoliciesandproceduresmanualisalwaysbestwhenseeking
s s s s



informationoncorrectclientprocedures.Thesepoliciesshouldreflectthecurrentstandardsof
x x x




careandtheindividualstate’sguidelines.Eachnurseisresponsibleforhisorherownpractice.
x s s s



Relyingonanothernursemaynotalwaysbeasafepractice.Each nurseis obligated tofollowthe
x x s s x




standardsofcareforsafeclientcaredelivery.Physiciansareresponsiblefortheirownclient
x s s



careactivity.Nurses mayfollowsafeordersfrom physicians,buttheyarealsoresponsiblefor
x x x x x




theactivitiesthatthey,asnurses,aretocarryout.Informationprovidedinanursingtextbookis basic
x x x x x x b x




informationforgeneralknowledge.Furthermore, theinformationinatextbookmaynot
x x x x




reflect thecurrentstandardofcareortheindividualstateorhospitalpolicies.
x s