MATERNITY AND WOMEN’S HEALTH CARE

TEST BANK - MATERNITY AND WOMEN’S HEALTH CARE, 13TH EDITION CHAPTER ONE Chapter 01: 21st Century Maternity and Women's Health 1. To assess a mother's risk of having a low-birth-weight (LBW) infant, what is the most important factor for the nurse to consider? a. African-American race b. Cigarette smoking c. Poor nutritional status d. Limited maternal education - ANS: A For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the most important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an important factor in potential infant mortality rates, but it is not the most important. Additionally, maternal education is a modifiable risk factor. 2. What is the primary role of practicing nurses in the research process? a.Designing research studies b.Collecting data for other researchers c.Identifying researchable problems d.Seeking funding to support research studies - ANS: C When problems are identified, research can be properly conducted. Research of health care issues leads to evidence-based practice guidelines. Designing research studies is only one factor of the research process. Data collection is another factor of research. Financial support is necessary to conduct research, but it is not the primary role of the nurse in the research process. 3. The nurse should be aware that a statistic widely used to compare the health status of different populations is the: a. Incidence of specific infections, such as acquired immunodeficiency syndrome (AIDS) and tuberculosis b. Infant mortality rate c. Maternal morbidity rate d. Incidence of low-birth-weight (LBW) infants - ANS: B City, county, and state health departments provide annual reports of births and deaths. Maternal and infant death rates are particularly important because they reflect health outcomes that may be preventable. Infant mortality continues to be a concern in all populations. AIDS and tuberculosis may be the target of research studies; however, maternal and infant mortality rates are particularly important in the evaluation of the health of a population. The number of maternal deaths in the United States is small; however, worldwide many women die each year from problems related to pregnancy and childbirth. The incidence of LBW infants is monitored in order to determine risk factors such as racial disparity. It is not as widely used as infant mortality. 4. Alternative and complementary therapies: a. Replace conventional Western modalities of treatment b. Are used by only a small number of American adults c. Allow for more client autonomy d. Focus primarily on the disease an individual is experiencing - ANS: C City, county, and state health departments provide annual reports of births and deaths. Maternal and infant death rates are particularly important because they reflect health outcomes that may be preventable. Infant mortality continues to be a concern in all populations. Alternative and complementary therapies are part of an integrative approach to health care. An increasing number of American adults are seeking alternative and complementary health care options. Alternative healing modalities offer a holistic approach to health, focusing on the whole person and not just the disease. 5. The nurses working at a newly established birthing center have begun to compare their performance in providing maternal-newborn care against clinical standards. This comparison process, designed to improve the quality of client care, is called: a.. Best practices network b. Clinical benchmarking c. Outcomes-oriented care d. Evidence-based practice - ANS: C Outcomes-oriented care measures effectiveness of interventions and quality of care against benchmarks or standards.