Maternityg&gWomen’sgHealthgCareg12thgEditiongLowdermilkgTestgBank
Chapterg1:g21stgCenturygMaternitygandgWomen’sgHealthgNursing
MULTIPLEgCHOICE
1. Ingevaluatinggtheglevelgofgagpregnantgwomansgriskgofghavinggaglow-birth-
weightg(LBW)ginfant,gwhichgfactorgisgthegmostgimportantgforgthegnursegtogconsider?
a. African-Americangrace
b. Cigarettegsmoking
c. Poorgnutritionalgstatus
d. Limitedgmaternalgeducation
ANS:gA
ForgAfrican-
Americangbirths,gthegincidencegofgLBWginfantsgisgtwicegthatgofgCaucasiangbirths.gRacegisgagnon
modifiablegriskgfactor.gCigarettegsmokinggisgangimportantgfactorgingpotentialginfantgmortalitygrate
s,gbutgitgisgnotgthegmostgimportant.gAdditionally,gsmokinggisgagmodifiablegriskgfactor.gPoorgnutriti
ongisgangimportantgfactorgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgimportant.gAd
ditionally,gnutritionalgstatusgisgagmodifiablegriskgfactor.gMaternalgeducationgisgangimportantgfacto
rgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgimportant.gAdditionally,gmaternalgeduc
ationgisgagmodifiablegriskgfactor.
DIF:gCognitivegLevel:gUnderstandgREF:gIM:
TOP:gNursinggProcess:gAssessment
MSC:gClientgNeeds:gHealthgPromotiongandgMaintenance,gAntepartumgCare
2. Whatgisgthegprimarygrolegofgpracticinggnursesgingthegresearchgprocess?
a. Designinggresearchgstudies
b. Collectinggdatagforgothergresearchers
c. Identifyinggresearchablegproblems
, d. Seekinggfundinggtogsupportgresearchgstudies
ANS:gC
Whengproblemsgaregidentified,gresearchgcangbegproperlygconducted.gResearchgofghealthgcaregiss
uesgleadsgtogevidence-
basedgpracticegguidelines.gDesigninggresearchgstudiesgisgonlygonegfactorgofgthegresearchgprocess.
Datagcollectiongisganothergfactorgofgresearch.gFinancialgsupportgisgnecessarygtogconductgresearc
g
h,gbutgitgisgnotgthegprimarygrolegofgthegnursegingthegresearchgprocess.
DIF:gCognitivegLevel:gUnderstandgREF:gim:g14gTOP:gNursinggProcess:gN/AgMS
C:gClientgNeeds:gSafegandgEffectivegCaregEnvironment
3. Ag23-year-oldgAfrican-
Americangwomangisgpregnantgwithghergfirstgchild.gBasedgongthegstatisticsgforginfantgmort
ality,gwhichgplangisgmostgimportantgforgthegnursegtogimplement?
a. Performgagnutritiongassessment.
b. Refergthegwomangtogagsocialgworker.
c. Advisegthegwomangtogseegangobstetrician,gnotgagmidwife.
d. Explaingtogthegwomangthegimportancegofgkeepingghergprenatalgcaregappointments.
ANS:gD
Consistentgprenatalgcaregisgthegbestgmethodgofgpreventinggorgcontrollinggriskgfactorsgassociatedg
withginfantgmortality.gNutritionalgstatusgisgangimportantgmodifiablegriskgfactor,gbutgitgisgnotgtheg
mostgimportantgactiongagnursegshouldgtakegingthisgsituation.gThegclientgmaygneedgassistancegfrom
a socialgworkergatgsomegtimegduringghergpregnancy,gbutgagreferralgtogagsocialgworkergisgnotgtheg
g g
mostgimportantgaspectgthegnursegshouldgaddressgatgthisgtime.gIfgthegwomanghasgidentifiableghigh-
riskgproblems,gthengherghealthgcaregmaygneedgtogbegprovidedgbygagphysician.gHowever,gitgcannot
begassumedgthatgallgAfrican-Americangwomenghaveghigh-
g
riskgissues.gIngaddition,gadvisinggthegwomangtogseegangobstetriciangisgnotgthegmostgimportantgasp
ectgongwhichgthegnursegshouldgfocusgatgthisgtime,gandgitgisgnotgappropriategforgagnursegtogadvisego
rgmanagegthegtypegofgcaregagclientgisgtogreceive.
DIF:gCognitivegLevel:gUnderstandgREF:gIM:gTOP:gNursinggProcess:gPlanning
,MSC:gClientgNeeds:gHealthgPromotiongandgMaintenance
4. Duringgagprenatalgintakeginterview,gthegnursegisgingthegprocessgofgobtainingganginitialgassessm
entgofgag21-year-
oldgHispanicgclientgwithglimitedgEnglishgproficiency.gWhichgactiongisgthegmostgimportantgforgthe
nursegtogperform?
g
a. Usegmaternitygjargongtogenablegthegclientgtogbecomegfamiliargwithgthesegterms.
b. Speakgquicklygandgefficientlygtogexpeditegthegvisit.
c. Providegthegclientgwithghandouts.
d. Assessgwhethergthegclientgunderstandsgthegdiscussion.
ANS:gD
Nursesgcontributegtoghealthgliteracygbygusinggsimple,gcommongwords,gavoidinggjargon,gandgeval
uatinggwhethergthegclientgunderstandsgthegdiscussion.gSpeakinggslowlygandgclearlygandgfocusingg
ongwhatgisgimportantgwillgincreasegunderstanding.gMostgclientgeducationgmaterialsgaregwrittengatg
aglevelgtooghighgforgthegaveragegadultgandgmaygnotgbegusefulgforgagclientgwithglimitedgEnglishgpr
oficiency.
DIF:gCognitivegLevel:gApplygREF:gim:g5gTOP:gNursinggProcess:gEvaluationgMS
C:gClientgNeeds:gHealthgPromotiongandgMaintenance
5. Thegnursesgworkinggatgagnewlygestablishedgbirthinggcenterghavegbegungtogcomparegtheirgp
erformancegingprovidinggmaternal-
newborngcaregagainstgclinicalgstandards.gThisgcomparisongprocessgisgmostgcommonlygknown
gasgwhat?
a. Bestgpracticesgnetwork
b. Clinicalgbenchmarking
c. Outcomes-orientedgpractice
d. Evidence-
basedgpracticegANS:gC
, Outcomes-
orientedgpracticegmeasuresgthegeffectivenessgofgtheginterventionsgandgqualitygofgcaregagainstgben
chmarksgorgstandards.gThegtermgbestgpracticegrefersgtogagprogramgorgservicegthatghasgbeengrecog
nizedgforgitsgexcellence.gClinicalgbenchmarkinggisgagprocessgusedgtogcomparegonesgowngperforma
ncegagainstgthegperformancegofgthegbestgingangareagofgservice.gThegtermgevidence-
basedgpracticegrefersgtogthegprovisiongofgcaregbasedgongevidenceggainedgthroughgresearchgandgcli
nicalgtrials.
DIF:gCognitivegLevel:gUnderstandgREF:gim:g11gTOP:gNursinggProcess:gEvaluationgM
SC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment
6. Whichgstatementgbestgexemplifiesgcontemporarygmaternitygnursing?
a. Usegofgmidwivesgforgallgvaginalgdeliveries
b. Family-centeredgcare
c. Free-standinggbirthgclinics
d. Physician-drivengcare
ANS:gB
Contemporarygmaternitygnursinggfocusesgongthegfamilysgneedsgandgdesires.gFathers,gpartner
s,ggrandparents,gandgsiblingsgmaygbegpresentgforgthegbirthgandgparticipategingactivitiesgsuchg
asgcuttinggthegbabysgumbilicalgcord.gBothgmidwivesgandgphysiciansgperformgvaginalgdeliver
ies.gFree-
standinggclinicsgaregangexamplegofgalternativegbirthgoptions.gContemporarygmaternitygnursi
nggisgdrivengbygthegrelationshipgbetweengnursesgandgtheirgclients.
DIF:gCognitivegLevel:gUnderstandgREF:gpp.g8-
9gTOP:gNursinggProcess:gPlanninggMSC:gClientgNeeds:gHealthgPromotiongandg
Maintenance
7. Ag38-year-oldgHispanicgwomangvaginallygdeliveredgag9-pound,g6-
ouncegbabyggirlgaftergbeingginglaborgforg43ghours.gThegbabygdiedg3gdaysglatergfromgsepsis.gOngw
hatggroundsgcouldgthegwomanghavegaglegitimateglegalgcasegforgnegligence?
a. Inexperiencedgmaternitygnursegwasgassignedgtogcaregforgthegclient.
Chapterg1:g21stgCenturygMaternitygandgWomen’sgHealthgNursing
MULTIPLEgCHOICE
1. Ingevaluatinggtheglevelgofgagpregnantgwomansgriskgofghavinggaglow-birth-
weightg(LBW)ginfant,gwhichgfactorgisgthegmostgimportantgforgthegnursegtogconsider?
a. African-Americangrace
b. Cigarettegsmoking
c. Poorgnutritionalgstatus
d. Limitedgmaternalgeducation
ANS:gA
ForgAfrican-
Americangbirths,gthegincidencegofgLBWginfantsgisgtwicegthatgofgCaucasiangbirths.gRacegisgagnon
modifiablegriskgfactor.gCigarettegsmokinggisgangimportantgfactorgingpotentialginfantgmortalitygrate
s,gbutgitgisgnotgthegmostgimportant.gAdditionally,gsmokinggisgagmodifiablegriskgfactor.gPoorgnutriti
ongisgangimportantgfactorgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgimportant.gAd
ditionally,gnutritionalgstatusgisgagmodifiablegriskgfactor.gMaternalgeducationgisgangimportantgfacto
rgingpotentialginfantgmortalitygrates,gbutgitgisgnotgthegmostgimportant.gAdditionally,gmaternalgeduc
ationgisgagmodifiablegriskgfactor.
DIF:gCognitivegLevel:gUnderstandgREF:gIM:
TOP:gNursinggProcess:gAssessment
MSC:gClientgNeeds:gHealthgPromotiongandgMaintenance,gAntepartumgCare
2. Whatgisgthegprimarygrolegofgpracticinggnursesgingthegresearchgprocess?
a. Designinggresearchgstudies
b. Collectinggdatagforgothergresearchers
c. Identifyinggresearchablegproblems
, d. Seekinggfundinggtogsupportgresearchgstudies
ANS:gC
Whengproblemsgaregidentified,gresearchgcangbegproperlygconducted.gResearchgofghealthgcaregiss
uesgleadsgtogevidence-
basedgpracticegguidelines.gDesigninggresearchgstudiesgisgonlygonegfactorgofgthegresearchgprocess.
Datagcollectiongisganothergfactorgofgresearch.gFinancialgsupportgisgnecessarygtogconductgresearc
g
h,gbutgitgisgnotgthegprimarygrolegofgthegnursegingthegresearchgprocess.
DIF:gCognitivegLevel:gUnderstandgREF:gim:g14gTOP:gNursinggProcess:gN/AgMS
C:gClientgNeeds:gSafegandgEffectivegCaregEnvironment
3. Ag23-year-oldgAfrican-
Americangwomangisgpregnantgwithghergfirstgchild.gBasedgongthegstatisticsgforginfantgmort
ality,gwhichgplangisgmostgimportantgforgthegnursegtogimplement?
a. Performgagnutritiongassessment.
b. Refergthegwomangtogagsocialgworker.
c. Advisegthegwomangtogseegangobstetrician,gnotgagmidwife.
d. Explaingtogthegwomangthegimportancegofgkeepingghergprenatalgcaregappointments.
ANS:gD
Consistentgprenatalgcaregisgthegbestgmethodgofgpreventinggorgcontrollinggriskgfactorsgassociatedg
withginfantgmortality.gNutritionalgstatusgisgangimportantgmodifiablegriskgfactor,gbutgitgisgnotgtheg
mostgimportantgactiongagnursegshouldgtakegingthisgsituation.gThegclientgmaygneedgassistancegfrom
a socialgworkergatgsomegtimegduringghergpregnancy,gbutgagreferralgtogagsocialgworkergisgnotgtheg
g g
mostgimportantgaspectgthegnursegshouldgaddressgatgthisgtime.gIfgthegwomanghasgidentifiableghigh-
riskgproblems,gthengherghealthgcaregmaygneedgtogbegprovidedgbygagphysician.gHowever,gitgcannot
begassumedgthatgallgAfrican-Americangwomenghaveghigh-
g
riskgissues.gIngaddition,gadvisinggthegwomangtogseegangobstetriciangisgnotgthegmostgimportantgasp
ectgongwhichgthegnursegshouldgfocusgatgthisgtime,gandgitgisgnotgappropriategforgagnursegtogadvisego
rgmanagegthegtypegofgcaregagclientgisgtogreceive.
DIF:gCognitivegLevel:gUnderstandgREF:gIM:gTOP:gNursinggProcess:gPlanning
,MSC:gClientgNeeds:gHealthgPromotiongandgMaintenance
4. Duringgagprenatalgintakeginterview,gthegnursegisgingthegprocessgofgobtainingganginitialgassessm
entgofgag21-year-
oldgHispanicgclientgwithglimitedgEnglishgproficiency.gWhichgactiongisgthegmostgimportantgforgthe
nursegtogperform?
g
a. Usegmaternitygjargongtogenablegthegclientgtogbecomegfamiliargwithgthesegterms.
b. Speakgquicklygandgefficientlygtogexpeditegthegvisit.
c. Providegthegclientgwithghandouts.
d. Assessgwhethergthegclientgunderstandsgthegdiscussion.
ANS:gD
Nursesgcontributegtoghealthgliteracygbygusinggsimple,gcommongwords,gavoidinggjargon,gandgeval
uatinggwhethergthegclientgunderstandsgthegdiscussion.gSpeakinggslowlygandgclearlygandgfocusingg
ongwhatgisgimportantgwillgincreasegunderstanding.gMostgclientgeducationgmaterialsgaregwrittengatg
aglevelgtooghighgforgthegaveragegadultgandgmaygnotgbegusefulgforgagclientgwithglimitedgEnglishgpr
oficiency.
DIF:gCognitivegLevel:gApplygREF:gim:g5gTOP:gNursinggProcess:gEvaluationgMS
C:gClientgNeeds:gHealthgPromotiongandgMaintenance
5. Thegnursesgworkinggatgagnewlygestablishedgbirthinggcenterghavegbegungtogcomparegtheirgp
erformancegingprovidinggmaternal-
newborngcaregagainstgclinicalgstandards.gThisgcomparisongprocessgisgmostgcommonlygknown
gasgwhat?
a. Bestgpracticesgnetwork
b. Clinicalgbenchmarking
c. Outcomes-orientedgpractice
d. Evidence-
basedgpracticegANS:gC
, Outcomes-
orientedgpracticegmeasuresgthegeffectivenessgofgtheginterventionsgandgqualitygofgcaregagainstgben
chmarksgorgstandards.gThegtermgbestgpracticegrefersgtogagprogramgorgservicegthatghasgbeengrecog
nizedgforgitsgexcellence.gClinicalgbenchmarkinggisgagprocessgusedgtogcomparegonesgowngperforma
ncegagainstgthegperformancegofgthegbestgingangareagofgservice.gThegtermgevidence-
basedgpracticegrefersgtogthegprovisiongofgcaregbasedgongevidenceggainedgthroughgresearchgandgcli
nicalgtrials.
DIF:gCognitivegLevel:gUnderstandgREF:gim:g11gTOP:gNursinggProcess:gEvaluationgM
SC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment
6. Whichgstatementgbestgexemplifiesgcontemporarygmaternitygnursing?
a. Usegofgmidwivesgforgallgvaginalgdeliveries
b. Family-centeredgcare
c. Free-standinggbirthgclinics
d. Physician-drivengcare
ANS:gB
Contemporarygmaternitygnursinggfocusesgongthegfamilysgneedsgandgdesires.gFathers,gpartner
s,ggrandparents,gandgsiblingsgmaygbegpresentgforgthegbirthgandgparticipategingactivitiesgsuchg
asgcuttinggthegbabysgumbilicalgcord.gBothgmidwivesgandgphysiciansgperformgvaginalgdeliver
ies.gFree-
standinggclinicsgaregangexamplegofgalternativegbirthgoptions.gContemporarygmaternitygnursi
nggisgdrivengbygthegrelationshipgbetweengnursesgandgtheirgclients.
DIF:gCognitivegLevel:gUnderstandgREF:gpp.g8-
9gTOP:gNursinggProcess:gPlanninggMSC:gClientgNeeds:gHealthgPromotiongandg
Maintenance
7. Ag38-year-oldgHispanicgwomangvaginallygdeliveredgag9-pound,g6-
ouncegbabyggirlgaftergbeingginglaborgforg43ghours.gThegbabygdiedg3gdaysglatergfromgsepsis.gOngw
hatggroundsgcouldgthegwomanghavegaglegitimateglegalgcasegforgnegligence?
a. Inexperiencedgmaternitygnursegwasgassignedgtogcaregforgthegclient.
