Test Bank for Maternity and Women's Health Care, 13th Edition by Deitra Leonard Lowdermilk
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Course
Nursing Pediatrics
Institution
Nursing Pediatrics
Test Bank for Maternity and Women's Health Care 13e 13th Edition by Deitra Leonard Lowdermilk, Kitty Cashion, Kathryn Rhodes Alden. Full Chapters test bank are included - Chapter 1 to 37
Part 1. Introduction to Maternity and Women's Health Care
1. 21st Century Maternity and Women’s Health Nur...
Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity and Women’s Health Care, 13th Edition
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
which factor is the most important for the nurse to consider?
a.African-American race
b.Cigarette smoking
c.Poor nutritional status
d.Limited maternal education
ANS: A
The rise in the overall LBW rates was due to increases in LBW births to non-Hispanic black
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice
as likely as non-Hispanic white infants to be of LBW and to die in the first year of life. 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.
DIF: Cognitive Level: Understanding TOP: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
statistics for infant mortality, which intervention is most important for the nurse to include in
the client’s plan of care?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
most important action a nurse should take in this situation. The client may need assistance
from a social worker at some time during her pregnancy, but a referral to a social worker is
not the most important aspect the nurse should address at this time. If the woman has
identifiable high-risk problems, then her health care may need to be provided by a physician.
However, it cannot be assumed that all African-American women have high-risk issues. In
addition, advising the woman to see an obstetrician is not the most important aspect on which
the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage
the type of care a client is to receive.
DIF: Cognitive Level: Understanding TOP: Planning
MSC: Client Needs: Health Promotion and Maintenance
,3. During a prenatal intake interview, the nurse is in the process of obtaining an initial
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
intervention is the most important for the nurse to implement?
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
d. Assess whether the client understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
evaluating whether the client understands the discussion. Speaking slowly and clearly and
focusing on what is important will increase understanding. Most client education materials are
written at a level too high for the average adult and may not be useful for a client with limited
English proficiency.
DIF: Cognitive Level: Applying TOP: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. 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 is most commonly known as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented practice
d. Evidence-based practice
ANS: D
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care
against benchmarks or standards. The term best practice refers to a program or service that
has been recognized for its excellence. Clinical benchmarking is a process used to compare
one’s own performance against the performance of the best in an area of service. The term
evidence-based practice refers to the provision of care based on evidence gained through
research and clinical trials.
DIF: Cognitive Level: Understanding TOP: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
5. Which statement best exemplifies contemporary maternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
d. Physician-driven care
ANS: B
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners,
grandparents, and siblings may be present for the birth and participate in activities such as
cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
Free-standing clinics are an example of alternative birth options. Contemporary maternity
nursing is driven by the relationship between nurses and their clients.
DIF: Cognitive Level: Understanding TOP: Planning
, MSC: Client Needs: Health Promotion and Maintenance
6. A 38-year-old woman vaginally delivered a 9-pound, 6-ounce baby girl after being in labor for
43 hours. The baby died 3 days later from sepsis. On what grounds could the woman have a
legitimate legal case for negligence?
a. Inexperienced maternity nurse was assigned to care for the client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring.
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
inexperienced maternity nurse would need to display competency before being assigned to
care for clients on his or her own. This client may have been past her due date; however, a
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
standard of care, the client has the right to refuse treatment. This refusal is not a case for
negligence, but informed consent should be properly obtained, and the client should have
signed an against medical advice form when refusing any treatment that is within the standard
of care.
DIF: Cognitive Level: Analyzing TOP: Implementation
MSC: Client Needs: Safe and Effective Care Environment
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
volume, his or her best action in this situation would be what?
a. Ask another nurse.
b. Discuss the procedure with the client’s physician.
c. Look up the procedure in a nursing textbook.
d. First consult the agency procedure manual.
ANS: D
Following the agency’s policies and procedures manual is always best when seeking
information on correct client procedures. These policies should reflect the current standards of
care and the individual state’s guidelines. Each nurse is responsible for his or her own
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
to follow the standards of care for safe client care delivery. Physicians are responsible for their
own client care activity. Nurses may follow safe orders from physicians, but they are also
responsible for the activities that they, as nurses, are to carry out. Information provided in a
nursing textbook is basic information for general knowledge. Furthermore, the information in
a textbook may not reflect the current standard of care or the individual state or hospital
policies.
8. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
a. Births to unmarried women are more likely to have less favorable outcomes.
b. Birth rates for women 40–44 years of age are declining.
c. Cigarette smoking among pregnant women continues to increase.
d. Rates of pregnancy and abortion among teenagers are lower in the United States
than in any other industrialized country.
, ANS: A
LBW infants and preterm births are more likely because of the large number of teenagers in
the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer
pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States
than in any other industrial country.
9. A recently graduated nurse is attempting to understand the reason for increasing health care
spending in the United States. Which information gathered from research best explains the
rationale for these higher costs compared with other developed countries?
a. Higher rate of obesity among pregnant women
b. Limited access to technology
c. Increased use of health care services along with lower prices
d. Homogeneity of the population
ANS: A
Health care is one of the fastest growing sectors of the U.S. economy. Currently, 19.7% of the
gross domestic product is spent on health care. Higher spending in the United States, as
compared with 12 other industrialized countries, is related to higher prices and readily
accessible technology along with greater obesity rates among women. Approximately 31% of
women ages 20–39 are obese. In the population in the United States, 8.5% are uninsured and
have limited access to health care. Maternal morbidity and mortality are directly related to
racial disparities.
DIF: Cognitive Level: Understanding TOP: Teaching/Learning
MSC: Client Needs: Safe and Effective Care Environment
10. Which statement best describes maternity nursing care that is based on knowledge gained
through research and clinical trials?
a. Maternity nursing care is derived from the Nursing Intervention Classification.
b. Maternity nursing care is known as evidence-based practice.
c. Maternity nursing care is at odds with the Cochrane School of traditional nursing.
d. Maternity nursing care is an outgrowth of telehealth.
ANS: B
Evidence-based practice is based on knowledge gained from research and clinical trials. The
Cochrane Collaboration oversees up-to-date systematic reviews of randomized controlled
trials and disseminates these reviews. Telehealth uses communication technologies to support
health care.
DIF: Cognitive Level: Understanding TOP: Analysis
MSC: Client Needs: Safe and Effective Care Environment
11. What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
a. Standard of care
b. Risk management
c. Sentinel event
d. Failure to rescue
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