Test Bank
For Maternity and Women's HealthCare 13th
Edition Lowdermilk/TopGuide/Grade A+
, TABLE OF CONTENT
Chapter 1: 21stCentury Maternity and Women’s Health Nursing
Chapter 2: Community Care: The Family and Culture
Chapter 3: nursing and genomics
Chapter 04: Assessment and Health Promotion
Chapter 5: violence against women
Chapter 06: reproductive system concerns
Chapter 7: Sexually Transmitted and Other Infections
Chapter 8: Contraception and Abortion
Chapter 9: infertility
Chapter 10: Problems of the breast
Chapter 11: Structural Disorders and Neoplasms of the Reproductive
System
Chapter 12: Conception and Fetal Development
Chapter 13: Anatomy and Physiology of Pregnancy
Chapter 14: Nursing Care of the Family During Pregnancy
Chapter 15: Maternal and Fetal Nutrition
CHATER 16: Labor and Birth Processes
Chapter 17: Maximizing Comfort for the Laboring Woman
Chapter 18: fetal assessment during labor
Chapter 19: Nursing Care of the Family During Labor and Birth
Chapter 20: postpartum physiologic changes
Chapter 21: Nursing Care of the Family During the Postpartum Period
Chapter 22: Transition to Parenthood
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn
Chapter 24: Nursing Care of the Newborn and Family
Chapter 25: Newborn Nutrition and Feeding
Chapter 26: Assessment of High Risk Pregnancy
Chapter 27: hypertensive disorders
Chapter 28: hemorrhagic disorders
Chapter 29: Endocrine and Metabolic Disorders
Chapter 30: medical-surgical disorders
Chapter 31: Mental Health Disorders and Substance Abuse
Chapter 32: Labor and Birth Complications
,Chapter 33: postpartum complications
Chapter 34: Nursing Care of the High Risk Newborn
Chapter 35: Acquired Problems of the Newborn
Chapter 36: Hemolytic Disorders and Congenital Anomalies
Chapter 37: Perinatal Loss, Bereavement, and Grief
CHAPTER1: 21ST CENTURY MATERNITY AND WOMEN’S HEALTH
NURSING
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 were 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 inpotential 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.
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 currentstatistics for infant mortality, which intervention is most
important for the nurse to includein 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, butit 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 socialworker 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-riskissues. 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.
PTS: 1 DIF: Cognitive Level:
UnderstandTOP: Nursing Process:
PlanningMSC: Client Needs: Health Promotion
and Maintenance
3. The nurses working at a newly established birthing center have begun to
compare theirperformance 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: C
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 servicethat 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-
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