Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk
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, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk ,v ,v ,v ,v ,v ,v ,v
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Chapter /01: /21st /Century /Maternity /and /Women’s /Health /Nursing
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/Lowdermilk: /Maternity /& /Women’s /Health /Care, /13th /Edition
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MULTIPLE /CHOICE ,v
1. In /evaluating /the /level /of /a /pregnant /woman’s /risk /of /having /a /low-birth-weight
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/(LBW) /infant, /which /factor /is /the /most /important /for /the /nurse /to /consider?
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a. African-American / race ,v
b. Cigarette /smoking ,v
c. Poor /nutritional /status ,v ,v
d. Limited /maternal /education ,v ,v
ANS: / A , v
The /rise /in /the /overall /LBW /rates /were /due /to /increases /in /LBW /births /to /non-
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Hispanic /black /women /(13.35%) /and /Hispanic /women /(7.21%); /non-Hispanic /black
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/infants /are /almost /twice /as /likely /as /non-Hispanic /white /infants /to /be /of /LBW /and
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/to /die /in /the /first / year /of /life.. /Race /is /a /nonmodifiable /risk /factor. /Cigarette /smoking
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/is /an /important /factor /in /potential /infant /mortality /rates, /but /it /is /not /the /most
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/important. /Additionally, /smoking /is /a /modifiable /risk /factor. /Poor /nutrition /is /an
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/important /factor /in /potential /infant /mortality /rates, /but /it /is /not /the /most /important.
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/Additionally, /nutritional /status /is /a /modifiable /risk /factor. /Maternal /education /is /an
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/important /factor /in /potential /infant /mortality /rates, /but /it /is /not /the /most /important.
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/Additionally, /maternal /education /is /a /modifiable /risk /factor.
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PTS: 1 DIF: Cognitive /Level: /Understand ,v ,v
/TOP: Nursing /Process: /Assessment
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MSC: / / Client / Needs: / HealtN hUPrRoS
mI, ioG
otN nT
vanBd.MCaO
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tenance, , v , v , v , v / Antepartum / Care , v
2. A /23-year-old /African-American /woman /is /pregnant /with /her /first /child. /Based /on
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/current /statistics /for /infant /mortality, /which /intervention /is /most /important /for /the
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/nurse /to /include /in /the /client’s /plan /of /care?
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a. Perform /a /nutrition /assessment. ,v ,v ,v
b. Refer /the /woman /to /a /social /worker. ,v ,v ,v ,v ,v ,v
c. Advise /the /woman /to /see /an /obstetrician, /not /a /midwife. ,v ,v ,v ,v ,v ,v ,v ,v ,v
d. Explain /to /the /woman /the /importance /of /keeping /her /prenatal /care /appointments.
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ANS: / D , v
Consistent /prenatal /care /is /the /best /method /of /preventing /or /controlling /risk /factors
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/associated /with /infant /mortality. /Nutritional /status /is /an /important /modifiable /risk /factor,
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/but /it /is /not /the /most /important /action /a /nurse /should /take /in /this /situation. /The /client
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/may /need /assistance /from /a /social /worker /at /some /time /during /her /pregnancy, /but /a
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/referral /to /a /social /worker /is /not /the /most /important /aspect /the /nurse /should /address
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/at /this /time. /If /the /woman /has /identifiable /high-risk /problems, /then /her /health /care
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/may /need /to /be /provided /by /a /physician. /However, /it /cannot /be /assumed /that /all
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/African-American /women /have /high-risk /issues. /In /addition, /advising /the /woman /to
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/see /an /obstetrician /is /not /the /most /important /aspect /on /which /the /nurse /should /focus
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/at /this /time, /and /it /is /not /appropriate /for /a /nurse /to /advise /or /manage /the /type /of
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/care /a /client /is /to /receive.
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PTS: 1 DIF: Cognitive /Level: /Understand ,v ,v
/TOP: Nursing /Process: /Planning
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, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk ,v ,v ,v ,v ,v ,v ,v
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MSC: / Client /Needs: /Health /Promotion /and /Maintenance
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3. The /nurses /working /at /a /newly /established /birthing /center /have /begun /to /compare
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/their /performance /in /providing /maternal-newborn /care /against /clinical /standards.
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/This /comparison /process /is /most /commonly /known /as /what?
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a. Best /practices /network ,v ,v
b. Clinical /benchmarking ,v
c. Outcomes-oriented / pracNt iU ceR S ,v
d. Evidence-based / practice ,v
ANS: / C , v
Outcomes-oriented /practice /measures /the /effectiveness /of /the /interventions /and /quality ,v ,v ,v ,v ,v ,v ,v ,v ,v
/of /care /against /benchmarks /or /standards. /The /term /best /practice /refers /to /a /program /or
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/service /that /has /been /recognized /for /its /excellence. /Clinical /benchmarking /is /a
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/process /used /to /compare /one’s /own /performance /against /the /performance /of /the /best
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/in /an /area /of /service. /The /term /evidence-based /practice /refers /to /the /provision /of /care
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/based /on /evidence /gained /through /research /and /clinical /trials.
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PTS: 1 DIF: Cognitive /Level: /Understand ,v ,v
/TOP: Nursing /Process: /Evaluation
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MSC: / Client /Needs: /Safe /and /Effective /Care /Environment
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4. During /a /prenatal /intake /interview, /the /nurse /is /in /the /process /of /obtaining /an
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/initial /assessment /of /a /21-year-old /Hispanic /client /with /limited /English
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/proficiency. /Which /intervention /is /the /most /important /for /the /nurse /to
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/implement?
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a. Use /maternity /jargon /to /enable /the /client /to /become /familiar /with /these /terms.
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b. Speak /quickly /and /efficiently /to /expedite /the /visit.
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c. Provide /the /client /with /handouts. ,v ,v ,v ,v
d. Assess /whether /the /client /understands /the /discussion.
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ANS: / D , v
Nurses /contribute /to /health /literacy /by /using /simple, /common /words, /avoiding /jargon,
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/and /evaluating /whether /the /client /understands /the /discussion. /Speaking /slowly /and
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/clearly /and /focusing /on /what /is /important /will /increase /understanding. /Most /client
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/education /materials /are /written /at /a /level /too /high /for /the /average /adult /and /may
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/not /be /useful /for /a /client /with /limited /English /proficiency.
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PTS: 1 DIF: Cognitive /Level: /Apply ,v ,v
/TOP: Nursing /Process: /Implementation
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MSC: / Client /Needs: /Health /Promotion /and /Maintenance
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5. Which /statement /best /exemplifies /contemporary /maternity /nursing?
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a. Use /of /midwives /for /all /vaginal /deliveries
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b. Family-centered /care ,v
c. Free-standing /birth /clinics ,v ,v
d. Physician-driven /care ,v
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, Maternity /and /Women's /Health /Care /13th /Edition /Lowdermilk ,v ,v ,v ,v ,v ,v ,v
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Contemporary /maternity /nursing /focuses /on /the /family’s /needs /and /desires. /Fathers, ,v ,v ,v ,v ,v ,v ,v ,v ,v ,v
/partners, /grandparents, /and /siblings /may /be /present /for /the /birth /and /participate /in
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/activities /such /as /cutting /the /baby’s /umbilical /cord. /Both /midwives /and /physicians
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/perform /vaginal /deliveries. /Free-standing /clinics /are /an /example /of /alternative /birth
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/options. /Contemporary /maternity /nursing /is /driven /by /the /relationship /between /nurses
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/and /their /clients.
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PTS: 1 DIF: Cognitive /Level: /Understand ,v ,v
/TOP: Nursing /Process: /Planning
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MSC: / Client /Needs: /Health /Promotion /and /Maintenance
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6. A /38-year-old /Hispanic /woman /vaginally /delivered /a /9-pound, /6-ounce /baby /girl /after
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/being /in /labor /for /43 /hours. /The /baby /died /3 /days /later /from /sepsis. /On /what
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/grounds /could /the /woman /have /a /legitimate /legal /case /for /negligence?
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a. Inexperienced /maternity /nurse /was /assigned /to /care /for /the /client. ,v ,v ,v ,v ,v ,v ,v ,v ,v
b. Client /was /past /her /due /date /by /3 /days. ,v ,v ,v ,v ,v ,v ,v ,v
c. Standard /of /care /was /not /met. ,v ,v ,v ,v ,v
d. Client /refused /electronic /fetal /monitoring. ,v ,v ,v ,v
ANS: / C , v
Not /meeting /the /standard /of /care /is /a /legitimate /factor /for /a /case /of /negligence. /An
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/inexperienced /maternity /nurse /would /need /to /display /competency /before /being /assigned
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/to /care /for /clients /on /his /or /her /own. /This /client /may /have /been /past /her /due /date;
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/however, /a /term /pregnancy /often /goes /beyond /40 /weeks /of /gestation. /Although /fetal
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/monitoring /is /the /standard /of /care, /the /client /has /the /right /to /refuse /treatment. /This
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/refusal /is /not /a /case /for /negligence, /but /informed /consent /should /be /properly
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/obtained, /and /the /client /should /have /signed /an /against /medical /advice /form /when
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/refusing /any /treatment /that /is /within /the /standard /of /care.
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PTS: 1 DIF: Cognitive /Level: /Analyze ,v ,v
/TOP: Nursing /Process: /Implementation
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MSC: / Client /Needs: /Safe /and /Effective /Care /Environment
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7. When /the /nurse /is /unsure /how /to /perform /a /client /care /procedure /that /is /high /risk /and
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/low /volume, /his /or /her /best /action /in /this /situation /would /be /what?
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a. Ask /another /nurse. ,v ,v
b. Discuss /the /procedure /with /the /client’s /physician. ,v ,v ,v ,v ,v ,v
c. Look /up /the /procedure /in /a /nursing /textbook. ,v ,v ,v ,v ,v ,v ,v
d. First /consult /the /agency /procedure /manual ,v ,v ,v ,v ,v
ANS: / D , v
Following /the /agency’s /policies /and /procedures /manual /is /always /best /when /seeking
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/information /on /correct /client /procedures. /These /policies /should /reflect /the /current
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/standards /of /care /and /the /individual /state’s /guidelines. /Each /nurse /is /responsible /for
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/his /or /her /own /practice. /Relying /on /another /nurse /may /not /always /be /a /safe
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/practice. /Each /nurse /is /obligated /to /follow /the /standards /of /care /for /safe /client /care
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/delivery. /Physicians /are /responsible /for /their /own /client /care /activity. /Nurses /may
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/follow /safe /orders /from /physicians, /but /they /are /also /responsible /for /the /activities
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/that /they, /as /nurses, /are /to /carry /out. /Information /provided /in /a /nursing /textbook /is
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/basic /information /for /general /knowledge. /Furthermore, /the /information /in /a /textbook
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/may /not /reflect /the /current /standard /of /care /or /the /individual /state /or /hospital
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/policies.
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