Chapter 01: 21st Century Maternity and Women’s Health Nursing
V V V V V V V V
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
V V V V V V V V
MULTIPLE VCHOICE
1. In Vevaluating Vthe Vlevel Vof Va Vpregnant Vwoman’s Vrisk Vof Vhaving Va Vlow-birth-weight
V(LBW)V infant, Vwhich Vfactor Vis Vthe Vmost Vimportant Vfor Vthe Vnurse Vto Vconsider?
a. African-American Vrace
b. Cigarette Vsmoking
c. Poor Vnutritional Vstatus
d. Limited Vmaternal Veducation
ANS: V A
The Vrise Vin Vthe Voverall VLBW Vrates Vwere Vdue Vto Vincreases Vin VLBW Vbirths Vto Vnon-
Hispanic Vblack Vwomen V(13.35%) Vand VHispanic Vwomen V(7.21%); Vnon-Hispanic Vblack
Vinfants Vare Valmost Vtwice Vas Vlikely Vas Vnon-Hispanic Vwhite Vinfants Vto Vbe Vof VLBW Vand Vto
Vdie Vin Vthe Vfirst Vyear Vof Vlife.. VRace Vis Va Vnonmodifiable Vrisk Vfactor. VCigarette Vsmoking Vis
Van Vimportant Vfactor VinV potential Vinfant Vmortality Vrates, Vbut Vit Vis Vnot Vthe Vmost Vimportant.
VAdditionally, Vsmoking Vis Va Vmodifiable Vrisk Vfactor. VPoor Vnutrition Vis Van Vimportant Vfactor
Vin Vpotential Vinfant Vmortality Vrates, Vbut Vit Vis Vnot Vthe Vmost Vimportant. VAdditionally,
Vnutritional Vstatus Vis Va Vmodifiable Vrisk Vfactor. VMaternal Veducation Vis Van Vimportant Vfactor
Vin Vpotential Vinfant Vmortality Vrates, Vbut Vit Vis Vnot Vthe Vmost Vimportant. VAdditionally,
Vmaternal Veducation Vis Va Vmodifiable Vrisk Vfactor.
PTS: 1 DIF: Cognitive VLevel:
VUnderstandV TOP: Nursing VProcess: VAssessment
MSC: V V Client VNeeds: VHealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, VAntepartum VCare
2. A V23-year-old VAfrican-American Vwoman Vis Vpregnant Vwith Vher Vfirst Vchild. VBased Von
Vcurrent V
statistics Vfor Vinfant Vmortality, Vwhich Vintervention Vis Vmost Vimportant Vfor Vthe
Vnurse Vto VincludeVin Vthe Vclient’s Vplan Vof Vcare?
a. Perform Va Vnutrition Vassessment.
b. Refer Vthe Vwoman Vto Va Vsocial Vworker.
c. Advise Vthe Vwoman Vto Vsee Van Vobstetrician, Vnot Va Vmidwife.
d. Explain Vto Vthe Vwoman Vthe Vimportance Vof Vkeeping Vher Vprenatal Vcare Vappointments.
ANS: V D
Consistent Vprenatal Vcare Vis Vthe Vbest Vmethod Vof Vpreventing Vor Vcontrolling Vrisk Vfactors
Vassociated Vwith Vinfant Vmortality. VNutritional Vstatus Vis Van Vimportant Vmodifiable Vrisk Vfactor,
VbutVit Vis Vnot Vthe Vmost Vimportant Vaction Va Vnurse Vshould Vtake Vin Vthis Vsituation. VThe Vclient
Vmay Vneed Vassistance Vfrom Va Vsocial Vworker Vat Vsome Vtime Vduring Vher Vpregnancy, Vbut Va
MSC: V Client VNeeds: VHealth VPromotion Vand VMaintenance
3. The Vnurses Vworking Vat Va Vnewly Vestablished Vbirthing Vcenter Vhave Vbegun Vto Vcompare
VtheirV
performance Vin Vproviding Vmaternal-newborn Vcare Vagainst Vclinical Vstandards.
VThis Vcomparison Vprocess Vis Vmost Vcommonly Vknown Vas Vwhat?
a. Best Vpractices Vnetwork
b. Clinical Vbenchmarking
c. Outcomes-oriented VpracNtiU ceRS
d. Evidence-based Vpractice
ANS: V C
Outcomes-oriented Vpractice Vmeasures Vthe Veffectiveness Vof Vthe Vinterventions Vand Vquality
Vof Vcare Vagainst Vbenchmarks Vor Vstandards. VThe Vterm Vbest Vpractice Vrefers Vto Va Vprogram Vor
VserviceVthat Vhas Vbeen Vrecognized Vfor Vits Vexcellence. VClinical Vbenchmarking Vis Va Vprocess
Vused Vto Vcompare Vone’s Vown Vperformance Vagainst Vthe Vperformance Vof Vthe Vbest Vin Van
4. During Va Vprenatal Vintake Vinterview, Vthe Vnurse Vis Vin Vthe Vprocess Vof Vobtaining Van
Vinitial V
assessment Vof Va V21-year-old VHispanic Vclient Vwith Vlimited VEnglish
Vproficiency. VWhich V intervention Vis Vthe Vmost Vimportant Vfor Vthe Vnurse Vto
Vimplement?
a. Use Vmaternity Vjargon Vto Venable Vthe Vclient Vto Vbecome Vfamiliar Vwith Vthese Vterms.
b. Speak Vquickly Vand Vefficiently Vto Vexpedite Vthe Vvisit.
c. Provide Vthe Vclient Vwith Vhandouts.
d. Assess Vwhether Vthe Vclient Vunderstands Vthe Vdiscussion.
ANS: V D
Nurses Vcontribute Vto Vhealth Vliteracy Vby Vusing Vsimple, Vcommon Vwords, Vavoiding Vjargon,
Vand Vevaluating Vwhether Vthe Vclient Vunderstands Vthe Vdiscussion. VSpeaking Vslowly Vand
Vclearly Vand Vfocusing Von Vwhat Vis Vimportant Vwill Vincrease Vunderstanding. VMost Vclient
Veducation Vmaterials V are Vwritten Vat Va Vlevel Vtoo Vhigh Vfor Vthe Vaverage Vadult Vand Vmay Vnot
Vbe Vuseful Vfor Va Vclient VwithV
limited VEnglish Vproficiency.
PTS: 1 DIF: Cognitive VLevel:
VApplyVTOP: Nursing VProcess:
V Implementation
MSC: V Client VNeeds: VHealth VPromotion Vand VMaintenance
5. Which Vstatement Vbest Vexemplifies Vcontemporary Vmaternity Vnursing?
a. Use Vof Vmidwives Vfor Vall Vvaginal Vdeliveries
b. Family-centered Vcare
c. Free-standing Vbirth Vclinics
d. Physician-driven
careVANS: V B
V
Vnurses, Vare Vto Vcarry Vout. VInformation Vprovided Vin Va Vnursing Vtextbook Vis Vbasic
Vinformation Vfor Vgeneral Vknowledge.V Furthermore, Vthe Vinformation Vin Va Vtextbook Vmay Vnot
Vreflect Vthe Vcurrent Vstandard Vof Vcare Vor Vthe Vindividual Vstate Vor Vhospital Vpolicies.
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