Exam (elaborations)
MATERNITY & WOMEN’S HEALTH CARE 12TH EDITION LOWDERMILK TEST BANK
- Course
- Institution
MATERNITY & WOMEN’S HEALTH CARE 12TH EDITION LOWDERMILK TEST BANK GRADE A++
[Show more]
Content preview
MATERNITY & WOMEN’SHEALTH CARE 12TH EDITION
LOWDERMILK TEST BANK
,Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
Chapter 1: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant womans 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
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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: Understand REF: IM:
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
2. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying researchable problems
,d. Seeking funding to support research studies
ANS: C
When problems are identified, research can be properly conducted. Research of health care
issues leads to evidence-based practice guidelines. Designing research studies is only one factor
of the research process. Data collection is another factor of research. Financial support is
necessary to conduct research, but it is not the primary role of the nurse in the research process.
DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
3. A 23-year-old African-American woman is pregnant with her first child. Based
on the statistics for infant mortality, which plan is most important for the nurse to
implement?
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: Understand REF: IM: TOP: Nursing Process: Planning
,MSC: Client Needs: Health Promotion and Maintenance
4. 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 action is the
most important for the nurse to perform?
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: Apply REF: im: 5 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
5. 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: 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 service that has
been recognized for its excellence. Clinical benchmarking is a process used to compare ones 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: Understand REF: im: 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
6. 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 familys needs and desires. Fathers,
partners, grandparents, and siblings may be present for the birth and participate in activities
such as cutting the babys 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: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
7. A 38-year-old Hispanic 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: Analyze REF: im: 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
8. 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 clients physician.
c. Look up the procedure in a nursing textbook.
d. Consult the agency procedure manual, and follow the guidelines for
the procedure.
ANS: D
Following the agencys 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 states 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.
DIF: Cognitive Level: Understand REF: im: 13
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
9. The National Quality Forum has issued a list of never events specifically
pertaining to maternal and child health. These include all of the following except:
a. infant discharged to the wrong person.
b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
c. artificial insemination with the wrong donor sperm or egg.
d. foreign object retained after surgery.
ANS: D
Although a foreign object retained after surgery is a never event, it does not specifically pertain
to obstetric clients. A client undergoing any type of surgery may be at risk for this event. An
infant discharged to the wrong person specifically pertains to postpartum care. Death or serious
disability as a result of kernicterus pertains to newborn assessment and care. Artificial
insemination affects families seeking care for infertility.
DIF: Cognitive Level: Remember REF: im: 4
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
10. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows
what trend?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller charitywaweru. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
47561 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now