Test Bank for Lowdermilk Maternity & Women’s Health Care, 13th Edi... file:///C:/Users/HP/Downloads/Test%20Bank%20for%20Lowderm
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For Lowdermilk Maternity & Women’s Health Care,
13th Edition Updated With All Chapters Complete Newest
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Chapter 01: 21st Century Maternity and Women’s Health
NursingLowdermilk: Maternity & 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 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.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Assessment
MSC: Client Needs: HealtN
hUPrRom
S IotNioGn TanBd.MCaOinMtenance, 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, 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
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receive.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Planning
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MSC: Client Needs: Health Promotion and Maintenance
3. 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 pracNtiU
ceRS
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-
based practice refers to the provision of care based on evidence gained through research and
clinical trials.
PTS: 1 DIF: Cognitive Level: Understand
TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
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
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 materialsare
written at a level too high for the average adult and may not be useful for a client with limited
English proficiency.
PTS: 1 DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
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
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