Test 1: Maternity by Lowdermilk & Perry: Chapters 1, 2, 12, 13, 14, 15, 2
1. Chapter 01: 21st Century Maternity and Women's Health
1. To assess a mother's risk of having a low-birth-weight (LBW) infant, what
is the most important factor 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.
2. 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.
3. 3. The nurse should be aware that a statistic widely used to compare the
health status of different populations is the:
a. Incidence of specific infections, such as acquired immunodeficiency
syndrome (AIDS) and tuberculosis b. Infant mortality rate
, Test 1: Maternity by Lowdermilk & Perry: Chapters 1, 2, 12, 13, 14, 15, 2
c. Maternal morbidity rate
d. Incidence of low-birth-weight (LBW) infants: ANS: B
City, county, and state health departments provide annual reports of births and
deaths. Maternal and infant death rates are particularly important because they
reflect health outcomes that may be preventable. Infant mortality continues to be
a concern in all populations.
AIDS and tuberculosis may be the target of research studies; however, maternal
and infant mortality rates are particularly important in the evaluation of the health of
a
population.
The number of maternal deaths in the United States is small; however, worldwide
many women die each year from problems related to pregnancy and childbirth.
The incidence of LBW infants is monitored in order to determine risk factors such
as racial disparity. It is not as widely used as infant mortality.
4. 4. Alternative and complementary therapies:
a. Replace conventional Western modalities of treatment
b. Are used by only a small number of American adults
c. Allow for more client autonomy
d. Focus primarily on the disease an individual is experiencing: ANS: C
City, county, and state health departments provide annual reports of births and
deaths. Maternal and infant death rates are particularly important because they
reflect health outcomes that may be preventable. Infant mortality continues to be
a concern in all populations.
Alternative and complementary therapies are part of an integrative approach to
health care.
An increasing number of American adults are seeking alternative and
complementary health care options.
, Test 1: Maternity by Lowdermilk & Perry: Chapters 1, 2, 12, 13, 14, 15, 2
Alternative healing modalities offer a holistic approach to health, focusing on the
whole person and not just the disease.
5. 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, designed to improve the
quality of client care, is called:
a.. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented care
d. Evidence-based practice: ANS: C
Outcomes-oriented care measures effectiveness of interventions and quality of care
against benchmarks or standards.
The term best practice refers to a program or service that has been recognized for
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.
6. 6. Contemporary maternity nursing is exemplified by:
a. The 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 family's needs and desires.
Midwives and physicians both 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.
, Test 1: Maternity by Lowdermilk & Perry: Chapters 1, 2, 12, 13, 14, 15, 2
7. 7. A 38-year-old Hispanic woman delivered a 9-lb, 6-oz baby girl vaginally
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. She is Hispanic.
b. She delivered a girl.
c. If the standards of care were not met.
d. She refused fetal monitoring.: ANS: C
Not meeting the standards of care is a legitimate factor for a case of negligence.
The client's race is not a factor for a case of negligence.
The infant's gender is not a factor for a case of negligence.
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 sign an against medical advice form
for refusal of any treatment that is within the standard of care
8. 8. The National Quality Forum has issued a list of "never events" pertaining
specifically to maternal and child health. These include all except: a. Infant
discharged to the wrong person
b. Kernicterus associated with failure to identify and treat hyperbilirubinemia
c. Artificial insemination with wrong donor sperm or egg
d. Foreign object retained after surgery: ANS: D
Although a foreign object retained after surgery is a never event, this does not
pertain specifically to obstetric clients. A client undergoing any type of surgery may
be at risk for this event.
An infant discharged to the wrong person pertains specifically 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.
9. 9. An important development that concerns maternity nursing is integrative
health care, which:
