Maternity aand aWomen's aHealth aCare a13th aEdition aLowdermilk
Test
, Maternity aand aWomen's aHealth aCare a13th aEdition aLowdermilk
Test
Chapter a01: a21st aCentury aMaternity aand aWomen’s aHealth aNursing
aLowdermilk: aMaternity a& aWomen’s aHealth aCare, a13th aEdition
MULTIPLE aCHOICE
1. In aevaluating athe alevel aof aa apregnant awoman’s arisk aof ahaving aa alow-birth-weight
a(LBW) ainfant, awhich afactor ais athe amost aimportant afor athe anurse ato aconsider?
a. African-American a race
b. Cigarette asmoking
c. Poor anutritional astatus
d. Limited amaternal aeducation
ANS: a A
The arise ain athe aoverall aLBW arates awere adue ato aincreases ain aLBW abirths ato anon-
Hispanic ablack awomen a(13.35%) aand aHispanic awomen a(7.21%); anon-Hispanic ablack
ainfants aare aalmost atwice aas alikely aas anon-Hispanic awhite ainfants ato abe aof aLBW aand
ato adie ain athe afirst ayear aof alife.. aRace ais aa anonmodifiable arisk afactor. aCigarette asmoking
ais aan aimportant afactor ain apotential ainfant amortality arates, abut ait ais anot athe amost
aimportant. aAdditionally, asmoking ais aa amodifiable arisk afactor. aPoor anutrition ais aan
aimportant afactor ain apotential ainfant amortality arates, abut ait ais anot athe amost aimportant.
aAdditionally, anutritional astatus ais aa amodifiable arisk afactor. aMaternal aeducation ais aan
aimportant afactor ain apotential ainfant amortality arates, abut ait ais anot athe amost aimportant.
aAdditionally, amaternal aeducation ais aa amodifiable arisk afactor.
PTS: 1 DIF: Cognitive aLevel:
aUnderstand aTOP: Nursing aProcess: aAssessment
MSC: a a Client a Needs: a HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, a Antepartum a Care
2. A a23-year-old aAfrican-American awoman ais apregnant awith aher afirst achild. aBased aon
acurrent astatistics afor ainfant amortality, awhich aintervention ais amost aimportant afor athe
anurse ato ainclude ain athe aclient’s aplan aof acare?
a. Perform aa anutrition aassessment.
b. Refer athe awoman ato aa asocial aworker.
c. Advise athe awoman ato asee aan aobstetrician, anot aa amidwife.
d. Explain ato athe awoman athe aimportance aof akeeping aher aprenatal acare aappointments.
ANS: a D
Consistent aprenatal acare ais athe abest amethod aof apreventing aor acontrolling arisk afactors
aassociated awith ainfant amortality. aNutritional astatus ais aan aimportant amodifiable arisk
afactor, abut ait ais anot athe amost aimportant aaction aa anurse ashould atake ain athis asituation.
aThe aclient amay aneed aassistance afrom aa asocial aworker aat asome atime aduring aher
apregnancy, abut aa areferral ato aa asocial aworker ais anot athe amost aimportant aaspect athe
anurse ashould aaddress aat athis atime. aIf athe awoman ahas aidentifiable ahigh-risk aproblems,
athen aher ahealth acare amay aneed ato abe aprovided aby aa aphysician. aHowever, ait acannot
abe aassumed athat aall aAfrican-American awomen ahave ahigh-risk aissues. aIn aaddition,
aadvising athe awoman ato asee aan aobstetrician ais anot athe amost aimportant aaspect aon
awhich athe anurse ashould afocus aat athis atime, aand ait ais anot aappropriate afor aa anurse ato
aadvise aor amanage athe atype aof acare aa aclient ais ato areceive.
PTS: 1 DIF: Cognitive aLevel:
aUnderstand aTOP: Nursing aProcess: aPlanning
, Maternity aand aWomen's aHealth aCare a13th aEdition aLowdermilk
Test
MSC: a Client aNeeds: aHealth aPromotion aand aMaintenance
3. The anurses aworking aat aa anewly aestablished abirthing acenter ahave abegun ato acompare
atheir aperformance ain aproviding amaternal-newborn acare aagainst aclinical astandards.
aThis acomparison aprocess ais amost acommonly aknown aas awhat?
a. Best apractices anetwork
b. Clinical abenchmarking
c. Outcomes-oriented a pracNt iUceR S
d. Evidence-based a practice
ANS: a C
Outcomes-oriented apractice ameasures athe aeffectiveness aof athe ainterventions aand aquality
aof acare aagainst abenchmarks aor astandards. aThe aterm abest apractice arefers ato aa aprogram
aor aservice athat ahas abeen arecognized afor aits aexcellence. aClinical abenchmarking ais aa
aprocess aused ato acompare aone’s aown aperformance aagainst athe aperformance aof athe abest
ain aan aarea aof aservice. aThe aterm aevidence-based apractice arefers ato athe aprovision aof
acare abased aon aevidence agained athrough aresearch aand aclinical atrials.
PTS: 1 DIF: Cognitive aLevel:
aUnderstand aTOP: Nursing aProcess: aEvaluation
MSC: a Client aNeeds: aSafe aand aEffective aCare aEnvironment
4. During aa aprenatal aintake ainterview, athe anurse ais ain athe aprocess aof aobtaining aan
ainitial aassessment aof aa a21-year-old aHispanic aclient awith alimited aEnglish
aproficiency. aWhich aintervention ais athe amost aimportant afor athe anurse ato
aimplement?
a. Use amaternity ajargon ato aenable athe aclient ato abecome afamiliar awith athese aterms.
b. Speak aquickly aand aefficiently ato aexpedite athe avisit.
c. Provide athe aclient awith ahandouts.
d. Assess awhether athe aclient aunderstands athe adiscussion.
ANS: a D
Nurses acontribute ato ahealth aliteracy aby ausing asimple, acommon awords, aavoiding
ajargon, aand aevaluating awhether athe aclient aunderstands athe adiscussion. aSpeaking
aslowly aand aclearly aand afocusing aon awhat ais aimportant awill aincrease aunderstanding.
aMost aclient aeducation amaterials aare awritten aat aa alevel atoo ahigh afor athe aaverage aadult
aand amay anot abe auseful afor aa aclient awith alimited aEnglish aproficiency.
PTS: 1 DIF: Cognitive aLevel:
aApply aTOP: Nursing aProcess:
aImplementation
MSC: a Client aNeeds: aHealth aPromotion aand aMaintenance
5. Which astatement abest aexemplifies acontemporary amaternity anursing?
a. Use aof amidwives afor aall avaginal adeliveries
b. Family-centered acare
c. Free-standing abirth aclinics
d. Physician-driven acare
aANS: a B
, Maternity aand aWomen's aHealth aCare a13th aEdition aLowdermilk
Test
Contemporary amaternity anursing afocuses aon athe afamily’s aneeds aand adesires. aFathers,
apartners, agrandparents, aand asiblings amay abe apresent afor athe abirth aand aparticipate ain
aactivities asuch aas acutting athe ababy’s aumbilical acord. aBoth amidwives aand aphysicians
aperform avaginal adeliveries. aFree-standing aclinics aare aan aexample aof aalternative abirth
aoptions. aContemporary amaternity anursing ais adriven aby athe arelationship abetween anurses
aand atheir aclients.
PTS: 1 DIF: Cognitive aLevel:
aUnderstand aTOP: Nursing aProcess: aPlanning
MSC: a Client aNeeds: aHealth aPromotion aand aMaintenance
6. A a38-year-old aHispanic awoman avaginally adelivered aa a9-pound, a6-ounce ababy agirl aafter
abeing ain alabor afor a43 ahours. aThe ababy adied a3 adays alater afrom asepsis. aOn awhat
agrounds acould athe awoman ahave aa alegitimate alegal acase afor anegligence?
a. Inexperienced amaternity anurse awas aassigned ato acare afor athe aclient.
b. Client awas apast aher adue adate aby a3 adays.
c. Standard aof acare awas anot amet.
d. Client arefused aelectronic afetal amonitoring.
ANS: a C
Not ameeting athe astandard aof acare ais aa alegitimate afactor afor aa acase aof anegligence. aAn
ainexperienced amaternity anurse awould aneed ato adisplay acompetency abefore abeing
aassigned ato acare afor aclients aon ahis aor aher aown. aThis aclient amay ahave abeen apast aher
adue adate; ahowever, aa aterm apregnancy aoften agoes abeyond a40 aweeks aof agestation.
aAlthough afetal amonitoring ais athe astandard aof acare, athe aclient ahas athe aright ato arefuse
atreatment. aThis arefusal ais anot aa acase afor anegligence, abut ainformed aconsent ashould abe
aproperly aobtained, aand athe aclient ashould ahave asigned aan aagainst amedical aadvice aform
awhen arefusing aany atreatment athat ais awithin athe astandard aof acare.
PTS: 1 DIF: Cognitive aLevel:
aAnalyze aTOP: Nursing aProcess:
aImplementation
MSC: a Client aNeeds: aSafe aand aEffective aCare aEnvironment
7. When athe anurse ais aunsure ahow ato aperform aa aclient acare aprocedure athat ais ahigh arisk
aand alow avolume, ahis aor aher abest aaction ain athis asituation awould abe awhat?
a. Ask aanother anurse.
b. Discuss athe aprocedure awith athe aclient’s aphysician.
c. Look aup athe aprocedure ain aa anursing atextbook.
d. First aconsult athe aagency aprocedure amanual
ANS: a D
Following athe aagency’s apolicies aand aprocedures amanual ais aalways abest awhen aseeking
ainformation aon acorrect aclient aprocedures. aThese apolicies ashould areflect athe acurrent
astandards aof acare aand athe aindividual astate’s aguidelines. aEach anurse ais aresponsible afor
ahis aor aher aown apractice. aRelying aon aanother anurse amay anot aalways abe aa asafe
apractice. aEach anurse ais aobligated ato afollow athe astandards aof acare afor asafe aclient acare
adelivery. aPhysicians aare aresponsible afor atheir aown aclient acare aactivity. aNurses amay
afollow asafe aorders afrom aphysicians, abut athey aare aalso aresponsible afor athe aactivities
athat athey, aas anurses, aare ato acarry aout. aInformation aprovided ain aa anursing atextbook ais
abasic ainformation afor ageneral aknowledge. aFurthermore, athe ainformation ain aa atextbook
amay anot areflect athe acurrent astandard aof acare aor athe aindividual astate aor ahospital
apolicies.
