Test Bank For Maternity and Women Health Care 11th Edition by Deitra Leonard Lowdermilk
Chapter 01: 21st Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
- 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
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
- 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
DIF: Cognitive Level: Understand REF: p. 14 TOP: Nursing Process: N/A
MSC: Client Needs: Safe and Effective Care Environment
- 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
DIF: Cognitive Level: Understand REF: p. 6 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
- 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
DIF: Cognitive Level: Apply REF: p. 5 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
- 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
DIF: Cognitive Level: Understand REF: p. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
- 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
DIF: Cognitive Level: Understand REF: pp. 8-9 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
- 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.
An inexperienced maternity nurse was assigned to care for the client.
b.
The client was past her due date by 3 days.
c.
The Standard of care was not met.
d.
Client refused electronic fetal monitoring.
ANS: C
DIF: Cognitive Level: Analyze REF: p. 13
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
- 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 client’s 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
DIF: Cognitive Level: Understand REF: p. 13
TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
- The National Quality Forum has issued a list of “never events” specifically pertaining to maternal and child health. These include all of the following:
a.
infant discharged to the wrong person.
b.
kernicterus is 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: p. 4
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
- A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
a.
Births to unmarried women are more likely to have less favorable outcomes.
b.
Birth rates for women 40 to 44 years of age are declining.
c.
Cigarette smoking among pregnant women continues to increase.
d.
Rates of pregnancy and abortion among teenagers are lower in the United States than in any other industrialized country.
ANS: A
LBW infants and preterm births are more likely because of the large number of teenagers in the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States than in any other industrial country.
DIF: Cognitive Level: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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