Lowdermilk: Maternity & Women’s Health Care, 12th Edition Test Bank A+
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Lowdermilk: Maternity & Women’s
Health Care, 12th Edition Test Bank
A+
, Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 12th 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 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.
MSC: Client Needs: HealtNhUPrRoSmIotNioGnTanBd.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, 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.
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 pracNtiUceRS
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 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.
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 materials are
written at a level too high for the average adult and may not be useful for a client with limited
English proficiency.
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
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