(Test Bank) Maternity & Women’s Health Care

Lowdermilk, 10

Nursing

Test Bank

10th Edition

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Description

Test Bank for Maternity & Women’s Health Care, The downloadable file consists of 378 pages, and the total size of the file is 0.59 MB. Purchase now only for highly discounted price.

Author(s): Lowdermilk

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Study Note Preview

Lowdermilk: Maternity & Women’s Health Care, 10th Edition Chapter 01: 21st Century Maternity and Women’s Health Nursing 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 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: C3. 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 c.Maternal morbidity rate d.Incidence of low-birth-weight (LBW) infants ANS: B 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 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 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 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 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 9. An important development that concerns maternity nursing is integrative health care, which: a.Seeks to provide the same health care for all racial and ethnic groups b.Blends complementary and alternative therapies with conventional Western treatment c.Focuses on the disease or condition rather than the client’s background d.Has been mandated by Congress ANS: B 10. 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.The rates of pregnancy and abortion among teens are lower in the United States than in any other industrialized country. ANS: A 11. The high cost of health care in the United States is most likely a result of: a.Early postpartum discharge policies b.Midwifery carec.The involvement of nurses in the politics of cost containment d.An emphasis on the use of advanced technology in care ANS: D 12. Maternity nursing care that is based on knowledge gained through research and clinical trials is: a.Derived from the Nursing Intervention Classification b.Known as evidence-based practice c.At odds with the Cochrane School of traditional nursing d.An outgrowth of telemedicine ANS: B 13. The level of practice a reasonably prudent nurse provides is called: a.The standard of care b.Risk managementc.A sentinel event d.Failure to rescue ANS: A 14. During a prenatal intake interview, the client informs the nurse that she would prefer a midwife to provide both her care during pregnancy and deliver her infant. What information is most appropriate for the nurse to share with this client? a.Midwifery care is only available to clients who are uninsured because their services are less expensive than an obstetrician. Costs are often lower than an obstetric provider. b.The client will receive fewer interventions during the birth process. c.She should be aware that midwives are not certified. d.Her delivery can take place only at home or in a birth center. ANS: B 15. While obtaining a detailed history from a woman who has recently immigrated from Somalia, the nurse realizes that the client has undergone female genital mutilation. The nurse’s best response to this client is: a.“This is a very abnormal practice and rarely seen in the United States.” b.“Are you aware of who performed this so that it can be reported to the authorities?” c.“We will be able to fully restore your circumcision after delivery.” d.“The extent of your circumcision will affect the potential for complications.” ANS: D 16. In order to ensure client safety, the practicing nurse must have knowledge of The Joint Commission’s current “Do Not Use” list of abbreviations. Which term is acceptable for use regarding medication administration? a.q.o.d. or Q.O.D b.MSO4 or MgSO4 c.International Unit d.Lack of a leading zero ANS: C 17. Maternity nurses can enhance communication among health care providers by utilizing the SBAR technique. This acronym stands for: a.Situation, Background, Assessment, Recommendationb.Situation, Baseline, Assessment, Recommendation c.Subjective, Background, Analysis, Recommendation d.Subjective, Background, Analysis, Review ANS: A 1. Examples of alternative healing modalities include (choose all that apply): a.Acupuncture b.Meditation c.Yoga d.Antibiotics e.Chelation therapy ANS: A, B, C, E 2. Which methods help alleviate the problems associated with access to health care for the maternity client? Choose all that apply. a.Provide transportation to prenatal visits.b.Provide child care so that a pregnant woman may keep prenatal visits. c.Increase the number of providers that will care for Medicaid clients. d.Provide low-cost or no-cost health care insurance. e.Provide job training. ANS: A, B, C, D TRUE/FALSE 1. Researchers have found that most client education materials used are written at too high a reading level for the average adult. Is this true or false?ANS: T Chapter 02: Community Care: The Family and Culture 1. A married couple lives in a single-family house with their newborn son and the husband’s daughter from a previous marriage. Based on the information given, what family form best describes this family? a.Married-blended family b.Extended family c.Nuclear family d.Same-sex familyANS: A 2. The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family: a.Rituals and customs b.Values and beliefs c.Boundaries and channels d.Socialization processes ANS: B 3. Using the family stress theory as an intervention approach for working with families experiencing parenting, the nurse can help the family change internal context factors. These include: a.Biologic and genetic makeup b.Maturation of family members c.The family’s perception of the event d.The prevailing cultural beliefs of society ANS: C4. The nurse’s care of a Hispanic family includes teaching about infant care. When developing a plan of care, the nurse bases interventions on the knowledge that in traditional Hispanic families: a.Breastfeeding is encouraged immediately after birth b.Male infants typically are circumcised c.The maternal grandmother participates in the care of the mother and her infant d.Special herbs mixed in water are used to stimulate the passage of meconium ANS: C 5. Which health care service represents the primary level of prevention? a.Immunizations b.Breast self-examination c.Home care for high risk pregnancies d.Blood pressure screening ANS: A 6. What is the primary difference between hospital care and home health care?a.Home care is routinely delivered continuously by professional staff. b.Home care is delivered on an intermittent basis by professional staff. c.Home care is delivered for emergency conditions. d.Home care is not available 24 hours a day. ANS: B 7. To provide competent care to an Asian-American family, the nurse should include the following question during the assessment interview: a.“Do you prefer hot or cold beverages?” b.“Do you want some milk to drink?” c.“Do you want music playing while you are in labor?” d.“Do you have a name selected for the baby?” ANS: A 8. The woman’s family members are present when the nurse arrives for a postpartum and newborn visit. What should the nurse do? a.Observe the family members’ interactions with the newborn and one another. b.Ask the woman to meet with her and the baby alone. c.Do a brief assessment on all family members present. d.Reschedule the visit for another time so that the mother and infant can be assessed privately. ANS: A 9. What is a limitation of a home postpartum visit? a.The nurse’s ability to teach is limited by many distractions. b.Identified problems cannot be resolved in the home setting. c.Necessary items for infant care are not available. d.Home visits to different families may require the nurse to travel a great distance. ANS: D 10. The nurse should be aware that during the childbearing experience, an African- American woman will most likely: a.Seek prenatal care early in her pregnancyb.Avoid self-treatment of pregnancy-related discomfort c.Request liver in the postpartum period to prevent anemia d.Arrive at the hospital in advanced labor ANS: D 11. A health care service representing the tertiary level of prevention includes: a.Stress management seminars b.Childbirth education classes for single parents c.A breast self-examination (BSE) pamphlet and teaching d.A premenstrual syndrome (PMS) support group ANS: D 12. Which area is appropriate to include in a physical assessment of the home? a.Bathtub, toilets, sinks, countertops, inside china cabinet drawers