Test Bank for Maternity Nursing 8e by Deitra

Test Bank for Maternity Nursing 8e by Deitra Lowdermilk, Shannon Perry, Mary Cashion (All Chapters)

Chapter 01: 21st Century Maternity Nursing: Culturally Competent, Family and Community Focused

Test Bank

MULTIPLE CHOICE

• 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?

• Perform a nutrition assessment.
• Refer the woman to a social worker.
• Advise the woman to see an obstetrician, not a midwife.
• Explain to the woman the importance of keeping her prenatal care appointments.

ANS: D

Feedback A Nutritional status is an important modifiable risk factor, but it is not the most important action a nurse should take in this situation.B The woman may need assistance from a social worker at some time during her pregnancy, but this is not the most important aspect the nurse should address at this time.C If the woman has identifiable high risk problems, 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, this 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 patient is to receive.D Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant mortality.

DIF: Cognitive Level: Comprehension REF: 8 OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning

• When managing health care for pregnant women at a prenatal clinic, the nurse should

recognize that the most significant barrier to access to care is the pregnant woman’s:

• Age.
• Minority status.
• Educational level. 1 / 4

• Inability to pay.

ANS: D

Feedback A Although adolescent pregnant patients statistically receive less prenatal care, this factor is not the most significant barrier.B Significant disparities in morbidity and mortality rates exist for minority women; however, this is not the most significant barrier to access to care.C Disparities in educational level are associated with morbidity and mortality rates; the educational level is not the most significant barrier to access to care.D The most significant barrier to health care access is the inability to pay for services. This is compounded by the fact that many physicians refuse to care for women who cannot pay.

DIF: Cognitive Level: Knowledge REF: 5 OBJ: Client Needs: Safe and Effective Care Environment TOP: Nursing Process: Assessment

• What is the primary role of practicing nurses in the research process?
• Designing research studies
• Collecting data for other researchers
• Identifying researchable problems
• Seeking funding to support research studies

ANS: C

Feedback A Designing research studies is only one factor of the research process.B Data collection is one factor of research.C When problems are identified, research can be conducted properly. Research of health care issues leads to evidence-based practice guidelines.D Financial support is necessary to conduct research, but it is not the primary role of the nurse in the research process.

DIF: Cognitive Level: Comprehension REF: 12 OBJ: Client Needs: Safe and Effective Care Environment TOP: Nursing Process: Diagnosis, Evaluation

• The nurse caring for the pregnant woman should be aware that the U.S. birth rate

shows what trend?

• Births to unmarried women are more likely to have less favorable outcomes.
• Birth rates for women 40 to 44 years of age are beginning to decline.
• Cigarette smoking among pregnant women continues to increase.
• The rates of pregnancy and abortion among teens are lower in the United States than

in any other industrialized country. 2 / 4

ANS: A

Feedback A Low-birth-weight infants and preterm births are more likely because of the large number of teenagers in the unmarried group.B Birth rates for women in their early forties continue to increase.C Fewer pregnant women smoke.D Teen pregnancy and abortion rates are higher in the United States than in any other industrialized country.

DIF: Cognitive Level: Comprehension REF: 6 OBJ: Client Needs: Psychosocial Integrity TOP: Nursing

Process: Assessment

• When the nurse is unsure about how to perform a patient care procedure, the best

action would be to:

• Ask another nurse.
• Discuss the procedure with the patient’s physician.
• Look up the procedure in a nursing textbook.
• Consult the agency procedure manual and follow the guidelines for the procedure.

ANS: D

Feedback A Each nurse is responsible for her own practice. Relying on another nurse may not always be safe practice. Each nurse is obligated to follow the standards of care for safe patient care delivery.B Physicians are responsible for their own patient care activity. Nurses may follow safe orders from physicians, but they are also responsible for the activities that they as nurses are to carry out.C Information provided in a nursing textbook is basic information for general knowledge. Furthermore, the information in a textbook may not reflect the current standard of care or individual state or hospital policies.D It is always best to follow the agency’s policies and procedures manual when seeking information on correct patient procedures. These policies should reflect the current standards of care and state guidelines.

DIF: Cognitive Level: Comprehension REF: 11 OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Implementation

6. Alternative and complementary therapies:

• Replace conventional Western modalities of treatment.
• Are used by only a small number of American adults.
• Recognize the value of patients’ input into their health care.
• Focus primarily on the disease an individual is experiencing. 3 / 4

ANS: C

Feedback A Alternative and complementary therapies are part of an integrative approach to health care.B An increasing number of American adults are seeking alternative and complementary health care options.C Many popular alternative healing modalities offer human-centered care based on philosophies that recognize the value of the patient’s input and honor the individual’s beliefs, values, and desires.D Alternative healing modalities offer a holistic approach to health, focusing on the whole person, not just the disease.

DIF: Cognitive Level: Comprehension REF: 4 OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Planning

7. Contemporary maternity nursing is exemplified by:

• The use of midwives for all vaginal deliveries.
• Family-centered care.
• Free-standing birth clinics.
• Physician-driven care.

ANS: B

Feedback A Midwives and physicians both perform vaginal deliveries.B Contemporary maternity nursing focuses on the family’s needs and desires.C Free-standing clinics are an example of alternative birth options.D Contemporary maternity nursing is driven by the relationship between nurses and their patients.

DIF: Cognitive Level: Comprehension REF: 8 OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning

• A 38-year-old Hispanic woman delivered a 9-pound, 6-ounce baby girl vaginally after

being in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds would the woman potentially have a legitimate legal case for negligence?

• She is Hispanic.
• She delivered a girl.
• The standards of care were not met.
• She refused fetal monitoring.

ANS: C

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