Maternity and Women's Health Care
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Leonard Lowdermilk, Cashion, Rhodes Alden, Olshansky, Perry
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13th Edition
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TEST BANK
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, Test Bank
Maternity and Women's Health Care
Lowdermilk · Cashion · Rhodes Alden · Olshansky · Perry
13TH EDITION
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TABLE OF CONTENTS
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PART 1 — INTRODUCTION TO MATERNITY AND WOMEN'S HEALTH CARE
Chapter 01 21st-Century Maternity and Women's Health Nursing
Chapter 02 Community Care: The Family and Culture
Chapter 03 Nursing and Genomics
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PART 2 — WOMEN'S HEALTH
Chapter 04 Assessment and Health Promotion
Chapter 05 Violence Against Women
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Chapter 06 Reproductive System Concerns
Chapter 07 Sexually Transmitted and Other Infections
Chapter 08 Contraception and Abortion
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Chapter 09 Infertility
Chapter 10 Problems of the Breast
Chapter 11 Structural Disorders and Neoplasms of the Reproductive System
PART 3 — PREGNANCY
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Chapter 12 Conception and Fetal Development
Chapter 13 Anatomy and Physiology of Pregnancy
Chapter 14 Nursing Care of the Family During Pregnancy
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Chapter 15 Maternal Nutrition
PART 4 — LABOR AND BIRTH
Chapter 16 Labor and Birth Processes
Chapter 17 Maximizing Comfort for the Laboring Person
Chapter 18 Fetal Assessment During Labor
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Chapter 19 Nursing Care of the Family During Labor and Birth
PART 5 — POSTPARTUM
Chapter 20 Postpartum Anatomical and Physiologic Changes
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Chapter 21 Nursing Care of the Family During the Postpartum Period
Chapter 22 Transition to Parenthood
, PART 6 — THE NEWBORN
Chapter 23 Physiologic and Behavioral Adaptations of the Newborn
Chapter 24 Nursing Care of the Newborn and Family
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Chapter 25 Newborn Nutrition and Feeding
PART 7 — COMPLICATIONS OF PREGNANCY
Chapter 26 Assessment of High-Risk Pregnancy
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Chapter 27 Hypertensive Disorders
Chapter 28 Hemorrhagic Disorders
Chapter 29 Endocrine and Metabolic Disorders
Chapter 30 Medical-Surgical Disorders
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Chapter 31 Mental Health Disorders and Substance Abuse
Chapter 32 Labor and Birth at Risk
Chapter 33 Postpartum Complications
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PART 8 — NEWBORN COMPLICATIONS
Chapter 34 Nursing Care of the High-Risk Newborn
Chapter 35 Acquired Problems of the Newborn
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Chapter 36 Hemolytic Disorders and Congenital Anomalies
Chapter 37 Perinatal Loss, Bereavement, and Grief
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, Chapter 01: 21st Century Maternity and Women’s Health Nursing
Lowdermilk: Maternity and Women’s Health Care, 13th Edition
MULTIPLE CHOICE
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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
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d. Limited maternal education
ANS: A
The rise in the overall LBW rates was 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
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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
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is an important factor in potential infant mortality rates, but it is not the most important.
Additionally, maternal education is a modifiable risk factor.
DIF: Cognitive Level: Understanding TOP: Assessment
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MSC: Client Needs: Health Promotion and Maintenance, 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.
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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
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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.
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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.
DIF: Cognitive Level: Understanding TOP: Planning
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MSC: Client Needs: Health Promotion and Maintenance