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Test Bank T L
For Maternity and Women's Health Care
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13th Edition Lowdermilk
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, Maternity and Women's Health Care 13th Edition Lowdermilk Test Chap T L L
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ter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mat
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ernity & Women’s Health Care, 12th Edition
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MULTIPLE CHOICE L
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1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
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weight (LBW) infant, which factor is the most important for the nurse to consider? L
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a. African-American race T L
b. Cigarette smoking L
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c. Poor nutritional status L
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d. Limited maternal education L
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ANS: A T L
The rise in the overall LBW rates were due to increases in LBW births to non-
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Hispanic black women (13.35%) and Hispanic women (7.21%); non- T L T L T L T L T L T L L
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Hispanic black infants are almost twice as likely as non- T L L
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Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifi T L T L T L L
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Table risk factor. Cigarette smoking is an important factor in potential infant mortality rates, b ut
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Tit is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutri
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Ttion is an important factor in potential infant mortality rates, but it is not the most importan
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t. Additionally, nutritional status is a modifiable risk factor. Maternal education is an impor
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Ttant factor in potential infant mortality rates, but it is not the most important. Additionally,
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Tmaternal education is a modifiable risk factor. T L T L L
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PTS: 1 DIF:
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MSC: T L T L Client Needs: T L T L HealtN
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tenance, Antepartum Care T L T L
2. A 23-year-old African- L
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American woman is pregnant with her first child. Based on current statistics for infant mor L
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tality, which intervention is most important for the nurse to include in the client’s plan of c
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are? L
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a. Perform a nutrition assessment. L
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b. Refer the woman to a social worker. L
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c. Advise the woman to see an obstetrician, not a midwife. L
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d. Explain to the woman the importance of keeping her prenatal care appointments. L
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ANS: D T L
Consistent prenatal care is the best method of preventing or controlling risk factors associat L
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Ted with infant mortality. Nutritional status is an important modifiable risk factor, but it is not t he
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Tmost important action a nurse should take in this situation. The client may need assistanc e
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Tfrom a social worker at some time during her pregnancy, but a referral to a social worker i s
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Tnot the most important aspect the nurse should address at this time. If the woman has iden
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risk problems, then her health care may need to be provided by a physician. However, it ca
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Tnnot be assumed that all African-American women have high-
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risk issues. In addition, advising the woman to see an obstetrician is not the most important
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Taspect on which the nurse should focus at this time, and it is not appropriate for a nurse to a
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Tdvise or manage the type of care a client is to receive.
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PTS: 1 DIF:
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MSC: Client Needs: Health Promotion and Maintenance
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3. The nurses working at a newly established birthing center have begun to compare their
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performance in providing maternal-
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newborn care against clinical standards. This comparison process is most commonly k nown
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as what?
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a. Best practices network L
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b. Clinical benchmarking L
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c. Outcomes-oriented pracNtiU ceR S T L
d. Evidence-based practice T L
ANS: C T L
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
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benchmarks or standards. The term best practice refers to a program or service that has been
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recognized for its excellence. Clinical benchmarking is a process used to compare one’s o
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wn performance against the performance of the best in an area of service. The term evidenc
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e-
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based practice refers to the provision of care based on evidence gained through research an d
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clinical trials.
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PTS: 1 DIF:
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MSC: Client Needs: Safe and Effective Care Environment
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
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assessment of a 21-year-
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old Hispanic client with limited English proficiency. Which intervention is the most
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important for the nurse to implement?
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a. Use maternity jargon to enable the client to become familiar with these terms.
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b. Speak quickly and efficiently to expedite the visit. T L L
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c. Provide the client with handouts. L
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d. Assess whether the client understands the discussion. L
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ANS: D T L
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
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d evaluating whether the client understands the discussion. Speaking slowly and clearly an
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d focusing on what is important will increase understanding. Most client education material
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s are written at a level too high for the average adult and may not be useful for a client wit
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h limited English proficiency.
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PTS: 1 DIF:
Cognitive Level: ApplyTOP: T L T L
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5. Which statement best exemplifies contemporary maternity nursing?
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a. Use of midwives for all vaginal deliveries L
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b. Family-centered care T L
c. Free-standing birth clinics L
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d. Physician-
drivencare ANS: L
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, Maternity and Women's Health Care 13th Edition Lowdermilk Test
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