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LATEST UPDATE 2022.
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,Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank CHAPTER 1 TO 36 WELL EXPLAINED ANSWERS
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Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank L
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Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE L
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1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW) infant,
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T which factor is the most important for the nurse to consider?
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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
For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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T Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
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T mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
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T Poor nutrition is an important factor in potential infant mortality rates, but it is not the most
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T important. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
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T important factor in potential infant mortality rates, but it is not the most important. Additionally,
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T maternal education is a modifiable risk factor. T L T L L
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DIF: Cognitive Level: Understand REF: IM:
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TOP: Nursing Process: Assessment
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MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
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2. What is the primary role of practicing nurses in the research process?
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a. Designing research studies L
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b. Collecting data for other researchers L
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c. Identifying researchable problems L
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d. Seeking funding to support research studies T L L
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ANS: C T L
,Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank CHAPTER 1 TO 36 WELL EXPLAINED ANSWERS
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When problems are identified, research can be properly conducted. Research of health care
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T issues leads to evidence-based practice guidelines. Designing research studies is only one factor of
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T the research process. Data collection is another factor of research. Financial support is necessary
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T to conduct research, but it is not the primary role of the nurse in the research process.
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DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
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3. A 23-year-old African-American woman is pregnant with her first child. Based on the
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T statistics for infant mortality, which plan is most important for the nurse to implement?
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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 L
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Consistent prenatal care is the best method of preventing or controlling risk factors associated L
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T with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
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T most important action a nurse should take in this situation. The client may need assistance from a
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T social worker at some time during her pregnancy, but a referral to a social worker is not the most
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T important aspect the nurse should address at this time. If the woman has identifiable high-risk
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T problems, then her health care may need to be provided by a physician. However, it cannot be
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T assumed that all African-American women have high-risk issues. In addition, advising the
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T woman to see an obstetrician is not the most important aspect on which the nurse should focus at
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T this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to
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DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
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MSC: Client Needs: Health Promotion and Maintenance
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment
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T of a 21-year-old Hispanic client with limited English proficiency. Which action is the most
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T important for the nurse to perform? L
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a. Use maternity jargon to enable the client to become familiar with these terms.
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, Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank CHAPTER 1 TO 36 WELL EXPLAINED ANSWERS
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LATEST UPDATE 2022.
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b. Speak quickly and efficiently to expedite the visit. 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 L
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Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
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T evaluating whether the client understands the discussion. Speaking slowly and clearly and
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T focusing on what is important will increase understanding. Most client education materials are
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T written at a level too high for the average adult and may not be useful for a client with limited
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DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation MSC:
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T Client Needs: Health Promotion and Maintenance
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5. The nurses working at a newly established birthing center have begun to compare their
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T performance in providing maternal-newborn care against clinical standards. This comparison L
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T process is most commonly known as what? T L T L T L T L T L T L
a. Best practices network L
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b. Clinical benchmarking T L
c. Outcomes-oriented practice T L
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Outcomes-oriented practice measures the effectiveness of the interventions and quality of care L
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T against benchmarks or standards. The term best practice refers to a program or service that has
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T been recognized for its excellence. Clinical benchmarking is a process used to compare ones own
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T performance against the performance of the best in an area of service. The term evidence-based T L T L T L T L T L T L T L T L T L L
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T practice refers to the provision of care based on evidence gained through research and clinical
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DIF: Cognitive Level: Understand REF: im: 11 TOP: Nursing Process: Evaluation
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