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Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE n
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW)
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infant, which factor is the most important for the nurse to consider?
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a. African-American race n
b. Cigarette smoking n
c. Poor nutritional status
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d. Limited maternal education n n
ANS: A n
For African-American births, the incidence of LBW infants is twice that of Caucasian
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births. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in
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potential infant mortality rates, but it is not the most important. Additionally, smoking is a
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modifiable risk factor. Poor nutrition is an important factor in potential infant mortality
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rates, but it is not the most important. Additionally, nutritional status is a modifiable risk
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factor. Maternal education is an important factor in potential infant mortality rates, but it
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is not the most important. Additionally, maternal education is a modifiable risk factor.
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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
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b. Collecting data for other researchers
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c. Identifying researchable problems
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, d. Seeking funding to support research studies n n n n n
ANS: C n
When problems are identified, research can be properly conducted. Research of health
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care issues leads to evidence-based practice guidelines. Designing research studies is only
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one factor of the research process. Data collection is another factor of research. Financial
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support is necessary to conduct research, but it is not the primary role of the nurse in
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the research process.
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DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A
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MSC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-American woman is pregnant with her first child. Based
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on the statistics for infant mortality, which plan is most important for the nurse
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to implement?
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a. Perform a nutrition assessment. n n n
b. Refer the woman to a social worker.
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c. Advise the woman to see an obstetrician, not a midwife.
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d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D n