TestBank For Maternity and Women's HealthCare 13th Edition Lowdermilk

MaternitybandbWomen'sbHealthbCareb13thbEditionbLowdermilk Test
()




TestBank
ForMaternityandWomen'sHealthCare1
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3thEditionLowdermilk
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, MaternitybandbWomen'sbHealthbCareb13thbEditionbLowdermilk TestChaptb () ()


Bank b
er 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mater
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nity & Women’s Health Care, 12th Edition
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MULTIPLEbCHOICE

1. Inbevaluatingbtheblevelbofbabpregnantbwoman’sbriskbofbhaving ablow-birth- ()


weightb(LBW)infant,bwhichbfactorbisbthebmost importantbforbthebnursebtobconsider?
()


a. African-Americanbrace
b. Cigarettebsmoking
c. Poorb nutritionalb status
d. Limitedbmaternalbeducation
ANS:b A
ThebrisebinbtheboverallbLBWbratesbwerebduebtobincreasesbinbLBWbbirthsbtobnon-
bHispanicbblackbwomenb(13.35%)bandbHispanicbwomenb(7.21%);bnon-

bHispanicbblackbinfants barebalmostbtwicebasblikelybasbnon-

HispanicbwhitebinfantsbtobbebofbLBWbandbtobdiebinbthebfirstbyearbofblife..bRacebisbabnonmodifiabbl
ebrisk factor.bCigarettebsmoking isbanbimportantbfactorbinpotentialbinfantbmortalitybrates,bbutbitbis
() ()


bnotbthebmostbimportant. bAdditionally, bsmokingbisbabmodifiablebriskbfactor.bPoorbnutrition bisbanb

importantbfactorbinbpotentialbinfantbmortalitybrates,bbutbitbisbnotbthebmostbimportant.bAdbditiona
lly,bnutritionalbstatusbisbabmodifiablebriskbfactor.bMaternalbeducationbisbanbimportantbfabctorbinbp
otentialbinfantbmortalitybrates,bbutbitbisbnot the mostbimportant.bAdditionally,bmaternabl beducati
() () (


onbisbabmodifiablebriskbfactor.

PTS: 1 DIF:
Cognitive Level:bUnderstandTOP:
()


NursingbProcess:bAssessment
MSC:bbbClientbNeeds:bHealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance,bAntepartumbCare
2. Ab23-year-oldbAfrican-
Americanbwomanbisbpregnantbwithbherbfirstbchild.bBasedbonbcurrentstatisticsbforbinfantbmortba)(


lity,bwhichbinterventionbisbmostbimportant forbthebnursebtobincludeinbthebclient’sbplanbofbcarbe?
() )(


a. Performbabnutritionbassessment.
b. Referbthebwomanbtobabsocialbworker.
c. Advisebthebwomanbtobseebanbobstetrician,bnotbabmidwife.
d. Explainbtobthebwomanbthebimportancebofbkeepingbherbprenatalbcarebappointments.
ANS:b D
Consistentbprenatalbcarebisbthebbestbmethodbofbpreventingborbcontrollingbriskbfactorsbassociatebd (


withbinfantbmortality.bNutritionalbstatusbisbanbimportantbmodifiablebriskbfactor,bbutitbisbnotbthebm
)


ostbimportantbactionbabnursebshouldbtakebinbthisbsituation.bThebclientbmaybneedbassistancebfrbomb
absocialbworkerbatbsomebtimebduringbherbpregnancy,bbutbabreferralbtobabsocialworkerbisbnotbthebm
ostbimportantbaspectbthebnursebshouldbaddressbatbthisbtime.bIfbthebwomanbhasbidentifiablebhigh-
risk problems,bthenbherbhealthbcarebmaybneedbtobbebprovidedbbybabphysician.bHowever,bitbcannbot
()


bbebassumedbthatballbAfrican-American womenbhavebhigh-
()


riskissues.bInbaddition,badvisingbthebwomanbtobseebanbobstetricianbisbnotbthebmostbimportant asbp
)( ()


ectbonbwhichbthebnursebshouldbfocusbatbthisbtime,bandbitbisbnotbappropriatebforbabnursebtobadvisbebo
rbmanagebthebtypebofbcarebabclientbisbtobreceive.

PTS: 1 DIF:
Cognitive Level:bUnderstandTOP:
()


bNursingbProcess: bPlanning

, MaternitybandbWomen'sbHealthbCareb13thbEditionbLowdermilk Test ()




MSC:b ClientbNeeds:bHealth PromotionbandbMaintenance
()




3. Thebnursesbworkingbatbabnewlybestablishedbbirthingbcenterbhavebbegunbtobcomparebtheirpbe
rformancebinbprovidingbmaternal-
newbornbcarebagainstbclinicalbstandards.bThisbcomparisonbprocessbisbmostbcommonlykbn
ownbasbwhat?
a. Bestbpracticesbnetwork
b. Clinicalbbenchmarking
c. Outcomes-orientedbpracNtiUceRS
d. Evidence-basedbpractice
ANS:b C
Outcomes-
orientedbpracticebmeasuresbthebeffectivenessbofbthebinterventionsbandbqualitybofbcarebagainstbb
enchmarksborbstandards.bThebtermbbestbpracticebrefersbtoba programborbservicethatbhasbbeenbrbec
() )(


ognizedbforbitsbexcellence.bClinicalbbenchmarkingbisbabprocessbusedbtobcomparebone’sbownbperf
ormancebagainstbthebperformancebofbthebbestbinbanbareabofbservice.bThebtermbevidence-
bbasedbpracticebrefersbtobthebprovisionbofbcarebbasedbonbevidencebgainedbthrough bresearchbandbc

linicalbtrials.

PTS: 1 DIF:
CognitivebLevel:bUnderstandTOP:
NursingbProcess:bEvaluation
MSC:b ClientbNeeds:bSafebandbEffectivebCarebEnvironment

4. Duringbabprenatalbintakebinterview,bthebnursebisbinbthebprocessbofbobtainingbanbinitialabs)(


sessmentbofbab21-year-
oldbHispanicbclientbwith limitedbEnglishbproficiency.bWhichinterventionbisbthebmost ib
() )( ()


mportantbforbthebnursebtobimplement?
a. Usebmaternitybjargonbtobenablebthebclientbtobbecomebfamiliarbwithbthesebterms.
b. Speakbquicklybandbefficientlybtobexpeditebthebvisit.
c. Provide thebclientbwithbhandouts.
()


d. Assessbwhetherbthebclientbunderstandsbthebdiscussion.
ANS:b D
Nursesbcontributebtobhealthbliteracybbybusingbsimple,bcommonbwords,bavoidingbjargon,bandbe
valuatingbwhetherbthebclient understandsbthebdiscussion.bSpeakingbslowlyband clearlybandfbo
() () ()


cusing onbwhatbisbimportantbwillbincrease understanding.bMostbclientbeducationbmaterialsarbeb
() ()


writtenbatbablevelbtoobhighbforbthebaveragebadultbandbmaybnotbbebusefulbforbabclientbwithlimbited
bEnglishbproficiency.




PTS: 1 DIF:
CognitivebLevel:bApplyTOP:
NursingbProcess:b Implementation
MSC:b ClientbNeeds:bHealth PromotionbandbMaintenance
()




5. Whichbstatementbbestbexemplifiesbcontemporarymaternitybnursing?
a. Usebofbmidwivesbforballbvaginalbdeliveries
b. Family-centeredbcare
c. Free-standingbbirth clinics
()


d. Physician-
bdrivencareANS:b B

, MaternitybandbWomen'sbHealthbCareb13thbEditionbLowdermilk Test ()




Contemporarybmaternitybnursingbfocusesbonbthebfamily’sbneedsbandbdesires.bFathers,bpartnerbs
,bgrandparents,bandbsiblingsbmaybbebpresentbforbthebbirthband participatebinbactivitiessuchbasbcbut
() )(


ting thebbaby’sbumbilicalbcord.bBothbmidwivesbandbphysiciansbperformbvaginalbdeliveries.bFre
()


e-
standingbclinicsbarebanbexamplebofbalternativebbirthboptions.bContemporarybmaternitybnursingbi
sbdrivenbbybthebrelationshipbbetweenbnursesbandbtheirbclients.

PTS: 1 DIF:
CognitivebLevel:bUnderstandTOP:
NursingbProcess:bPlanning
MSC:b ClientbNeeds:bHealth PromotionbandbMaintenance
()




6. Ab38-year-oldbHispanicbwomanbvaginallybdeliveredbab9-pound,b6-
ouncebbabybgirlbafterbbeinginblaborbforb43bhours.bThebbabybdiedb3bdaysblaterbfrombsepsis.bOnb
)(


whatbgroundsbcouldbthebwomanbhavebablegitimateblegalbcasebforbnegligence?
a. Inexperiencedbmaternitybnursewasbassignedbtobcarebforbthebclient.
b. Clientbwasbpastbherbduebdatebbyb3bdays.
c. Standardbofbcarebwasbnotbmet.
d. Clientbrefusedbelectronicbfetalbmonitoring.
ANS:b C
Notbmeetingbthebstandardbofbcarebisbablegitimatebfactorbforbabcasebofbnegligence.bAnbinexperibe
ncedbmaternitybnursebwouldbneedbtobdisplaycompetencybeforebbeingbassignedbtocarebforbclbie )(


ntsbonbhisborbherbown.bThisbclientbmaybhavebbeenbpastbherbduebdate;bhowever,batermbpregnbanc
)(


yboftenbgoesbbeyondb40bweeksbofbgestation.bAlthoughbfetalbmonitoringbisbthestandardbofbcare,
bthebclientbhasbthebright btobrefusebtreatment.bThis brefusalbisbnotbabcasebforbnegligence, bbubtbinfor

medbconsentbshouldbbebproperlybobtained,bandbthebclientbshouldbhavebsignedbanbagainbstbmedi
calbadvicebformbwhenbrefusingbanybtreatmentbthatbisbwithinbthebstandardofbcare.
PTS: 1 DIF:
CognitivebLevel:bAnalyzeTOP: ()


NursingbProcess:b Implementation
MSC:b ClientbNeeds:bSafebandbEffectivebCarebEnvironment

7. Whenbthebnursebisbunsurebhowbtobperformbabclientbcarebprocedurebthat isbhighbrisk andblowvbo
() ()


lume,bhisborbherbbestbactionbin thisbsituationbwouldbbebwhat?
()


a. Askbanotherbnurse.
b. Discussbthebprocedurebwithbthebclient’sbphysician.
c. Lookbupbthebprocedurebinbabnursingbtextbook.
d. Firstbconsultbthebagencybprocedurebmanual
ANS:b D
Followingbthebagency’sbpoliciesbandbproceduresbmanualbisbalwaysbbestbwhenbseeking informba ()


tionbonbcorrectbclientbprocedures.bThesebpoliciesbshouldbreflectbthebcurrentbstandardsofbcareban )(


dbthebindividualbstate’sbguidelines.bEachbnursebisbresponsiblebforbhisborbherbownbpractice.bRbelyi
ngbonbanotherbnursebmaybnotbalwaysbbeba safebpractice.bEachbnursebisbobligatedbtobfollowbthebst
()


andardsbofbcarebforbsafebclientbcarebdelivery.bPhysiciansbarebresponsiblebforbtheirbownbclbientbca
rebactivity.bNursesbmaybfollowbsafebordersbfrombphysicians,bbutbtheybarebalsobresponsibblebforbt
hebactivitiesbthatbthey,basbnurses,barebtobcarrybout.bInformationbprovidedbin abnursing tbextbookbi
() ()


sbbasicbinformationbforbgeneralbknowledge.Furthermore,bthebinformationbinbabtextbobok maybno ()


tbreflectbthebcurrentbstandardbofbcareborbthebindividualbstateborbhospitalbpolicies.