TEST BANK Maternity and Women's HealthCare (13TH Edition) by Lowdermilk Complete Guide Chapter 1-37| Answers With Rationale

Maternity andWomen's Health Care13th Edition LowdermilkTest
kx xk kx kx xk kx kx xk




TESTBANK kx




FORMATERNITYANDWOMEN'S
kx x
k x
k




HEALTHCARE 13TH EDITION
kx kx kx




LOWDERMILK kx

, MaternityAndWomen'SHealthCare13thEdition LowdermilkTest Chapter xk xk xk xk xk xk kx xk kx




bAnk
0 1 : 2 1 s t CenturyMaternityAndWomen’sHealth Nursing Lowdermilk:
xk kx xk xk xk xk kx kx




Maternity & Women’s Health Care, 12th Edition
kx kx kx kx kx kx kx




Multiple Choice
kx




1. In Evaluating The Level Of A Pregnant Woman’s Risk Of Having A Low-Birth- Weight
kx kx kx kx kx kx kx kx kx kx kx kx kx




(Lbw)Infant, Which Factor Is The Most Important ForThe NurseTo Consider?
kx kx kx kx kx kx kx kx x
k kx x
k kx




a. African-American Race k x




b. CigaretteSmoking kx




c. PoorNutritionalStatus kx kx




d. LimitedMaternalEducation kx kx




ANSWER: A k x




The Rise In The Overall Lbw Rates Were Due To Increases In Lbw Births To Non- Hispanic
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Black Women (13.35%) And Hispanic Women (7.21%); Non-Hispanic Black Infants Are
kx kx kx kx kx kx kx kx kx kx kx




Almost Twice As Likely As Non-Hispanic White Infants To Be Of Lbw And To Die In The First
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Year Of Life.. Race Is A Nonmodifiable Risk Factor. Cigarette Smoking IsAnImportant Factor
kx kx kx kx kx kx kx kx kx kx kx kx kx x
k kx




InPotentialInfant MortalityRates, But It Is Not The Most Important. Additionally, Smoking Is A
x
k kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Modifiable Risk Factor. Poor Nutrition Is An Important Factor In Potential Infant Mortality
kx kx kx kx kx kx kx kx kx kx kx kx kx




Rates, But It Is Not The Most Important.
kx kx kx kx kx kx kx kx




Additionally, Nutritional Status Is A Modifiable Risk Factor. Maternal Education Is An kx kx kx kx x
k kx kx kx x
k kx kx




Important Factor In Potential Infant Mortality Rates, But It Is Not The Most Important.
kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Additionally, Maternal Education Is A Modifiable Risk Factor.
kx kx kx kx kx kx kx kx




Pts: 1 Dif: Cognitive Level: Understand
k x k x k x x
k x
k




Top: Nursing Process: Assessment
kx k x k x kx kx




Msc: Client Needs: Healnance,AntepartumCare k x kx kx x
k x
k




2. A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based On
kx kx kx kx kx kx kx kx kx kx kx




CurrentStatistics For Infant Mortality, Which Intervention Is Most Important For The Nurse To
kx kx kx kx kx x
k x
k x
k kx kx kx kx kx




IncludeIn The Client’s Plan Of Care?
kx kx kx kx kx kx




a. PerformANutrition Assessment. kx kx kx




b. Refer The WomanTo ASocialWorker. kx kx kx kx kx x
k




c. AdviseThe Woman To SeeAn Obstetrician, Not A Midwife. kx kx kx kx kx kx kx kx kx




d. ExplainToThe Woman TheImportance OfKeeping Her PrenatalCare Appointments. kx kx kx kx x
k kx x
k kx kx x
k kx




ANSWER: D k x




Consistent Prenatal Care Is The Best Method Of Preventing Or Controlling Risk Factors kx kx kx kx kx kx kx kx kx kx kx kx




Associated With Infant Mortality. Nutritional Status Is An Important Modifiable Risk Factor,
kx kx kx kx kx kx kx kx kx kx kx kx




ButIt Is Not The Most Important Action A Nurse Should Take In This Situation. The Client May
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Need Assistance From A Social Worker At Some Time During Her Pregnancy, But A Referral
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




To A SocialWorker Is Not The Most Important Aspect The Nurse Should Address At This Time.
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




If The Woman Has Identifiable High-Risk Problems, Then Her Health Care May Need To Be
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Provided By A Physician. However, It Cannot Be Assumed That AllAfrican-American Women
kx kx kx kx kx kx kx kx kx kx kx kx kx




Have High-RiskIssues. InAddition, Advising The Woman To See An Obstetrician Is Not The
x
k kx kx kx kx kx kx kx kx kx kx kx kx kx




Most Important Aspect On Which The Nurse Should Focus At This Time, And It Is Not
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Appropriate For A Nurse To Advise Or Manage The Type Of Care A Client Is To Receive.
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Pts: k x k 1 x Dif: Cognitive Level: Understand k x x
k x
k




Top:
kx k x k x Nursing Process: Planning kx kx

, Maternity andWomen's Health Care13th Edition LowdermilkTest kx xk kx kx xk kx kx xk




Msc: Client Needs: HealthPromotionAnd Maintenance
kx kx kx kx x
k kx




3. The Nurses Working At A Newly Established Birthing Center Have Begun To
kx kx kx kx kx kx kx kx kx kx kx




CompareTheirPerformance InProviding Maternal-NewbornCareAgainst Clinical
kx kx kx kx kx x
k kx kx




Standards. This Comparison Process Is Most Commonly Known As What?
kx kx kx kx kx kx kx kx kx kx




a. BestPracticesNetwork kx kx




b. ClinicalBenchmarking kx




c. Outcomes-Oriented Pracnt iu
cer s k x




d. Evidence-Based Practice k x




ANSWER: C k x




Outcomes-Oriented Practice Measures The Effectiveness OfThe Interventions And Quality Of kx kx kx kx kx x
k kx kx kx kx




Care Against Benchmarks Or Standards. The Term Best Practice Refers To A Program Or
kx kx kx kx kx kx kx kx kx kx kx kx kx kx




ServiceThat Has Been Recognized For Its Excellence. Clinical Benchmarking Is A Process
kx kx kx kx kx kx kx kx kx kx kx kx




Used To Compare One’s Own Performance Against The Performance OfThe Best In An Area
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Of Service. The Term Evidence-Based Practice Refers To The Provision Of Care Based On
kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Evidence Gained Through Research And Clinical Trials.
kx kx kx kx kx kx kx




Pts: 1 Dif: CognitiveLevel:Understand x
k x
k




Top: Nursing Process: Evaluation
kx kx kx




Msc: Client Needs: SafeAndEffective CareEnvironment
k x kx kx kx kx kx x
k




4. During A Prenatal Intake Interview, The Nurse Is In The Process Of Obtaining An Initial
kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Assessment Of A 21-Year-Old Hispanic Client With Limited English Proficiency.
kx kx kx kx kx kx kx kx kx kx




Which Intervention Is The Most Important For The Nurse To Implement?
kx kx kx kx kx kx kx kx kx kx kx




a. UseMaternityJargon ToEnable TheClient To Become Familiar WithTheseTerms.
kx kx kx kx kx x
k kx kx kx kx x
k x
k




b. Speak QuicklyAnd EfficientlyTo ExpediteThe Visit. kx kx kx x
k kx x
k kx




c. ProvideTheClient WithHandouts. kx kx kx kx




d. AssessWhetherTheClient Understands TheDiscussion. kx kx kx kx kx x
k




ANSWER: D k x




Nurses Contribute To Health Literacy By Using Simple, Common Words, Avoiding
kx kx kx kx kx kx kx kx kx kx




Jargon, AndEvaluating Whether The Client Understands The Discussion. Speaking Slowly
kx kx kx x
k x
k x
k x
k x
k x
k kx




And Clearly AndFocusing On What Is Important Will Increase Understanding. Most Client
kx kx kx kx x
k x
k x
k x
k x
k x
k x
k x
k




Education MaterialsAre Written At A Level Too High For The Average Adult And May Not
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




Be Useful For A Client WithLimited English Proficiency.
kx kx kx kx kx kx kx kx




Pts: 1 Dif: CognitiveLevel:Apply x
k x
k




Top: Nursing Process: Implementation
kx kx kx




Msc: Client Needs: HealthPromotionAnd Maintenance
kx kx kx kx x
k kx




5. WhichStatement Best ExemplifiesContemporaryMaternityNursing?
kx kx kx x
k x
k x
k




a. UseOfMidwives For AllVaginal Deliverieskx kx kx kx kx kx




b. Family-CenteredCare kx




c. Free-StandingBirthClinics kx kx




d. Physician-Driven
CareANSWER: B
kx k x

, Maternity andWomen's Health Care13th Edition LowdermilkTest kx xk kx kx xk kx kx xk




Contemporary Maternity Nursing Focuses On The Family’s Needs And Desires. Fathers, kx kx kx kx kx kx kx kx kx kx




Partners, Grandparents, And Siblings May Be Present For The Birth And Participate In
kx kx kx kx kx kx kx kx kx kx kx kx kx




ActivitiesSuch As Cutting The Baby’s Umbilical Cord. Both Midwives And PhysiciANSWER
kx kx kx kx kx kx kx kx kx kx kx




Perform Vaginal Deliveries. Free-Standing Clinics Are An Example Of Alternative Birth
kx kx kx kx kx kx kx kx kx kx kx




Options. Contemporary MaternityNursing Is Driven ByThe Relationship Between Nurses And
x
k kx kx x
k kx kx kx x
k kx kx kx kx




Their Clients.
kx kx




Pts: 1 Dif: CognitiveLevel:Understand x
k x
k




Top: Nursing Process: Planning
kx kx kx




Msc: Client Needs: HealthPromotionAnd Maintenance
kx kx kx kx x
k kx




6. A 38-Year-Old Hispanic Woman Vaginally Delivered A 9-Pound, 6-Ounce Baby Girl After
x
k kx kx x
k x
k kx x
k kx kx x
k x
k




BeingIn Labor For 43 Hours. The Baby Died 3 Days Later FromSepsis. On What Grounds Could
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




The Woman Have A Legitimate Legal Case For Negligence?
kx kx kx kx kx kx kx kx kx




a. Inexperienced MaternityNurseWas Assigned To CareForTheClient. kx kx x
k kx kx kx x
k kx kx




b. Client Was Past Her DueDate By3 Days. kx kx kx kx kx kx x
k kx




c. Standard OfCareWas Not Met. kx kx kx kx kx




d. ClientRefusedElectronic FetalMonitoring. kx kx kx x
k




ANSWER: C k x




Not Meeting The Standard OfCare Is A Legitimate Factor For ACase OfNegligence. An
kx kx kx kx kx kx kx kx kx kx kx x
k kx kx kx




Inexperienced Maternity Nurse Would Need To DisplayCompetency Before Being Assigned
kx kx kx kx kx kx kx kx kx kx kx




ToCare For Clients On His Or Her Own. This Client May Have Been Past Her Due Date;
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx




However, ATerm Pregnancy Often Goes Beyond 40 Weeks Of Gestation.
kx kx kx kx kx kx kx kx kx kx




Although FetalMonitoring Is TheStandard OfCare, The Client Has The Right To Refuse kx kx kx kx kx kx kx kx kx kx kx kx kx




Treatment. This RefusalIs Not ACase For Negligence, But Informed Consent Should Be
kx kx kx kx kx kx x
k kx kx kx kx kx kx kx




Properly Obtained, And The Client Should Have Signed An Against Medical Advice Form
kx kx kx kx kx kx kx kx kx kx kx kx kx




When Refusing Any Treatment That Is Within The Standard OfCare.
kx kx kx kx kx kx kx kx kx kx x
k




Pts: 1 Dif: CognitiveLevel:Analyze x
k x
k




Top: Nursing Process: Implementation
kx kx kx




Msc: Client Needs: SafeAndEffective CareEnvironment
k x kx kx kx kx kx x
k




7. WhenThe NurseIsUnsure HowTo PerformAClient CareProcedureThat IsHighRisk And
kx kx kx kx kx kx kx x
k x
k kx x
k kx kx kx kx kx




LowVolume, His Or Her Best Action In This Situation Would Be What?
kx kx kx kx kx kx kx kx kx kx kx kx




a. AskAnother Nurse. kx kx




b. DiscussTheProcedure WithTheClient’sPhysician. kx kx kx x
k x
k x
k




c. LookUp The Procedure In A Nursing Textbook. kx kx kx kx kx kx kx




d. First Consult The AgencyProcedureManual kx kx kx kx x
k




ANSWER: D k x




Following The Agency’s Policies And Procedures Manual Is Always Best When Seeking kx kx kx kx kx kx kx kx kx kx kx




Information On Correct Client Procedures. These Policies Should Reflect The Current
kx kx kx kx kx kx kx kx kx kx kx




StandardsOf Care And The Individual State’s Guidelines. Each Nurse Is Responsible For His
kx kx kx kx kx kx kx kx kx kx kx kx kx




Or Her Own Practice. Relying On Another Nurse MayNot Always Be ASafe Practice. Each
kx kx kx kx kx kx kx kx kx x
k kx kx kx x
k kx kx




Nurse Is Obligated To Follow The Standards Of Care For Safe Client Care Delivery.
kx kx kx kx kx kx kx kx kx kx kx kx kx kx




PhysiciANSWER Are Responsible For Their Own Client Care Activity. Nurses May Follow
kx kx kx kx kx kx kx kx kx kx kx kx




Safe Orders From PhysiciANSWER, But They Are Also Responsible For The Activities That
kx kx kx kx kx kx kx kx kx kx kx kx kx




They, As Nurses, Are To Carry Out. Information Provided In A Nursing Textbook IsBasic
kx kx kx kx kx kx kx kx kx kx kx kx kx kx x
k




Information ForGeneral Knowledge.Furthermore, The Information In A Textbook May Not
kx kx kx kx kx kx kx kx kx kx kx




Reflect The Current Standard Of Care Or The Individual State Or Hospital Policies.
kx kx kx kx kx kx kx kx kx kx kx kx kx