Maternity and Women's Health Care 13th Edition Lowdermilk Test
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Maternity and h
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c Women's Health
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Care 13th
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c Edition
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LowdermilkTest h
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Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test h
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c c h h
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c c h h
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Chapter 01: 21st Century Maternity and Women’s Health NursingLowdermilk:
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Maternity & Women’s Health Care, 12th Edition
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c
MULTIPLE CHOICE h
c
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
c h c h h
c h
c c h c h c h c h h
c c h h
c h
c c h
infant, which factor is the most important for the nurse to consider?
h
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c c h c h c h h
c h
c c h h
c c h h
c c h
a. African-American race h
c
b. Cigarette smoking h
c
c. Poor nutritional status h
c h
c
d. Limited maternal education h
c h
c
ANS: A c h
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic
c h c h c h c h c h c h c h c h c h c h c h c h c h h
c h
c
black women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are
c h c h c h c h c h c h c h c h c h c h c h
almost twice as likely as non-Hispanic white infants to be of LBW and to die in the first
c h c h c h c h h
c c h c h c h c h c h c h c h c h h
c c h c h c h c h
year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in
c h h
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potential infant mortality rates, but it is not the most important. Additionally, smoking is a
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c c h c h c h c h c h c h c h c h h
c c h c h
modifiable risk factor. Poor nutrition is an important factor in potential infant mortality
c h c h c h c h c h c h c h c h c h c h c h c h c h
rates, but it is not the most important. Additionally, nutritional status is a modifiable risk
c h c h c h c h c h c h c h c h h
c c h c h c h c h c h c h
factor. Maternal education is an important factor in potential infant mortality rates, but it is
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c c h c h c h c h c h c h c h c h c h
not the most important. Additionally, maternal education is a modifiable risk factor.
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c c h h
c c h
PTS: 1 DIF: Cognitive Level: Understand h
c h
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TOP: Nursing Process: Assessment
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MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
c h h c h
c c h c h h
c
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
c h c h c h c h c h c h c h c h c h c h c h c h
statistics for infant mortality, which intervention is most important for the nurse to include
h
c c h c h c h c h c h c h c h c h c h c h c h c h c h
in the client’s plan of care?
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c c h c h
a. Perform a nutrition assessment. h
c h
c h
c
b. Refer the woman to a social worker. h
c h
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c h
c c h c h
c. Advise the woman to see an obstetrician, not a midwife. h
c c h h
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c
d. Explain to the woman the importance of keeping her prenatal care appointments. h
c h
c h
c h
c h
c c h c h c h c h h
c c h
ANS: D c h
Consistent prenatal care is the best method of preventing or controlling risk factors c h c h c h c h c h c h c h c h c h c h h
c c h
cassociated with infant mortality. Nutritional status is an important modifiable risk factor, butit
h h
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c c h c h h
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cis not the most important action a nurse should take in this situation. The client may need
h c h c h h
c h
c h
c c h c h c h c h c h c h c h c h c h c h c h
cassistance from a social worker at some time during her pregnancy, but a referral to a social
h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
worker is not the most important aspect the nurse should address at this time. If the woman
h
c c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
chas identifiable high-risk problems, then her health care may need to be provided by a
h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
cphysician. However, it cannot be assumed that all African-American women have high-risk
h c h c h c h c h c h c h c h c h c h c h c h
issues. In addition, advising the woman to see an obstetrician is not the most important
h
c c h c h c h c h c h c h h
c c h c h c h c h h
c c h h
c
caspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
cadvise or manage the type of care a client is to receive.
h h
c c h h
c c h c h c h h
c c h c h h
c c h
PTS: 1 DIF: Cognitive Level: Understand h
c h
c
TOP: Nursing Process: Planning
h
c h
c c h
, Maternity and Women's Health Care 13th Edition Lowdermilk Test h
c h
c h
c h
c c h h
c c h h
c
MSC: Client Needs: Health Promotion and Maintenance
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c c h h
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3. The nurses working at a newly established birthing center have begun to compare their
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c h
c c h h
c h
c h
c h
c h
c h
c c h h
c
performance in providing maternal-newborn care against clinical standards. This
h
c c h c h c h c h c h c h c h c h
comparison process is most commonly known as what?
c h c h c h c h h
c h
c c h c h
a. Best practices network h
c h
c
b. Clinical benchmarking h
c
c. Outcomes-oriented pracNtiU
ceRS c h
d. Evidence-based practice h
c
ANS: C c h
Outcomes-oriented practice measures the effectiveness of the interventions and quality of c h c h c h c h c h c h c h c h c h c h
ccare against benchmarks or standards. The term best practice refers to a program or service
h h
c c h h
c h
c h
c h
c c h h
c c h c h h
c h
c h
c h
c
that has been recognized for its excellence. Clinical benchmarking is a process used to
h
c c h c h c h c h c h c h c h c h c h c h c h c h c h
ccompare one’s own performance against the performance of the best in an area of service.
h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
cThe term evidence-based practice refers to the provision of care based on evidence gained
h c h c h c h c h c h c h c h c h c h c h c h c h c h
cthrough research and clinical trials.
h h
c c h c h c h
PTS: 1 DIF: Cognitive Level: Understand h
c h
c
TOP: Nursing Process: Evaluation
h
c h
c c h
MSC: Client Needs: Safe and Effective Care Environment
c h h
c c h c h h
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c
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
c h c h c h c h c h c h c h c h c h c h c h c h c h c h
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
h
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c h
c h
c h
c h
c c h h
c h
c h
c c h
intervention is the most important for the nurse to implement?
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c c h c h h
c c h c h c h c h c h
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. c h c h c h h
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c. Provide the client with handouts. h
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c h
c
d. Assess whether the client understands the discussion. h
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c h
c h
c h
c c h
ANS: D c h
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
c h c h c h c h c h c h c h c h c h c h c h c h
evaluating whether the client understands the discussion. Speaking slowly and clearly and
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c c h c h c h c h c h
focusing on what is important will increase understanding. Most client education materials
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c c h h
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are written at a level too high for the average adult and may not be useful for a client with
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c c h c h c h c h c h c h c h c h c h c h c h c h c h c h h
c c h c h c h h
c
limited English proficiency.
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PTS: 1 DIF: Cognitive Level: Apply c h c h
TOP: Nursing Process: Implementation
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c c h
MSC: Client Needs: Health Promotion and Maintenance
c h h
c c h h
c h
c c h
5. Which statement best exemplifies contemporary maternity nursing?
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c h
c h
c
a. Use of midwives for all vaginal deliveries h
c h
c h
c h
c h
c c h
b. Family-centered care c h
c. Free-standing birth clinics h
c h
c
d. Physician-driven care h
c
ANS: B
h
c c h
, Maternity and Women's Health Care 13th Edition Lowdermilk Test c h h
c h
c h
c h
c c h c h h
c
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, c h c h c h c h c h c h c h c h c h c h
cpartners, grandparents, and siblings may be present for the birth and participate in activities
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such as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal
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cdeliveries. Free-standing clinics are an example of alternative birth options. Contemporary
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c
cmaternity nursing is driven by the relationship between nurses and their clients.
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PTS: 1 DIF: Cognitive Level: Understand h
c h
c
TOP: Nursing Process: Planning
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c c h c h
MSC: Client Needs: Health Promotion and Maintenance c h h
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c c h
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being
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c c h
in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
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c c h c h c h c h c h c h c h c h c h c h c h c h
cwoman have a legitimate legal case for negligence?
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c
a. Inexperienced maternity nurse was assigned to care for the client. c h c h h
c c h h
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c
b. Client was past her due date by 3 days. c h h
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c h
c
c. Standard of care was not met. h
c h
c h
c c h h
c
d. Client refused electronic fetal monitoring. h
c c h h
c h
c
ANS: C c h
Not meeting the standard of care is a legitimate factor for a case of negligence. An
c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
cinexperienced maternity nurse would need to display competency before being assigned to
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c
care for clients on his or her own. This client may have been past her due date; however, a
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term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
h
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c c h c h h
c
standard of care, the client has the right to refuse treatment. This refusal is not a case for
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c c h c h c h c h c h c h c h c h
cnegligence, but informed consent should be properly obtained, and the client should have
h c h c h c h c h h
c c h c h c h c h c h c h h
c
csigned an against medical advice form when refusing any treatment that is within the
h c h c h c h c h c h c h c h c h c h c h c h c h c h
cstandard of care.
h h
c h
c
PTS: 1 DIF: Cognitive Level: Analyze h
c h
c
TOP: Nursing Process: Implementation
h
c c h c h
MSC: Client Needs: Safe and Effective Care Environment
c h h
c c h h
c h
c c h c h
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
h
c h
c h
c h
c c h h
c h
c c h h
c c h h
c h
c h
c h
c c h c h h
c
volume, his or her best action in this situation would be what?
h
c h
c c h h
c c h c h c h h
c h
c c h c h h
c
a. Ask another nurse. h
c c h
b. Discuss the procedure with the client’s physician. h
c h
c h
c h
c h
c h
c
c. Look up the procedure in a nursing textbook. h
c c h h
c c h c h h
c c h
d. First consult the agency procedure manual h
c h
c c h c h h
c
ANS: D c h
Following the agency’s policies and procedures manual is always best when seeking c h c h c h c h c h c h c h c h c h c h c h
information on correct client procedures. These policies should reflect the current standards
c h c h c h c h c h c h c h c h c h c h c h c h
of care and the individual state’s guidelines. Each nurse is responsible for his or her own
h
c c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
practice. Relying on another nurse may not always be a safe practice. Each nurse is
c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
obligated to follow the standards of care for safe client care delivery. Physicians are
c h c h c h c h c h c h c h c h c h c h c h c h c h c h
responsible for their own client care activity. Nurses may follow safe orders from
c h c h c h c h c h c h c h c h c h c h c h c h c h
physicians, but they are also responsible for the activities that they, as nurses, are to carry
c h c h c h c h c h c h c h c h c h c h h
c c h c h c h c h c h
out. Information provided in a nursing textbook is basic information for general knowledge.
c h h
c c h h
c c h c h h
c h
c h
c h
c h
c h
c h
c
Furthermore, the information in a textbook may not reflect the current standard of care or
h
c c h c h c h h
c c h c h c h c h c h c h c h c h c h c h
the individual state or hospital policies.
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c c h h
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c c h h
c
Maternity and h
c
c Women's Health
h c h
Care 13th
h
c c h
c Edition
h
LowdermilkTest h
c
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test h
c h
c c h h
c h
c h
c c h h
c
Chapter 01: 21st Century Maternity and Women’s Health NursingLowdermilk:
h
c h
c h
c c h h
c h
c h
c h
c h
c
Maternity & Women’s Health Care, 12th Edition
h
c c h c h h
c c h h
c h
c
MULTIPLE CHOICE h
c
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
c h c h h
c h
c c h c h c h c h h
c c h h
c h
c c h
infant, which factor is the most important for the nurse to consider?
h
c h
c c h c h c h h
c h
c c h h
c c h h
c c h
a. African-American race h
c
b. Cigarette smoking h
c
c. Poor nutritional status h
c h
c
d. Limited maternal education h
c h
c
ANS: A c h
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic
c h c h c h c h c h c h c h c h c h c h c h c h c h h
c h
c
black women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are
c h c h c h c h c h c h c h c h c h c h c h
almost twice as likely as non-Hispanic white infants to be of LBW and to die in the first
c h c h c h c h h
c c h c h c h c h c h c h c h c h h
c c h c h c h c h
year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in
c h h
c h
c h
c c h h
c c h h
c h
c c h h
c h
c h
c h
c h
c h
c
potential infant mortality rates, but it is not the most important. Additionally, smoking is a
h
c c h c h h
c c h c h c h c h c h c h c h c h h
c c h c h
modifiable risk factor. Poor nutrition is an important factor in potential infant mortality
c h c h c h c h c h c h c h c h c h c h c h c h c h
rates, but it is not the most important. Additionally, nutritional status is a modifiable risk
c h c h c h c h c h c h c h c h h
c c h c h c h c h c h c h
factor. Maternal education is an important factor in potential infant mortality rates, but it is
c h c h c h c h c h h
c c h c h c h c h c h c h c h c h c h
not the most important. Additionally, maternal education is a modifiable risk factor.
c h h
c h
c h
c h
c c h c h c h h
c c h h
c c h
PTS: 1 DIF: Cognitive Level: Understand h
c h
c
TOP: Nursing Process: Assessment
h
c h
c c h
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
c h h c h
c c h c h h
c
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
c h c h c h c h c h c h c h c h c h c h c h c h
statistics for infant mortality, which intervention is most important for the nurse to include
h
c c h c h c h c h c h c h c h c h c h c h c h c h c h
in the client’s plan of care?
h
c h
c c h h
c c h c h
a. Perform a nutrition assessment. h
c h
c h
c
b. Refer the woman to a social worker. h
c h
c h
c h
c c h c h
c. Advise the woman to see an obstetrician, not a midwife. h
c c h h
c h
c h
c c h h
c h
c h
c
d. Explain to the woman the importance of keeping her prenatal care appointments. h
c h
c h
c h
c h
c c h c h c h c h h
c c h
ANS: D c h
Consistent prenatal care is the best method of preventing or controlling risk factors c h c h c h c h c h c h c h c h c h c h h
c c h
cassociated with infant mortality. Nutritional status is an important modifiable risk factor, butit
h h
c h
c h
c c h c h h
c h
c h
c h
c h
c h
c h
c h
c
cis not the most important action a nurse should take in this situation. The client may need
h c h c h h
c h
c h
c c h c h c h c h c h c h c h c h c h c h c h
cassistance from a social worker at some time during her pregnancy, but a referral to a social
h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
worker is not the most important aspect the nurse should address at this time. If the woman
h
c c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
chas identifiable high-risk problems, then her health care may need to be provided by a
h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
cphysician. However, it cannot be assumed that all African-American women have high-risk
h c h c h c h c h c h c h c h c h c h c h c h
issues. In addition, advising the woman to see an obstetrician is not the most important
h
c c h c h c h c h c h c h h
c c h c h c h c h h
c c h h
c
caspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
cadvise or manage the type of care a client is to receive.
h h
c c h h
c c h c h c h h
c c h c h h
c c h
PTS: 1 DIF: Cognitive Level: Understand h
c h
c
TOP: Nursing Process: Planning
h
c h
c c h
, Maternity and Women's Health Care 13th Edition Lowdermilk Test h
c h
c h
c h
c c h h
c c h h
c
MSC: Client Needs: Health Promotion and Maintenance
c h h
c c h h
c h
c c h
3. The nurses working at a newly established birthing center have begun to compare their
c h h
c h
c h
c c h h
c h
c h
c h
c h
c h
c c h h
c
performance in providing maternal-newborn care against clinical standards. This
h
c c h c h c h c h c h c h c h c h
comparison process is most commonly known as what?
c h c h c h c h h
c h
c c h c h
a. Best practices network h
c h
c
b. Clinical benchmarking h
c
c. Outcomes-oriented pracNtiU
ceRS c h
d. Evidence-based practice h
c
ANS: C c h
Outcomes-oriented practice measures the effectiveness of the interventions and quality of c h c h c h c h c h c h c h c h c h c h
ccare against benchmarks or standards. The term best practice refers to a program or service
h h
c c h h
c h
c h
c h
c c h h
c c h c h h
c h
c h
c h
c
that has been recognized for its excellence. Clinical benchmarking is a process used to
h
c c h c h c h c h c h c h c h c h c h c h c h c h c h
ccompare one’s own performance against the performance of the best in an area of service.
h c h c h c h c h c h c h c h c h c h c h c h c h c h c h
cThe term evidence-based practice refers to the provision of care based on evidence gained
h c h c h c h c h c h c h c h c h c h c h c h c h c h
cthrough research and clinical trials.
h h
c c h c h c h
PTS: 1 DIF: Cognitive Level: Understand h
c h
c
TOP: Nursing Process: Evaluation
h
c h
c c h
MSC: Client Needs: Safe and Effective Care Environment
c h h
c c h c h h
c h
c h
c
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
c h c h c h c h c h c h c h c h c h c h c h c h c h c h
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
h
c h
c h
c h
c h
c h
c c h h
c h
c h
c c h
intervention is the most important for the nurse to implement?
h
c h
c c h c h h
c c h c h c h c h c h
a. Use maternity jargon to enable the client to become familiar with these terms.
h
c h
c h
c h
c c h h
c h
c h
c c h h
c h
c h
c
b. Speak quickly and efficiently to expedite the visit. c h c h c h h
c h
c h
c c h
c. Provide the client with handouts. h
c h
c h
c h
c
d. Assess whether the client understands the discussion. h
c h
c h
c h
c h
c c h
ANS: D c h
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
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evaluating whether the client understands the discussion. Speaking slowly and clearly and
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focusing on what is important will increase understanding. Most client education materials
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are written at a level too high for the average adult and may not be useful for a client with
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limited English proficiency.
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PTS: 1 DIF: Cognitive Level: Apply c h c h
TOP: Nursing Process: Implementation
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MSC: Client Needs: Health Promotion and Maintenance
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5. Which statement best exemplifies contemporary maternity nursing?
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a. Use of midwives for all vaginal deliveries h
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b. Family-centered care c h
c. Free-standing birth clinics h
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d. Physician-driven care h
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ANS: B
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, Maternity and Women's Health Care 13th Edition Lowdermilk Test c h h
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Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, c h c h c h c h c h c h c h c h c h c h
cpartners, grandparents, and siblings may be present for the birth and participate in activities
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such as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal
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cdeliveries. Free-standing clinics are an example of alternative birth options. Contemporary
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cmaternity nursing is driven by the relationship between nurses and their clients.
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PTS: 1 DIF: Cognitive Level: Understand h
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TOP: Nursing Process: Planning
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MSC: Client Needs: Health Promotion and Maintenance c h h
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6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being
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in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
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cwoman have a legitimate legal case for negligence?
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a. Inexperienced maternity nurse was assigned to care for the client. c h c h h
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b. Client was past her due date by 3 days. c h h
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c. Standard of care was not met. h
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d. Client refused electronic fetal monitoring. h
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ANS: C c h
Not meeting the standard of care is a legitimate factor for a case of negligence. An
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cinexperienced maternity nurse would need to display competency before being assigned to
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care for clients on his or her own. This client may have been past her due date; however, a
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term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
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standard of care, the client has the right to refuse treatment. This refusal is not a case for
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cnegligence, but informed consent should be properly obtained, and the client should have
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csigned an against medical advice form when refusing any treatment that is within the
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cstandard of care.
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PTS: 1 DIF: Cognitive Level: Analyze h
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TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high risk and low
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volume, his or her best action in this situation would be what?
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a. Ask another nurse. h
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b. Discuss the procedure with the client’s physician. h
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c. Look up the procedure in a nursing textbook. h
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d. First consult the agency procedure manual h
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ANS: D c h
Following the agency’s policies and procedures manual is always best when seeking c h c h c h c h c h c h c h c h c h c h c h
information on correct client procedures. These policies should reflect the current standards
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of care and the individual state’s guidelines. Each nurse is responsible for his or her own
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practice. Relying on another nurse may not always be a safe practice. Each nurse is
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obligated to follow the standards of care for safe client care delivery. Physicians are
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responsible for their own client care activity. Nurses may follow safe orders from
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physicians, but they are also responsible for the activities that they, as nurses, are to carry
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out. Information provided in a nursing textbook is basic information for general knowledge.
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Furthermore, the information in a textbook may not reflect the current standard of care or
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the individual state or hospital policies.
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