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TEST BANK FOR MATERNITY & WOMEN’S HEALTH CARE, 13TH EDITION BY LOWDERMILK WITH QUESTIONS AND CORRECT ANSWERS|ALL CHAPTERS AVAILABLE 2024

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TEST BANK FOR MATERNITY & WOMEN’S HEALTH CARE, 13TH EDITION BY LOWDERMILK WITH QUESTIONS AND CORRECT ANSWERS|ALL CHAPTERS AVAILABLE 2024

Institution
WOMEN’S HEALTH
Course
WOMEN’S HEALTH

Content preview

Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t

, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t
Chapter 01: 21st Century Maternity and Women’s Health Nursin
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gLowdermilk: Maternity & Women’s Health Care, 13th Edition
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MULTIPLE CHOICE xx




1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
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weight (LBW)infant, which factor is the most important for the nurse to consider?
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a. African-American race xx


b. Cigarette smoking xx


c. Poor nutritional status xx xx


d. Limited maternal education xx xx




ANS: A x x


The rise in the overall LBW rates were due to increases in LBW births to non-
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Hispanic black women (13.35%) and Hispanic women (7.21%); non-
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Hispanic black infants are almost twice as likely as non-
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Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmo
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difiable risk factor. Cigarette smoking is an important factor inpotential infant mortality ra
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tes, but it is not the most important. Additionally, smoking is a modifiable risk factor. P
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oor nutrition is an important factor in potential infant mortality rates, but it is not the mo
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st important. Additionally, nutritional status is a modifiable risk factor. Maternal educatio
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n is an important factor in potential infant mortality rates, but it is not the most importan
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t. Additionally, maternal education is a modifiable risk factor.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: xx xx x


Nursing Process: Assessment xx xx



MSC: Client Needs: HealtN
hUPrRoS
mI
xxxxxx ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
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2. A 23-year-old African-
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American woman is pregnant with her first child. Based on currentstatistics for infant
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mortality, which intervention is most important for the nurse to includein the client’s pl
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an of care?
xx xx


a. Perform a nutrition assessment. xx xx xx


b. Refer the woman to a social worker. xx xx xx xx xx xx


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 x x


Consistent prenatal care is the best method of preventing or controlling risk factors assoc
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iated with infant mortality. Nutritional status is an important modifiable risk factor, butit is
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xnot the most important action a nurse should take in this situation. The client may needa
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ssistance from a social worker at some time during her pregnancy, but a referral to a soc
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ialworker is not the most important aspect the nurse should address at this time. If the w
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oman has identifiable high-
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risk problems, then her health care may need to be provided by a physician. However, it
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xcannot be assumed that all African-American women have high-
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riskissues. In addition, advising the woman to see an obstetrician is not the most importa
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nt aspect on which the nurse should focus at this time, and it is not appropriate for a nur
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se to advise or manage the type of care a client is to receive.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: xx xx x


Nursing Process: Planning xx xx

, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t
MSC: Client Needs: Health Promotion and Maintenance
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3. The nurses working at a newly established birthing center have begun to compare th
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eirperformance in providing maternal-
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newborn care against clinical standards. This comparison process is most commonl
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y known as what?
xx xx xx


a. Best practices network xx xx


b. Clinical benchmarking xx


c. Outcomes-oriented pracNtiU
ceRS xx


d. Evidence-based practice xx



ANS: C x x


Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care again
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st benchmarks or standards. The term best practice refers to a program or servicethat has
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been recognized for its excellence. Clinical benchmarking is a process used to compare o
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ne’s own performance against the performance of the best in an area of service. The ter
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m evidence-
xx


based practice refers to the provision of care based on evidence gainedthrough research a
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nd clinical trials.
xx xx




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: xx xx x


Nursing Process: Evaluation xx xx


MSC: Client Needs: Safe and Effective Care Environment
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4. During a prenatal intake interview, the nurse is in the process of obtaining an init
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ial assessment of a 21-year-
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old Hispanic client with limited English proficiency. Whichintervention is the mos
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t important for the nurse to implement?
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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.
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c. Provide the client with handouts. xx xx xx xx


d. Assess whether the client understands the discussion.
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ANS: D x x


Nurses contribute to health literacy by using simple, common words, avoiding jargon, a
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ndevaluating whether the client understands the discussion. Speaking slowly and clearl
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y andfocusing on what is important will increase understanding. Most client education m
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aterialsare written at a level too high for the average adult and may not be useful for a
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client withlimited English proficiency.
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PTS: 1 DIF:
Cognitive Level: ApplyTOP: xx xx x


Nursing Process: Implementation xx xx


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
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b. Family-centered care xx


c. Free-standing birth clinics xx xx


d. Physician-
driven careANS: B xx x x x

, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, part
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ners, grandparents, and siblings may be present for the birth and participate in activitiessu
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ch as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal d
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eliveries. Free- xx


standing clinics are an example of alternative birth options. Contemporarymaternity nursi
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ng is driven by the relationship between nurses and their clients.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: xx xx x


Nursing Process: Planning xx xx


MSC: Client Needs: Health Promotion and Maintenance
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6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
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ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis.
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On what grounds could the woman have a legitimate legal case for negligence?
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a. Inexperienced maternity nurse was assigned to care for the client. xx xx xx xx xx xx xx xx xx


b. Client was past her due date by 3 days. xx xx xx xx xx xx xx xx


c. Standard of care was not met. xx xx xx xx xx


d. Client refused electronic fetal monitoring. xx xx xx xx




ANS: C x x


Not meeting the standard of care is a legitimate factor for a case of negligence. An ine
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xperienced maternity nurse would need to display competency before being assigned toc
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are for clients on his or her own. This client may have been past her due date; however
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, aterm pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring i
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s thestandard of care, the client has the right to refuse treatment. This refusal is not a c
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ase for negligence, but informed consent should be properly obtained, and the client sh
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ould have signed an against medical advice form when refusing any treatment that is w
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ithin the standard of care.
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PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: xx xx x


Nursing Process: Implementation xx xx


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 l
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owvolume, his or her best action in this situation would be what?
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a. Ask another nurse. xx xx


b. Discuss the procedure with the client’s physician. xx xx xx xx xx xx


c. Look up the procedure in a nursing textbook.
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d. First consult the agency procedure manual
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ANS: D x x


Following the agency’s policies and procedures manual is always best when seeking info
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rmation on correct client procedures. These policies should reflect the current standardsof
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xcare and the individual state’s guidelines. Each nurse is responsible for his or her own p
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ractice. Relying on another nurse may not always be a safe practice. Each nurse is oblig
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ated to follow the standards of care for safe client care delivery. Physicians are responsib
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le for their own client care activity. Nurses may follow safe orders from physicians, but
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they are also responsible for the activities that they, as nurses, are to carry out. Informati
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on provided in a nursing textbook is basic information for general knowledge.Furthermore
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, the information in a textbook may not reflect the current standard of care or the individ
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ual state or hospital policies.
xx xx xx xx

Written for

Institution
WOMEN’S HEALTH
Course
WOMEN’S HEALTH

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Uploaded on
September 12, 2025
Number of pages
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Written in
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Contains
Questions & answers

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