Test Bank For Maternity & Women’s Health Care, 13Th Edition By Lowdermilk With Questions And Correct Answers|All Chapters Available 2023

Maternity and Women's Health Care 13th Edition Lowdermilk Test
rf rf rf rf rf rf rf rf

, Maternity and Women's Health Care 13th Edition Lowdermilk Test rf rf rf rf rf rf rf rf




Chapter 01: 21st Century Maternity and Women’s Health Nursing
rf rf rf rf rf rf rf rf fr


Lowdermilk: Maternity & Women’s Health Care, 13th Edition
rf rf rf rf rf rf rf




MULTIPLE CHOICE rf




1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
rf rf rf rf rf rf rf rf rf rf rf rf


weight (LBW)infant, which factor is the most important for the nurse to consider?
rf fr rf rf rf rf rf rf rf rf rf rf rf


a. African-American race rf


b. Cigarette smoking rf


c. Poor nutritional status rf rf


d. Limited maternal education rf rf




ANS: A r f


The rise in the overall LBW rates were due to increases in LBW births to non-
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


Hispanic black women (13.35%) and Hispanic women (7.21%); non-
rf rf rf rf rf rf rf rf


Hispanic black infants are almost twice as likely as non-rf rf rf rf rf rf rf rf rf


Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


ble risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but
rf rf rf rf rf rf rf rf rf fr rf rf rf rf rf


it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


is an important factor in potential infant mortality rates, but it is not the most important. Add
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


itionally, nutritional status is a modifiable risk factor. Maternal education is an important fac
rf rf rf rf rf rf rf rf rf rf rf rf rf


tor in potential infant mortality rates, but it is not the most important. Additionally, maternal
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


education is a modifiable risk factor. rf rf rf rf rf




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: rf rf fr


Nursing Process: Assessment rf rf



MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
rfrfrf inM
tenance, Antepartum Care rf rf rf rf




2. A 23-year-old African-
rf rf


American woman is pregnant with her first child. Based on currentstatistics for infant mort
rf rf rf rf rf rf rf rf rf rf fr rf rf rf


ality, which intervention is most important for the nurse to includein the client’s plan of car
rf rf rf rf rf rf rf rf rf rf fr rf rf rf rf rf


e?
a. Perform a nutrition assessment. rf rf rf


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


c. Advise the woman to see an obstetrician, not a midwife. rf rf rf rf rf rf rf rf rf


d. Explain to the woman the importance of keeping her prenatal care appointments.
rf rf rf rf rf rf rf rf rf rf rf




ANS: D r f


Consistent prenatal care is the best method of preventing or controlling risk factors associate
rf rf rf rf rf rf rf rf rf rf rf rf rf


d with infant mortality. Nutritional status is an important modifiable risk factor, butit is not the
rf rf rf rf rf rf rf rf rf rf rf rf fr rf rf rf r


most important action a nurse should take in this situation. The client may needassistance fr
f rf rf rf rf rf rf rf rf rf rf rf rf rf fr rf


om a social worker at some time during her pregnancy, but a referral to a socialworker is not
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf fr rf rf r


the most important aspect the nurse should address at this time. If the woman has identifiabl
f rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


e high-
rf


risk problems, then her health care may need to be provided by a physician. However, it can
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


not be assumed that all African-American women have high-
rf rf rf rf rf rf rf rf


riskissues. In addition, advising the woman to see an obstetrician is not the most important a
fr rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


spect on which the nurse should focus at this time, and it is not appropriate for a nurse to adv
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


ise or manage the type of care a client is to receive.
rf rf rf rf rf rf rf rf rf rf rf




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: rf rf fr


Nursing Process: Planning rf rf

, Maternity and Women's Health Care 13th Edition Lowdermilk Test rf rf rf rf rf rf rf rf




MSC: Client Needs: Health Promotion and Maintenance
rf rf rf rf rf rf




3. The nurses working at a newly established birthing center have begun to compare theirp
rf rf rf rf rf rf rf rf rf rf rf rf rf fr


erformance in providing maternal- rf rf rf


newborn care against clinical standards. This comparison process is most commonly k
rf rf rf rf rf rf rf rf rf rf rf


nown as what? rf rf


a. Best practices network rf rf


b. Clinical benchmarking rf


c. Outcomes-oriented pracNtiU
ceRS rf


d. Evidence-based practice rf



ANS: C r f


Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
rf rf rf rf rf rf rf rf rf rf rf rf rf


benchmarks or standards. The term best practice refers to a program or servicethat has been re
rf rf rf rf rf rf rf rf rf rf rf rf fr rf rf rf


cognized for its excellence. Clinical benchmarking is a process used to compare one’s own p
rf rf rf rf rf rf rf rf rf rf rf rf rf rf


erformance against the performance of the best in an area of service. The term evidence-
rf rf rf rf rf rf rf rf rf rf rf rf rf rf


based practice refers to the provision of care based on evidence gainedthrough research and
rf rf rf rf rf rf rf rf rf rf rf fr rf rf rf


clinical trials. rf




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: rf rf fr


Nursing Process: Evaluation rf rf


MSC: Client Needs: Safe and Effective Care Environment
rf rf rf rf rf rf rf




4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


assessment of a 21-year- rf rf rf


old Hispanic client with limited English proficiency. Whichintervention is the most i
rf rf rf rf rf rf rf fr rf rf rf rf


mportant for the nurse to implement? rf rf rf rf rf


a. Use maternity jargon to enable the client to become familiar with these terms.
rf rf rf rf rf rf rf rf rf rf rf rf


b. Speak quickly and efficiently to expedite the visit.
rf rf rf rf rf rf rf


c. Provide the client with handouts. rf rf rf rf


d. Assess whether the client understands the discussion.
rf rf rf rf rf rf




ANS: D r f


Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
rf rf rf rf rf rf rf rf rf rf rf rf fr


evaluating whether the client understands the discussion. Speaking slowly and clearly andf
rf rf rf rf rf rf rf rf rf rf rf fr


ocusing on what is important will increase understanding. Most client education materialsar
rf rf rf rf rf rf rf rf rf rf rf fr


e written at a level too high for the average adult and may not be useful for a client withlim
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf fr


ited English proficiency.
rf rf




PTS: 1 DIF:
Cognitive Level: ApplyTOP: rf rf fr


Nursing Process: Implementation rf rf


MSC: Client Needs: Health Promotion and Maintenance
rf rf rf rf rf rf




5. Which statement best exemplifies contemporary maternity nursing?
rf rf rf rf rf rf


a. Use of midwives for all vaginal deliveries
rf rf rf rf rf rf


b. Family-centered care rf


c. Free-standing birth clinics rf rf


d. Physician-
driven careANS: B rf fr r f

, Maternity and Women's Health Care 13th Edition Lowdermilk Test rf rf rf rf rf rf rf rf




Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner rf rf rf rf rf rf rf rf rf rf rf


s, grandparents, and siblings may be present for the birth and participate in activitiessuch as c
rf rf rf rf rf rf rf rf rf rf rf rf rf fr rf rf


utting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
rf rf rf rf rf rf rf rf rf rf rf rf


Free-
standing clinics are an example of alternative birth options. Contemporarymaternity nursing
rf rf rf rf rf rf rf rf rf fr rf rf


is driven by the relationship between nurses and their clients.
rf rf rf rf rf rf rf rf rf




PTS: 1 DIF:
Cognitive Level: UnderstandTOP: rf rf fr


Nursing Process: Planning rf rf


MSC: Client Needs: Health Promotion and Maintenance
rf rf rf rf rf rf




6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
rf rf rf rf rf rf rf rf


ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
rf rf rf rf fr rf rf rf rf rf rf rf rf rf rf rf rf rf rf


what grounds could the woman have a legitimate legal case for negligence?
rf rf rf rf rf rf rf rf rf rf rf


a. Inexperienced maternity nurse was assigned to care for the client. rf rf rf rf rf rf rf rf rf


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


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


d. Client refused electronic fetal monitoring. rf rf rf rf




ANS: C r f


Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperi
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


enced maternity nurse would need to display competency before being assigned tocare for c
rf rf rf rf rf rf rf rf rf rf rf fr rf rf


lients on his or her own. This client may have been past her due date; however, aterm pregn
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf fr rf


ancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard of
rf rf rf rf rf rf rf rf rf rf rf rf fr rf rf


care, the client has the right to refuse treatment. This refusal is not a case for negligence, b
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


ut informed consent should be properly obtained, and the client should have signed an agai
rf rf rf rf rf rf rf rf rf rf rf rf rf rf


nst medical advice form when refusing any treatment that is within the standard of care.
rf rf rf rf rf rf rf rf rf rf rf rf rf rf



PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: rf rf fr


Nursing Process: Implementation rf rf


MSC: Client Needs: Safe and Effective Care Environment
rf rf rf rf rf rf rf




7. When the nurse is unsure how to perform a client care procedure that is high risk and lowv
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf fr


olume, his or her best action in this situation would be what?
rf rf rf rf rf rf rf rf rf rf rf


a. Ask another nurse. rf rf


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


c. Look up the procedure in a nursing textbook. rf rf rf rf rf rf rf


d. First consult the agency procedure manual rf rf rf rf rf




ANS: D r f


Following the agency’s policies and procedures manual is always best when seeking inform
rf rf rf rf rf rf rf rf rf rf rf rf


ation on correct client procedures. These policies should reflect the current standardsof care a
rf rf rf rf rf rf rf rf rf rf rf fr rf rf


nd the individual state’s guidelines. Each nurse is responsible for his or her own practice. Re
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


lying on another nurse may not always be a safe practice. Each nurse is obligated to follow t
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


he standards of care for safe client care delivery. Physicians are responsible for their own cli
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


ent care activity. Nurses may follow safe orders from physicians, but they are also responsib
rf rf rf rf rf rf rf rf rf rf rf rf rf rf


le for the activities that they, as nurses, are to carry out. Information provided in a nursing tex
rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf rf


tbook is basic information for general knowledge.Furthermore, the information in a textbook
rf rf rf rf rf rf fr rf rf rf rf rf rf


may not reflect the current standard of care or the individual state or hospital policies.
rf rf rf rf rf rf rf rf rf rf rf rf rf rf