Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank

Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
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TEST BANK FOR Maternity & Women’s Health Care
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12th Edition Lowdermilk Chapter 1-
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Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE BG




1. In evaluating the level of a pregnant woman 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 BG




b. Cigarette smoking BG




c. Poor nutritional statusBG BG




d. Limited maternal education BG BG




SELECTED ANSWER: A BG BG




For African-
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American births, the incidence of LBW infants is twice that of Caucasian births. Race is
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a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant m
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ortality rates, but it is not the most important. Additionally, smoking is a modifiable risk f
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actor. Poor nutrition is an important factor in potential infant mortality rates, but it is not
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,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
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37 WELL ENLIGHTEN
G the most important. Additionally, nutritional status is a modifiable risk factor. Maternal ed
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ucation is an
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,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
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37 WELL ENLIGHTEN
important factor in potential infant mortality rates, but it is not the most important. Additi
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onally, maternal education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOPIC: Nursing Process: Assessment
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MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
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2. What is the primary role of practicing nurses in the research process?
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a. Designing research studies BG BG




b. Collecting data for other researchers
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c. Identifying researchable problems
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, Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
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37 WELL ENLIGHTEN

d. Seeking funding to support research studies
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SELECTED ANSWER: C BG BG




When problems are identified, research can be properly conducted. Research of health ca
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re issues leads to evidence-
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based practice guidelines. Designing research studies is only one factor of the research pr
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ocess. Data collection is another factor of research. Financial support is necessary to con
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duct research, but it is not the primary role of the nurse in the research process.
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DIF: Cognitive Level: Understand REF: im: 14 TOPIC: Nursing Process: N
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/AMSC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant
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BG mortality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. BG BG BG




b. Refer the woman to a social worker.
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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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SELECTED ANSWER: D BG BG




Consistent prenatal care is the best method of preventing or controlling risk factors associ
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ated with infant mortality. Nutritional status is an important modifiable risk factor, but it i
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s not the most important action a nurse should take in this situation. The client may need
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assistance from a social worker at some time during her pregnancy, but a referral to a soc
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ial worker is not the most important aspect the nurse should address at this time. If the
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woman 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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cannot be assumed that all African-American women have high-
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risk issues. 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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DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Planning
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