Test Bank for Maternity and Women’s Health Care 12th Edition Lowdermilk (All chapters Complete, Question and Answers)2024

Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
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,Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE ss




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




b. Cigarette smoking ss




c. Poor nutritional status ss ss




d. Limited maternal education ss ss




ANS: A ss




For African-American births, the incidence of LBW infants is twice that of Caucasian
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births. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in
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potential
ss s s infant mortality rates, but it is not the most important. Additionally, smoking
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is a modifiable risk factor.Poor nutrition is an important factor in potential infant
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mortality rates, but it is not the most important. Additionally, nutritional status is a
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modifiable risk factor. Maternal education is an important factor in potential infant
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mortality rates, but it is not the most important. Additionally, maternal education is a
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modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOP: 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 ss ss




b. Collecting data for other researchers ss ss ss ss




c. Identifying researchable problems ss ss

,d. Seeking funding to support research studies ss ss ss ss ss




ANS: C ss




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

a. Perform a nutrition assessment. ss ss ss




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




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 ss




Consistent prenatal care is the best method of preventing or controlling risk factors
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ss associated with infant mortality. Nutritional status is an important modifiable risk factor,
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ss but it is not the most important action a nurse should take in this situation. The client
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ss may need assistance from asocial worker at some time during her pregnancy, but a
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ss referral to a social worker is not the most important aspect the nurse should address at
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ss this time. If the woman has identifiable high-risk problems, then her health care may need
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ss to be provided by a physician. However, it cannot be assumed that all African-American
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ss women have high-risk issues. In addition, advising the woman to see an obstetrician is not
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ss the most important aspect on which the nurse should focus at this time, and it is not
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ss appropriate for a nurse to advise or manage the type of care a client is to receive.
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DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
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, MSC: Client Needs: Health Promotion and Maintenance
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
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assessment of a 21-year-old Hispanic client with limited English proficiency. Which action
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is themost important for the nurse to perform?
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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. ss ss ss ss




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




Nurses contribute to health literacy by using simple, common words, avoiding jargon,
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and evaluating whether the client understands the discussion. Speaking slowly and
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clearly and focusing on what is important will increase understanding. Most client
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education materials arewritten at a level too high for the average adult and may not be
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useful for a client with limited English proficiency.
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DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process:
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Evaluation MSC: Client Needs: Health Promotion and Maintenance
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5. The nurses working at a newly established birthing center have begun to compare
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ss their performance in providing maternal-newborn care against clinical standards. This
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ss comparison process is most commonly known as what?
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a. Best practices network ss ss




b. Clinical benchmarking ss




c. Outcomes-oriented practice ss




d. Evidence-based


practice ANS: C
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