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Test Bank YFT L
For Maternity and Women's Health Care
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13th Edition Lowdermilk
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, Maternity and Women's Health Care 13th Edition Lowdermilk Test Chap L
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Bank
ter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Mat
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ernity & Women’s Health Care, 12th Edition
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MULTIPLE CHOICE L
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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? L
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a. African-American race Y F T L
b. Cigarette smoking YFT L
c. Poor nutritional status YF
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d. Limited maternal education L
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ANS: A Y F T L
The rise in the overall LBW rates were due to increases in LBW births to
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non-Hispanic black women (13.35%) and Hispanic women (7.21%);
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Y non-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 L
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nonmodifi able risk factor. Cigarette smoking is an important factor in potential infant
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mortality rates, b ut it is not the most important. Additionally, smoking is a modifiable
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risk factor. Poor nutri tion is an important factor in potential infant mortality rates, but it
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is not the most importan
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t. Additionally, nutritional status is a modifiable risk factor. Maternal education is an
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impor tant factor in potential infant mortality rates, but it is not the most important.
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Additionally, maternal education is a modifiable risk factor.
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PTS: 1 DIF:
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MSC: Client Needs: HealtN
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2. A 23-year-old African- YFT L YF T L
American woman is pregnant with her first child. Based on current statistics for infant mor L
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tality, which intervention is most important for the nurse to include in the client’s plan of
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c are? YFT L YFT L
a. Perform a nutrition assessment. YFT L T
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b. Refer the woman to a social worker. L
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c. Advise the woman to see an obstetrician, not a midwife. L
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d. Explain to the woman the importance of keeping her prenatal care appointments. L
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ANS: D Y F T L
Consistent prenatal care is the best method of preventing or controlling risk factors YFT L L
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associat ed with infant mortality. Nutritional status is an important modifiable risk factor, but it
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is not t he most important action a nurse should take in this situation. The client may
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need assistanc e from a social worker at some time during her pregnancy, but a referral
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to a social worker i s not the most important aspect the nurse should address at this time.
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If the woman has iden tifiable 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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ca nnot 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
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important aspect on which the nurse should focus at this time, and it is not appropriate
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for a nurse to a dvise or manage the type of care a client is to receive.
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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 their
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performance in providing maternal-
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newborn care against clinical standards. This comparison process is most commonly k YFTL YFT L YF T L L
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nown as what?
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b. Clinical benchmarking L
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c. Outcomes-oriented pracNtiU ceR S Y F T L
d. Evidence-based practice Y F T L
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Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care
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against benchmarks or standards. The term best practice refers to a program or service that
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has been recognized for its excellence. Clinical benchmarking is a process used to
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compare one’s o wn performance against the performance of the best in an area of
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service. The term evidenc e-
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based practice refers to the provision of care based on evidence gained through research
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an d clinical trials.
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4. During a prenatal intake interview, the nurse is in the process of obtaining an
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initial assessment of a 21-year-
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old Hispanic client with limited English proficiency. Which intervention is the most
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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. YFT L L
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c. Provide the client with handouts. L
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d. Assess whether the client understands the discussion. T
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ANS: D Y F T L
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
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d evaluating whether the client understands the discussion. Speaking slowly and clearly an
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d focusing on what is important will increase understanding. Most client education material
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s are written at a level too high for the average adult and may not be useful for a client
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wit h limited English proficiency.
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PTS: 1 DIF:
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5. Which statement best exemplifies contemporary maternity nursing?
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b. Family-centered care Y F T L
c. Free-standing birth clinics L
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d. Physician-
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