Test Bank for Maternity and Women’s Health Care, 13th Edition (Lowdermilk, 2024), Chapter 1-37 | All Chapters Newest

Maternity and Women's Health Care 13th Edition Lowdermilk Te
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, Maternity and Women's Health Care 13th Edition Lowdermilk Te
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st
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 !N




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 !N


b. Cigarette smoking !N


c. Poor nutritional status !N !N


d. Limited maternal education !N !N




ANS: A ! N


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 nonm
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odifiable risk factor. Cigarette smoking is an important factor inpotential infant mortality
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rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.
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NPoor nutrition is an important factor in potential infant mortality rates, but it is not the
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most important. Additionally, nutritional status is a modifiable risk factor. Maternal educ
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ation is an important factor in potential infant mortality rates, but it is not the most imp
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ortant. Additionally, maternal education is a modifiable risk factor.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: !N !N N
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Nursing Process: Assessment !N !N



MSC: Client Needs: HealtN
hUPrRoS
mI
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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 p
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lan of care? !N !N


a. Perform a nutrition assessment. !N !N !N


b. Refer the woman to a social worker. !N !N !N !N !N !N


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 ! N


Consistent prenatal care is the best method of preventing or controlling risk factors asso
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ciated with infant mortality. Nutritional status is an important modifiable risk factor, butit
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is not the most important action a nurse should take in this situation. The client may ne
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edassistance from a social worker at some time during her pregnancy, but a referral to a
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Nsocialworker is not the most important aspect the nurse should address at this time. If t
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he 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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riskissues. In addition, advising the woman to see an obstetrician is not the most import
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ant aspect on which the nurse should focus at this time, and it is not appropriate for a n
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urse to advise or manage the type of care a client is to receive.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: !N !N N
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Nursing Process: Planning !N !N

, Maternity and Women's Health Care 13th Edition Lowdermilk Te
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st
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 t
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heirperformance 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?
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a. Best practices network !N !N


b. Clinical benchmarking !N


c. Outcomes-oriented pracNtiU
ceRS !N


d. Evidence-based practice !N



ANS: C ! N


Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care agai
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nst benchmarks or standards. The term best practice refers to a program or servicethat ha
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s been recognized for its excellence. Clinical benchmarking is a process used to compar
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e one’s own performance against the performance of the best in an area of service. The
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term evidence- !N


based practice refers to the provision of care based on evidence gainedthrough research
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and clinical trials.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: !N !N N
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Nursing Process: Evaluation !N !N


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 ini
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tial assessment of a 21-year-
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old Hispanic client with limited English proficiency. Whichintervention is the mo
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st 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. !N !N !N !N


d. Assess whether the client understands the discussion.
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ANS: D ! N


Nurses contribute to health literacy by using simple, common words, avoiding jargon,
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andevaluating whether the client understands the discussion. Speaking slowly and clear
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ly andfocusing on what is important will increase understanding. Most client education
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materialsare written at a level too high for the average adult and may not be useful for
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Na client withlimited English proficiency.
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PTS: 1 DIF:
Cognitive Level: ApplyTOP: !N !N N
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Nursing Process: Implementation !N !N


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 !N


c. Free-standing birth clinics !N !N


d. Physician-
driven careANS: B !N N
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, Maternity and Women's Health Care 13th Edition Lowdermilk Te
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st
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
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deliveries. Free- !N


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: !N !N N
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Nursing Process: Planning !N !N


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. !N !N !N !N !N !N !N !N !N


b. Client was past her due date by 3 days. !N !N !N !N !N !N !N !N


c. Standard of care was not met. !N !N !N !N !N


d. Client refused electronic fetal monitoring.!N !N !N !N




ANS: C ! N


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 to
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care for clients on his or her own. This client may have been past her due date; howev
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er, aterm pregnancy often goes beyond 40 weeks of gestation. Although fetal monitorin
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g is thestandard of care, the client has the right to refuse treatment. This refusal is not
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a case for negligence, but informed consent should be properly obtained, and the client
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Nshould have signed an against medical advice form when refusing any treatment that i
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s within the standard of care.
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PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: !N !N N
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Nursing Process: Implementation !N !N


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
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lowvolume, his or her best action in this situation would be what?
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a. Ask another nurse. !N !N


b. Discuss the procedure with the client’s physician. !N !N !N !N !N !N


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 ! N


Following the agency’s policies and procedures manual is always best when seeking inf
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ormation on correct client procedures. These policies should reflect the current standards
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of care and the individual state’s guidelines. Each nurse is responsible for his or her ow
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n practice. Relying on another nurse may not always be a safe practice. Each nurse is o
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bligated to follow the standards of care for safe client care delivery. Physicians are resp
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onsible for their own client care activity. Nurses may follow safe orders from physicians
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, but they are also responsible for the activities that they, as nurses, are to carry out. Inf
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ormation provided in a nursing textbook is basic information for general knowledge.Furth
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!


ermore, the information in a textbook may not reflect the current standard of care or the
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Nindividual state or hospital policies. !N !N !N !N