Maternity and Womens Health Care 12th Edition Lowdermilk Test Bank

Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN a. Births to unmarried women are more likely to have less favorable outcomes. b. Birth rates for women 40 to 44 years of age are declining. c. Cigarette smoking among pregnant women continues to increase. d. Rates of pregnancy and abortion among teenagers are lower in the United States than in any other industrialized country. SELECTED ANSWER: A LBW infants and preterm births are more likely because of the large number of teenagers in the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer pregnant women smoke. Teen pregnancy and abortion rates are higher in the United States than in any other industrial country. DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 11. A recently graduated nurse is attempting to understand the reason for increasing health care spending in the United States. Which information gathered from her research best explains the rationale for these higher costs compared with other developed countries? a. Higher rate of obesity among pregnant women b. Limited access to technology c. Increased use of health care services along with lower prices d. Homogeneity of the population SELECTED ANSWER: A Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the gross domestic product is spent on health care. Higher spending in the United States, as compared with 12 other industrialized countries, is related to higher prices and readily accessible technology along with greater obesity rates among women. More than one third of women in the United States are obese. In the population in the United States, 16% are uninsured and have Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN limited access to health care. Maternal morbidity and mortality are directly related to racial disparities. DIF: Cognitive Level: Understand REF: im: 5 TOPIC: Nursing Process: N/AMSC: Client Needs: Safe and Effective Care Environment 12. Which statement best describes maternity nursing care that is based on knowledge gained through research and clinical trials? a. Maternity nursing care is derived from the Nursing Intervention Classification. b. Maternity nursing care is known as evidence-based practice. c. Maternity nursing care is at odds with the Cochrane School of traditional nursing. d. Maternity nursing care is an outgrowth of telemedicine. SELECTED ANSWER: B Evidence-based practice is based on knowledge gained from research and clinical trials. The Nursing Intervention Classification is a method of standardizing language and categorizing care. Dr. Cochrane systematically reviewed research trials and is part of the evidence-based practice movement. Telemedicine uses communication technologies to support health care. DIF: Cognitive Level: Understand REF: pp. 10-11 TOPIC: Nursing Process: DiagnosisMSC: Client Needs: Safe and Effective Care Environment 13. What is the minimum level of practice that a reasonably prudent nurse is expected to provide? a. Standard of care b. Risk management c. Sentinel event d. Failure to rescue SELECTED ANSWER: A Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN Guidelines for standards of care are published by various professional nursing organizations. Risk management identifies risks and establishes preventive practices, but it does not define the standard of care. Sentinel events are unexpected negative occurrences. They do not establish the standard of care. Failure to rescue is an evaluative process for nursing, but it does not define the standard of care. DIF: Cognitive Level: Remember REF: im: 13 TOPIC: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment 14. Through the use of social media technology, nurses can link with other nurses who may share similar interests, insights about practice, and advocate for clients. Which factor is the most concerning pitfall for nurses using this technology? a. Violation of client privacy and confidentiality b. Institutions and colleagues who may be cast in an unfavorable light c. Unintended negative consequences for using social media d. Lack of institutional policy governing online contact SELECTED ANSWER: A The most significant pitfall for nurses using this technology is the violation of client privacy and confidentiality. Furthermore, institutions and colleagues can be cast in an unfavorable light with negative consequences for those posting information. Nursing students have been expelled from school and nurses have been fired or reprimanded by their Board of Nursing for injudicious posts. The American Nurses Association has published six principles for social networking and the nurse. All institutions should have policies guiding the use of social media, and the nurse should be familiar with these guidelines. DIF: Cognitive Level: Analyze REF: im: 8 TOPIC: Nursing Process: Implementation