Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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TEST BANK FOR Maternity & Women’s Health Care 12t zi zi zi zi zi zi zi zizi
h Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE zi
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 zi
b. Cigarette smoking zi
c. Poor nutritional status zi zi
d. Limited maternal education zi zi
SELECTED ANSWER: A zi zi
For African- zi
American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmo
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difiable risk factor. Cigarette smoking is an important factor in potential infant mortality rates, bu
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t it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition is a
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n important factor in potential infant mortality rates, but it is not the most important. Additionally
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, nutritional status is a modifiable risk factor. Maternal education is an
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,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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important factor in potential infant mortality rates, but it is not the most important. Additionally,
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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 zi zi
b. Collecting data for other researcherszi zi zi zi
c. Identifying researchable problems zi zi
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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d. Seeking funding to support research studies zi zi zi zi zi
SELECTED ANSWER: C zi zi
When problems are identified, research can be properly conducted. Research of health care issu
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es leads to evidence-
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based practice guidelines. Designing research studies is only one factor of the research process.
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Data collection is another factor of research. Financial support is necessary to conduct research,
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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/AM
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SC: 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 mortal
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ity, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. zi zi zi
b. Refer the woman to a social worker. zi zi zi zi zi zi
c. Advise the woman to see an obstetrician, not a midwife. zi zi zi zi zi zi zi zi zi
d. Explain to the woman the importance of keeping her prenatal care appointments.
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SELECTED ANSWER: D zi zi
Consistent prenatal care is the best method of preventing or controlling risk factors associated wit
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h infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most i
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mportant action a nurse should take in this situation. The client may need assistance from a social
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worker at some time during her pregnancy, but a referral to a social worker is not the most import
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ant aspect the nurse should address at this time. If the woman has identifiable high-
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risk problems, then her health care may need to be provided by a physician. However, it cannot b
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e 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 important aspec
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t on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or ma
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nage 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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, Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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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 assessmen
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
t of a 21-year-
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old Hispanic client with limited English proficiency. Which action is the most important for the n
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urse to perform? zi zi
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. zi zi zi zi zi zi zi
c. Provide the client with handouts. zi zi zi zi
d. Assess whether the client understands the discussion. zi zi zi zi zi zi
SELECTED ANSWER: D zi zi
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evalua
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ting whether the client understands the discussion. Speaking slowly and clearly and focusing on
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what is important will increase understanding. Most client education materials are written at a lev
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el too high for the average adult and may not be useful for a client with limited English proficienc
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y.
DIF: Cognitive Level: Apply REF: im: 5 TOPIC: Nursing Process: EvaluationM
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SC: Client Needs: Health Promotion and Maintenance
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5. The nurses working at a newly established birthing center have begun to compare their per
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formance in providing maternal- zi zi zi
newborn care against clinical standards. This comparison process is most commonly known a
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s what?
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a. Best practices network zi zi
b. Clinical benchmarking zi
c. Outcomes-oriented practice zi
d. Evidence-
based practice SELECTED zi zi zi
ANSWER: C zi
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TEST BANK FOR Maternity & Women’s Health Care 12t zi zi zi zi zi zi zi zizi
h Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
zi zi zi zi zi zizi
Chapter 1: 21st Century Maternity and Women’s Health Nursing
zi zi zi zi zi zi zi zi
MULTIPLE CHOICE zi
1. In evaluating the level of a pregnant woman risk of having a low-birth-
zi zi zi zi zi zi zi zi zi zi zi zi
weight (LBW) infant, which factor is the most important for the nurse to consider?
zi zi zi zi zi zi zi zi zi zi zi zi zi
a. African-American race zi
b. Cigarette smoking zi
c. Poor nutritional status zi zi
d. Limited maternal education zi zi
SELECTED ANSWER: A zi zi
For African- zi
American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmo
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
difiable risk factor. Cigarette smoking is an important factor in potential infant mortality rates, bu
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
t it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition is a
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
n important factor in potential infant mortality rates, but it is not the most important. Additionally
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
, nutritional status is a modifiable risk factor. Maternal education is an
zi zi zi zi zi zi zi zi zi zi zi
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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important factor in potential infant mortality rates, but it is not the most important. Additionally,
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
maternal education is a modifiable risk factor.
zi zi zi zi zi zi
DIF: Cognitive Level: Understand REF: IM:
zi zi zi zi zi
TOPIC: Nursing Process: Assessment
zi zi zi
MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
zi zi zi zi zi zi zi zi
2. What is the primary role of practicing nurses in the research process?
zi zi zi zi zi zi zi zi zi zi zi
a. Designing research studies zi zi
b. Collecting data for other researcherszi zi zi zi
c. Identifying researchable problems zi zi
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
zi zi zi zi zi zi zi zi zi zi zi
d. Seeking funding to support research studies zi zi zi zi zi
SELECTED ANSWER: C zi zi
When problems are identified, research can be properly conducted. Research of health care issu
zi zi zi zi zi zi zi zi zi zi zi zi zi
es leads to evidence-
zi zi zi
based practice guidelines. Designing research studies is only one factor of the research process.
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
Data collection is another factor of research. Financial support is necessary to conduct research,
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
but it is not the primary role of the nurse in the research process.
zi zi zi zi zi zi zi zi zi zi zi zi zi
DIF: Cognitive Level: Understand REF: im: 14 TOPIC: Nursing Process: N/AM
zi zi zi zi zi zi zi zi zi zi
SC: Client Needs: Safe and Effective Care Environment
zi zi zi zi zi zi zi
3. A 23-year-old African-
zi zi
American woman is pregnant with her first child. Based on the statistics for infant mortal
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
ity, which plan is most important for the nurse to implement?
zi zi zi zi zi zi zi zi zi zi
a. Perform a nutrition assessment. zi zi zi
b. Refer the woman to a social worker. zi zi zi zi zi zi
c. Advise the woman to see an obstetrician, not a midwife. zi zi zi zi zi zi zi zi zi
d. Explain to the woman the importance of keeping her prenatal care appointments.
zi zi zi zi zi zi zi zi zi zi zi
SELECTED ANSWER: D zi zi
Consistent prenatal care is the best method of preventing or controlling risk factors associated wit
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
h infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most i
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
mportant action a nurse should take in this situation. The client may need assistance from a social
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
worker at some time during her pregnancy, but a referral to a social worker is not the most import
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
ant aspect the nurse should address at this time. If the woman has identifiable high-
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
risk problems, then her health care may need to be provided by a physician. However, it cannot b
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
e assumed that all African-American women have high-
zi zi zi zi zi zi zi
risk issues. In addition, advising the woman to see an obstetrician is not the most important aspec
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
t on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or ma
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
nage the type of care a client is to receive.
zi zi zi zi zi zi zi zi zi
DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Planning
zi zi zi zi zi zi zi zi zi
, Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
zi zi zi zi zi zi zi zi zi zi zi
MSC: Client Needs: Health Promotion and Maintenance
zi zi zi zi zi zi
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessmen
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
t of a 21-year-
zi zi zi
old Hispanic client with limited English proficiency. Which action is the most important for the n
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
urse to perform? zi zi
a. Use maternity jargon to enable the client to become familiar with these terms.
zi zi zi zi zi zi zi zi zi zi zi zi
b. Speak quickly and efficiently to expedite the visit. zi zi zi zi zi zi zi
c. Provide the client with handouts. zi zi zi zi
d. Assess whether the client understands the discussion. zi zi zi zi zi zi
SELECTED ANSWER: D zi zi
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evalua
zi zi zi zi zi zi zi zi zi zi zi zi zi
ting whether the client understands the discussion. Speaking slowly and clearly and focusing on
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
what is important will increase understanding. Most client education materials are written at a lev
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
el too high for the average adult and may not be useful for a client with limited English proficienc
zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi zi
y.
DIF: Cognitive Level: Apply REF: im: 5 TOPIC: Nursing Process: EvaluationM
zi zi zi zi zi zi zi zi zi zi
SC: Client Needs: Health Promotion and Maintenance
zi zi zi zi zi zi
5. The nurses working at a newly established birthing center have begun to compare their per
zi zi zi zi zi zi zi zi zi zi zi zi zi zi
formance in providing maternal- zi zi zi
newborn care against clinical standards. This comparison process is most commonly known a
zi zi zi zi zi zi zi zi zi zi zi zi
s what?
zi
a. Best practices network zi zi
b. Clinical benchmarking zi
c. Outcomes-oriented practice zi
d. Evidence-
based practice SELECTED zi zi zi
ANSWER: C zi
