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Pts: g h g h 1 Dif: g h Cognitive ghLevel:
ghUnderstand ghTop: g h g h Nursing ghProcess: ghAssessment
Msc: g h Client ghNeeds: ghHealnance, ghAntepartum ghCare
2. A gh23-Year-Old ghAfrican-American ghWoman ghIs ghPregnant ghWith ghHer ghFirst ghChild. ghBased
ghOn ghCurrentStatistics ghFor ghInfant ghMortality, ghWhich ghIntervention ghIs ghMost ghImportant ghFor
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b. Refer ghThe ghWoman ghTo ghA ghSocial ghWorker.
c. Advise ghThe ghWoman ghTo ghSee ghAn ghObstetrician, ghNot ghA ghMidwife.
d. Explain ghTo ghThe ghWoman ghThe ghImportance ghOf ghKeeping ghHer ghPrenatal ghCare ghAppointments.
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ghFactors ghAssociated ghWith ghInfant ghMortality. ghNutritional ghStatus gh Is ghAn ghImportant
ghModifiable ghRisk ghFactor, ghButIt ghIs ghNot ghThe ghMost ghImportant ghAction ghA ghNurse ghShould
ghTake ghIn ghThis ghSituation. ghThe ghClient ghMay ghNeed ghAssistance ghFrom ghA ghSocial ghWorker
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ghTo ghBe ghProvided ghBy ghA ghPhysician. ghHowever, ghIt ghCannot ghBe ghAssumed ghThat ghAll
ghAfrican-American ghWomen ghHave ghHigh-RiskIssues. ghIn ghAddition, ghAdvising ghThe ghWoman
ghTo ghSee ghAn ghObstetrician ghIs ghNot ghThe ghMost ghImportant ghAspect ghOn ghWhich ghThe ghNurse
ghShould ghFocus ghAt ghThis ghTime, ghAnd ghIt gh Is ghNot ghAppropriate ghFor ghA ghNurse ghTo ghAdvise
ghOr ghManage ghThe ghType ghOf ghCare ghA ghClient ghIs ghTo ghReceive.
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ghQuality ghOf ghCare ghAgainst ghBenchmarks ghOr ghStandards. ghThe ghTerm ghBest ghPractice
ghRefers ghTo ghA ghProgram ghOr ghServiceThat ghHas ghBeen ghRecognized ghFor ghIts ghExcellence.
ghClinical ghBenchmarking ghIs ghA ghProcess ghUsed ghTo ghCompare ghOne’s ghOwn ghPerformance
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ghGained ghThrough ghResearch ghAnd ghClinical ghTrials.
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ghUnderstand ghTop: Nursing ghProcess: ghEvaluation
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c. Provide ghThe ghClient ghWith ghHandouts.
d. Assess ghWhether ghThe ghClient ghUnderstands ghThe ghDiscussion.
ANSWER: g h D
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ghAvoiding ghJargon, ghAndEvaluating ghWhether ghThe ghClient ghUnderstands ghThe ghDiscussion.
ghSpeaking ghSlowly ghAnd ghClearly ghAndFocusing ghOn ghWhat ghIs ghImportant ghWill ghIncrease
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ghFor ghThe ghAverage ghAdult ghAnd ghMay ghNot ghBe ghUseful ghFor ghA ghClient ghWithLimited
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b. Family-Centered ghCare
c. Free-Standing ghBirth ghClinics
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Contemporary ghMaternity ghNursing ghFocuses ghOn ghThe ghFamily’s ghNeeds ghAnd ghDesires.
ghFathers, ghPartners, ghGrandparents, ghAnd ghSiblings ghMay ghBe ghPresent ghFor ghThe ghBirth ghAnd
ghParticipate gh In ghActivitiesSuch ghAs ghCutting ghThe ghBaby’s ghUmbilical ghCord. ghBoth
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ghAre ghAn ghExample ghOf ghAlternative ghBirth ghOptions. ghContemporary ghMaternity ghNursing ghIs
ghDriven ghBy ghThe ghRelationship ghBetween ghNurses ghAnd ghTheir ghClients.
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c. Standard ghOf ghCare ghWas ghNot ghMet.
d. Client ghRefused ghElectronic ghFetal ghMonitoring.
ANSWER: g h C
Not ghMeeting ghThe ghStandard ghOf ghCare ghIs ghA ghLegitimate ghFactor ghFor ghA ghCase ghOf
ghNegligence. ghAn ghInexperienced ghMaternity ghNurse ghWould ghNeed ghTo ghDisplay
ghCompetency ghBefore ghBeing ghAssigned ghToCare ghFor ghClients ghOn ghHis ghOr ghHer ghOwn.
ghThis ghClient ghMay ghHave ghBeen ghPast ghHer ghDue ghDate; ghHowever, ghATerm ghPregnancy
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ghRefuse ghTreatment. ghThis ghRefusal ghIs ghNot ghA ghCase ghFor ghNegligence, ghBut ghInformed
ghConsent ghShould ghBe ghProperly ghObtained, ghAnd ghThe ghClient ghShould ghHave ghSigned ghAn
ghAgainst ghMedical ghAdvice ghForm ghWhen ghRefusing ghAny ghTreatment ghThat ghIs ghWithin
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ghSeeking ghInformation ghOn ghCorrect ghClient ghProcedures. ghThese ghPolicies ghShould ghReflect
ghThe ghCurrent ghStandardsOf ghCare ghAnd ghThe ghIndividual ghState’s ghGuidelines. ghEach ghNurse
ghIs ghResponsible ghFor ghHis ghOr ghHer ghOwn ghPractice. ghRelying ghOn ghAnother ghNurse ghMay ghNot
ghAlways ghBe ghA ghSafe ghPractice. ghEach ghNurse ghIs ghObligated ghTo ghFollow ghThe ghStandards ghOf
ghCare ghFor ghSafe ghClient ghCare ghDelivery. ghPhysiciANSWER ghAre ghResponsible ghFor ghTheir
ghOwn ghClient ghCare ghActivity. ghNurses ghMay ghFollow ghSafe ghOrders ghFrom
ghPhysiciANSWER, ghBut ghThey ghAre ghAlso ghResponsible ghFor ghThe ghActivities ghThat ghThey,
ghAs ghNurses, ghAre ghTo ghCarry ghOut. ghInformation ghProvided gh In ghA ghNursing ghTextbook ghIs
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HEALTHCARE 13TH EDITION
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Chapter 0 1 : 2 1 s t Century Maternity And Women’s Health Nursing
gh gh gh gh gh gh gh gh
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
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The ghRise ghIn ghThe ghOverall ghLbw ghRates ghWere ghDue ghTo ghIncreases ghIn ghLbw ghBirths ghTo
ghNon- ghHispanic ghBlack ghWomen gh(13.35%) ghAnd ghHispanic ghWomen gh(7.21%); ghNon-
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ghFactors ghAssociated ghWith ghInfant ghMortality. ghNutritional ghStatus gh Is ghAn ghImportant
ghModifiable ghRisk ghFactor, ghButIt ghIs ghNot ghThe ghMost ghImportant ghAction ghA ghNurse ghShould
ghTake ghIn ghThis ghSituation. ghThe ghClient ghMay ghNeed ghAssistance ghFrom ghA ghSocial ghWorker
ghAt ghSome ghTime ghDuring ghHer ghPregnancy, ghBut ghA ghReferral ghTo ghA ghSocialWorker gh Is ghNot
ghThe ghMost ghImportant ghAspect ghThe ghNurse ghShould ghAddress ghAt ghThis ghTime. ghIf ghThe
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ghTo ghBe ghProvided ghBy ghA ghPhysician. ghHowever, ghIt ghCannot ghBe ghAssumed ghThat ghAll
ghAfrican-American ghWomen ghHave ghHigh-RiskIssues. ghIn ghAddition, ghAdvising ghThe ghWoman
ghTo ghSee ghAn ghObstetrician ghIs ghNot ghThe ghMost ghImportant ghAspect ghOn ghWhich ghThe ghNurse
ghShould ghFocus ghAt ghThis ghTime, ghAnd ghIt gh Is ghNot ghAppropriate ghFor ghA ghNurse ghTo ghAdvise
ghOr ghManage ghThe ghType ghOf ghCare ghA ghClient ghIs ghTo ghReceive.
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ghTo ghCompare ghTheirPerformance ghIn ghProviding ghMaternal-Newborn ghCare ghAgainst
ghClinical ghStandards. ghThis ghComparison ghProcess ghIs ghMost ghCommonly ghKnown
ghAs ghWhat?
a. Best ghPractices ghNetwork
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c. Outcomes-Oriented g h Pracnt iu cer s
d. Evidence-Based gh Practice
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Outcomes-Oriented ghPractice ghMeasures ghThe ghEffectiveness ghOf ghThe ghInterventions ghAnd
ghQuality ghOf ghCare ghAgainst ghBenchmarks ghOr ghStandards. ghThe ghTerm ghBest ghPractice
ghRefers ghTo ghA ghProgram ghOr ghServiceThat ghHas ghBeen ghRecognized ghFor ghIts ghExcellence.
ghClinical ghBenchmarking ghIs ghA ghProcess ghUsed ghTo ghCompare ghOne’s ghOwn ghPerformance
ghAgainst ghThe ghPerformance ghOf ghThe ghBest ghIn ghAn ghArea ghOf ghService. ghThe ghTerm
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ghObtaining ghAn gh Initial ghAssessment ghOf ghA gh21-Year-Old ghHispanic ghClient ghWith
ghLimited ghEnglish ghProficiency. ghWhich ghIntervention ghIs ghThe ghMost ghImportant ghFor
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b. Speak ghQuickly ghAnd ghEfficiently ghTo ghExpedite ghThe ghVisit.
c. Provide ghThe ghClient ghWith ghHandouts.
d. Assess ghWhether ghThe ghClient ghUnderstands ghThe ghDiscussion.
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ghAvoiding ghJargon, ghAndEvaluating ghWhether ghThe ghClient ghUnderstands ghThe ghDiscussion.
ghSpeaking ghSlowly ghAnd ghClearly ghAndFocusing ghOn ghWhat ghIs ghImportant ghWill ghIncrease
ghUnderstanding. ghMost ghClient ghEducation ghMaterialsAre ghWritten ghAt ghA ghLevel ghToo ghHigh
ghFor ghThe ghAverage ghAdult ghAnd ghMay ghNot ghBe ghUseful ghFor ghA ghClient ghWithLimited
ghEnglish ghProficiency.
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ghApply ghTop: Nursing ghProcess:
ghImplementation
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a. Use ghOf ghMidwives ghFor ghAll ghVaginal ghDeliveries
b. Family-Centered ghCare
c. Free-Standing ghBirth ghClinics
d. Physician-Driven
ghCareANSWER: g h B
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Test
Contemporary ghMaternity ghNursing ghFocuses ghOn ghThe ghFamily’s ghNeeds ghAnd ghDesires.
ghFathers, ghPartners, ghGrandparents, ghAnd ghSiblings ghMay ghBe ghPresent ghFor ghThe ghBirth ghAnd
ghParticipate gh In ghActivitiesSuch ghAs ghCutting ghThe ghBaby’s ghUmbilical ghCord. ghBoth
ghMidwives ghAnd ghPhysiciANSWER ghPerform ghVaginal ghDeliveries. ghFree-Standing ghClinics
ghAre ghAn ghExample ghOf ghAlternative ghBirth ghOptions. ghContemporary ghMaternity ghNursing ghIs
ghDriven ghBy ghThe ghRelationship ghBetween ghNurses ghAnd ghTheir ghClients.
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ghUnderstand ghTop: Nursing ghProcess: ghPlanning
Msc: gh Client ghNeeds: ghHealth ghPromotion ghAnd ghMaintenance
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ghAfter ghBeingIn ghLabor ghFor gh43 ghHours. ghThe ghBaby ghDied gh3 ghDays ghLater ghFrom ghSepsis. ghOn
ghWhat ghGrounds ghCould ghThe ghWoman ghHave ghA ghLegitimate ghLegal ghCase ghFor
ghNegligence?
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b. Client ghWas ghPast gh Her ghDue ghDate ghBygh3 ghDays.
c. Standard ghOf ghCare ghWas ghNot ghMet.
d. Client ghRefused ghElectronic ghFetal ghMonitoring.
ANSWER: g h C
Not ghMeeting ghThe ghStandard ghOf ghCare ghIs ghA ghLegitimate ghFactor ghFor ghA ghCase ghOf
ghNegligence. ghAn ghInexperienced ghMaternity ghNurse ghWould ghNeed ghTo ghDisplay
ghCompetency ghBefore ghBeing ghAssigned ghToCare ghFor ghClients ghOn ghHis ghOr ghHer ghOwn.
ghThis ghClient ghMay ghHave ghBeen ghPast ghHer ghDue ghDate; ghHowever, ghATerm ghPregnancy
ghOften ghGoes ghBeyond gh40 ghWeeks ghOf ghGestation.
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ghRefuse ghTreatment. ghThis ghRefusal ghIs ghNot ghA ghCase ghFor ghNegligence, ghBut ghInformed
ghConsent ghShould ghBe ghProperly ghObtained, ghAnd ghThe ghClient ghShould ghHave ghSigned ghAn
ghAgainst ghMedical ghAdvice ghForm ghWhen ghRefusing ghAny ghTreatment ghThat ghIs ghWithin
ghThe ghStandard ghOf ghCare.
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ghAnalyze ghTop: Nursing ghProcess:
ghImplementation
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7. When ghThe ghNurse ghIs ghUnsure ghHow ghTo ghPerform ghA ghClient ghCare ghProcedure ghThat ghIs
ghHigh ghRisk ghAnd ghLowVolume, ghHis ghOr ghHer ghBest ghAction ghIn ghThis ghSituation ghWould
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b. Discuss ghThe ghProcedure ghWith ghThe ghClient’s ghPhysician.
c. Look ghUp ghThe ghProcedure ghIn ghA ghNursing ghTextbook.
d. First ghConsult ghThe ghAgency ghProcedure ghManual
ANSWER: g h D
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ghSeeking ghInformation ghOn ghCorrect ghClient ghProcedures. ghThese ghPolicies ghShould ghReflect
ghThe ghCurrent ghStandardsOf ghCare ghAnd ghThe ghIndividual ghState’s ghGuidelines. ghEach ghNurse
ghIs ghResponsible ghFor ghHis ghOr ghHer ghOwn ghPractice. ghRelying ghOn ghAnother ghNurse ghMay ghNot
ghAlways ghBe ghA ghSafe ghPractice. ghEach ghNurse ghIs ghObligated ghTo ghFollow ghThe ghStandards ghOf
ghCare ghFor ghSafe ghClient ghCare ghDelivery. ghPhysiciANSWER ghAre ghResponsible ghFor ghTheir
ghOwn ghClient ghCare ghActivity. ghNurses ghMay ghFollow ghSafe ghOrders ghFrom
ghPhysiciANSWER, ghBut ghThey ghAre ghAlso ghResponsible ghFor ghThe ghActivities ghThat ghThey,
ghAs ghNurses, ghAre ghTo ghCarry ghOut. ghInformation ghProvided gh In ghA ghNursing ghTextbook ghIs
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