Test Bank For Maternity and Women's Health Care 11th Edition By Deitra Lowdermilk 9780323169189 Chapter 1-37 Complete Guide .

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Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
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TEST BANK FOR Maternity & Women’s Health Care, 11th Edition
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f BY Lowdermilk UPDATED NEW ORIGINAL PDF
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Chapter 01: 21st Century Maternity and Women’s Health Nursing
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, 2
Lowdermilk: Maternity & Women’s Health Care, 11th Edition
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MULTIPLE CHOICE
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,Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
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1. In evaluating the level of a pregnant woman‘s risk of having a low-birth-weight (LBW) infant,
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which factor is the most important for the nurse to consider?
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a. African-American race f


b. Cigarette smoking f


c. Poor nutritional status f f


d. Limited maternal education f f




CORRECT ANSWER: f


A f


For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
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mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
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factor. Poor 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 education
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is an important 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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DIF: Cognitive Level: Understand REF: p. 6 f f f f


TOP: 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 f f


b. Collecting data for other researchers f f f f


c. Identifying researchable problems f f


d. Seeking funding to support research studies f f f f f




CORRECT ANSWER: f


C f


When problems are identified, research can be properly conducted. Research of health care
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issues leads to evidence-based practice guidelines. Designing research studies is only one
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factor of the research process. Data collection is another factor of research. Financial support is
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necessary to conduct research, but it is not the primary role of the nurse in the research process.
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DIF: Cognitive Level: Understand REF: p. 14 f f f f TOP: Nursing Process: N/A f f f


MSC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-American woman is pregnant with her first child. Based on the
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statistics for infant mortality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. f f f


b. Refer the woman to a social worker. f f f f f f


c. Advise the woman to see an obstetrician, not a midwife. f f f f f f f f f


d. Explain to the woman the importance of keeping her prenatal care appointments.
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CORRECT ANSWER: f


D f

, Lowdermilk: Maternity & Women‘s Health Care, 11th Edition
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Consistent prenatal care is the best method of preventing or controlling risk factors associated
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with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
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most important action a nurse should take in this situation. The client may need assistance
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from a social worker at some time during her pregnancy, but a referral to a social worker is not
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the most important aspect the nurse should address at this time. If the woman has identifiable
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high-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-risk issues. In addition,
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advising the woman to see an obstetrician is not the most important aspect on which the nurse
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should focus at this time, and it is not appropriate for a nurse to advise or manage the type of
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care a client is to receive.
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DIF: Cognitive Level: Understand REF: p. 6 f f f f TOP: Nursing Process: Planning f f f


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 assessment
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of a 21-year-old Hispanic client with limited English proficiency. Which action is the most
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important for the nurse to perform?
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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. f f f f f f f


c. Provide the client with handouts. f f f f


d. Assess whether the client understands the discussion. f f f f f f




CORRECT ANSWER: D f f


Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
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evaluating whether the client understands the discussion. Speaking slowly and clearly and
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focusing on what is important will increase understanding. Most client education materials are
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written at a level too high for the average adult and may not be useful for a client with limited
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English proficiency.
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DIF: Cognitive Level: Apply REF: p. 5 f f f f TOP: Nursing Process: Evaluation f f f


MSC: 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
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performance in providing maternal-newborn care against clinical standards. This comparison
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process is most commonly known as what?
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a. Best practices network f f


b. Clinical benchmarking f


c. Outcomes-oriented practice f


d. Evidence-based practice f




CORRECT ANSWER: C f f


Outcomes-oriented practice measures the effectiveness of the interventions and qualityof care f f f f f f f f f f f


against benchmarks or standards. The term best practice refers to a program or service that has
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been recognized for its excellence. Clinical benchmarking is a process used to compare one‘s
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own performance against the performance of the best in an area of service. The term evidence-
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based practice refers to the provision of care based on evidence gained through research and
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clinical trials.
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DIF: Cognitive Level: Understand REF: p. 11 f f f f TOP: Nursing Process: Evaluation f f f


MSC: Client Needs: Safe and Effective Care Environment
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