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Chapter 01: 21st Century Maternity and Women’s Health Nursing
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Lowdermilk: Maternity & Women’s Health Care, 11th Edition
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MULTIPLE CHOICE Il`
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 Il`
b. Cigarette smoking Il`
c. Poor nutritional status Il` Il`
d. Limited maternal education Il` Il`
ANS: A I l `
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
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infant mortality rates, but it is not the most important. Additionally, smoking is a modifiable
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risk factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not
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the most important. Additionally, nutritional status is a modifiable risk factor. Maternal
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education is an important factor in potential infant mortality rates, but it is not the most
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important. Additionally, maternal education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: p. 6 Il` Il` Il` Il`
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 Il` Il`
b. Collecting data for other researchers Il` Il` Il` Il`
c. Identifying researchable problems Il` Il`
d. Seeking funding to support research studies Il` Il` Il` Il` Il`
ANS: I l ` C
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 supportis
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necessary to conduct research, but it is not the primary role of the nurse in the research
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process.
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DIF: Cognitive Level: Understand REF: p. 14 TOP: Il` Il` Il` Il` Il ` Il` I l ` Nursing Process: Il`
N/AMSC: 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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Il` statistics for infant mortality, which plan is most important for the nurse to implement?
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,Maternity & Women’s Health Care 12th Edition Lowdermilk
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Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
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ANSWERS} NEW!! 2025/2026 Il` Il` Il`
a. Perform a nutrition assessment. Il` Il` Il`
b. Refer the woman to a social worker.
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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 I l `
,Maternity & Women’s Health Care 12th Edition Lowdermilk Il` Il` Il` Il` Il` Il` Il`
Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
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ANSWERS} NEW!! 2025/2026 Il` Il` Il`
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 from
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a social worker at some time during her pregnancy, but a referral to a social worker is not the
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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 whichthe 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 TOP: Il` Il` Il` Il` Il ` Il` I l ` Nursing Process: Il`
PlanningMSC: 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 isthe 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. Il` Il` Il` Il` Il` Il` Il`
c. Provide the client with handouts. Il` Il` Il` Il`
d. Assess whether the client understands the discussion. Il` Il` Il` Il` Il` Il`
ANS: D I l `
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 TOP: Il` Il` Il` Il` Il ` Il` I l ` Nursing Process: Il`
EvaluationMSC: 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 Il` Il`
b. Clinical benchmarking Il`
c. Outcomes-oriented practice Il`
d. Evidence-based practice Il`
ANS: C I l `
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
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 Il` Il` REF: p. 11 Il` Il` Il ` Il` TOP: I l ` Nursing Process: Il`
, Maternity & Women’s Health Care 12th Edition Lowdermilk
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Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
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ANSWERS} NEW!! 2025/2026 Il` Il` Il`
Il` EvaluationMSC:
Il̀ I l ` Client Needs: Safe and Effective Care Environment
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