TEST BANK ROR Study Guide for Maternity & Women's Health Care 12th Edition by Deitra Leonard Lowdermilk, Kitty Cashion ISBN:978-0323555265 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

MaternityandWomen'sHealthCare13thEdition LowdermilkTest
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Maternityand
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Chapter01:21st CenturyMaternityandWomen’sHealthNursingLowdermilk: j


Maternity & Women’s Health Care, 12th Edition
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MULTIPLECHOICE B




1. Inevaluatingthelevelofapregnantwoman’sriskofhavingalow-birth-weight(LBW)
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infant, whichfactor is the most important for the nursetoconsider?
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a. African-Americanrace B




b. Cigarettesmoking B




c. Poornutritionalstatus B




d. Limited maternal education j B




ANS: A
TheriseintheoverallLBWrateswereduetoincreasesinLBWbirthstonon-Hispanicblack women
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(13.35%)andHispanicwomen(7.21%);non-Hispanicblackinfantsarealmosttwice aslikelyas
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non-HispanicwhiteinfantstobeofLBWandtodieinthefirstyearoflife..Raceis anonmodifiable
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riskfactor. Cigarettesmokingisan important factorin potential infant mortalityrates, butitisnot
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themostimportant. Additionally,smokingisamodifiablerisk factor.Poornutritionisan
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importantfactorinpotentialinfantmortalityrates,butitisnotthe most important. Additionally,
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nutritional status is a modifiablerisk factor.Maternal educationisan important factor inpotential
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infant mortalityrates,butitisnotthemost important. Additionally, maternal education is a
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modifiable risk factor.
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PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Assessment
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MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care B B B B




2. A 23-year-old African-American woman is pregnant with her first child. Based on current
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statistics for infant mortality, which intervention is most important for the nurse to include in the
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client’s plan of care?
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a. Performanutritionassessment.
b. Referthewomantoasocial worker. B




c. Advisethewoman toseean obstetrician,notamidwife. B B B B B




d. Explaintothewomantheimportanceofkeeping herprenatalcare appointments. B B B B B B




ANS: D
Consistentprenatalcareisthebestmethodofpreventingorcontrollingriskfactorsassociated
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withinfant mortality. Nutritionalstatusisan importantmodifiableriskfactor,but it is not the most
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importantaction anurseshould takeinthissituation.Theclientmayneedassistance fromasocial
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workeratsometimeduringherpregnancy,butareferraltoasocialworkerisnot themostimportant
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aspectthenurseshouldaddressatthistime.Ifthewomanhasidentifiable high-riskproblems,then
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herhealthcaremayneedtobeprovidedbyaphysician.However,it cannotbe assumedthat all
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African-American womenhavehigh-riskissues. In addition, advisingthewomantoseean
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obstetricianisnotthemostimportantaspectonwhichthenurse shouldfocusatthistime,anditisnot
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appropriateforanursetoadviseormanagethetypeof care a client is to receive.
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PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Planning
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MSC: ClientNeeds:HealthPromotion andMaintenance
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3. Thenursesworkingat anewlyestablishedbirthingcenterhavebegunto comparetheir B B B




performance in providing maternal-newborn care against clinical standards. This
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comparison process is most commonlyknown as what?
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a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-oriented p ra cNt iUc eR S B




d. Evidence-basedpractice B




ANS: C
Outcomes-oriented practicemeasures the effectiveness of the interventions and quality of B B B B B B B B B B




careagainstbenchmarks orstandards. Theterm bestpracticereferstoaprogramorservice that has
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been recognized foritsexcellence. Clinicalbenchmarkingisaprocess usedto compare one’sown
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performanceagainsttheperformanceofthebestin an areaofservice.Theterm evidence-based
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practicereferstothe provisionofcarebased on evidencegainedthrough research and clinical
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trials.
B




PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Evaluation
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MSC: ClientNeeds:SafeandEffectiveCareEnvironment
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
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assessment of a 21-year-old Hispanic client with limited English proficiency. Which
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intervention is the most important for the nurse to implement?
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a. Usematernityjargontoenable theclient tobecome familiarwiththese terms. B B B B




b. Speakquicklyandefficientlytoexpeditethevisit.
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c. Providetheclient withhandouts. B




d. Assesswhethertheclient understandsthediscussion. B




ANS: D
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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PTS: 1 DIF: CognitiveLevel:Apply
TOP: Nursing Process: Implementation
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MSC: ClientNeeds:HealthPromotion andMaintenance
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5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useofmidwivesforall vaginal deliveries B B




b. Family-centeredcare B




c. Free-standingbirth clinics B B




d. Physician-drivencare
ANS: B
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Contemporarymaternitynursingfocusesonthefamily’sneeds anddesires. Fathers,partners, B B B B B B B B B B B




grandparents, and siblings maybepresent forthebirthand participateinactivities such as cutting
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thebaby’sumbilicalcord.Bothmidwivesandphysiciansperformvaginaldeliveries. Free-
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standing clinics arean exampleof alternative birth options.Contemporarymaternity nursingis
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drivenby the relationship between nurses and their clients.
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PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Planning
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MSC: ClientNeeds:HealthPromotion andMaintenance
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6. A38-year-oldHispanicwomanvaginallydelivereda 9-pound,6-ouncebabygirlafterbeing in B j B B




laborfor43hours.Thebabydied3dayslaterfromsepsis.Onwhatgroundscouldthewoman have a
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legitimate legal case for negligence?
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a. Inexperiencedmaternitynursewasassignedtocarefortheclient. B B




b. Clientwas past herduedateby3 days. B B B B




c. Standardofcarewas notmet. B B B




d. Clientrefusedelectronicfetalmonitoring.
ANS: C
Notmeetingthestandard ofcareis alegitimatefactorforacaseofnegligence. An inexperienced
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maternitynursewouldneedtodisplaycompetencybeforebeingassignedtocare forclientsonhisor
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herown.Thisclientmayhavebeenpastherduedate;however,aterm pregnancyoftengoesbeyond
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40weeksofgestation.Althoughfetalmonitoringisthestandard ofcare,theclienthastherightto
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refusetreatment.Thisrefusalisnotacasefornegligence,but informed consent should beproperly
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obtained, and theclient shouldhavesignedan against medical advice form when refusing any
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treatment that is within the standardof care.
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PTS: 1 DIF: CognitiveLevel:Analyze
TOP: Nursing Process: Implementation
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MSC: ClientNeeds:SafeandEffectiveCareEnvironment
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7. Whenthenurseisunsure howtoperform aclient careprocedurethat ishigh riskand low B B B B B B B B




volume, his or herbest action inthis situation would be what?
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a. Askanothernurse.
b. Discusstheprocedurewiththe client’s physician. j B




c. Lookup the procedurein anursingtextbook. B B B B




d. Firstconsultthe agencyproceduremanual B




ANS: D
Followingthe agency’s policiesand procedures manualis always best when seeking information B B B B B B B B B B B B




on correct client procedures. Thesepolicies should reflect the current standardsofcareandthe
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individualstate’sguidelines.Eachnurseisresponsibleforhisorher ownpractice. Relyingon
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anothernursemaynot alwaysbeasafepractice. Eachnurseis obligatedto followthestandards of
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careforsafeclientcaredelivery.Physiciansare responsiblefortheirownclientcareactivity.
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Nursesmayfollowsafeordersfromphysicians, buttheyarealso responsiblefortheactivitiesthat
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they,as nurses,aretocarryout.
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Information provided inanursingtextbookisbasic informationforgeneral knowledge. B B B B B




Furthermore,theinformationinatextbookmaynotreflectthecurrentstandardofcareorthe
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individual state or hospital policies.
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