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!!!!!

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Chapter01:21stCenturyMaternityandWomen’sHealthNursing B B B




Lowdermilk: Maternity &Women’sHealth Care,12thEdition
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MULTIPLE CHOICE C




1. Inevaluating thelevelofa pregnantwoman’sriskofhavingalow-birth-weight(LBW)
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infant, which factor is the most important for the nurse to consider?
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a. African-American race C




b. Cigarette smoking C




c. Poornutritionalstatus C C




d. Limited maternaleducation B C




ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
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Cwomen(13.35%)andHispanicwomen (7.21%); non-Hispanicblackinfants arealmosttwice as
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likelyasnon-Hispanic whiteinfantstobeofLBW andtodieinthefirst yearoflife..Raceisa
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Cnonmodifiableriskfactor. Cigarettesmokingisanimportantfactorin potential infant mortality C C C C C C




Crates, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor
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Cnutrition is an important factor in potential infant mortality rates, but it is not the most important.
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Additionally,nutritionalstatusisamodifiableriskfactor.Maternaleducationisan important
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factor in potential infant mortalityrates, but it is not the most important.
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Additionally, maternal education is a modifiable risk factor. C C C C C C C




PTS: 1 DIF: CognitiveLevel:Understand
CTOP: Nursing Process: Assessment C C C




MSC: Client Needs: He al tN
hUPrRoS
mI i oG
otN nTanBd.MCaO
i nMt enan ce, Antepartum Care
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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. Performanutrition assessment. C




b. Referthewoman to asocial worker. C C C




c. Advisethewomantoseean obstetrician,notamidwife. C C C C C C C C




d. Explainto thewomantheimportanceof keeping herprenatal care appointments. C C C C C




ANS: D
Consistentprenatalcareisthebestmethodofpreventingorcontrollingriskfactorsassociated
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with infant mortality.Nutritionalstatus is an importantmodifiableriskfactor,but it is not the
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most important action a nurseshould take in this situation. The client may need assistance from a
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social worker at sometimeduringherpregnancy, but areferral to asocial worker is not themost
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importantaspect thenurseshould addressatthistime.Ifthewomanhasidentifiable high-risk
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problems,thenherhealthcaremayneedtobeprovided byaphysician.However,it cannot
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beassumed that all African-American women havehigh-risk issues. In addition, advisingthe
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womantoseeanobstetricianisnotthemostimportantaspectonwhichthenurse should focus at
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this time, and it is not appropriate for anurseto adviseor manage thetype of care a client is to
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receive.
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PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Planning
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MSC: ClientNeeds: HealthPromotionandMaintenance
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3. 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. Usematernityjargonto enabletheclient to becomefamiliar with theseterms. C C C C C C C




b. Speakquicklyand efficientlyto expeditethe visit. C C C




c. Providetheclient with handouts. C C C




d. Assesswhethertheclient understandsthediscussion. C




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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focusingonwhat isimportant willincreaseunderstanding.Most client educationmaterials 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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Englishproficiency.
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PTS: 1 DIF: CognitiveLevel:Apply
TOP: Nursing Process: Implementation
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MSC: ClientNeeds: HealthPromotionandMaintenance
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4. Thenursesworkingata newlyestablishedbirthingcenterhavebeguntocomparetheir C B C




performance in providing maternal-newborn care against clinical standards. This
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comparison process is most commonly known as what?
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a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-oriented p racNt iUceR S I N G T B.C O M C




d. Evidence-based practice C




ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and quality of care
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againstbenchmarks orstandards.Theterm bestpracticereferstoaprogramorservice that has
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beenrecognized forits excellence. Clinical benchmarking is aprocess usedto compareone’s own
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performance against theperformanceofthebest inanareaofservice. Thetermevidence-
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basedpractice refers to the provision ofcarebased on evidencegained through research and
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clinicaltrials.
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PTS: 1 DIF: CognitiveLevel:Understand
TOP: Nursing Process: Evaluation
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MSC: ClientNeeds:SafeandEffectiveCareEnvironment
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5. Whichstatementbestexemplifiescontemporarymaternitynursing? C C C




a. Useofmidwives forall vaginal deliveries C C C




b. Family-centered care C




c. Free-standingbirth clinics C




d. Physician-drivencare
C ANS: B C

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Contemporarymaternity nursing focuses on the family’s needs and desires. Fathers, partners,
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grandparents, andsiblings maybepresentforthebirthandparticipatein activities such as
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Ccuttingthebaby’sumbilicalcord.Bothmidwivesandphysiciansperformvaginaldeliveries.
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Free-standing clinicsarean exampleofalternativebirthoptions. Contemporary maternity
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nursing is driven by 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: HealthPromotionandMaintenance
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6. A38-year-old Hispanicwoman vaginallydelivered a9-pound,6-ouncebabygirlafterbeing in
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laborfor43hours.Thebabydied3dayslaterfromsepsis.Onwhatgroundscouldthewoman have
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a legitimate legal case for negligence?
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a. Inexperiencedmaternitynursewas assigned tocareforthe client. C C C




b. Client waspast herduedate by3 days. C C C C C




c. Standardofcarewas not met. C C




d. Clientrefusedelectronicfetalmonitoring.
ANS: C
Not meeting the standard of care is a legitimate factor for a case of negligence. An
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inexperiencedmaternitynursewouldneed todisplaycompetencybeforebeingassignedto
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careforclientson hisorherown. Thisclient mayhavebeen past herdue date; however, a term
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pregnancyoften goesbeyond 40weeks ofgestation. Althoughfetal monitoringisthe standard of
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care, the client has the right to refuse treatment. This refusal is not a case for negligence, but
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informed consent should beproperly obtained, and the client should have signed an against
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medicaladviceformwhen refusinganytreatmentthatiswithinthestandardofcare.
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NURSINGTB.COM
PTS: 1 DIF: CognitiveLevel:Analyze
TOP: Nursing Process: Implementation
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MSC: ClientNeeds:SafeandEffectiveCareEnvironment
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7. Whenthenurseisunsurehowtoperformaclientcareprocedurethat ishighriskand low C B B




volume, his or her best action in this situation would be what?
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a. Askanothernurse.
b. Discuss the procedurewith theclient’s physician. B C




c. Lookuptheprocedurein anursingtextbook. C C C C




d. First consult theagencyproceduremanual
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ANS: D
Following the agency’s policies and procedures manual is always best when seeking
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information oncorrect client procedures.Thesepoliciesshouldreflectthecurrentstandards of
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careandtheindividualstate’sguidelines.Eachnurseisresponsibleforhisorherownpractice.
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Relying on another nurse maynot always be a safe practice. Each nurse is obligated to follow the
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standards of care for safe client care delivery. Physicians are responsible for their own client care
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activity. Nurses may follow safe orders from physicians, but they are also responsible for the
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activities that they, as nurses, are to carry out. Information providedina
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nursingtextbookisbasicinformation forgeneralknowledge. Furthermore, the information in a
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textbookmaynotreflectthecurrentstandardofcareortheindividualstateorhospitalpolicies.
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