Maternity & Women’s Health Care (12th Edition, Lowdermilk) – Test Bank with Explained Answers

Maternity & Women’s Health Care 12th Edition Lowdermilk bb bb bb bb bb bb bb




Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
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ANSWERS} bb




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 bb




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 bb




b. Cigarette smoking bb




c. Poor nutritional status bb bb




d. Limited maternal education bb bb




ANS: A b b




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 bb bb bb bb




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 bb bb




b. Collecting data for other researchers bb bb bb bb




c. Identifying researchable problems bb bb




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




ANS: b b 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 support
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is 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: Nursing Process: bb bb bb bb bb bb b b bb




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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bb 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} bb




a. Perform a nutrition assessment.
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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 b b

,Maternity & Women’s Health Care 12th Edition Lowdermilk bb bb bb bb bb bb bb




Test Bank{CHAPTER 1 TO 36 WELL EXPLAINED
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ANSWERS} bb




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 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: Nursing Process: bb bb bb bb bb bb b b bb




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
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assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is
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the most 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. bb bb bb bb bb bb bb




c. Provide the client with handouts. bb bb bb bb




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




ANS: D b b




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: Nursing Process: bb bb bb bb bb bb b b bb




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 bb bb




b. Clinical benchmarking bb




c. Outcomes-oriented practice bb




d. Evidence-based practice bb




ANS: C b b




Outcomes-oriented practice measures the effectiveness of the interventions and quality of care bb bb bb bb bb bb bb bb bb bb bb




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 bb bb REF: p. 11 bb bb bb bb TOP: Nursing Process: b b bb

, 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} bb




EvaluationMSC: Client Needs: Safe and Effective Care Environment
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