TEST BANK Maternity and Women's HealthCare (13TH Edition) by Lowdermilk Complete Guide Chapter 1-37| Answers With Rationale

, Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE @r




1. In evaluating the level of a pregnant woman risk of having a low-birth-
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weight (LBW) infant, which factor is the most important for the nurse to consider?
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African-American race @r @r




a.
b. Cigarette smoking @r




c. Poor nutritional status @r @r




d. Limited maternal education @r @r




SELECTED ANSWER: A @r @r




For African-
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American births, the incidence of LBW infants is twice that of Caucasian births. Race is a non
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modifiable risk factor. Cigarette smoking is an important factor in potential infant mortality rat
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es, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutri
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tion is an important factor in potential infant mortality rates, but it is not the most important.
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Additionally, nutritional status is a modifiable risk factor. Maternal education is an
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,important factor in potential infant mortality rates, but it is not the most important. Additionally
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, maternal education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOPIC: 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 @r @r




b. Collecting data for other researchers
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c. Identifying researchable problems @r @r

, d. Seeking funding to support research studies @r @r @r @r @r




SELECTED ANSWER: C @r @r




When problems are identified, research can be properly conducted. Research of health care is
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sues leads to evidence-
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based practice guidelines. Designing research studies is only one factor of the research process
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. Data collection is another factor of research. Financial support is necessary to conduct resear
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ch, but it is not the primary role of the nurse in the research process.
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DIF: Cognitive Level: Understand REF: im: 14 TOPIC: Nursing Process: N/A
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MSC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant mor
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tality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. @r @r @r




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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SELECTED ANSWER: D @r @r




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 high
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-
risk problems, then her health care may need to be provided by a physician. However, it canno
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t be assumed that all African-American women have high-
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risk issues. In addition, advising the woman to see an obstetrician is not the most important as
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pect on which the nurse should focus at this time, and it is not appropriate for a nurse to advis
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e or manage the type of care a client is to receive.
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DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Planning
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