Test Bank: Maternity and Women’s Health Care (11th Edition) by Lowdermilk – Complete Chapters 1–37 (Questions & Verified Answers)

ChapterV01:V21stVCenturyVMaternityVandVWomen’sVHealthVNursingVL
owdermilk:VMaternityV&VWomen’sVHealthVCare,V11thVEdition


MULTIPLEVCHOICE

1. InVevaluatingVtheVlevelVofVaVpregnantVwoman’sVriskVofVhavingVaVlow-birth-
weightV(LBW)Vinfant,VwhichVfactorVisVtheVmostVimportantVforVtheVnurseVtoVconsider?
a. African-AmericanVrace
b. CigaretteVsmoking
c. PoorVnutritionalVstatus
d. LimitedVmaternalVeducation

ANS:V A
ForVAfrican-
AmericanVbirths,VtheVincidenceVofVLBWVinfantsVisVtwiceVthatVofVCaucasianVbirths.VRace
VisVaVnon-
modifiableVriskVfactor.VCigaretteVsmokingVisVanVimportantVfactorVinVpotentialVinfantVmor
talityVrates,VbutVitVisVnotVtheVmostVimportant.VAdditionally,VsmokingVisVaVmodifiableVris
kVfactor.VPoorVnutritionVisVanVimportantVfactorVinVpotentialVinfantVmortalityVrates,VbutVit
VisVnotVtheVmostVimportant.VAdditionally,VnutritionalVstatusVisVaVmodifiableVriskVfactor.V
MaternalVeducationVisVanVimportantVfactorVinVpotentialVinfantVmortalityVrates,VbutVitVisV
notVtheVmostVimportant.VAdditionally,VmaternalVeducationVisVaVmodifiableVriskVfactor.

DIF: CognitiveVLevel:VUnderstand
REF:Vp.V6VTOP:V NursingVProcess:VAssessm
ent
MSC:V ClientVNeeds:VHealthVPromotionVandVMaintenance,VAntepartumVCare

2. WhatVisVtheVprimaryVroleVofVpracticingVnursesVinVtheVresearchVprocess?
NVRVIVGVB.CVM
a. DesigningVresearchVstudies
b. CollectingVdataVforVotherVresearchers
c. IdentifyingVresearchableVproblems
d. SeekingVfundingVtoVsupportVresearchVstudies
ANS:V C
WhenVproblemsVareVidentified,VresearchVcanVbeVproperlyVconducted.VResearchVofVhealth
VcareVissuesVleadsVtoVevidence-
basedVpracticeVguidelines.VDesigningVresearchVstudiesVisVonlyVoneVfactorVofVtheVresearch
Vprocess.VDataVcollectionVisVanotherVfactorVofVresearch.VFinancialVsupportVisVnecessaryVt
oVconductVresearch,VbutVitVisVnotVtheVprimaryVroleVofVtheVnurseVinVtheVresearchVprocess.

DIF: CognitiveVLevel:VUnderstand REF:V p.V14
TOP:V NursingVProcess:VN/AVMSC:V ClientVNeeds:VSafeVandVEffectiveVCareVEnvir
onment

3. AV23-year-oldVAfrican-
AmericanVwomanVisVpregnantVwithVherVfirstVchild.VBasedVonVtheVstatisticsVforVinf
antVmortality,VwhichVplanVisVmostVimportantVforVtheVnurseVtoVimplement?
a. PerformVaVnutritionVassessment.
b. ReferVtheVwomanVtoVaVsocialVworker.
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, c. AdviseVtheVwomanVtoVseeVanVobstetrician,VnotVaVmidwife.
d. ExplainVtoVtheVwomanVtheVimportanceVofVkeepingVherVprenatalVcareVappointments.
ANS:V D
ConsistentVprenatalVcareVisVtheVbestVmethodVofVpreventingVorVcontrollingVriskVfactors




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, associatedwithVinfantVmortality.VNutritionalVstatusVisVanVimportantVmodifiableVriskVfactor
,VbutV itVisVnotVthemostVimportantVactionVaVnurseVshouldVtakeVinVthisVsituation.VTheVclie
ntVmayVneedVassistanceVfromVaVsocialVworkerVatVsomeVtimeVduringVherVpregnancy,VbutV
aVreferralVtoVaVsocialVworkerVisVnotVtheVmostVimportantVaspectVtheVnurseVshouldVaddres
sVatVthisVtime.VIfVtheVwomanVhasVidentifiableVhigh-
riskVproblems,VthenVherVhealthVcareVmayVneedVtoVbeVprovidedVbyVaVphysician.VHoweve
r,VitVcannotVbeVassumedVthatVallVAfrican-AmericanVwomenVhaveVhigh-
riskVissues.VInVaddition,VadvisingVtheVwomanVtoVseeVanVobstetricianVisVnotVtheVmostVim
portantVaspectVonVwhichtheVnurseVshouldVfocusVatVthisVtime,VandVitVisVnotVappropriateVf
orVaVnurseVtoVadviseVorVmanageVtheVtypeVofVcareVaVclientVisVtoVreceive.

DIF: CognitiveVLevel:VUnderstand REF:V p.V6
TOP:V NursingVProcess:VPlanningVMSC:V ClientVNeeds:VHealthVPromotionVandVMainten
ance

4. DuringVaVprenatalVintakeVinterview,VtheVnurseVisVinVtheVprocessVofVobtainingVanVinitialV
assessmentVofVaV21-year-
oldVHispanicVclientVwithVlimitedVEnglishVproficiency.VWhichVactionVisVtheVmostVimporta
ntVforVtheVnurseVtoVperform?
a. UseVmaternityVjargonVtoVenableVtheVclientVtoVbecomeVfamiliarVwithVtheseVterms.
b. SpeakVquicklyVandVefficientlyVtoVexpediteVtheVvisit.
c. ProvideVtheVclientVwithVhandouts.
d. AssessVwhetherVtheVclientVunderstandsVtheVdiscussion.
ANS:V D
NursesVcontributeVtoVhealthVliteracyVbyVusingVsimple,VcommonVwords,VavoidingVjargon,V
andVevaluatingVwhetherVtheVclientVunderstandsVtheVdiscussion.VSpeakingVslowlyVandVclea
rlyVandVfocusingVonVwhatVisVimportantVwillVincreaseVunderstanding.VMostVclientVeducatio
nVmaterialsVareVwrittenVatVaVlevelVtooVhighVforVtheVaverageVadultVandVmayVnotVbeVusefu
NVRVIVGVB.CVM
lVforVaVclientVwithVlimitedVEnglishVproficiency.

DIF: CognitiveVLevel:VApply REF:V p.V5
TOP:V NursingVProcess:VEvaluationVMSC:V ClientVNeeds:VHealthVPromotionVandVMainten
ance

5. TheVnursesVworkingVatVaVnewlyVestablishedVbirthingVcenterVhaveVbegunVtoVcompareVthe
irVperformanceVinVprovidingVmaternal-
newbornVcareVagainstVclinicalVstandards.VThisVcomparisonVprocessVisVmostVcommonlyVk
nownVasVwhat?
a. BestVpracticesVnetwork
b. ClinicalVbenchmarking
c. Outcomes-orientedVpractice
d. Evidence-basedVpractice
ANS:V C
Outcomes-
orientedVpracticeVmeasuresVtheVeffectivenessVofVtheVinterventionsVandVqualityVofVcareVaga
instVbenchmarksVorVstandards.VTheVtermVbestVpracticeVrefersVtoVaVprogramVorVserviceVth
atVhasVbeenVrecognizedVforVitsVexcellence.VClinicalVbenchmarkingVisVaVprocessVusedVtoV
compareVone’sVownVperformanceVagainstVtheVperformanceVofVtheVbestVinVanVareaVofVser
vice.VTheVtermVevidence-
basedVpracticeVrefersVtoVtheVprovisionVofVcareVbasedVonVevidenceVgainedVthroughVresear
chVandVclinicalVtrials.
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, DIF: CognitiveVLevel:VUnderstand REF:V p.V11
TOP:V NursingVProcess:VEvaluationVMSC:V ClientVNeeds:VSafeVandVEffectiveVCareVEnvir
onment
6. WhichVstatementVbestVexemplifiesVcontemporaryVmaternityVnursing?
a. UseVofVmidwivesVforVallVvaginalVdeliveries
b. Family-centeredVcare




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