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Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank

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Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank

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Maternity And Women\\\'s Health Care 11thEdition Low
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Institución
Maternity and Women\\\'s Health Care 11thEdition Low
Grado
Maternity and Women\\\'s Health Care 11thEdition Low

Información del documento

Subido en
2 de diciembre de 2024
Número de páginas
357
Escrito en
2024/2025
Tipo
Examen
Contiene
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v

,MaternitynandnWomen'snHealthnCaren11thnEditionnLowdermilknTestnBankv
Chapter 01: 21st Century Maternity and Women’s Health NursingLowder milk: Materni
n n n n n n n n nv n

ty & Women’s Health Care, 11th Edition
n n n n n n v


v
v


MULTIPLEnCHOICEv
v

1.vInnevaluatingnthenlevelnofnanpregnantnwoman’snrisknofnhavingnanlow-
birthweightn(LBW)ninfant,whichn
nfactornisnthenmostnimportantnfornthennursentonconsider? va.v African-

Americannracev
b. Cigarettensmokingv
c. Poornnutritionalnstatusv
d. Limitednmaternalneducationv
ANS:nAv
FornAfrican-
Americannbirths,nthenincidencenofnLBWninfantsnisntwicenthatnofnCaucasiannbirths.nRacenisnannonvm
odifiablenrisknfactor.nCigarettensmokingnisnannimportantnfactorninnpotentialninfantnmortalitynratves,n
butnitnisnnotnthenmostnimportant.nAdditionally,nsmokingnisnanmodifiablenrisknfactor.nPoornnutrvitionn
isnannimportantnfactorninnpotentialninfantnmortalitynrates,nbutnitnisnnotthen
nmostnimportant.nAvdditionally,nnutritionalnstatusnisnanmodifiablenrisknfactor.nMaternalnedu

cationnisnannimportantnfacvtorninnpotentialninfantnmortalitynrates,nbutnitnisnnotnthenmostnimportant.nA
dditionally,nmaternalnedvucationnisnanmodifiablenrisknfactor.v
v

DIF:vCognitivenLevel:nUnderstand
v REF:np.n6TOP:n n NursingnProcess:nAssessmentv
v



MSC:nvClientnNeeds:nHealthnPromotionnandnMaintenance,nAntepartumnCarev
v

2. Whatnisnthenprimarynrolenofnpracticingnnursesninvthevresearchnprocess?v
a. DesigningnresearchnstudiesNURnSnNInTGvB.COMv
b. Collectingndatanfornothernresearchersv
c. Identifyingnresearchablenproblemsv
d. Seekingnfundingntonsupportnresearchnstudiesv
ANS:nvCv
Whennproblemsnarenidentified,nresearchncannbenproperlynconducted.nResearchnofnhealthncarenisvsue
snleadsntonevidencebasednpracticenguidelines.nDesigningnresearchnstudiesnisnonlynonenfactornofnthen
researchnproces
s.nDatancollectionnisnanothernfactornofnresearch.nFinancialnsupportisnvnnecessaryntonconductnresearvc
h,nbutnitnisnnotnthenprimarynrolenofnthennurseninnthenresearchnprocess.v
v

DIF:vCognitivenLevel:nUnderstandv REF:nnnp.n14
v TOP:nvNursingnProcess:nN/AMSC:n n ClientnNeeds:nSafenandnEffectivenCarenEnvironmentv
v

v

3. An23-year-oldnAfrican-
Americannwomannisnpregnantnwithnhernfirstnchild.nBasednonnthenstatisticsnforninfantnmorta
vlity,nwhichnplannisnmostnimportantnfornthennursentonimplement? va.vPerformnannutritionnass

essment.v
b. Refernthenwomanntonansocialnworker.v
c. Advisenthenwomanntonseenannobstetrician,nnotnanmidwife.v
d. Explainntonthenwomannthenimportancenofnkeepingnhernprenatalncarenappointments.v
ANS:nDv
Consistentnprenatalncarenisnthenbestnmethodnofnpreventingnorncontrollingnrisknfactorsnassociatednvw
ithninfantnmortality.nNutritionalnstatusnisnannimportantnmodifiablenrisknfactor,nbutnitnisnnotnthemnvos
tnimportantnactionnannursenshouldntakeninnthisnsituation.nThenclientnmaynneednassistancenfromnavnsoc
ialnworkernatnsomentimenduringnhernpregnancy,nbutnanreferralntonansocialnworkernisnnotnthenmovstnim
v
NURSINGTB.COM v

,MaternitynandnWomen'snHealthnCaren11thnEditionnLowdermilknTestnBankv
portantnaspectnthennursenshouldnaddressnatnthisntime.nIfnthenwomannhasnidentifiablenhighrisknproble
ms,nthennhernhealthncarenmaynneedntonbenprovidednbynanphysician.nHowever,nitncannotvnbenassumed
nthatnallnAfrican-

Americannwomennhavenhighrisknissues.nInnaddition,nadvisingnthenwomanntonseenannobstetriciannisn
notnthenmostnimportantnaspvectnonnwhichthen
nnursenshouldnfocusnatnthisntime,nandnitnisnnotnappropriatenfornannursentonadvisenorvnmanagent

hentypenofncarenanclientnisntonreceive.v
v

DIF:vCognitivenLevel:nUnderstandv REF:nnnp.n6
v TOP:nvNursingnProcess:nPlanningMSC:n n ClientnNeeds:nHealthnPromotionnandnMaintenancev
v

v

4. Duringnanprenatalnintakeninterview,nthennursenisninnthenprocessnofnobtainingnanninitialnassessmen
t ofnan21-yearoldnHispanicnclientnwithnlimitednEnglishnproficiency.nWhichnactionnisthen
v n

nmostnimportantnfornthevnnursentonperform? v

a. Usenmaternitynjargonntonenablenthenclientntonbecomenfamiliarnwithnthesenterms.v
b. Speaknquicklynandnefficientlyntonexpeditenthenvisit.v
c. Providenthenclientnwithnhandouts.v
d. Assessnwhethernthenclientnunderstandsnthendiscussion.v
ANS:nDv
Nursesncontributentonhealthnliteracynbynusingnsimple,ncommonnwords,navoidingnjargon,nandnevalv
uatingnwhethernthenclientnunderstandsnthendiscussion.nSpeakingnslowlynandnclearlynandnfocusingn
vonnwhatnisnimportantnwillnincreasenunderstanding.nMostnclientneducationnmaterialsnarewnvrittenna

tnvanlevelntoonhighnforvthevaveragenadultnandvmaynnotnbenusefulnfornanclientnwithnlimitedv
NvRvIvGvB.CvMvEnglishnproficiency.v
USNT n n n v O v
v


DIF:vCognitivenLevel:nApplyv REF:nnnp.n5
v TOP:nvNursingnProcess:nEvaluationMSC:n
n ClientnNeeds:nHealthnPromotionnandnMaintenancev
v

v

5. Thennursesnworkingnatnannewlynestablishednbirthingncenternhavenbegunntoncomparentheirnperforv
manceninnprovidingnmaternalnewbornncarenagainstnclinicalnstandards.nThisncomparisonprocessn
vnisnmostncommonlynknownnasvnwhat? v

a. Bestnpracticesnnetworkv
b. Clinicalnbenchmarkingv
c. Outcomes-orientednpracticev
d. Evidence-basednpracticev
ANS:nCv
Outcomes-
orientednpracticenmeasuresntheneffectivenessnofntheninterventionsnandnqualitynofncareagainstn
nbenvchmarksnornstandards.nThentermnbestnpracticenrefersntonanprogramnornservicenthatnhasnb

eennrecogvnizednfornitsnexcellence.nClinicalnbenchmarkingnisnanprocessnusedntoncomparenone’snow
nnperforvmancenagainstnthenperformancenofnthenbestninnannareanofnservice.nThentermnevidencebased
npracticenrefersntonthenprovisionnofncarenbasednonnevidencengainednthroughnresearchnandnclivnicalntr

ials.v
v

DIF:vCognitivenLevel:nUnderstandv REF:nnnp.n11
v TOP:nvNursingnProcess:nEvaluationMSC:n
n ClientnNeeds:nSafenandnEffectivenCarenEnvironmentv
v



6. Whichnstatementnbestnexemplifiesncontemporarynmaternitynnursing?v
a. Usenofnmidwivesnfornallnvaginalndeliveriesv
b. Family-centeredncarev
c. Free-standingnbirthnclinicsv
d. Physician-drivenncarev

v
NURSINGTB.COM v

, MaternitynandnWomen'snHealthnCaren11thnEditionnLowdermilknTestnBankv
ANS:nBv
Contemporarynmaternitynnursingnfocusesnonnthenfamily’snneedsnandndesires.nFathers,npartners,ngvr
andparents,nandnsiblingsnmaynbenpresentnfornthenbirthnandnparticipateninnactivitiesnsuchnasncuttivngnt
henbaby’snumbilicalncord.nBothnmidwivesnandnphysiciansnperformnvaginalndeliveries.nFreestandin
gnclinicsnarenannexamplenofnalternativenbirthnoptions.nContemporarynmaternitynnursingnivsndrivennb
ynthenrelationshipnbetweennnursesnandntheirnclients.v
v

DIF:vCognitivenLevel:nUnderstandv REF:nnnpp.n8-9
v TOP:nvNursingnProcess:nPlanningMSC:n n ClientnNeeds:nHealthnPromotionnandnMaintenancev
v

v

7. An38-year-oldnHispanicnwomannvaginallyndeliverednan9-
pound,n6ouncenbabyngirlnafternbeinginnvnlabornforn43nhours.nThenbabyndiedn3ndaysnlaternfromnsep
sis.nOnnwvhatngroundsncouldnthenwomannhavenanlegitimatenlegalncasenfornnegligence?va.vInexper
iencednmaternitynnursenwasnassignedntoncarenfornthenclient.v
b. Clientnwasnpastnhernduendatenbyn3ndays.v
c. Standardnofncarenwasnnotnmet.v
d. Clientnrefusednelectronicnfetalnmonitoring.v
ANS:nCv
Notnmeetingnthenstandardnofncarenisnanlegitimatenfactornfornancasenofnnegligence.nAnninexperivence
dnmaternitynnursenwouldnneedntondisplayncompetencynbeforenbeingnassignedntocanvrenfornc
lientsnonnhisnornhernoNwUnR.nTShIisNcGlieTnBtnm.aCyOhMavenbeennpastnhernduendate;nho
wever,navtermnpregnancynoftenngoesnbeyondn40nweeksnofngestation.nAlthoughnfetalnmonitoringnisnt
hevstandardnofncare,nthenclientnhasnthenrightntonrefusentreatment.nThisnrefusalnisnnotnancasenfornnegli
gevnce,nbutninformednconsentnshouldnbenproperlynobtained,nandnthenclientnshouldnhavensignednanna
gvainstnmedicalnadvicenformnwhennrefusingnanyntreatmentnthatnisnwithinnthenstandardofn ncare.v
v

DIF:vCognitivenLevel:nAnalyze
v REF:np.n13TOP:n
n NursingnProcess:nImplementatiovnv
v



MSC:nvClientnNeeds:nSafenandnEffectivenCarenEnvironmentv
v

8.vWhennthennursenisnunsurenhowntonperformnanclientncarenprocedurenthatnisnhighnrisknandnlowvnv
olume,nhisnornhernbestnactionninnthisnsituationnwouldnbenwhat?va.vAsknanothernnurse.v
b. Discussnthenprocedurenwithnthenclient’snphysician.v
c. Looknupnthenprocedureninnannursingntextbook.v
d. Consultnthenagencynprocedurenmanual,nandnfollownthenguidelinesnfornthenprocedure.v
ANS:nDv
Followingnthenagency’snpoliciesnandnproceduresnmanualnisnalwaysnbestnwhennseekingninformatiov
nnonncorrectnclientnprocedures.nThesenpoliciesnshouldnreflectnthencurrentnstandardsnofcaren
nandnthevnindividualnstate’snguidelines.nEachnnursenisnresponsiblenfornhisnornhernownnpractic

e.nRelyingnonnvanothernnursenmaynnotnalwaysnbenansafenpractice.nEachnnursenisnobligatedntonfollown
thenstandardsnvofncarenfornsafenclientncarendelivery.nPhysiciansnarenresponsiblenforntheirownn
nclientncarenactivity.nvNursesnmaynfollownsafenordersnfromnphysicians,nbutntheynarenalsonres

ponsiblenfornthenactivitiesntvhatnthey,nasnnurses,narentoncarrynout.nInformationnprovidedninnannursing
ntextbooknisnbasicninformavtionnforngeneralnknowledge.nFurthermore,ntheninformationninnantextboo

knmaynnotnreflectnthencurrventnstandardnofncarenornthenindividualnstatenornhospitalnpolicies.v
v

DIF:vCognitivenLevel:nUnderstandv REF:nvp.n13v
TOP:nvNursingnProcess:nImplementationv MSC:nvClientnNeeds:nPhysiologicnIntegrityv
v

9. ThenNationalnQualitynForumnhasnissuednanlistnofn“nevernevents”nspecificallynpertainingntonvmatern
alnandnchildnhealth.nThesenincludenallnofnthenfollowingnexcept:va.vinfantndischargedntonthenwrongnpe
rson.v
b. kernicterusnassociatednwithnthenfailurentonidentifynandntreatnhyperbilirubinemia.v
c. artificialninseminationnwithnthenwrongndonornspermnornegg.v

v
NURSINGTB.COM v
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