FULL TEST BANK , ,
100 %
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TEST,BANK,FOR,Maternity,&,Women’s,Health,Care,,11th,
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Edition,BY,,Lowdermilk,UPDATED,NEW,ORIGINAL,PDF,,
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,Lowdermilk:,Maternity,&,Women‘s,Health,Care,,11th,Edition,
Chapter,01:,21st,Century,Maternity,and,Women’s,Health,Nursing,Lowdermilk:,Maternit
y,&,Women’s,Health,Care,,11th,Edition, ,
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MULTIPLE,CHOICE,
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1.,In,evaluating,the,level,of,a,pregnant,woman‘s,risk,of,having,a,low-birth-
weight,(LBW),infant,,which,factor,is,the,most,important,for,the,nurse,to,consider?,a.,African-
American,race,
b. Cigarette,smoking,
c. Poor,nutritional,status,
d. Limited,maternal,education,
CORRECT,ANSWER:,
A,
For,African-
American,births,,the,incidence,of,LBW,infants,is,twice,that,of,Caucasian,births.,Race,is,a,nonmo
difiable,risk,factor.,Cigarette,smoking,is,an,important,factor,in,potential,infant,mortality,rates,,bu
t,it,is,not,the,most,important.,Additionally,,smoking,is,a,modifiable,risk,factor.,Poor,nutrition,is,a
n,important,factor,in,potential,infant,mortality,rates,,but,it,is,not,the,most,important.,Additionally
,,nutritional,status,is,a,modifiable,risk,factor.,Maternal,education,is,an,important,factor,in,potenti
al,infant,mortality,rates,,but,it,is,not,the,most,important.,Additionally,,maternal,education,is,a,mo
difiable,risk,factor.,
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DIF:,Cognitive,Level:,Understand, REF:,p.,6,
TOP:,Nursing,Process:,Assessment,
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?,
a. Designing,research,studies,
b. Collecting,data,for,other,researchers,
c. Identifying,researchable,problems,
d. Seeking,funding,to,support,research,studies,
CORRECT,ANSWER:,
C,
When,problems,are,identified,,research,can,be,properly,conducted.,Research,of,health,care,issues
,leads,to,evidence-
based,practice,guidelines.,Designing,research,studies,is,only,one,factor,of,the,research,process.,D
ata,collection,is,another,factor,of,research.,Financial,support,is,necessary,to,conduct,research,,but
,it,is,not,the,primary,role,of,the,nurse,in,the,research,process.,
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DIF:,Cognitive,Level:,Understand, REF:,,,p.,14, TOP:,Nursing,Process:,N/A,
MSC:,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,statistics,for,infant,mortality,,w
hich,plan,is,most,important,for,the,nurse,to,implement?,a.,Perform,a,nutrition,assessment.,
b. Refer,the,woman,to,a,social,worker.,
c. Advise,the,woman,to,see,an,obstetrician,,not,a,midwife.,
d. Explain,to,the,woman,the,importance,of,keeping,her,prenatal,care,appointments.,
CORRECT,ANSWER:,D
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,Lowdermilk:,Maternity,&,Women‘s,Health,Care,,11th,Edition,
Consistent,prenatal,care,is,the,best,method,of,preventing,or,controlling,risk,factors,associated,wit
h,infant,mortality.,Nutritional,status,is,an,important,modifiable,risk,factor,,but,it,is,not,the,most,i
mportant,action,a,nurse,should,take,in,this,situation.,The,client,may,need,assistance,from,a,social,
worker,at,some,time,during,her,pregnancy,,but,a,referral,to,a,social,worker,is,not,the,most,import
ant,aspect,the,nurse,should,address,at,this,time.,If,the,woman,has,identifiable,high-
risk,problems,,then,her,health,care,may,need,to,be,provided,by,a,physician.,However,,it,cannot,be
,assumed,that,all,African-American,women,have,high-
risk,issues.,In,addition,,advising,the,woman,to,see,an,obstetrician,is,not,the,most,important,aspect
,on,which,the,nurse,should,focus,at,this,time,,and,it,is,not,appropriate,for,a,nurse,to,advise,or,mana
ge,the,type,of,care,a,client,is,to,receive.,
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DIF:,Cognitive,Level:,Understand, REF:,,,p.,6, TOP:,Nursing,Process:,Planning,
MSC:,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,assessment,of
,a,21-year-
old,Hispanic,client,with,limited,English,proficiency.,Which,action,is,the,most,important,for,the,n
urse,to,perform?,
a. Use,maternity,jargon,to,enable,the,client,to,become,familiar,with,these,terms.,
b. Speak,quickly,and,efficiently,to,expedite,the,visit.,
c. Provide,the,client,with,handouts.,
d. Assess,whether,the,client,understands,the,discussion.,
CORRECT,ANSWER:,D,
Nurses,contribute,to,health,literacy,by,using,simple,,common,words,,avoiding,jargon,,and,evalua
ting,whether,the,client,understands,the,discussion.,Speaking,slowly,and,clearly,and,focusing,on,
what,is,important,will,increase,understanding.,Most,client,education,materials,are,written,at,a,lev
el,too,high,for,the,average,adult,and,may,not,be,useful,for,a,client,with,limited,English,proficienc
y.,
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DIF:,Cognitive,Level:,Apply, REF:,,,p.,5, TOP:,Nursing,Process:,Evaluation,
MSC:,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,performa
nce,in,providing,maternal-
newborn,care,against,clinical,standards.,This,comparison,process,is,most,commonly,known,as,w
hat?,a.,Best,practices,network,
b. Clinical,benchmarking,
c. Outcomes-oriented,practice,
d. Evidence-based,practice,
CORRECT,ANSWER:,C,
Outcomes-
oriented,practice,measures,the,effectiveness,of,the,interventions,and,quality,of,care,against,bench
marks,or,standards.,The,term,best,practice,refers,to,a,program,or,service,that,has,been,recognized
,for,its,excellence.,Clinical,benchmarking,is,a,process,used,to,compare,one‘s,own,performance,a
gainst,the,performance,of,the,best,in,an,area,of,service.,The,term,evidence-
based,practice,refers,to,the,provision,of,care,based,on,evidence,gained,through,research,and,clini
cal,trials.,
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DIF:,Cognitive,Level:,Understand,REF:,,,p.,11,TOP:,Nursing,Process:,Evaluation,MSC:,Client,Needs:,Sa
fe,and,Effective,Care,Environment,
6. Which,statement,best,exemplifies,contemporary,maternity,nursing?,
, Lowdermilk:,Maternity,&,Women‘s,Health,Care,,11th,Edition,
a. Use,of,midwives,for,all,vaginal,deliveries,
b. Family-centered,care,
c. Free-standing,birth,clinics,
d. Physician-driven,care,
CORRECT,ANSWER:,B,
Contemporary,maternity,nursing,focuses,on,the,family‘s,needs,and,desires.,Fathers,,partners,,gra
ndparents,,and,siblings,may,be,present,for,the,birth,and,participate,in,activities,such,as,cutting,the
,baby‘s,umbilical,cord.,Both,midwives,and,physiciCORRECT,ANSWER,perform,vaginal,delive
ries.,Free-
standing,clinics,are,an,example,of,alternative,birth,options.,Contemporary,maternity,nursing,is,dr
iven,by,the,relationship,between,nurses,and,their,clients.,
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DIF:,Cognitive,Level:,Understand,REF:,,,pp.,8-
9,TOP:,Nursing,Process:,Planning,MSC:,Client,Needs:,Health,Promotion,and,Maintenance,
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7. A,38-year-old,Hispanic,woman,vaginally,delivered,a,9-pound,,6-
ounce,baby,girl,after,being,in,labor,for,43,hours.,The,baby,died,3,days,later,from,sepsis.,On,what,
grounds,could,the,woman,have,a,legitimate,legal,case,for,negligence?,
a. Inexperienced,maternity,nurse,was,assigned,to,care,for,the,client.,
b. Client,was,past,her,due,date,by,3,days.,
c. Standard,of,care,was,not,met.,
d. Client,refused,electronic,fetal,monitoring.,
CORRECT,ANSWER:,C,
Not,meeting,the,standard,of,care,is,a,legitimate,factor,for,a,case,of,negligence.,An,inexperienced,
maternity,nurse,would,need,to,display,competency,before,being,assigned,to,care,for,clients,on,hi
s,or,her,own.,This,client,may,have,been,past,her,due,date;,however,,a,term,pregnancy,often,goes,b
eyond,40,weeks,of,gestation.,Although,fetal,monitoring,is,the,standard,of,care,,the,client,has,the,r
ight,to,refuse,treatment.,This,refusal,is,not,a,case,for,negligence,,but,informed,consent,should,be,
properly,obtained,,and,the,client,should,have,signed,an,against,medical,advice,form,when,refusi
ng,any,treatment,that,is,within,the,standard,of,care.,
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DIF:,Cognitive,Level:,Analyze, REF:,p.,13,
TOP:,Nursing,Process:,Implementation,
MSC:,Client,Needs:,Safe,and,Effective,Care,Environment,
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8.,When,the,nurse,is,unsure,how,to,perform,a,client,care,procedure,that,is,high,risk,and,low,volu
me,,his,or,her,best,action,in,this,situation,would,be,what?,a.,Ask,another,nurse.,
b. Discuss,the,procedure,with,the,client‘s,physician.,
c. Look,up,the,procedure,in,a,nursing,textbook.,
d. Consult,the,agency,procedure,manual,,and,follow,the,guidelines,for,the,procedure.,
CORRECT,ANSWER:,D,
Following,the,agency‘s,policies,and,procedures,manual,is,always,best,when,seeking,information,
on,correct,client,procedures.,These,policies,should,reflect,the,current,standards,of,care,and,the,in
dividual,state‘s,guidelines.,Each,nurse,is,responsible,for,his,or,her,own,practice.,Relying,on,anot
her,nurse,may,not,always,be,a,safe,practice.,Each,nurse,is,obligated,to,follow,the,standards,of,car
e,for,safe,client,care,delivery.,PhysiciCORRECT,ANSWER,are,responsible,for,their,own,client,c
are,activity.,Nurses,may,follow,safe,orders,from,physiciCORRECT,ANSWER,,but,they,are,also,
responsible,for,the,activities,that,they,,as,nurses,,are,to,carry,out.,Information,provided,in,a,nursin
g,textbook,is,basic,information,for,general,knowledge.,Furthermore,,the,information,in,a,textboo
k,may,not,reflect,the,current,standard,of,care,or,the,individual,state,or,hospital,policies.,
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