Test Bank for Maternity and Women’s Health Care, 13th Edition (Lowdermilk, 2025), Chapter 1-37 | All Chapters Newest || Complete Guide A+.

Maternity and Women's Health Care 13th Edition Lowdermilk Test
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Maternityand gr gr




Women'sHealth gr




Care13th gr gr




Edition
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LowdermilkTest gr




Bank

, Maternity and Women's Health Care 13th Edition Lowdermilk Test gr gr gr gr gr gr gr gr




Chapter 01:21st Century Maternity andWomen’s Health Nursing Lowdermilk:
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Maternity & Women’s Health Care, 12th Edition
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MULTIPLE CHOICE gr




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




b. Cigarette smoking gr




c. Poor nutritional status gr gr




d. Limited maternal education gr gr




ANS: A g r




The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
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women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice
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as likely as non-Hispanic white infants to be of LBW and to die in the first year of life.. Race is
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a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
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mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
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factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
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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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PTS: 1 DIF: Cognitive Level: Understand gr gr




TOP: Nursing Process: Assessment
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MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nTanBd.MCaO
inM
gtenance, Antepartum Care
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2. A 23-year-old African-American woman is pregnant with her first child. Based on current
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statistics for infant mortality, which intervention is most important for the nurse to include in
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the client’s plan of care?
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a. Perform anutrition assessment. gr gr gr




b. Refer the woman to a social worker. gr gr gr gr gr gr




c. Advise the woman to see an obstetrician, not a midwife. gr gr gr gr gr gr gr gr gr




d. Explain to the woman the importance of keeping her prenatal care appointments. gr gr gr gr gr gr gr gr gr gr gr




ANS: D g r




Consistent prenatal care is the best method of preventing or controlling risk factors associatedgr gr gr gr gr gr gr gr gr gr gr gr gr




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 which the 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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PTS: 1 DIF: Cognitive Level: Understand gr gr




TOP: Nursing Process: Planning
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, Maternity and Women's Health Care 13th Edition Lowdermilk Test gr gr gr gr gr gr gr gr




MSC: Client Needs: Health Promotion and Maintenance
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3. 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
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comparison process is most commonly known as what?
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a. Best practices network gr gr




b. Clinicalbenchmarking gr




c. Outcomes-orientedp racNtiU ceR S gr




d. Evidence-based practice gr




ANS: C g r




Outcomes-oriented practice measures the effectiveness of the interventions and quality of gr gr gr gr gr gr gr gr gr gr




care against benchmarks or standards. The term best practice refers to a program or service that
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has been recognized for its excellence. Clinical benchmarking is a process used to compare
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one’s own performance against the performance of the best in an area of service. The term
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evidence-based practice refers to the provision of care based on evidence gained through
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research and clinical trials.
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PTS: 1 DIF: CognitiveLevel:Understand gr gr




TOP: Nursing Process: Evaluation
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MSC: Client Needs: Safe and Effective Care Environment
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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
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intervention is the most important for the nurse to implement?
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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. gr gr gr gr gr gr gr




c. Provide the client with handouts. gr gr gr gr




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




ANS: D g r




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
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limited English proficiency.
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PTS: 1 DIF: CognitiveLevel:Apply gr gr




TOP: Nursing Process: Implementation
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MSC: Client Needs: Health Promotion and Maintenance
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5. Which statement best exemplifies contemporary maternity nursing?
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a. Use of midwives for all vaginal deliveries
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b. Family-centeredcare gr




c. Free-standingbirth clinics gr gr




d. Physician-drivencare gr




ANS: B
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, Maternity and Women's Health Care 13th Edition Lowdermilk Test gr gr gr gr gr gr gr gr




Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, gr gr gr gr gr gr gr gr gr gr gr




grandparents, and siblings may be present for the birth and participate in activities such as
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cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
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Free-standing clinics are an example of alternative birth options. Contemporary maternity
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nursing is driven by the relationship between nurses and their clients.
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PTS: 1 DIF: Cognitive Level: Understand gr gr




TOP: Nursing Process: Planning
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MSC: Client Needs: Health Promotion and Maintenance
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6. A 38-year-old Hispanic woman vaginallydelivered a 9-pound, 6-ounce baby girl after being in
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labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the woman
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have a legitimate legal case for negligence?
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a. Inexperienced maternity nursewas assigned to care for the client. gr gr gr gr gr gr gr gr gr




b. Client was past her due date by 3 days. gr gr gr gr gr gr gr gr




c. Standard of care was not met. gr gr gr gr gr




d. Client refused electronic fetal monitoring. gr gr gr gr




ANS: C g r




Not meeting the standard of care is a legitimate factor for a case of negligence. An
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inexperienced maternity nurse would need to display competencybefore being assigned to care
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for clients on his or her own. This client may have been past her due date; however, a term
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pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the standard
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of care, the client has the right to refuse treatment. This refusal is not a case for negligence,
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but informed consent should be properly obtained, and the client should have signed an
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against medical advice form when refusing any treatment that is within the standard of care.
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PTS: 1 DIF: CognitiveLevel:Analyze gr gr




TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high risk and low
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volume, his or her best action in this situation would be what?
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a. Ask another nurse. gr gr




b. Discuss the procedure with the client’s physician. gr gr gr gr gr gr




c. Look up the procedure in a nursing textbook. gr gr gr gr gr gr gr




d. First consult the agency procedure manual gr gr gr gr gr




ANS: D g r




Following the agency’s policies and procedures manual is always best when seeking gr gr gr gr gr gr gr gr gr gr gr




information on correct client procedures. These policies should reflect the current standards of
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care and the individual state’s guidelines. Each nurse is responsible for his or her own
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practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
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to follow the standards of care for safe client care delivery. Physicians are responsible for
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their own client care activity. Nurses may follow safe orders from physicians, but they are
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also responsible for the activities that they, as nurses, are to carry out. Information provided in
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a nursing textbook is basic information for general knowledge. Furthermore, the information in
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a textbook may not reflect the current standard of care or the individual state or hospital
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policies.
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