Exam (elaborations) TEST BANK FOR MATERNITY & WOMEN’S HEALTH CARE, 11TH EDITION

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




Chapter01:21st CenturyMaternityandWomen’sHealthNursingLowdermilk: n gh




Maternity& Women’s Health Care, 11th Edition
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MULTIPLE CHOICE gh




1. Inevaluatingthelevelofapregnantwoman’sriskofhavingalow-birth-weight(LBW)infant, n g h




g which factor is the most important forthenurseto consider?
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a. African-American race gh




b. Cigarettesmoking
c. Poornutritional status h
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d. Limitedmaternaleducation

ANS: g h A
ForAfrican-Americanbirths,theincidenceofLBWinfantsistwicethatofCaucasianbirths.
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g Raceisanonmodifiableriskfactor.Cigarettesmoking isanimportant factorinpotentialinfant
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mortalityrates,butitisnotthemostimportant.Additionally,smokingisamodifiablerisk factor.
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Poornutrition isanimportantfactorinpotentialinfant mortalityrates,but itisnotthemost
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important. Additionally, nutritional statusis amodifiable risk factor. Maternal education is an
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importantfactorinpotentialinfantmortalityrates,butitisnotthemostimportant.Additionally,
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maternal education is a modifiable risk factor.
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DIF: CognitiveLevel: Understand REF: p.6 gh gh gh




TOP: Nursing Process: Assessment
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MSC: Client Needs:HealthPromotionandMaintenance,AntepartumCare
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2. Whatistheprimaryroleofpracticingnurses in theresearch process?
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a. Designing research sNtu d i R
esUISGNTB.C O n gh gh h
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b. Collecting data forother researchers n gh




c. Identifyingresearchableproblems
d. Seekingfundingtosupportresearch studies gh




ANS: g h C
Whenproblems areidentified,researchcan beproperlyconducted.Research ofhealthcare issues
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leadstoevidence-basedpracticeguidelines.Designingresearchstudiesisonlyonefactor
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oftheresearchprocess.Datacollectionis anotherfactorofresearch.Financialsupport is necessary
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toconduct research, but itis not theprimaryroleofthenursein theresearch process.
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DIF: CognitiveLevel: Understand REF: p. 14 gh gh g h gh TOP: NursingProcess:N/A gh




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 onthe
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statisticsforinfantmortality,whichplanis most importantforthenursetoimplement?
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a. Performanutritionassessment. h
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b. Referthewoman to asocial worker. gh gh gh




c. Advisethewomantoseeanobstetrician,not a midwife. h
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d. Explain to thewomantheimportanceofkeeping herprenatal careappointments. n gh gh gh




ANS: g h D




NURSINGTB.COM

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




Consistentprenatalcareisthebestmethod ofpreventingorcontrolling riskfactorsassociatedwith n n n gh




infant mortality.Nutritionalstatusisanimportant modifiableriskfactor,but itisnotthemost
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gimportant action anurseshould takeinthis situation. The client may need assistance from a
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socialworkeratsometimeduringherpregnancy,butareferraltoasocialworkerisnotthemost
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important aspect the nurseshould address at this time. If thewoman has identifiablehigh-risk
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problems,thenherhealthcaremayneedtobeprovidedbyaphysician. However, it cannot be
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assumed that all African-American women have high-risk issues. In addition,advisingthe
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woman toseeanobstetricianisnotthemostimportantaspect on which the nurseshould focus at
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thistime, anditis not appropriate for a nurseto advise or manage the type of carea client is to
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receive.
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DIF: CognitiveLevel: Understand REF: p. 6 gh gh g h gh TOP: NursingProcess:Planning gh n




MSC: Client Needs: Health Promotion and Maintenance
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4. Duringaprenatalintakeinterview,thenurseisintheprocessofobtaininganinitialassessment
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ofa 21-year-oldHispanicclientwithlimitedEnglishproficiency.Whichactionisthemost
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important for thenurse toperform?
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a. Usematernity jargonto enabletheclient to becomefamiliar withtheseterms. gh gh gh gh gh




b. Speakquicklyandefficientlytoexpeditethevisit.
c. Providetheclientwithhandouts. h
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d. Assesswhethertheclient understands thediscussion. gh gh




ANS: g h D
Nurses contribute to health literacy by usingsimple, common words, avoidingjargon, and
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evaluatingwhethertheclientunderstandsthediscussion.Speakingslowlyandclearlyandfocusing
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onwhatis importantwillincreaseunderstanding.Mostclient education materialsare
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g writtenataleveltoohighforNtheRaveIragG
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andMm aynotbeusefulforaclient withlimited n n gh gh n n n




Englishproficiency. USNT h
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DIF: CognitiveLevel: Apply REF: p. 5 gh gh g h gh TOP: NursingProcess:Evaluation gh n




MSC: Client Needs: Health Promotion and Maintenance
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5. Thenursesworking atanewlyestablishedbirthingcenterhavebeguntocomparetheir
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performanceinprovidingmaternal-newborncareagainstclinicalstandards.Thiscomparison
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process is most commonly known as what?
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a. Bestpracticesnetwork
b. Clinicalbenchmarking
c. Outcomes-oriented practice n




d. Evidence-basedpractice

ANS: g h C
Outcomes-oriented practicemeasurestheeffectivenessoftheinterventionsandqualityofcare n n n




g againstbenchmarksorstandards.Thetermbestpracticereferstoaprogramorservicethathas
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beenrecognizedforitsexcellence.Clinicalbenchmarkingisaprocessusedtocompareone’s own
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performanceagainsttheperformanceofthebestinanareaofservice.Thetermevidence-
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basedpractice refers to the provision of carebased on evidence gained through research and
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clinicaltrials.
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DIF: CognitiveLevel: Understand REF: p. 11 gh gh g h gh TOP: NursingProcess:Evaluation gh n




MSC: Client Needs: Safe and Effective Care Environment
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, Maternity and Women's Health Care 11th Edition Lowdermilk Test Bank gh gh gh gh gh gh gh gh gh




6. Whichstatementbest exemplifiescontemporarymaternity nursing? gh gh




a. Useofmidwives forall vaginal deliveries gh gh gh




b. Family-centered care gh




c. Free-standing birth clinics n




d. Physician-driven care n




ANS: g h B
Contemporarymaternitynursing focuseson thefamily’sneeds and desires.Fathers,partners, n n n n n




grandparents,andsiblingsmaybepresentforthebirthandparticipateinactivitiessuchas
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cuttingthebaby’s umbilicalcord.Both midwivesandphysicians performvaginaldeliveries.
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Free-standingclinicsareanexampleofalternativebirthoptions.Contemporarymaternity
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nursing is driven bythe relationship between nurses and their clients.
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DIF: CognitiveLevel: Understand REF: pp. 8-9 gh gh g h gh TOP: NursingProcess:Planning
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MSC: Client Needs: Health Promotion and Maintenance
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7. A38-year-oldHispanic womanvaginallydelivereda9-pound,6-ouncebabygirlafterbeing in n gh




labor for 43 hours. The baby died 3 dayslater from sepsis. On what grounds could the woman
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have a legitimate legal case fornegligence?
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a. Inexperienced maternity nursewas assigned tocare forthe client. n gh gh n gh




b. Clientwas past herduedateby 3 days. h
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c. Standardofcarewas not met. gh gh




d. Client refused electronicfetalmonitoring. n n




ANS: g h C
Notmeetingthestandardofcareisalegitimatefactorforacaseofnegligence.Aninexperienced
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maternitynursewouldneedtodisplaycompetencybeforebeing assigned to careforclients on his
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or heroNwUnR
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.T gh .aCyOhMavebeen past herduedate; however,a gh n gh gh gh gh gh




termpregnancy oftengoes beyond40weeksofgestation.Althoughfetalmonitoring isthe gh h
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standardofcare, the clienthas theright torefusetreatment. This refusal is not acasefor negligence,
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butinformedconsentshouldbeproperlyobtained,andtheclientshouldhavesigned
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anagainstmedicaladviceformwhenrefusing anytreatmentthatis withinthestandardofcare.
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DIF: CognitiveLevel: Analyze REF: p.13 gh gh gh




TOP: Nursing Process: Implementation
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MSC: ClientNeeds:SafeandEffective CareEnvironment
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8. Whenthenurseis unsurehowtoperformaclientcareprocedurethat ishigh risk and low n n n n n g h




g h volume, hisor her best action in this situation wouldbe what?
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a. Askanothernurse.
b. Discuss theprocedurewith theclient’s physician. n g h g h




c. Lookup the procedurein anursing textbook. gh gh gh gh




d. Consult theagency proceduremanual, and follow theguidelines fortheprocedure.
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ANS: g h D




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