Test Bank for Maternity and Women’s Health Care 12th Edition Lowdermilk (All chapters Complete, Question and Answers)2024

Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bank
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,Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE ss




1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW)
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ss infant, which factor is the most important for the nurse to consider?
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a. African-American race ss




b. Cigarette smoking ss




c. Poor nutritional status ss ss




d. Limited maternal education ss ss




ANS: A ss




For African-American births, the incidence of LBW infants is twice that of Caucasian births.
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ss Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential
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s s infant mortality rates, but it is not the most important. Additionally, smoking is a
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ss modifiable risk factor.Poor nutrition is an important factor in potential infant mortality rates,
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ss but it is not the most important. Additionally, nutritional status is a modifiable risk factor.
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ss Maternal education is an important factor in potential infant mortality rates, but it is not the
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ss most important. Additionally, maternal education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOP: Nursing Process: Assessment
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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?
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a. Designing research studies ss ss




b. Collecting data for other researchers ss ss ss ss




c. Identifying researchable problems ss ss

, d. Seeking funding to support research studies ss ss ss ss ss




ANS: C ss




When problems are identified, research can be properly conducted. Research of health care
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ss issues leads to evidence-based practice guidelines. Designing research studies is only one
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ss factorof the research process. Data collection is another factor of research. Financial support
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s s is necessary to conduct research, but it is not the primary role of the nurse in the research
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ss process.

DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process:
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ss 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
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ss thestatistics for infant mortality, which plan is most important for the nurse to
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ss implement?

a. Perform a nutrition assessment. ss ss ss




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




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




d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D ss




Consistent prenatal care is the best method of preventing or controlling risk factors associated
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ss with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
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ss most important action a nurse should take in this situation. The client may need
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s s assistance from asocial worker at some time during her pregnancy, but a referral to a
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ss social worker is not the most important aspect the nurse should address at this time. If the
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ss woman has identifiable high-risk problems, then her health care may need to be provided by a
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ss physician. However, it cannot be assumed that all African-American women have high-risk
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ss issues. In addition, advising the woman to see an obstetrician is not the most important aspect
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ss on which the nurse should focus at this time, and it is not appropriate for a nurse to
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ss advise or manage the type of care a client is to receive.
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DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
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, 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
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ss assessment of a 21-year-old Hispanic client with limited English proficiency. Which action is
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ss themost important for the nurse to perform?
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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.
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c. Provide the client with handouts. ss ss ss ss




d. Assess whether the client understands the discussion.
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ANS: D ss




Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
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ss evaluating whether the client understands the discussion. Speaking slowly and clearly and
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ss focusing on what is important will increase understanding. Most client education materials
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ss arewritten at a level too high for the average adult and may not be useful for a client with
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ss limitedEnglish proficiency.
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DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process:
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ss 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
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ss performance in providing maternal-newborn care against clinical standards. This
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ss comparison process is most commonly known as what?
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a. Best practices network ss ss




b. Clinical benchmarking ss




c. Outcomes-oriented practice ss




d. Evidence-based


practice ANS: C
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