TEST BANK Maternity and Women's HealthCare (13TH Edition) by Lowdermilk Complete Guide Chapter 1-37| Answers With Rationale

,Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE io




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




b. Cigarette smoking io




c. Poor nutritional status io io




d. Limited maternal education io io




SELECTED ANSWER: A io io




For African-
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American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonm odif
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iable risk factor. Cigarette smoking is an important factor in potential infant mortality rates,
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not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition i s an importa
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nt factor in potential infant mortality rates, but it is not the most important. Addition ally, nutritional st
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atus is a modifiable risk factor. Maternal education is an
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,important factor in potential infant mortality rates, but it is not the most important. Additionally,
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ernal education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Assessm
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ent 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 io io




b. Collecting data for other researchers
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c. Identifying researchable problems
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, d. Seeking funding to support research studies io io io io io




SELECTED ANSWER: C io io




When problems are identified, research can be properly conducted. Research of health care issu e
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s leads to evidence-
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#$1 based practice guidelines. Designing research studies is only one factor of the research process.
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$ 1 Data collection is another factor of research. Financial support is necessary to conduct research,
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but it is not the primary role of the nurse in the research process.
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DIF: Cognitive Level: Understand REF: im: 14 TOPIC: Nursing Process: N/AM SC: Client Needs: Sa
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fe and Effective Care Environment
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3. A 23-year-old African-
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#$1 American woman is pregnant with her first child. Based on the statistics for infant morta
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#$1 lity, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. io io io




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




c. Advise the woman to see an obstetrician, not a midwife.
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d. Explain to the woman the importance of keeping her prenatal care appointments.
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SELECTED ANSWER: D io io




Consistent prenatal care is the best method of preventing or controlling risk factors associated wi th in
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fant mortality. Nutritional status is an important modifiable risk factor, but it is not the most
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important action a nurse should take in this situation. The client may need assistance from a socia
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l worker at some time during her pregnancy, but a referral to a social worker is not the most imp
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ortant aspect the nurse should address at this time. If the woman has identifiable high-
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#$1 risk problems, then her health care may need to be provided by a physician. However, it cannot
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$ 1 be assumed that all African-American women have high-
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#$1 risk issues. In addition, advising the woman to see an obstetrician is not the most important aspe
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ct on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
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1 manage the type of care a client is to receive.
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DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Planning
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