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21st Century Maternity and Women’s Health Nursing Lowdermilk:
Maternity & Women’s Health Care, 12th Edition
Chapter 01:
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s 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
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANSWER : A
The rise in the overall LBW rates were due to increases in LBW
births to non- Hispanic black women (13.35%) and Hispanic
women (7.21%); non- Hispanic black infants are almost twice as
likely as non-
Hispanic white infants to be of LBW and to die in the first year of life.. Race is
a nonmodifia ble risk factor. Cigarette smoking is an important factor
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inpotential infant mortality rates, but it is not the most important.
Additionally, smoking is a modifiable risk factor. Poor nutrition is an
important factor in potential infant mortality rates, but it is not the most
important. Ad ditionally, nutritional status is a modifiable risk factor.
Maternal education is an important fa ctor in potential infant mortality rates,
but it is not the most important. Additionally, materna l education is a
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modifiable risk factor.
PTS: 1 DIF:
Cognitive Level: UnderstandTOP:
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Nursing Process: Assessment
MSC: Client Needs: HealtN
hUPrRom
S IotNioGn TanBd.MCaOinMtenance, Antepartum Care
2. A 23-year-old African-
,American woman is pregnant with her first child. Based on current statistics
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for infant mort ality, which intervention is most important for the nurse to
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include in the client’s plan of car e?
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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.
ANSWER : D
Consistent prenatal care is the best method of preventing or controlling risk
factors associate d with infant mortality. Nutritional status is an important
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modifiable risk factor, butit is not the most important action a nurse should
take in this situation. The client may need assistance fr om a social worker at
some time during her pregnancy, but a referral to a socialworker is not the
most important 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.
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However, it cann ot be assumed that all African-American women have high-
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risk issues. In addition, advising the woman to see an obstetrician is not the
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most important as pect on which the nurse should focus at this time, and it is
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not appropriate for a nurse to advis e or manage the type of care a client is to
receive.
PTS: 1 DIF:
Cognitive Level:
()
UnderstandTOP: Nursing
Process: Planning
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
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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 theirp erformance in providing maternal-
newborn care against clinical standards. This comparison process is most
commonlyk nown as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracNtiUceR S
d. Evidence-based practice
ANSWER : C
Outcomes-
oriented practice measures the effectiveness of the interventions and quality
of care against benchmarks or standards. The term best practice refers to
a program or service that has been r ecognized for its excellence. Clinical
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benchmarking is a process used to compare one’s own performance against
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 clinical trials.
PTS: 1 DIF:
Cognitive Level: UnderstandTOP:
Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
4. During a prenatal intake interview, the nurse is in the process of
obtaining an initial a ssessment of a 21-year-
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old Hispanic client with limited English proficiency. Which intervention is the
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most i mportant for the nurse to implement?
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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.
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d. Assess whether the client understands the discussion.