Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
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37 WELL ENLIGHTEN
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Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE dm
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 dm
b. Cigarette smoking dm
c. Poor nutritional status dm dm
d. Limited maternal education dm dm
SELECTED ANSWER: A dm dm
For African-
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American births, the incidence of LBW infants is twice that of Caucasian births. Race is a non
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modifiable risk factor. Cigarette smoking is an important factor in potential infant mortality rat
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es, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutri
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tion is an important factor in potential infant mortality rates, but it is not the most important.
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Additionally, nutritional status is a modifiable risk factor. Maternal education is an
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,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
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37 WELL ENLIGHTEN
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important factor in potential infant mortality rates, but it is not the most important. Additionall
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y, maternal education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOPIC: 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 dm dm
b. Collecting data for other researchers dm dm dm dm
c. Identifying researchable problems dm dm
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
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37 WELL ENLIGHTEN
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d. Seeking funding to support research studies dm dm dm dm dm
SELECTED ANSWER: C dm dm
When problems are identified, research can be properly conducted. Research of health care is
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sues leads to evidence-
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based practice guidelines. Designing research studies is only one factor of the research process
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. Data collection is another factor of research. Financial support is necessary to conduct resear
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ch, 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/A
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MSC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant mor
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tality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. dm dm dm
b. Refer the woman to a social worker. dm dm dm dm dm dm
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 dm dm
Consistent prenatal care is the best method of preventing or controlling risk factors associated
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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 from
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a social worker at some time during her pregnancy, but a referral to a social worker is not the
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most important aspect the nurse should address at this time. If the woman has identifiable high
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-
risk problems, then her health care may need to be provided by a physician. However, it cann
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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 most important as
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pect on which the nurse should focus at this time, and it is not appropriate for a nurse to advis
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e or 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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, Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
dm dm dm dm dm dm dm dm dm
37 WELL ENLIGHTEN
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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 assess
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ment of a 21-year- dm dm dm
old Hispanic client with limited English proficiency. Which action is the most important for th
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e 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. dm dm dm dm
d. Assess whether the client understands the discussion.
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SELECTED ANSWER: D dm dm
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and eval
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uating whether the client understands the discussion. Speaking slowly and clearly and focusing
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on what is important will increase understanding. Most client education materials are written at
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dm a level too high for the average adult and may not be useful for a client with limited English
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proficiency.
DIF: Cognitive Level: Apply REF: im: 5 TOPIC: Nursing Process: Evaluation
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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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performance in providing maternal- dm dm dm
newborn care against clinical standards. This comparison process is most commonly know
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n as what?
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a. Best practices network dm dm
b. Clinical benchmarking dm
c. Outcomes-oriented practice dm
d. Evidence-
based practice SELECTED
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ANSWER: C dm
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37 WELL ENLIGHTEN
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Chapter 1: 21st Century Maternity and Women’s Health Nursing
dm dm dm dm dm dm dm dm
MULTIPLE CHOICE dm
1. In evaluating the level of a pregnant woman risk of having a low-birth-
dm dm dm dm dm dm dm dm dm dm dm dm
weight (LBW) infant, which factor is the most important for the nurse to consider?
dm dm dm dm dm dm dm dm dm dm dm dm dm
a. African-American race dm
b. Cigarette smoking dm
c. Poor nutritional status dm dm
d. Limited maternal education dm dm
SELECTED ANSWER: A dm dm
For African-
dm
American births, the incidence of LBW infants is twice that of Caucasian births. Race is a non
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
modifiable risk factor. Cigarette smoking is an important factor in potential infant mortality rat
dm dm dm dm dm dm dm dm dm dm dm dm dm
es, but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutri
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
tion is an important factor in potential infant mortality rates, but it is not the most important.
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
Additionally, nutritional status is a modifiable risk factor. Maternal education is an
dm dm dm dm dm dm dm dm dm dm dm
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
dm dm dm dm dm dm dm dm dm
37 WELL ENLIGHTEN
dm dm
important factor in potential infant mortality rates, but it is not the most important. Additionall
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y, maternal education is a modifiable risk factor.
dm dm dm dm dm dm dm
DIF: Cognitive Level: Understand REF: IM:
dm dm dm dm dm
TOPIC: 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 dm dm
b. Collecting data for other researchers dm dm dm dm
c. Identifying researchable problems dm dm
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
dm dm dm dm dm dm dm dm dm
37 WELL ENLIGHTEN
dm dm
d. Seeking funding to support research studies dm dm dm dm dm
SELECTED ANSWER: C dm dm
When problems are identified, research can be properly conducted. Research of health care is
dm dm dm dm dm dm dm dm dm dm dm dm dm
sues leads to evidence-
dm dm dm
based practice guidelines. Designing research studies is only one factor of the research process
dm dm dm dm dm dm dm dm dm dm dm dm dm
. Data collection is another factor of research. Financial support is necessary to conduct resear
dm dm dm dm dm dm dm dm dm dm dm dm dm dm
ch, but it is not the primary role of the nurse in the research process.
dm dm dm dm dm dm dm dm dm dm dm dm dm dm
DIF: Cognitive Level: Understand REF: im: 14 TOPIC: Nursing Process: N/A
dm dm dm dm dm dm dm dm dm dm
MSC: Client Needs: Safe and Effective Care Environment
dm dm dm dm dm dm dm
3. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant mor
dm dm dm dm dm dm dm dm dm dm dm dm dm dm
tality, which plan is most important for the nurse to implement?
dm dm dm dm dm dm dm dm dm dm
a. Perform a nutrition assessment. dm dm dm
b. Refer the woman to a social worker. dm dm dm dm dm dm
c. Advise the woman to see an obstetrician, not a midwife.
dm dm dm dm dm dm dm dm dm
d. Explain to the woman the importance of keeping her prenatal care appointments.
dm dm dm dm dm dm dm dm dm dm dm
SELECTED ANSWER: D dm dm
Consistent prenatal care is the best method of preventing or controlling risk factors associated
dm dm dm dm dm dm dm dm dm dm dm dm dm dm
with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
most important action a nurse should take in this situation. The client may need assistance from
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm d
a social worker at some time during her pregnancy, but a referral to a social worker is not the
m dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
most important aspect the nurse should address at this time. If the woman has identifiable high
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-
risk problems, then her health care may need to be provided by a physician. However, it cann
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
ot be assumed that all African-American women have high-
dm dm dm dm dm dm dm dm
risk issues. In addition, advising the woman to see an obstetrician is not the most important as
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
pect on which the nurse should focus at this time, and it is not appropriate for a nurse to advis
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
e or manage the type of care a client is to receive.
dm dm dm dm dm dm dm dm dm dm dm
DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Planning
dm dm dm dm dm dm dm dm dm
, Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-
dm dm dm dm dm dm dm dm dm
37 WELL ENLIGHTEN
dm dm
MSC: Client Needs: Health Promotion and Maintenance
dm dm dm dm dm dm
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assess
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
ment of a 21-year- dm dm dm
old Hispanic client with limited English proficiency. Which action is the most important for th
dm dm dm dm dm dm dm dm dm dm dm dm dm dm
e nurse to perform?
dm dm dm
a. Use maternity jargon to enable the client to become familiar with these terms.
dm dm dm dm dm dm dm dm dm dm dm dm
b. Speak quickly and efficiently to expedite the visit.
dm dm dm dm dm dm dm
c. Provide the client with handouts. dm dm dm dm
d. Assess whether the client understands the discussion.
dm dm dm dm dm dm
SELECTED ANSWER: D dm dm
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and eval
dm dm dm dm dm dm dm dm dm dm dm dm dm
uating whether the client understands the discussion. Speaking slowly and clearly and focusing
dm dm dm dm dm dm dm dm dm dm dm dm
on what is important will increase understanding. Most client education materials are written at
dm dm dm dm dm dm dm dm dm dm dm dm dm dm
dm a level too high for the average adult and may not be useful for a client with limited English
dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm dm
proficiency.
DIF: Cognitive Level: Apply REF: im: 5 TOPIC: Nursing Process: Evaluation
dm dm dm dm dm dm dm dm dm dm
MSC: Client Needs: Health Promotion and Maintenance
dm dm dm dm dm dm
5. The nurses working at a newly established birthing center have begun to compare their
dm dm dm dm dm dm dm dm dm dm dm dm dm dm
performance in providing maternal- dm dm dm
newborn care against clinical standards. This comparison process is most commonly know
dm dm dm dm dm dm dm dm dm dm dm
n as what?
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a. Best practices network dm dm
b. Clinical benchmarking dm
c. Outcomes-oriented practice dm
d. Evidence-
based practice SELECTED
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ANSWER: C dm
