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CONTENTS:
Chapter 1: 21st Century Maternity and Women’s Health Nursing C
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hapter 2: Community Care: The Family and Culture
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Chapter 3: Nursing and Genomics
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Chapter 4: Assessment and Health Promotion Chapter
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g 5: Violence Against Women
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Chapter 6: Reproductive System Concerns
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Chapter 7: Sexually Transmitted and Other Infections Chapt
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er 8: Contraception and Abortion
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Chapter 9: Infertility g g
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System C
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hapter 12: Conception and Fetal Development
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Chapter 13: Anatomy and Physiology of Pregnancy Chapter
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14: Nursing Care of the Family During Pregnancy Chapter 1
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5: Maternal and Fetal Nutrition
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Chapter 16: Labor and Birth Processes
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Chapter 17: Maximizing Comfort for the Laboring Woman Chapter
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g 18: Fetal Assessment During Labor
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Chapter 19: Nursing Care of the Family During Labor and Birth Cha
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pter 20: Postpartum Physiologic Changes
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Chapter 21: Nursing Care of the Family During the Postpartum Period Chapter
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22: Transition to Parenthood
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Chapter 23: Physiologic and Behavioral Adaptations of the Newborn Chapter
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g 24: Nursing Care of the Newborn and Family
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, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
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Chapter 25: Newborn Nutrition and Feeding Chapter
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26: Assessment of High Risk Pregnancy Chapter 27:
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Hypertensive Disorders g
Chapter 28: Hemorrhagic Disorders
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Chapter 29: Endocrine and Metabolic Disorders Chapt
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er 30: Medical-Surgical Disorders
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Chapter 31: Mental Health Disorders and Substance Abuse Chapte
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r 32: Labor and Birth Complications
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Chapter 33: Postpartum Complications
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Chapter 34: Nursing Care of the High Risk Newborn Ch
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apter 35: Acquired Problems of the Newborn
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Chapter 36: Hemolytic Disorders and Congenital Anomalies Chapt
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er 37: Perinatal Loss, Bereavement, and Grief
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, 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 g
1. In evaluating the level of a pregnant womans 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 g
b. Cigarette smoking g
c. Poor nutritional status g g
d. Limited maternal education g g
ANS: A g
For African-g
American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodifiable ris
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k factor. Cigarette smoking is an important factor in potential infant mortality rates, but it is not the most i
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mportant. Additionally, smoking is a modifiable risk factor. Poor nutrition is an important factor in potenti
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al infant mortality rates, but it is not the most important. Additionally, nutritional status is a modifiable risk
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factor. Maternal education is an important factor in potential infant mortality rates, but it is not the most i
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mportant. 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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, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
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a. Designing research studies g g
b. Collecting data for other researchers g g g g
c. Identifying researchable problems g g
d. Seeking funding to support research studies g g g g g
ANS: C g
When problems are identified, research can be properly conducted. Research of health care issues leads to
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gevidence-
based practice guidelines. Designing research studies is only one factor of the research process. Data collec
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tion is another factor of research. Financial support is necessary to conduct research, but it is not the prima
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ry role of the nurse in the research process.
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DIF: Cognitive Level: Understand REF: im: 14 TOP: Nursing Process: N/A MSC: Client Needs: Safe and Effecti
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ve 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 mortality, which pla
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n is most important for the nurse to implement?
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a. Perform a nutrition assessment. g g g
b. Refer the woman to a social worker.
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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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ANS: D g
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
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mortality. Nutritional status is an important modifiable risk factor, but it is not the most important action a
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nurse should take in this situation. The client may need assistance from a social worker at some time durin
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g her pregnancy, but a referral to a social worker is not the most important aspect the nurse should addres
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s 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 cannot be assume
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d 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
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, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
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aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or manag
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e 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 assessment of a 2
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1-year-
old Hispanic client with limited English proficiency. Which action is the most important for the nurse to p
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erform?
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. g g g g
d. Assess whether the client understands the discussion.
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ANS: D g
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evaluating whet
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her the client understands the discussion. Speaking slowly and clearly and focusing on what is important wi
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ll increase understanding. Most client education materials are written at a level too high for the average ad
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ult and may not be useful for a client with limited English proficiency.
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DIF: Cognitive Level: Apply REF: im: 5 TOP: Nursing Process: Evaluation MSC: Client Needs: Health Promotio
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n and Maintenance
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5. The nurses working at a newly established birthing center have begun to compare their performance in
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providing maternal-
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newborn care against clinical standards. This comparison process is most commonly known as what?
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a. Best practices network g g
b. Clinical benchmarking g
c. Outcomes-oriented practice g
, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
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d. Evidence-based practice ANS: C g g g
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against benchmarks
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or standards. The term best practice refers to a program or service that has been recognized for its excelle
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nce. Clinical benchmarking is a process used to compare ones own performance against the performance
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of the best in an area of service. The term evidence-
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based practice refers to the provision of care based on evidence gained through research and clinical trial
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s.
DIF: Cognitive Level: Understand REF: im: 11 TOP: Nursing Process: Evaluation MSC: Client Needs: Safe and
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Effective Care Environment g g
6. Which statement best exemplifies contemporary maternity nursing?
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a. Use of midwives for all vaginal deliveries
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b. Family-centered care g
c. Free-standing birth clinics g g
d. Physician-driven care g
ANS: B g
Contemporary maternity nursing focuses on the familys needs and desires. Fathers, partners, grandparent
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s, and siblings may be present for the birth and participate in activities such as cutting the babys umbilical c
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ord. Both midwives and physicians perform vaginal deliveries. Free-
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standing clinics are an example of alternative birth options. Contemporary maternity nursing is driven by t
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he relationship between nurses and their clients.
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DIF: Cognitive Level: Understand REF: pp. 8-
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9 TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
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7. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
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ounce baby girl after being in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds c
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ould the woman have a legitimate legal case for negligence?
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a. Inexperienced maternity nurse was assigned to care for the client.g g g g g g g g g
, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
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b. Client was past her due date by 3 days.
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c. Standard of care was not met. g g g g g
d. Client refused electronic fetal monitoring.
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ANS: C g
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexperienced maternit
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y nurse would need to display competency before being assigned to care for clients on his or her own. This
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client may have been past her due date; however, a term pregnancy often goes beyond 40 weeks of gestati
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on. Although fetal monitoring is the standard of care, the client has the right to refuse treatment. This refu
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sal is not a case for negligence, but informed consent should be properly obtained, and the client should h
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ave signed an against medical advice form when refusing any treatment that is within the standard of care
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.
DIF: Cognitive Level: Analyze REF: im: 13 TOP: Nursing Process: Implementation MSC:
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Client Needs: Safe and Effective Care Environment
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8. When the nurse is unsure how to perform a client care procedure that is high risk and low volume, his or
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her best action in this situation would be what?
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a. Ask another nurse.g g
b. Discuss the procedure with the clients physician.
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c. Look up the procedure in a nursing textbook.
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d. Consult the agency procedure manual, and follow the guidelines for the procedure.
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ANS: D g
Following the agencys policies and procedures manual is always best when seeking information on correc
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t client procedures. These policies should reflect the current standards of care and the individual states gui
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delines. Each nurse is responsible for his or her own practice. Relying on another nurse may not always be
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a safe practice. Each nurse is obligated to follow the standards
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, Maternity & Women's Health Care 12th Edition Lowdermilk Test Bank
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of care for safe client care delivery. Physicians are responsible for their own client care activity. Nurses ma
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y follow safe orders from physicians, but they are also responsible for the activities that they, as nurses, ar
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e to carry out. Information provided in a nursing textbook is basic information for general knowledge. Furt
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hermore, the information in a textbook may not reflect the current standard of care or the individual state
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or hospital policies.
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DIF: Cognitive Level: Understand REF: im: 13
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TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
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9. The National Quality Forum has issued a list of never events specifically pertaining to maternal and c
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hild health. These include all of the following except:
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a. infant discharged to the wrong person.
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b. kernicterus associated with the failure to identify and treat hyperbilirubinemia.
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c. artificial insemination with the wrong donor sperm or egg.
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d. foreign object retained after surgery.g g g g
ANS: D g
Although a foreign object retained after surgery is a never event, it does not specifically pertain to obstetri
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c clients. A client undergoing any type of surgery may be at risk for this event. An infant discharged to the w
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rong person specifically pertains to postpartum care. Death or serious disability as a result of kernicterus p
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ertains to newborn assessment and care. Artificial insemination affects families seeking care for infertility.
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DIF: Cognitive Level: Remember REF: im: 4 TOP: Nursing Process: Implementation MS
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C: Client Needs: Safe and Effective Care Environment
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10. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
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a. Births to unmarried women are more likely to have less favorable outcomes.
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