TEST BANK Maternity and Women's Health Care 13th Edition Deitra L. Lowdermilk, Kitty Cashion, Kathryn R. Alden, Ellen Olshansky, and Shannon E. Perry TABLE OF CONTENT
Chapter 01: 21st Century Maternity and Women’s Health Nursing .......................................................................1
Chapter 02: Community Care: The Family and Culture..........................................................................................8
Chapter 03: Nursing and Genomics .......................................................................................................................14
Chapter 04: Assessment and Health Promotion.....................................................................................................19
Chapter 05: Violence Against Women ..................................................................................................................28
Chapter 06: Reproductive System Concerns .........................................................................................................34
Chapter 07: Sexually Transmitted and Other Infections .......................................................................................41
Chapter 08: Contraception and Abortion ...............................................................................................................48
Chapter 09: Infertility ............................................................................................................................................57
Chapter 10: Problems of the Breast .......................................................................................................................62
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System ...................................................70
Chapter 12: Conception and Fetal Development ...................................................................................................77
Chapter 13: Anatomy and Physiology of Pregnancy ............................................................................................85
Chapter 14: Nursing Care of the Family During Pregnancy .................................................................................96
Chapter 15: Maternal Nutrition............................................................................................................................110
Chapter 16: Labor and Birth Processes................................................................................................................121
Chapter 17: Maximizing Comfort for the Laboring Woman ..............................................................................131
Chapter 18: Fetal Assessment During Labor .......................................................................................................142
Chapter 19: Nursing Care of the Family During Labor and Birth ......................................................................154
Chapter 20: Postpartum Physiologic Changes .....................................................................................................169
Chapter 21: Nursing Care of the Family During the Postpartum Period ............................................................178
Chapter 22: Transition to Parenthood ..................................................................................................................185
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn ...............................................................194
Chapter 24: Nursing Care of the Newborn and Family ......................................................................................206
Chapter 25: Newborn Nutrition and Feeding.......................................................................................................216
Chapter 26: Assessment of High Risk Pregnancy ...............................................................................................226
Chapter 27: Hypertensive Disorders ....................................................................................................................235
Chapter 28: Hemorrhagic Disorders ....................................................................................................................242
Chapter 29: Endocrine and Metabolic Disorders.................................................................................................251
Chapter 30: Medical-Surgical Disorders .............................................................................................................255
Chapter 31: Mental Health Disorders and Substance Abuse
Chapter 32: Labor and Birth Complications ........................................................................................................267
Chapter 33: Postpartum Complications ...............................................................................................................276
Chapter 34: Nursing Care of the High-Risk Newborn.........................................................................................283
Chapter 35: Acquired Problems of the Newborn.................................................................................................292
Chapter 36: Hemolytic Disorders and Congenital Anomalies.............................................................................298
Chapter 37: Perinatal Loss, Bereavement, and Grief ..........................................................................................304 Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: Maternity and Women’s Health Care, 13th Edition MULTIPLE CHOICE 1. In evaluating the level of a pregnant woman’s risk of having a low
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birth
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weight (LBW) infant, which factor is the most important for the nurse to consider? a. African
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American race b. Cigarette smoking c. Poor nutritional status d. Limited maternal education ANS: A The rise in the overall LBW rates was due to increases in LBW births to non
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Hispanic black women (13.35%) and Hispanic women (7.21%); non
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Hispanic black infants are almost twice as likely as non
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Hispanic white infants to be of LBW and to die in the first year of life. Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential 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. Additionally, nutritional status is a modifiable risk factor. Maternal education is an important factor in potential infant mortality rates, but it is not the most important. Additionally, maternal education is a modifiable risk factor. DIF: Cognitive Level: Understanding TOP: Assessment MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care 2. A 23
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year
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old African
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American woman is pregnant with her first child. Based on current statistics for infant mortality, which intervention is most important for the nurse to include in the client’s plan of care? 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. ANS: D Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most important action a nurse should take in this situation. The client may need assistance from a social worker at some time during her pregnancy, but a referral to a social worker is not the 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 cannot be assumed that all African
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American women have high
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risk issues. In addition, advising the woman to see an obstetrician is not the most important aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage the type of care a client is to receive. DIF: Cognitive Level: Understanding TOP: Planning MSC: Client Needs: Health Promotion and Maintenance 1 | P a g e 2 | P a g e 3. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21
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year
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old Hispanic client with limited English proficiency. Which intervention is the most important for the nurse to implement? 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. d. Assess whether the client understands the discussion. ANS: D Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evaluating whether the client understands the discussion. Speaking slowly and clearly and focusing on what is important will increase understanding. Most client education materials are written at a level too high for the average adult and may not be useful for a client with limited English proficiency. DIF: Cognitive Level: Applying TOP: Implementation MSC: Client Needs: Health Promotion and Maintenance 4. The nurses working at a newly established birthing center have begun to compare their performance in providing maternal
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newborn care against clinical standards. This comparison process is most commonly known as what? a. Best practices network b. Clinical benchmarking c. Outcomes
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oriented practice d. Evidence
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based practice ANS: D Outcomes
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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 recognized for its excellence. Clinical 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
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based practice refers to the provision of care based on evidence gained through research and clinical trials. DIF: Cognitive Level: Understanding TOP: Evaluation MSC: Client Needs: Safe and Effective Care Environment 5. Which statement best exemplifies contemporary maternity nursing? a. Use of midwives for all vaginal deliveries b. Family
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centered care c. Free
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standing birth clinics d. Physician
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driven care ANS: B Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partners, grandparents, and siblings may be present for the birth and participate in activities such as cutting the baby’s umbilical cord. 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 the relationship between nurses and their clients. DIF: Cognitive Level: Understanding TOP: Planning
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