Test Bank For Maternity and Womens Health Care 12th Edition (Lowdermilk 2023/2024)| All Chapters| Complete Questions and Answers A+.
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Maternity and Womens Health Care 12th Edition
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Maternity And Womens Health Care 12th Edition
Test Bank For Maternity and Womens Health Care 12th Edition (Lowdermilk 2023/2024)| All Chapters| Complete Questions and Answers A+. Table of Contents 1. 21st Century Maternity and Women’s Health Nursing 2. Community Care: The Family and Culture 3. Nursing and Genomics 4. Assessment and Health Pr...
Test Bank - Maternity and
13th Edition (Lowdermilk,
2024) Latest Edition Chapter01:21stCenturyMaternityand HealthNursing
Lowdermilk:Maternity & Health Care,12thEdition
MULTIPLECHOICE
1. In evaluatingthelevelof apregnant risk ofhavingalow-birth-weight (LBW)
infant, which factoris themost important forthenursetoconsider?
a. African-Americanrace
b. Cigarettesmoking
c. Poornutritionalstatus
d. Limitedmaternal education
ANS: A
Therisein theoverall LBWrates weredueto increases in LBWbirthsto non-Hispanic
black women (13.35%)andHispanicwomen (7.21%); non-Hispanicblack infants are
almosttwiceas likelyas non-Hispanic whiteinfants to beofLBWand to diein thefirst
yearoflife..Raceisanonmodifiableriskfactor. Cigarettesmokingisanimportant factorin
potential infant mortality rates, but it is not themost important. Additionally, smoking is a
modifiable risk factor. Poor nutrition is animportant factor in potential infant mortality
rates, butit is not themost important.Additionally, nutritionalstatus is amodifiablerisk
factor. Maternal education is an importantfactorin potentialinfant mortality rates, but it is
notthemostimportant.Additionally, maternal education isamodifiableriskfactor.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess: Assessment
MSC: Client Needs: HealthPromotionandMaintenance,AntepartumCare
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
statistics forinfant mortality, which intervention is most important forthe nurseto include
inthe care?
a. Performanutritionassessment.
b. Referthewomantoasocialworker.
c. Advisethewoman tosee an obstetrician,notamidwife.
d. Explaintothewoman theimportanceofkeeping herprenatal careappointments.
ANS: D
Consistent prenatal careis thebest method ofpreventing orcontrolling risk factors
associatedwithinfantmortality. Nutritionalstatusisanimportantmodifiableriskfactor,but
it isnot themost important action anurseshould takein this situation.Theclient mayneed
assistancefrom asocial worker at sometimeduring herpregnancy, but a referral to asocial
workeris not themost important aspect thenurseshould address at this time. If thewoman
has identifiablehigh-risk problems, then herhealth caremay need to beprovided by a
physician. However, it cannot beassumed thatall African-American womenhavehigh-risk
issues.In addition, advising thewoman to seean obstetrician is not themost important
aspecton whichthenurseshould focus atthis time, and it is not appropriateforanurseto
adviseormanagethetypeofcareaclient isto receive.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess: Planning MSC: ClientNeeds:HealthPromotionandMaintenance
3. Thenursesworkingatanewlyestablishedbirthingcenterhavebegunto comparetheir
performancein providing maternal-newborn careagainst clinicalstandards. This
comparisonprocess is most commonlyknown as what?
a. Bestpracticesnetwork
b. Clinicalbenchmarking
c.Outcomes-oriented prac tice
d. Evidence-basedpractice
ANS: C
Outcomes-oriented practicemeasures the effectiveness oftheinterventions and qualityof
careagainstbenchmarks orstandards.Theterm bestpractice referstoaprogramorservice
that has been recognized forits excellence. Clinicalbenchmarking is aprocess used to
Theterm evidence-based practice refersto theprovision ofcarebased on evidencegained
throughresearch and clinicaltrials.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess: Evaluation
MSC: ClientNeeds: SafeandEffectiveCareEnvironment
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
assessmentofa21-year-oldHispanicclientwithlimitedEnglishproficiency. Which
intervention isthemostimportantforthenurseto implement?
a. Usematernityjargontoenable theclienttobecomefamiliarwiththeseterms.
b. Speakquicklyand efficientlyto expeditethevisit.
c. Providetheclient withhandouts.
d. Assesswhethertheclientunderstandsthediscussion.
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
focusingonwhatisimportantwill increaseunderstanding. Mostclient educationmaterials
are written at a level too high forthe average adult and may not be useful for a client with
limited English proficiency.
PTS: 1 DIF: CognitiveLevel: Apply
TOP: NursingProcess: Implementation
MSC: ClientNeeds:HealthPromotionandMaintenance
5. Whichstatementbestexemplifiescontemporarymaternitynursing?
a. Useofmidwivesforallvaginal deliveries
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-driven care
ANS: B partners,grandparents, andsiblings maybepresentforthebirthandparticipateinactivities
deliveries. Free-standing clinicsare an exampleof alternativebirth options. Contemporary
maternitynursingis driven bythe relationship between nurses and their clients.
PTS: 1 DIF: CognitiveLevel:Understand
TOP: NursingProcess: Planning
MSC: ClientNeeds:HealthPromotionandMaintenance
6. A38-year-oldHispanic womanvaginallydelivereda9-pound,6-ouncebabygirlafterbeing
in laborfor 43hours. Thebaby died 3 days later from sepsis. Onwhat grounds could the
woman have alegitimate legal case fornegligence?
a. Inexperienced maternitynursewas assignedtocarefortheclient.
b. Client was past herduedateby3days.
c. Standardofcarewas not met.
d. Clientrefusedelectronicfetalmonitoring.
ANS: C
Not meeting thestandard ofcareis alegitimatefactorforacaseofnegligence. An
inexperiencedmaternitynursewouldneed todisplaycompetencybeforebeingassignedto
care forclients on hisor herown. Thisclientmay havebeen past herduedate; however, a
term pregnancyoften goes beyond 40 weeks ofgestation. Although fetal monitoringis the
standard ofcare, theclient has theright torefusetreatment. This refusalis not acase for
negligence, but informed consent should be properly obtained, and theclientshould have
signed an against medicaladvice form when refusing any treatmentthat is within the
standardofcare.
PTS: 1 DIF: CognitiveLevel:Analyze
TOP: NursingProcess: Implementation
MSC: ClientNeeds: SafeandEffectiveCareEnvironment
7. Whenthenurseisunsure howtoperformaclient careprocedurethat ishigh riskandlow
volume,his orherbest action inthissituation would bewhat?
a. Askanothernurse.
b. Discusstheprocedurewiththe physician.
c. Lookuptheprocedurein anursingtextbook.
d. Firstconsultthe agencyproceduremanual
ANS: D
informationon correct clientprocedures. Thesepolicies shouldreflect thecurrent standards
practice.Relying on anothernursemay notalways beasafepractice. Each nurseis
obligated to followthestandardsof careforsafeclientcaredelivery. Physicians are
responsible fortheirown client careactivity. Nurses mayfollowsafeorders from
physicians,but they are also responsible for theactivitiesthat they, asnurses, areto carry
out.Informationprovidedinanursingtextbookisbasicinformationforgeneralknowledge.
Furthermore, theinformation in atextbook may not reflectthe current standard ofcareor
theindividual stateorhospitalpolicies.
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