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Test Bank For Maternity and Women's Health Care 13th Edition Lowdermilk Questions With 100%Verified Answers
Test Bank For Maternity and Women's Health Care 13th Edition Lowdermilk Questions With 100%Verified Answers
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Maternity and Women's Health Care 13th Edition Lowdermilk Tesm m m m m m m m
t
Test Bank
For Maternity and Women's Health
Care 13th Edition Lowdermilk
, Maternity and Women's Health Care 13th Edition Lowdermilk Test Cha
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Bank
pter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk: M
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aternity & Women’s Health Care, 12th Edition
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MULTIPLE CHOICE m
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 m
b. Cigarette smoking m
c. Poor nutritional status m m
d. Limited maternal education m m
ANS: A m
The rise in the overall LBW rates were 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 nonmodif
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iable risk factor. Cigarette smoking is an important factor inpotential infant mortality rates,
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but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nut
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rition is an important factor in potential infant mortality rates, but it is not the most importa
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nt. Additionally, nutritional status is a modifiable risk factor. Maternal education is an imp
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ortant 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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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: m m m
Nursing Process: Assessment m m
MSC: Client Needs: HealtN
hU
mmPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
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2. A 23-year-old African-
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American woman is pregnant with her first child. Based on currentstatistics for infant mo
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rtality, which intervention is most important for the nurse to includein the client’s plan of
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care?
a. Perform a nutrition assessment. m m m
b. Refer the woman to a social worker. m m m m m m
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 m
Consistent prenatal care is the best method of preventing or controlling risk factors associat
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ed with infant mortality. Nutritional status is an important modifiable risk factor, butit is not
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the most important action a nurse should take in this situation. The client may need assistan
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ce from a social worker at some time during her pregnancy, but a referral to a socialworker
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is not the most important aspect the nurse should address at this time. If the woman has ide
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ntifiable high- m
risk problems, then her health care may need to be provided by a physician. However, it ca
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nnot be assumed that all African-American women have high-
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riskissues. In addition, advising the woman to see an obstetrician is not the most important
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aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to a
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dvise or manage the type of care a client is to receive.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: m m m
Nursing Process: Planning m m
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t
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 thei
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rperformance in providing maternal-
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newborn care against clinical standards. This comparison process is most commonly k
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nown as what? m m
a. Best practices network m m
b. Clinical benchmarking m
c. Outcomes-oriented pracNtiUceRS m
d. Evidence-based practice m
ANS: C m
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
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mbenchmarks or standards. The term best practice refers to a program or servicethat has bee
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n recognized for its excellence. Clinical benchmarking is a process used to compare one’s
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own performance against the performance of the best in an area of service. The term eviden
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ce-
based practice refers to the provision of care based on evidence gained through research an
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d clinical trials.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: m m m
Nursing Process: Evaluation m m
MSC: Client Needs: Safe and Effective Care Environment
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
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assessment of a 21-year- m m m
old Hispanic client with limited English proficiency. Whichintervention is the most
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important for the nurse to implement? m m m m m
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. m m m m
d. Assess whether the client understands the discussion.
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ANS: D m
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
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devaluating whether the client understands the discussion. Speaking slowly and clearly an
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dfocusing on what is important will increase understanding. Most client education materia
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lsare written at a level too high for the average adult and may not be useful for a client wi
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thlimited English proficiency.
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PTS: 1 DIF:
Cognitive Level: ApplyTOP: m m m
Nursing Process: Implementation m m
MSC: Client Needs: Health Promotion and Maintenance
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5. 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 m
c. Free-standing birth clinics m m
d. Physician-
driven careANS: B m m m
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partne
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rs, grandparents, and siblings may be present for the birth and participate in activitiessuch a
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s cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveri
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es. Free- m
standing clinics are an example of alternative birth options. Contemporary maternity nursin
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g is driven by the relationship between nurses and their clients.
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PTS: 1 DIF:
Cognitive Level: UnderstandTOP: m m m
Nursing Process: Planning m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
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ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
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mwhat grounds could the woman have a legitimate legal case for negligence?
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a. Inexperienced maternity nurse was assigned to care for the client. m m m m m m m m m
b. Client was past her due date by 3 days. m m m m m m m m
c. Standard of care was not met. m m m m m
d. Client refused electronic fetal monitoring.
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ANS: C m
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexpe
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rienced maternity nurse would need to display competency before being assigned to care fo
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r clients on his or her own. This client may have been past her due date; however, aterm p
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regnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestand
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ard of care, the client has the right to refuse treatment. This refusal is not a case for neglig
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ence, but informed consent should be properly obtained, and the client should have signed
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man against medical advice form when refusing any treatment that is within the standard of
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mcare.
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: m m m
Nursing Process: Implementation m m
MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high risk and lo
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wvolume, his or her best action in this situation would be what?
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a. Ask another nurse. m m
b. Discuss the procedure with the client’s physician.
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c. Look up the procedure in a nursing textbook.
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d. First consult the agency procedure manual
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ANS: D m
Following the agency’s policies and procedures manual is always best when seeking infor
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mation on correct client procedures. These policies should reflect the current standardsof c
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are and the individual state’s guidelines. Each nurse is responsible for his or her own practi
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ce. Relying on another nurse may not always be a safe practice. Each nurse is obligated to f
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ollow the standards of care for safe client care delivery. Physicians are responsible for their
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mown client care activity. Nurses may follow safe orders from physicians, but they are also
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responsible for the activities that they, as nurses, are to carry out. Information provided in a
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mnursing textbook is basic information for general knowledge. Furthermore, the information
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in a textbook may not reflect the current standard of care or the individual state or hospital
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policies.
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