TEST BANK:
MATERNITY & WOMEN’S HEALTH CARE, 13TH
EDITION,LOWDERMILK. UPDATED VERSION,2024!!!! ALL
CHAPTERS |COMPLETE A + GRADED
,Chapter 01: 21st Century Maternity and Women’s Health
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NursingLowdermilk: Maternity & Women’s Health Care, 12th Edition
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MULTIPLE CHOICE ckkr
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
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consider?
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a. African-American race ckkr
b. Cigarette smoking ckkr
c. Poor nutritional status ckkr ckkr
d. Limited maternal education ckkr ckkr
ANS: A c k k r
The rise in the overall LBW rates were due to increases in LBW births to
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non-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-Hispanic white infants
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to be of LBW and to die in the first year of life.. Race is a nonmodifiable
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risk factor. Cigarette smoking is an important factor inpotential infant mortality
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rates, but it is not the most important. Additionally, smoking is a modifiable
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risk factor. Poor nutrition is an important factor in potential infant mortality
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rates, but it is not the most important. Additionally, nutritional status is a
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modifiable risk factor. Maternal education is an important factor in potential
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infant mortality rates, but it is not the most important. Additionally, maternal
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education is a modifiable risk factor.
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PTS: 1 DIF: Cognitive Level: ckkr
UnderstandTOP:
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MSC: Client Needs: HealtN
hUPrRoS
mI
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otN nTanBd.MCaO
inM
tenance, Antepartum Care ckkr ckkr ckkr ckkr
2. A 23-year-old African-American woman is pregnant with her first child. Based
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on current statistics for infant mortality, which intervention is most important
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for the nurse to includein the client’s plan of care?
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a. Perform a nutrition assessment. ckkr ckkr ckkr
b. Refer the woman to a social worker. ckkr ckkr ckkr ckkr ckkr ckkr
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 c k k r
Consistent prenatal care is the best method of preventing or controlling risk
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factors associated with infant mortality. Nutritional status is an important
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modifiable risk factor, butit is not the most important action a nurse should
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take in this situation. The client may need assistance from a social worker at
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some time during her pregnancy, but a referral to a socialworker is not the
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most important aspect the nurse should address at this time. If the woman
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has identifiable high-risk problems, then her health care may need to be
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provided by a physician. However, it cannot be assumed that all African-
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American women have high-riskissues. In addition, advising the woman to see
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an obstetrician is not the most important aspect on which the nurse should
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focus at this time, and it is not appropriate for a nurse to advise or manage
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the type of care a client is to receive.
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PTS: 1 DIF: Cognitive Level: ckkr
UnderstandTOP:
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, MSC: ckkr Client Needs: Health Promotion and Maintenance
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3. The nurses working at a newly established birthing center have begun to
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compare theirperformance in providing maternal-newborn care against
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clinical standards. This comparison process is most commonly known as
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what?
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a. Best practices network ckkr ckkr
b. Clinical benchmarking ckkr
c. Outcomes-oriented pracNtiU
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d. Evidence-based practice ckkr
ANS: C c k k r
Outcomes-oriented practice measures the effectiveness of the interventions and ckkr ckkr ckkr ckkr ckkr ckkr ckkr ckkr
quality of care against benchmarks or standards. The term best practice refers
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to a program or servicethat has been recognized for its excellence. Clinical
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benchmarking is a process used to compare one’s own performance against
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the performance of the best in an area of service. The term evidence-based
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practice refers to the provision of care based on evidence gained through
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research and clinical trials.
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PTS: 1 DIF: Cognitive Level: ckkr
UnderstandTOP:
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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
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obtaining an initialassessment of a 21-year-old Hispanic client with limited
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English proficiency. Which intervention is the most important for the
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nurse to implement?
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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. ckkr ckkr ckkr ckkr
d. Assess whether the client understands the discussion.
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ANS: D c k k r
Nurses contribute to health literacy by using simple, common words, avoiding
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jargon, and evaluating whether the client understands the discussion. Speaking
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slowly and clearly and focusing on what is important will increase
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understanding. Most client education materials are written at a level too high
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for the average adult and may not be useful for a client with limited
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English proficiency.
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PTS: 1 DIF: Cognitive Level: ckkr
ApplyTOP:
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Implementation
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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 ckkr
c. Free-standing birth clinics ckkr ckkr
d. Physician-driven
careANS:
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, Contemporary maternity nursing focuses on the family’s needs and desires.
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Fathers, partners, grandparents, and siblings may be present for the birth and
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participate in activitiessuch as cutting the baby’s umbilical cord. Both midwives
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and physicians perform vaginal deliveries. Free-standing clinics are an example
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of alternative birth options. Contemporary maternity nursing is driven by the
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relationship between nurses and their clients.
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PTS: 1 DIF: Cognitive Level: ckkr
UnderstandTOP:
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MSC: Client Needs: Health Promotion and Maintenance
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6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl
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after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
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what 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. ckkr ckkr ckkr ckkr ckkr ckkr ckkr ckkr ckkr
b. Client was past her due date by 3 days.
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c. Standard of care was not met. ckkr ckkr ckkr ckkr ckkr
d. Client refused electronic fetal monitoring.
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ANS: C c k k r
Not meeting the standard of care is a legitimate factor for a case of
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negligence. An inexperienced maternity nurse would need to display competency
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before being assigned tocare for clients on his or her own. This client may
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have been past her due date; however, aterm pregnancy often goes beyond
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40 weeks of gestation. Although fetal monitoring is thestandard of care, the
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client has the right to refuse treatment. This refusal is not a case for
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negligence, but informed consent should be properly obtained, and the client
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should have signed an against medical advice form when refusing any
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treatment that is within the standard of care.
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PTS: 1 DIF: Cognitive Level: ckkr
AnalyzeTOP:
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Implementation
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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
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high risk and lowvolume, his or her best action in this situation would be
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what?
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a. Ask another nurse. ckkr ckkr
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 c k k r
Following the agency’s policies and procedures manual is always best when
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seeking information on correct client procedures. These policies should reflect
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the current standardsof care and the individual state’s guidelines. Each nurse
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is responsible for his or her own practice. Relying on another nurse may not
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always be a safe practice. Each nurse is obligated to follow the standards of
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care for safe client care delivery. Physicians are responsible for their own
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client care activity. Nurses may follow safe orders from physicians, but they
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are also responsible for the activities that they, as nurses, are to carry out.
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Information provided in a nursing textbook is basic information for general
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knowledge.Furthermore, the information in a textbook may not reflect the
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current standard of care or the individual state or hospital policies.
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