100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
TEST BANK For Maternity and Women's Health Care 13th Edition by Lowdermilk; Cashion; Perry; Alden; Verified Chapters 1 - 37, Complete Newest Version $17.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. Lowdermilk, Maternity & Women’s Health Care, 13e
  4.  
  5. Lowdermilk, Maternity & Women’s Health Care, 13e

Exam (elaborations)

TEST BANK For Maternity and Women's Health Care 13th Edition by Lowdermilk; Cashion; Perry; Alden; Verified Chapters 1 - 37, Complete Newest Version
 0 purchase
  • Course
  • Lowdermilk, Maternity & Women’s Health Care, 13e
  • Institution
  • Lowdermilk, Maternity & Women’s Health Care, 13e

TEST BANK For Maternity and Women's Health Care 13th Edition by Lowdermilk; Cashion; Perry; Alden; Verified Chapters 1 - 37, Complete Newest Version

Preview 4 out of 396  pages

Document information

  • September 20, 2024
  • 396
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • 13th edition
  • test bank for maternity and womens health care 13
  • maternity and womens health care
  • by lowdermilk cashion perry alden
  • test bank

Connected book

book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:

More summaries for

All for this textbook (36)

Written for

  • Lowdermilk, Maternity & Women’s Health Care, 13e
  • Lowdermilk, Maternity & Women’s Health Care, 13e

Seller

avatar-seller
Nursestar1

Reviews received

Content preview

Maternity and Women's Health Care 13th Edition
r r r r r r


Lowdermilk
r

, Maternity and Women's Health Care 13th Edition r r r r r r


Lowdermilk
r




Chapter 01: 21st Century Maternity and Women’s Health
r r r r r r r


rNursing Lowdermilk: Maternity & Women’s Health Care,
r r r r r r


r13th Edition
r




MULTIPLE CHOICE r




1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
r r r r r r r r r r r r


weight(LBW)infant, which factor is the most important for the nurse to consider?
r r r r r r r r r r r r r


a. African-American race r


b. Cigarette smoking r


c. Poor nutritional status r r


d. Limited maternal education r r




ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-
r r r r r r r r r r r r r r r


Hispanic black women (13.35%) and Hispanic women (7.21%); non-Hispanic black
r r r r r r r r r r


infants are almost twice as likely as non-Hispanic white infants to be of
r r r r r r r r r r r r r


rLBW and to die in the first year of life.. Race is a nonmodifiable risk factor.
r r r r r r r r r r r r r r r


rCigarette smoking is an important factor inpotential infant mortality rates, but it
r r r r r r r r r r r


ris not the most important. Additionally, smoking is a modifiable risk factor.
r r r r r r r r r r r


rPoor nutrition is an important factor in potential infant mortality rates, but it is
r r r r r r r r r r r r r


rnot the most important. Additionally, nutritional status is a modifiable risk factor.
r r r r r r r r r r r


rMaternal education is an important factor in potential infant mortality rates, but it
r r r r r r r r r r r r


ris not the most important. Additionally, maternal education is a modifiable risk
r r r r r r r r r r r r


factor.
r




PTS: 1 DIF: Cognitive Level: r


UnderstandTOP: r Nursing Process: Assessment r r



MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
r r r r rr rr




2. A 23-year-old African-American woman is pregnant with her first child. Based on
r r r r r r r r r r r


current statistics for infant mortality, which intervention is most important for the
r r r r r r r r r r r r


nurse to includein the client’s plan of care?
r r r r r r r r


a. Perform a nutrition assessment. r r r


b. Refer the woman to a social worker. r r r r r r


c. Advise the woman to see an obstetrician, not a midwife. r r r r r r r r r


d. Explain to the woman the importance of keeping her prenatal care appointments. r r r r r r r r r r r




ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors
r r r r r r r r r r r r


associated with infant mortality. Nutritional status is an important modifiable risk
r r r r r r r r r r r


factor, butit is not the most important action a nurse should take in this
r r r r r r r r r r r r r r


situation. The client may needassistance from a social worker at some time during
r r r r r r r r r r r r r


her pregnancy, but a referral to a socialworker is not the most important
r r r r r r r r r r r r r


aspect the nurse should address at this time. If the woman has identifiable high-
r r r r r r r r r r r r r r


risk problems,then her health care may need to be provided by a physician.
r r r r r r r r r r r r r


However, it cannot be assumed that all African-American women have high-
r r r r r r r r r r r


riskissues. In addition, advising the woman to see an obstetrician is not the r r r r r r r r r r r r


most important aspect on which the nurse should focus at this time, and it is not
r r r r r r r r r r r r r r r r


appropriate for a nurse to advise or manage the type of care a client is to receive.
r r r r r r r r r r r r r r r r rr




PTS: 1 DIF: Cognitive Level: r


UnderstandTOP:
r r Nursing Process: r


Planning
r

, Maternity and Women's Health Care 13th Edition r r r r r r


Lowdermilk
r



MSC: Client Needs: Health Promotion and Maintenance
r r r r r r




3. The nurses working at a newly established birthing center have begun to
r r r r r r r r r r r


compare theirperformance in providing maternal-newborn care against
r r r r rr r r


clinicalstandards. This comparison process is most commonly known as what?
r r r r r r r r r r r


a. Best practices network r r


b. Clinical benchmarking r



c. Outcomes-oriented pracNtiU
ceRS rr


d. Evidence-based practice r



ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and r r r r r r r r


quality of care against benchmarks or standards. The term best practice refers
r r r r r r r r r r r r


rto aprogram or servicethat has been recognized for its excellence. Clinical
r r r r r r r r r r r


benchmarking is a process used to compare one’s own performance against the
r r r r r r r r r r r r


performance of the best in an area of service. The term evidence-based practice
r r r r r r r r r r r r r


refers to the provision of care based on evidence gainedthrough research and
r r r r r r r r r r r r


clinical trials.
r r




PTS: 1 DIF: Cognitive Level: r


UnderstandTOP: Nursing Process: Evaluation r r r


MSC: Client Needs: Safe and Effective Care Environment
r r r r r r r




4. During a prenatal intake interview, the nurse is in the process of
r r r r r r r r r r r r r


robtaining an initial assessment of a 21-year-old Hispanic client with limited
r r r r r r r r r r


English proficiency. Which intervention is the most important for the nurse to
r r r r r r r r r r r r


implement?
r


a. Use maternity jargon to enable the client to become familiar with these terms.
r r r r r r r r r r r r


b. Speak quickly and efficiently to expedite the visit. r r r r r r r


c. Provide the client with handouts. r r r r


d. Assess whether the client understands the discussion. r r r r r r




ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding
r r r r r r r r r r


jargon, and evaluating whether the client understands the discussion. Speaking
r r r r r r r r r r


slowly and clearly and focusing on what is important will increase understanding.
r r r r r r r r r r r r


Most client education materials are written at a level too high for the
r r r r r r r r r r r r r r r


raverage adult and may not be useful for a client withlimited English proficiency.
r r r r r r r r r r r r




PTS: 1 DIF: Cognitive Level: r


ApplyhTOP: Nursing
Process:Implementation
r r


MSC: Client Needs: Health Promotion and Maintenance
r r r r r r




5. Which statement best exemplifies contemporary maternity nursing?
r r r r r r


a. Use of midwives for all vaginal deliveries
r r r r r r


b. Family-centered care r


c. Free-standing birth clinics r r


d. Physician-
drivencareANS: r r




B

, Maternity and Women's Health Care 13th Edition r r r r r r


Lowdermilk
r



Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, r r r r r r r r r r


partners, grandparents, and siblings may be present for the birth and participate in
r r r r r r r r r r r r r


activitiessuch as cutting the baby’s umbilical cord. Both midwives and physicians
r r r r r r r r r r r


perform vaginal deliveries. Free-standing clinics are an example of alternative birth
r r r r r r r r r r r


options. Contemporarymaternity nursing is driven by the relationship between
r r r r r r r r r


rnursesand their clients. r r r




PTS: 1 DIF: Cognitive Level: r


UnderstandTOP: Nursing Process: Planning r r r


MSC: Client Needs: Health Promotion and Maintenance
r r r r r r




6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby
r r r r r r r r r


rgirl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
r r r r r r r r r r r r r r r


whatgrounds could the woman have a legitimate legal case for negligence?
r r r r r r r r r r r r


a. Inexperienced maternity nurse was assigned to care for the client. r r r r r r r r r


b. Client was past her due date by 3 days. r r r r r r r r


c. Standard of care was not met. r r r r r


d. Client refused electronic fetal monitoring. r r r r




ANS: C
Not meeting the standard of care is a legitimate factor for a case of
r r r r r r r r r r r r r


rnegligence. An inexperienced maternity nurse would need to display competency before r r r r r r r r r r


beingassigned tocare for clients on his or her own. This client may have
r r r r r r r r r r r r r r


rbeen past her due date; however, aterm pregnancy often goes beyond 40 weeks
r r r r r r r r r r r rr


rof gestation. r


Although fetal monitoring is thestandard of care, the client has the right to
r r r r r r r r r r r r


refusetreatment. This refusal is not a case for negligence, but informed
r r r r r r r r r r r r


rconsent should be properly obtained, and the client should have signed an against
r r r r r r r r r r r r


rmedical adviceform when refusing any treatment that is within the standard of
r r r r r r r r rr r r r


care.
r



PTS: 1 DIF: Cognitive Level: r


AnalyzeTOP: Nursing Process: r r


Implementation
MSC: Client Needs: Safe and Effective Care Environment
r r r r r r r




7. When the nurse is unsure how to perform a client care procedure that is high
r r r r r r r r r r r r r r


rriskand lowvolume, his or her best action in this situation would be what?
r r r r r r r r r r r r r


a. Ask another nurse. r r


b. Discuss the procedure with the client’s physician. r r r r r r


c. Look up the procedure in a nursing textbook. r r r r r r r


d. First consult the agency procedure manual r r r r r




ANS: D
Following the agency’s policies and procedures manual is always best when
r r r r r r r r r r


seekinginformation on correct client procedures. These policies should reflect the current
r r r r r r r r r r r r


standardsof care and the individual state’s guidelines. Each nurse is responsible
r r r r r r r r r r r


rfor his or her own practice. Relying on another nurse may not always be a
r r r r r r r r r r r r r r


rsafe practice. Each nurse is obligated to follow the standards of care for
r r r r r r r r r r r r


rsafe client care delivery. Physicians are responsible for their own client care
r r r r r r r r r r r


ractivity. Nurses may follow safe orders from physicians, but they are also
r r r r r r r r r r r


rresponsible for the activities that they, as nurses, are to carry out. Information providedr r r r r r r r r r r r r


rin a nursing textbook is basic information for general knowledge. Furthermore,
r r r r r r r r r r


rthe information ina textbook may not reflect the current standard of care or the
r r r r r r r r r r r r r r


rindividual state or hospital policies. r r r r

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Nursestar1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$17.99
  • (0)
Add to cart
Added