Maternity and Women's Health Care 13th Edition
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Lowdermilk
d
, Maternity and Women's Health Care 13th Edition d d d d d d
Lowdermilk
d
Chapter 01: 21st Century Maternity and Women’s Health
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dNursing Lowdermilk: Maternity & Women’s Health Care,
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d13th Edition
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MULTIPLE CHOICE d
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 d
b. Cigarette smoking d
c. Poor nutritional status d d
d. Limited maternal education d d
ANS: A
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-Hispanic black
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infants are almost twice as likely as non-Hispanic white infants to be of
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dLBW and to die in the first year of life.. Race is a nonmodifiable risk
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dfactor. Cigarette smoking is an important factor inpotential infant mortality
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drates, but it is not the most important. Additionally, smoking is a
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dmodifiable risk factor. Poor nutrition is an important factor in potential infant
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dmortality rates, but it is not the most important. Additionally, nutritional status
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dis a modifiable risk factor. Maternal education is an important factor in potential
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dinfant mortality rates, but it is not the most important. Additionally, maternal
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deducation is a modifiable risk factor. d d d d dd
PTS: 1 DIF: Cognitive Level: d
UnderstandTOP: d Nursing Process: Assessment d d
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
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2. A 23-year-old African-American woman is pregnant with her first child. Based on
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current statistics for infant mortality, which intervention is most important for the
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nurse to includein the client’s plan of care?
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a. Perform a nutrition assessment. d d d
b. Refer the woman to a social worker. d d d d d d
c. Advise the woman to see an obstetrician, not a midwife. d d d d d d d d d
d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors
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associated with infant mortality. Nutritional status is an important modifiable risk
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factor, butit is not the most important action a nurse should take in this
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situation. The client may needassistance from a social worker at some time during
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her pregnancy, but a referral to a socialworker is not the most important
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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
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physician. However, it cannot be assumed that all African-American women have
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high-riskissues. In addition, advising the woman to see an obstetrician is not
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the most important aspect on which the nurse should focus at this time, and it is
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not appropriate for a nurse to advise or manage the type of care a client is to
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receive.
d
PTS: 1 DIF: Cognitive Level: d
, Maternity and Women's Health Care 13th Edition
d d d d d d
Lowdermilk
d
UnderstandTOP:
d d Nursing Process:
d
Planning
d
, Maternity and Women's Health Care 13th Edition d d d d d d
Lowdermilk
d
MSC: 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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clinicalstandards. This comparison process is most commonly known as
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what?
d
a. Best practices network d d
b. Clinical benchmarking d
c. Outcomes-oriented pracNtiU
ceRS dd
d. Evidence-based practice d
ANS: C
Outcomes-oriented practice measures the effectiveness of the interventions and d d d d d d d d
quality of care against benchmarks or standards. The term best practice refers
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dto aprogram 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 the
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performance of the best in an area of service. The term evidence-based practice
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refers to the provision of care based on evidence gainedthrough research and
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clinical trials.
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PTS: 1 DIF: Cognitive Level: d
Understand TOP: Nursing Process: Evaluation d d d
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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dobtaining an initial assessment of a 21-year-old Hispanic client with limited
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English proficiency. Which intervention is the most important for the nurse
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dto 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. d d d d
d. Assess whether the client understands the discussion.
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ANS: D
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 understanding.
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Most client education materials are written at a level too high for the
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daverage adult and may not be useful for a client withlimited English proficiency.
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PTS: 1 DIF: Cognitive Level: d
ApplyhTOP: Nursing
dProcess:Implementation d
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 d
c. Free-standing birth clinics d d
d. Physician-
drivencareANS: d d
B
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