Test Bank For Maternity and Women's Health Care 13th Edition by Deitra L. Lowdermilk All Chapters (1-37) | A+ UPDATED 2024
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Maternity and Women's Health Care 13th Edition Lowdermilk Test
TEST BANK
FOR MATERNITY AND WOMEN'S
HEALTHCARE 13TH EDITION
LOWDERMILK
, Maternity And Women'S Health Care 13th Edition Lowdermilk Test
bAnk
Chapter 01: 21st Century Maternity And Women’s Health Nursing
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
Multiple Choice
1. In Evaluating The Level Of A Pregnant Woman’s Risk Of Having A Low-Birth-
Weight (Lbw) Infant, Which Factor Is The Most Important For The Nurse To Consider?
a. African-American Race
b. Cigarette Smoking
c. Poor Nutritional Status
d. Limited Maternal Education
ANSWER: A
The Rise In The Overall Lbw Rates Were Due To Increases In Lbw Births To Non-
Hispanic Black Women (13.35%) And Hispanic Women (7.21%); Non-Hispanic Black
Infants Are Almost Twice As Likely As Non-Hispanic White Infants To Be Of Lbw And
To Die In The First Year Of Life.. Race Is A Nonmodifiable Risk Factor. Cigarette
Smoking Is An Important Factor InPotential Infant Mortality Rates, But It Is Not The Most
Important. Additionally, Smoking Is A Modifiable Risk Factor. Poor Nutrition Is An
Important Factor In Potential Infant Mortality Rates, But It Is Not The Most Important.
Additionally, Nutritional Status Is A Modifiable Risk Factor. Maternal Education Is An
Important Factor In Potential Infant Mortality Rates, But It Is Not The Most Important.
Additionally, Maternal Education Is A Modifiable Risk Factor.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Assessment
Msc: Client Needs: Healnance, Antepartum Care
2. A 23-Year-Old African-American Woman Is Pregnant With Her First Child. Based On
Current Statistics For Infant Mortality, Which Intervention Is Most Important For The Nurse
To IncludeIn The Client’s Plan Of Care?
a. Perform A Nutrition Assessment.
b. Refer The Woman To A Social Worker.
c. Advise The Woman To See An Obstetrician, Not A Midwife.
d. Explain To The Woman The Importance Of Keeping Her Prenatal Care Appointments.
ANSWER: D
Consistent Prenatal Care Is The Best Method Of Preventing Or Controlling Risk Factors
Associated With Infant Mortality. Nutritional Status Is An Important Modifiable Risk
Factor, But It Is Not The Most Important Action A Nurse Should Take In This Situation.
The Client May Need Assistance From A Social Worker At Some Time During Her
Pregnancy, But A Referral To A Social Worker Is Not The Most Important Aspect The
Nurse Should Address At This Time. If The Woman Has Identifiable High-Risk Problems,
Then Her Health Care May Need To Be Provided By A Physician. However, It Cannot Be
Assumed That All African-American Women Have High-RiskIssues. In Addition, Advising
The Woman To See An Obstetrician Is Not The Most Important Aspect On Which The
Nurse Should Focus At This Time, And It Is Not Appropriate For A Nurse To Advise Or
Manage The Type Of Care A Client Is To Receive.
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Msc: Client Needs: Health Promotion And Maintenance
3. The Nurses Working At A Newly Established Birthing Center Have Begun To
Compare Their Performance In Providing Maternal-Newborn Care Against Clinical
Standards. This Comparison Process Is Most Commonly Known As What?
a. Best Practices Network
b. Clinical Benchmarking
c. Outcomes-Oriented Pracntiu
cers
d. Evidence-Based Practice
ANSWER: C
Outcomes-Oriented Practice Measures The Effectiveness Of The Interventions And Quality
Of Care Against Benchmarks Or Standards. The Term Best Practice Refers To A Program
Or ServiceThat Has Been Recognized For Its Excellence. Clinical Benchmarking Is A
Process Used To Compare One’s Own Performance Against The Performance Of The Best
In An Area Of Service. The Term Evidence-Based Practice Refers To The Provision Of
Care Based On Evidence Gained Through Research And Clinical Trials.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Evaluation
Msc: Client Needs: Safe And Effective Care Environment
4. During A Prenatal Intake Interview, The Nurse Is In The Process Of Obtaining An
Initial Assessment Of A 21-Year-Old Hispanic Client With Limited English
Proficiency. Which Intervention Is The Most Important For The Nurse To
Implement?
a. Use Maternity Jargon To Enable The Client To Become Familiar With These Terms.
b. Speak Quickly And Efficiently To Expedite The Visit.
c. Provide The Client With Handouts.
d. Assess Whether The Client Understands The Discussion.
ANSWER: D
Nurses Contribute To Health Literacy By Using Simple, Common Words, Avoiding
Jargon, AndEvaluating Whether The Client Understands The Discussion. Speaking Slowly
And Clearly And Focusing On What Is Important Will Increase Understanding. Most Client
Education Materials Are Written At A Level Too High For The Average Adult And May
Not Be Useful For A Client With Limited English Proficiency.
Pts: 1 Dif: Cognitive Level: Apply
Top: Nursing Process: Implementation
Msc: Client Needs: Health Promotion And Maintenance
5. Which Statement Best Exemplifies Contemporary Maternity Nursing?
a. Use Of Midwives For All Vaginal Deliveries
b. Family-Centered Care
c. Free-Standing Birth Clinics
d. Physician-Driven
CareANSWER: B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Contemporary Maternity Nursing Focuses On The Family’s Needs And Desires. Fathers,
Partners, Grandparents, And Siblings May Be Present For The Birth And Participate In
ActivitiesSuch As Cutting The Baby’s Umbilical Cord. Both Midwives And
PhysiciANSWER Perform Vaginal Deliveries. Free-Standing Clinics Are An Example Of
Alternative Birth Options. Contemporary Maternity Nursing Is Driven By The Relationship
Between Nurses And Their Clients.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Planning
Msc: Client Needs: Health Promotion And Maintenance
6. A 38-Year-Old Hispanic Woman Vaginally Delivered A 9-Pound, 6-Ounce Baby Girl After
BeingIn Labor For 43 Hours. The Baby Died 3 Days Later From Sepsis. On What Grounds
Could The Woman Have A Legitimate Legal Case For Negligence?
a. Inexperienced Maternity Nurse Was Assigned To Care For The Client.
b. Client Was Past Her Due Date By 3 Days.
c. Standard Of Care Was Not Met.
d. Client Refused Electronic Fetal Monitoring.
ANSWER: C
Not Meeting The Standard Of Care Is A Legitimate Factor For A Case Of Negligence. An
Inexperienced Maternity Nurse Would Need To Display Competency Before Being
Assigned ToCare For Clients On His Or Her Own. This Client May Have Been Past Her
Due Date; However, ATerm Pregnancy Often Goes Beyond 40 Weeks Of Gestation.
Although Fetal Monitoring Is The Standard Of Care, The Client Has The Right To Refuse
Treatment. This Refusal Is Not A Case For Negligence, But Informed Consent Should Be
Properly Obtained, And The Client Should Have Signed An Against Medical Advice
Form When Refusing Any Treatment That Is Within The Standard Of Care.
Pts: 1 Dif: Cognitive Level: Analyze
Top: Nursing Process: Implementation
Msc: Client Needs: Safe And Effective Care Environment
7. When The Nurse Is Unsure How To Perform A Client Care Procedure That Is High Risk
And LowVolume, His Or Her Best Action In This Situation Would Be What?
a. Ask Another Nurse.
b. Discuss The Procedure With The Client’s Physician.
c. Look Up The Procedure In A Nursing Textbook.
d. First Consult The Agency Procedure Manual
ANSWER: D
Following The Agency’s Policies And Procedures Manual Is Always Best When Seeking
Information On Correct Client Procedures. These Policies Should Reflect The Current
StandardsOf Care And The Individual State’s Guidelines. Each Nurse Is Responsible For
His Or Her Own Practice. Relying On Another Nurse May Not Always Be A Safe Practice.
Each Nurse Is Obligated To Follow The Standards Of Care For Safe Client Care Delivery.
PhysiciANSWER Are Responsible For Their Own Client Care Activity. Nurses May
Follow Safe Orders From PhysiciANSWER, But They Are Also Responsible For The
Activities That They, As Nurses, Are To Carry Out. Information Provided In A Nursing
Textbook Is Basic Information For General Knowledge. Furthermore, The Information In A
Textbook May Not Reflect The Current Standard Of Care Or The Individual State Or
Hospital Policies.
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
8. A Nurse Caring For A Pregnant Client Should Be Aware That The U.S. Birth Rate
Shows What Trend?
a. Births To Unmarried Women Are More Likely To Have Less Favorable Outcomes.
b. Birth Rates For Women 40 To 44 Years Of Age Are Declining.
c. Cigarette Smoking Among Pregnant Women Continues To Increase.
d. Rates Of Pregnancy And Abortion Among Teenagers Are Lower In The United
StatesThan In Any Other Industrialized Country.
ANSWER: A
Lbw Infants And Preterm Births Are More Likely Because Of The Large Number Of
Teenagers InThe Unmarried Group. Birth Rates For Women In Their Early 40s Continue
To Increase. Fewer Pregnant Women Smoke. Teen Pregnancy And Abortion Rates Are
Higher In The United States Than In Any Other Industrial Country.
9. A Recently Graduated Nurse Is Attempting To Understand The Reason For Increasing
Health CareSpending In The United States. Which Information Gathered From Research
Best Explains The Rationale For These Higher Costs Compared With Other Developed
Countries?
a. Higher Rate Of Obesity Among Pregnant Women
b. Limited Access To Technology
c. Increased Use Of Healthncaurerss
erivin
cegst
ab
lo.
Ngcwoim
th Lower Prices
d. Homogeneity Of The Population
ANSWER: A
Health Care Is One Of The Fastest Growing Sectors Of The U.S. Economy. Currently,
17.5% OfThe Gross Domestic Product Is Spent On Health Care. Higher Spending In The
United States, AsCompared With 12 Other Industrialized Countries, Is Related To Higher
Prices And Readily Accessible Technology Along With Greater Obesity Rates Among
Women. More Than One Third Of Women In The United States Are Obese. In The
Population In The United States, 16% Are Uninsured And Have Limited Access To Health
Care. Maternal Morbidity And Mortality Are Directly Related To Racial Disparities.
Pts: 1 Dif: Cognitive Level: Understand
Top: Teaching And Learning
Msc: Client Needs: Safe And Effective Care Environment
10. Which Statement Best Describes Maternity Nursing Care That Is Based On Knowledge
GainedThrough Research And Clinical Trials?
a. Maternity Nursing Care Is Derived From The Nursing Intervention Classification.
b. Maternity Nursing Care Is Known As Evidence-Based Practice.
c. Maternity Nursing Care Is At Odds With The Cochrane School Of Traditional Nursing.
d. Maternity Nursing Care Is An Outgrowth Of
Telemedicine. ANSWER: B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test
Evidence-Based Practice Is Based On Knowledge Gained From Research And Clinical Trials.
TheNursing Intervention Classification Is A Method Of Standardizing Language And
Categorizing Care. Dr. Cochrane Systematically Reviewed Research Trials And Is Part Of
The Evidence-BasedPractice Movement. Telemedicine Uses Communication Technologies To
Support Health Care.
Pts: 1 Dif: Cognitive Level: Understand
Top: Nursing Process: Diagnosis
Msc: Client Needs: Safe And Effective Care Environment
11. What Is The Minimum Level Of Practice That A Reasonably Prudent Nurse Is
Expected ToProvide?
a. Standard Of Care
b. Risk Management
c. Sentinel Event
d. Failure To Rescue
ANSWER: A
Guidelines For Standards Of Care Are Published By Various Professional Nursing
Organizations. Risk Management Identifies Risks And Establishes Preventive Practices, But
It Does Not DefineThe Standard Of Care. Sentinel Events Are Unexpected Negative
Occurrences. They Do Not Establish The Standard Of Care. Failure To Rescue Is An
Evaluative Process For Nursing, But It Does Not Define The Standard Of Care.
Pts: 1 Dif: Cognitive Level: Remember
Top: Nursing Process: Implementation
Msc: Client Needs: Safe And Effective Care Environment
Nursingtb.Com
12. Using Social Media Technology, Nurses Can Link With Other Nurses Who May Share Similar
Interests, Insights About Practice, And Advocate For Clients. Which Factor Is The
MostConcerning Pitfall For Nurses Using This Technology?
a. Violation Of Client Privacy And Confidentiality
b. Institutions And Colleagues Who May Be Cast In An Unfavorable Light
c. Unintended Negative Consequences For Using Social Media
d. Lack Of Institutional Policy Governing Online Contact
ANSWER: A
The Most Significant Pitfall For Nurses Using This Technology Is The Violation Of Client
PrivacyAnd Confidentiality. Furthermore, Institutions And Colleagues Can Be Cast In An
Unfavorable Light With Negative Consequences For Those Posting Information. Nursing
Students Have BeenExpelled From School And Nurses Have Been Fired Or Reprimanded
By Their Board Of Nursing For Injudicious Posts. The American Nurses Association Has
Published Six Principles For Social Networking And The Nurse. All Institutions Should
Have Policies Guiding The Use Of Social Media, And The Nurse Should Be Familiar With
These Guidelines.
Pts: 1 Dif: Cognitive Level: Analyze
Top: Nursing Process: Implementation
Msc: Client Needs: Safe And Effective Care Environment
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