MaternityandWomen's Health Care 13th Edition Lowdermilk Test
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, MaternityandWomen's Health Care 13th Edition Lowdermilk Test ,f ,f ,f ,f ,f ,f ,f ,f
Chapter01:21stCenturyMaternityand Women’sHealthNursingLowdermilk: ,f ,f il ,f ,f
Maternity&Women’s Health Care,12thEdition
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MULTIPLECHOICE
1. Inevaluatingthelevelofapregnantwoman’sriskofhavingalow-birth-
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weight(LBW)infant,whichfactoristhemostimportantforthenursetoconsider?
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a. African-Americanrace
b. Cigarettesmoking
c. Poornutritionalstatus ,f ,f
d. Limitedmaternaleducation ,f
ANS: A , f
Theriseintheoverall LBWrateswereduetoincreasesinLBWbirthstonon-Hispanicblackwomen
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(13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost twice
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aslikelyasnon-Hispanicwhiteinfants tobeofLBW andtodie inthefirst yearoflife..
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Raceisanonmodifiableriskfactor. Cigarettesmokingisanimportantfactorinpotential
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infantmortality rates, but it is not the most important. Additionally, smoking is a modifiable
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risk factor.Poornutritionisanimportantfactorinpotentialinfantmortalityrates,butitisnotthe
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most important. Additionally, nutritional status is a modifiable risk factor. Maternal education
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is an important factor in potential infant mortality rates, but it is not the most
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important.Additionally, maternaleducationisamodifiableriskfactor.
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PTS: 1 DIF:
CognitiveLevel:UnderstandTOP: ,f
,f NursingProcess:Assessment ,f ,f
MSC: Client Needs: ,f ,f , f HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care ,f ,f , f
2. A 23-year-old African-American woman is pregnant with her first child. Based on
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currentstatisticsforinfantmortality, whichinterventionismostimportantforthenursetoinclude
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intheclient’splanofcare?
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a. Performanutritionassessment. ,f ,f
b. Referthewomantoasocialworker. ,f ,f ,f ,f ,f ,f
c. Advisethewomantoseeanobstetrician,notamidwife. ,f ,f ,f ,f ,f ,f ,f ,f
d. Explaintothewomantheimportanceofkeepingherprenatalcareappointments. ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
ANS: D , f
Consistent prenatal care is the best method of preventing or controlling risk factors ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
associatedwithinfant mortality. Nutritional statusisan importantmodifiableriskfactor,but itis
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not the most important action a nurse should take in this situation. The client may need
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assistancefromasocialworkeratsometimeduringherpregnancy,butareferraltoasocial
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workerisnotthemostimportantaspectthenurseshouldaddressatthistime.Ifthewoman has
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identifiable high-risk problems, then her health care may need to be provided by a
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physician.However,itcannotbeassumedthatall African-Americanwomenhavehigh-
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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
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toadviseormanagethetypeofcareaclientistoreceive.
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PTS: 1 DIF:
CognitiveLevel:UnderstandTOP: ,f
,f NursingProcess:Planning ,f ,f
, MaternityandWomen's Health Care 13th Edition Lowdermilk Test ,f ,f ,f ,f ,f ,f ,f ,f
MSC: ClientNeeds:HealthPromotionandMaintenance
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3. Thenurses workingat anewlyestablishedbirthingcenterhavebegunto ,f ,f ,f ,f ,f ,f
comparetheirperformance in providing maternal-newborn care against clinical
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standards. This comparisonprocessismostcommonlyknownas what?
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a. Bestpracticesnetwork ,f
b. Clinicalbenchmarking
c. Outcomes-orientedpracNtiUceR S
d. Evidence-basedpractice
ANS: C , f
Outcomes-oriented practice measures the effectiveness of the interventions and quality of ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
careagainst benchmarks or standards. Theterm bestpractice referstoaprogram orservice
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thathas been recognized for its excellence. Clinical benchmarking is a process used to
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compareone’s own performance against the performance of the best in an area of service. The
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term evidence-based practice refers to the provision of care based on evidence gained through
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researchandclinicaltrials.
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PTS: 1 DIF: CognitiveLevel:Understand il
TOP: NursingProcess:Evaluation
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MSC: ClientNeeds:SafeandEffectiveCareEnvironment
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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-old Hispanic client with limited English proficiency.
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Whichinterventionisthemostimportantforthenursetoimplement?
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a. Usematernityjargontoenabletheclienttobecome familiarwiththeseterms. ,f ,f ,f ,f ,f ,f ,f ,f ,f
b. Speakquicklyand efficientlytoexpeditethevisit. ,f ,f ,f ,f ,f
c. Providetheclientwithhandouts. ,f ,f ,f
d. Assesswhethertheclientunderstandsthediscussion. ,f ,f ,f ,f
ANS: D , f
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
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and evaluating whether the client understands the discussion. Speaking slowly and clearly
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and focusing on what is important will increase understanding. Most client
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education materialsare written at a level too high for the average adult and may not be useful
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for a client withlimitedEnglishproficiency.
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PTS: 1 DIF: CognitiveLevel:Apply il
TOP: NursingProcess: Implementation
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MSC: ClientNeeds:HealthPromotionandMaintenance
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5. Whichstatementbestexemplifiescontemporarymaternitynursing? ,f ,f ,f
a. Useofmidwivesforallvaginaldeliveries ,f ,f ,f ,f ,f
b. Family-centeredcare
c. Free-standingbirthclinics
d. Physician-drivencare il
,f ANS: B , f
, MaternityandWomen's Health Care 13th Edition Lowdermilk Test ,f ,f ,f ,f ,f ,f ,f ,f
Contemporarymaternitynursingfocusesonthefamily’sneedsanddesires. Fathers, ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
partners,grandparents, and siblings maybe present forthe birthand participate inactivities such
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as cuttingthebaby’sumbilicalcord.Bothmidwives andphysiciansperformvaginaldeliveries.
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Free-standing clinics are an example of alternative birth options. Contemporary maternity
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nursingisdrivenbytherelationshipbetweennursesandtheirclients.
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PTS: 1 DIF:
CognitiveLevel:UnderstandTOP: ,f
NursingProcess:Planning
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MSC: ClientNeeds:HealthPromotionandMaintenance , f ,f ,f ,f ,f
6. A38-year-oldHispanicwomanvaginallydelivereda9-pound,6-ouncebabygirlafterbeing
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inlabor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
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womanhavealegitimatelegalcasefornegligence?
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a. Inexperiencedmaternitynursewasassignedtocareforthe client. ,f ,f ,f ,f ,f ,f
b. Clientwaspastherduedateby3days. ,f ,f ,f ,f ,f ,f ,f
c. Standardofcarewasnotmet. ,f ,f ,f ,f
d. Clientrefusedelectronicfetalmonitoring. ,f ,f ,f
ANS: C , f
Not meeting the standard of care is a legitimate factor for a case of negligence. An
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inexperiencedmaternitynurse wouldneed to displaycompetencybefore being assigned
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tocareforclientsonhisorherown.Thisclientmayhavebeenpastherduedate;however,a
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termpregnancyoftengoesbeyond40weeksofgestation.Althoughfetalmonitoringisthe
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standardofcare,theclienthastherighttorefusetreatment.Thisrefusalisnotacasefor
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negligence,butinformedconsentshouldbeproperlyobtained,andtheclient
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shouldhavesigned an against medical advice form when refusing any treatment that is
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within the standardofcare.
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PTS: 1 DIF: CognitiveLevel:Analyze il
TOP: NursingProcess: Implementation
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MSC: ClientNeeds:SafeandEffectiveCareEnvironment , f ,f ,f ,f ,f ,f ,f
7. Whenthenurseisunsurehowtoperformaclient careprocedurethatishigh ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
riskandlowvolume,hisorherbestactioninthissituationwouldbewhat?
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a. Askanothernurse. ,f ,f
b. Discusstheprocedurewiththeclient’sphysician. ,f ,f ,f ,f
c. Lookuptheprocedurein anursingtextbook. ,f ,f ,f ,f ,f ,f ,f
d. Firstconsulttheagencyproceduremanual ,f ,f ,f ,f
ANS: D , f
Following the agency’s policies and procedures manual is always best when seeking ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
informationoncorrectclientprocedures.Thesepoliciesshouldreflectthecurrentstandardsofcare
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and the individual state’s guidelines. Each nurse is responsible for his or her own
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practice.Relyingon anothernursemaynotalways beasafepractice.Eachnurseisobligated to
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follow the standards of care for safe client care delivery. Physicians are responsible for their
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own 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 providedi na
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nursingtextbookisbasic informationforgeneral knowledge. Furthermore, the information in
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a textbook may not reflect the current standard of care or the individual stateorhospitalpolicies.
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