Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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TEST BANK FOR Maternity & Women’s Health Care 12t vi vi vi vi vi vi vi vivi
h Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE vi
1. In evaluating the level of a pregnant woman risk of having a low-birth-
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weight (LBW) infant, which factor is the most important for the nurse to consider?
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a. African-American race vi
b. Cigarette smoking vi
c. Poor nutritional status vi vi
d. Limited maternal education vi vi
SELECTED ANSWER: A vi vi
For African-
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American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonm
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odifiable risk factor. Cigarette smoking is an important factor in potential infant mortality rates,
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but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition i
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s an important factor in potential infant mortality rates, but it is not the most important. Addition
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ally, nutritional status is a modifiable risk factor. Maternal education is an
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,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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important factor in potential infant mortality rates, but it is not the most important. Additionally,
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maternal education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOPIC: Nursing Process: Assessment
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MSC: Client Needs: Health Promotion and Maintenance, Antepartum Care
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2. What is the primary role of practicing nurses in the research process?
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a. Designing research studies vi vi
b. Collecting data for other researchersvi vi vi vi
c. Identifying researchable problems vi vi
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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d. Seeking funding to support research studies vi vi vi vi vi
SELECTED ANSWER: C vi vi
When problems are identified, research can be properly conducted. Research of health care issu
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es leads to evidence-
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based practice guidelines. Designing research studies is only one factor of the research process.
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Data collection is another factor of research. Financial support is necessary to conduct research,
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ibut it is not the primary role of the nurse in the research process.
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DIF: Cognitive Level: Understand REF: im: 14 TOPIC: Nursing Process: N/AM
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SC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-
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American woman is pregnant with her first child. Based on the statistics for infant morta
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lity, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. vi vi vi
b. Refer the woman to a social worker. vi vi vi vi vi vi
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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SELECTED ANSWER: D vi vi
Consistent prenatal care is the best method of preventing or controlling risk factors associated wi
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th infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most
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iimportant action a nurse should take in this situation. The client may need assistance from a socia
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l worker at some time during her pregnancy, but a referral to a social worker is not the most imp
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ortant 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 physician. However, it cannot
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be assumed that all African-American women have high-
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risk issues. In addition, advising the woman to see an obstetrician is not the most important aspe
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ct on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or
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manage the type of care a client is to receive.
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DIF: Cognitive Level: Understand REF: IM: TOPIC: Nursing Process: Planning
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, Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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MSC: Client Needs: Health Promotion and Maintenance
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessme
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nt of a 21-year-
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old Hispanic client with limited English proficiency. Which action is the most important for the n
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urse to perform?vi vi
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. vi vi vi vi
d. Assess whether the client understands the discussion.
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SELECTED ANSWER: D vi vi
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evalu
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ating whether the client understands the discussion. Speaking slowly and clearly and focusing on
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what is important will increase understanding. Most client education materials are written at a le
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vel too high for the average adult and may not be useful for a client with limited English proficie
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ncy.
DIF: Cognitive Level: Apply REF: im: 5 TOPIC: Nursing Process: Evaluation
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MSC: Client Needs: Health Promotion and Maintenance
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5. The nurses working at a newly established birthing center have begun to compare their pe
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rformance in providing maternal- vi vi vi
newborn care against clinical standards. This comparison process is most commonly known
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as what?
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a. Best practices network vi vi
b. Clinical benchmarking vi
c. Outcomes-oriented practice vi
d. Evidence-
based practice SELECTED
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ANSWER: C vi
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