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 sr sr sr sr sr sr sr srsr
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 sr
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 sr
b. Cigarette smoking sr
c. Poor nutritional status sr sr
d. Limited maternal education sr sr
SELECTED ANSWER: A sr sr
For African- sr
American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmo
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difiable risk factor. Cigarette smoking is an important factor in potential infant mortality rates, bu
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t it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition is a
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n important factor in potential infant mortality rates, but it is not the most important. Additionally
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, 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 sr sr
b. Collecting data for other researcherssr sr sr sr
c. Identifying researchable problems sr sr
,Maternity & Women’s Health Care 12th Edition Lowdermilk Chapter 1-37 WELL ENLIGHTEN
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d. Seeking funding to support research studies sr sr sr sr sr
SELECTED ANSWER: C sr sr
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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but 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 mortal
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ity, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. sr sr sr
b. Refer the woman to a social worker. sr sr sr sr sr sr
c. Advise the woman to see an obstetrician, not a midwife. sr sr sr sr sr sr sr sr sr
d. Explain to the woman the importance of keeping her prenatal care appointments.
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SELECTED ANSWER: D sr sr
Consistent prenatal care is the best method of preventing or controlling risk factors associated wit
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h infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most i
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mportant action a nurse should take in this situation. The client may need assistance from a social
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worker at some time during her pregnancy, but a referral to a social worker is not the most import
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ant 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 b
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e 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 aspec
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t on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or ma
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nage 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 assessmen
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t 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? sr sr
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. sr sr sr sr sr sr sr
c. Provide the client with handouts. sr sr sr sr
d. Assess whether the client understands the discussion. sr sr sr sr sr sr
SELECTED ANSWER: D sr sr
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and evalua
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ting 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 lev
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el too high for the average adult and may not be useful for a client with limited English proficienc
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y.
DIF: Cognitive Level: Apply REF: im: 5 TOPIC: Nursing Process: EvaluationM
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SC: 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 per
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formance in providing maternal- sr sr sr
newborn care against clinical standards. This comparison process is most commonly known a
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s what?
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a. Best practices network sr sr
b. Clinical benchmarking sr
c. Outcomes-oriented practice sr
d. Evidence-
based practice SELECTED sr sr sr
ANSWER: C sr
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