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TEST BANK FOR MATERNITY AND WOMENS HEALTH CARE 12TH EDITION LOWDERMILK ALL CHAPTERS COMPLETE GUIDE RATED A+.
TEST BANK FOR MATERNITY AND WOMENS HEALTH CARE 12TH EDITION LOWDERMILK ALL CHAPTERS COMPLETE GUIDE RATED A+.
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Maternity & Women’s Health Care 12th Edition Lowdermilk Test Bankl l l l l l l l l
,Chapter 1: 21st Century Maternity and Women’s Health Nursing
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MULTIPLE CHOICE l
1. In evaluating the level of a pregnant womans risk of having a low-birth-weight (LBW) infant,
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which factor is the most important for the nurse to consider?
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a. African-American race l
b. Cigarette smoking l
c. Poor nutritional status l l
d. Limited maternal education l l
ANS: A l
For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race
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is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant mortality
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rates, but it is not the most important. Additionally, smoking is a modifiable risk factor.Poor
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nutrition is an important factor in potential infant mortality rates, but it is not the most important.
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Additionally, nutritional status is a modifiable risk factor. Maternal education is an important
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factor in potential infant mortality rates, but it is not the most important. Additionally, maternal
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education is a modifiable risk factor.
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DIF: Cognitive Level: Understand REF: IM:
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TOP: 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 l l
b. Collecting data for other researchers l l l l
c. Identifying researchable problems l l
, d. Seeking funding to support research studies l l l l l
ANS: C l
When problems are identified, research can be properly conducted. Research of health care issues
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leads to evidence-based practice guidelines. Designing research studies is only one factorof the
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research process. Data collection is another factor of research. Financial support is necessary to
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conduct research, 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 TOP: Nursing Process: N/A
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MSC: Client Needs: Safe and Effective Care Environment
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3. A 23-year-old African-American woman is pregnant with her first child. Based on the
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statistics for infant mortality, which plan is most important for the nurse to implement?
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a. Perform a nutrition assessment. l l l
b. Refer the woman to a social worker. l l l l l l
c. Advise the woman to see an obstetrician, not a midwife.l l l l l l l l l
d. Explain to the woman the importance of keeping her prenatal care appointments.
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ANS: D l
Consistent prenatal care is the best method of preventing or controlling risk factors associated with
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infant mortality. Nutritional status is an important modifiable risk factor, but it is not the most
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important action a nurse should take in this situation. The client may need assistance from asocial
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worker at some time during her pregnancy, but a referral to a social worker is not the mostimportant
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aspect the nurse should address at this time. If the woman has identifiable high-risk problems, then
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her health care may need to be provided by a physician. However, it cannot be assumed that all
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African-American women have high-risk issues. In addition, advising the woman to see an
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obstetrician is not the most important aspect on which the nurse should focus atthis 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 receive.
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DIF: Cognitive Level: Understand REF: IM: TOP: Nursing Process: Planning
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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 assessment
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of a 21-year-old Hispanic client with limited English proficiency. Which action is themost
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important for the nurse to perform?
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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. l l l l
d. Assess whether the client understands the discussion. l l l l l l
ANS: D l
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
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evaluating whether the client understands the discussion. Speaking slowly and clearly and
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focusing on what is important will increase understanding. Most client education materials are
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written at a level too high for the average adult and may not be useful for a client with limited
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English proficiency.
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DIF: Cognitive Level: Apply REF: im: 5 TOP: 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
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performance in providing maternal-newborn care against clinical standards. This comparison
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process is most commonly known as what?
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a. Best practices network l l
b. Clinical benchmarking l
c. Outcomes-oriented practice l
d. Evidence-based practice l
ANS: C
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